Previous Article | Next Article ![]()
Clinical and Diagnostic Laboratory Immunology, November 2001, p. 1258-1262, Vol. 8, No. 6
Second Department of Medicine, Kyoto
Prefectural University of Medicine, Kyoto, Japan
Received 16 March 2001/Returned for modification 11 June
2001/Accepted 8 August 2001
Recent studies have shown that alveolar macrophages (AMs) not only
act as phagocytes but also play a central role as potent secretory
cells in various lung diseases, including pneumonia and acute
respiratory distress syndrome. The behavior of AMs during disseminated
candidiasis, however, is insufficiently elucidated. This study is the
first to report disseminated candidiasis in AM-depleted mice and to
analyze the effect of AMs on Candida-induced acute lung
injury. While all AM-sufficient mice died by day 2 after infection with
Candida albicans, no mortality was observed among
AM-depleted mice. Unexpectedly, the CFU numbers of C. albicans isolated from the lungs of AM-depleted mice were
significantly higher than those for C. albicans isolated
from AM-sufficient mice. The lung wet-to-dry weight ratio was lower for
AM-depleted mice than for AM-sufficient mice, although this difference
was not significant. We found that bronchoalveolar lavage fluid (BALF) from AM-depleted mice in candidemia contained fewer neutrophils than
BALF from AM-sufficient mice. In addition, myeloperoxidase activities
in lung homogenates of AM-depleted mice were significantly lower than
those in homogenates of AM-sufficient mice. A significant decrease in
levels of murine macrophage inflammatory protein 2 (MIP-2), a potent
chemoattractant for neutrophils, was noted in lung homogenates from
AM-depleted mice compared with levels in homogenates from AM-sufficient
mice. Immunohistochemical studies using anti-MIP-2 antibodies revealed
that AMs were the cellular source of MIP-2 within the lung during
candidemia. We observed that AM depletion decreased levels of
AM-derived neutrophil chemoattractant, alleviated acute lung injury
during candidemia, and prolonged the survival of mice in candidemia,
even though clearance of C. albicans from the lungs was reduced.
1071-412X/01/$04.00+0 DOI: 10.1128/CDLI.8.6.1258-1262.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Role of Alveolar Macrophages in Candida-Induced Acute
Lung Injury
*
Corresponding author. Mailing address: Department of
Internal Medicine, National Maizuru Hospital, 2410 Yukinaga, Maizuru, Kyoto 625-8502, Japan. Phone: 81-773-62-2680. Fax: 81-773-63-5332. E-mail: ykubota{at}oak.ocn.ne.jp.
This article has been cited by other articles:
Copyright © 2009 by the American Society for Microbiology. For an alternate route to Journals.ASM.org, visit: http://intl-journals.asm.org | More Info»