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Published ahead of print on March 22, 2007, doi:10.1164/rccm.200602-256OC
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American Journal of Respiratory and Critical Care Medicine Vol 175. pp. 1165-1172, (2007)
© 2007 American Thoracic Society
doi: 10.1164/rccm.200602-256OC


Original Article

The Role of CC Chemokine Receptor 6 in Host Defense in a Model of Invasive Pulmonary Aspergillosis

Anagha P. Phadke1, Gangaram Akangire1, Stacy J. Park1,2, Sergio A. Lira3 and Borna Mehrad1,2,4

1 Division of Pulmonary and Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, Texas; 2 Department of Microbiology, University of Virginia, Charlottesville, Virginia; 3 Immunobiology Center, Mount Sinai School of Medicine, New York, New York; and 4 Division of Pulmonary and Critical Care Medicine, University of Virginia, Charlottesville, Virginia

Correspondence and requests for reprints should be addressed to Borna Mehrad, M.D., Box 800546, University of Virginia School of Medicine, Charlottesville, VA 22908. E-mail: mehrad{at}virginia.edu

Rationale: Invasive aspergillosis is a severe fungal infection afflicting immunocompromised patients, particularly patients with neutrophil defects. CCR6, a beta-chemokine receptor, mediates migration of dendritic cells (DCs) and several lymphocyte subsets to sites of epithelial inflammation, but its role in infections has not been examined extensively.

Objectives: To test the hypothesis that CCR6-mediated leukocyte recruitment is necessary for effective host defense in neutropenic hosts with invasive pulmonary aspergillosis.

Methods: Neutropenic wild-type mice and mice with targeted deletion of CCR6 were infected with Aspergillus fumigatus. The host responses to the infection were compared in vivo and leukocyte responses to the fungus were examined in vitro.

Measurements and Main Results: In the context of infection, immature myeloid DCs were the major population of CCR6-expressing cells in the lungs. As compared with wild-type animals, CCR6-deficient mice developed a more severe infection when challenged with A. fumigatus conidia, as documented by a higher mortality rate and greater lung fungal burden. This was associated with reduced accumulation of DCs in the lungs. CCR6-deficient and wild-type DCs did not differ in their phagocytosis of conidia, cytokine response, or maturation in vitro. In adoptive transfer experiments, however, DCs from CCR6-deficient donors showed lesser accumulation in the lungs of infected mice as compared with wild-type cells, and transfer of wild-type, but not CCR6-deficient, DCs resulted in attenuated severity of infection in CCR6-deficient recipients.

Conclusions: Taken together, these results implicate CCR6-mediated DC influx into the lung in the initial host defense in invasive aspergillosis.

Key Words: CCR6 protein, mouse • dendritic cells • fungi, filamentous • pneumonia


AT A GLANCE COMMENTARY

Scientific Knowledge on the Subject
Invasive aspergillosis is an infection of immunocompromised hosts, particularly those with neutrophil defects. CCR6, a chemokine receptor, mediates migration of several leukocyte subsets to epithelial surfaces, but its role in infections is not clear.

What This Study Adds to the Field
CCR6-mediated dendritic cell influx into the lung is critical to the initial host defense against invasive aspergillosis in neutropenic hosts.

 



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