Phagocytosis‐dependent activation of aTLR9–BTK–calcineurin–NFATpathway co‐ordinates innate immunity toAspergillus fumigatus
Phagocytosis‐dependent activation of aTLR9–BTK–calcineurin–NFATpathway co‐ordinates innate immunity toAspergillus fumigatus
AbstractTransplant recipients on calcineurin inhibitors are at high risk of invasive fungal infection. Understanding how calcineurin inhibitors impair fungal immunity is a key priority for defining risk of infection. Here, we show that the calcineurin inhibitor tacrolimus impairs clearance of the major mould pathogenAspergillus fumigatusfrom the airway, by inhibiting macrophage inflammatory responses. This leads to defective early neutrophil recruitment and fungal clearance. We confirm these findings in zebrafish, showing an evolutionarily conserved role for calcineurin signalling in neutrophil recruitment during inflammation. We find that calcineurin–NFATactivation is phagocytosis dependent and collaborates withNF‐κB forTNF‐α production. For yeast zymosan particles, activation of macrophage calcineurin–NFAToccurs via the phagocytic Dectin‐1–spleen tyrosine kinase pathway, but forA. fumigatus, activation occurs via a phagosomalTLR9‐dependent and Bruton's tyrosine kinase‐dependent signalling pathway that is independent of MyD88. We confirm the collaboration betweenNFATandNF‐κB forTNF‐α production in primary alveolar macrophages. These observations identify inhibition of a newly discovered macrophageTLR9–BTK–calcineurin–NFATsignalling pathway as a key immune defect that leads to organ transplant‐related invasive aspergillosis.
- Harefield Hospital United Kingdom
- Imperial College London United Kingdom
- National Institute of Health Pakistan
- Royal Brompton & Harefield NHS Foundation Trust United Kingdom
- Royal Brompton Hospital United Kingdom
Medicine (General), NUCLEAR-FACTOR, Research & Experimental Medicine, QH426-470, TLR9, Agammaglobulinaemia Tyrosine Kinase, calcineurin, Zebrafish, 11 Medical and Health Sciences, Research Articles, Cells, Cultured, GENE-EXPRESSION, Mice, Knockout, BETA-GLUCAN RECEPTOR, Research & Experimental, Calcineurin, NF-kappa B, phagocytosis, Protein-Tyrosine Kinases, TNF-ALPHA, Medicine, Research & Experimental, Medicine, Life Sciences & Biomedicine, SYK KINASE, Signal Transduction, 570, NFAT, Calcineurin Inhibitors, 610, TRANSPLANT RECIPIENTS, Tacrolimus, HOST-DEFENSE, R5-920, Phagocytosis, Genetics, Animals, Aspergillosis, transplant, INVASIVE FUNGAL-INFECTIONS, Science & Technology, NFATC Transcription Factors, Tumor Necrosis Factor-alpha, aspergillus, Aspergillus fumigatus, Macrophages, 06 Biological Sciences, Immunity, Innate, Mice, Inbred C57BL, Disease Models, Animal, Toll-Like Receptor 9, T-CELLS
Medicine (General), NUCLEAR-FACTOR, Research & Experimental Medicine, QH426-470, TLR9, Agammaglobulinaemia Tyrosine Kinase, calcineurin, Zebrafish, 11 Medical and Health Sciences, Research Articles, Cells, Cultured, GENE-EXPRESSION, Mice, Knockout, BETA-GLUCAN RECEPTOR, Research & Experimental, Calcineurin, NF-kappa B, phagocytosis, Protein-Tyrosine Kinases, TNF-ALPHA, Medicine, Research & Experimental, Medicine, Life Sciences & Biomedicine, SYK KINASE, Signal Transduction, 570, NFAT, Calcineurin Inhibitors, 610, TRANSPLANT RECIPIENTS, Tacrolimus, HOST-DEFENSE, R5-920, Phagocytosis, Genetics, Animals, Aspergillosis, transplant, INVASIVE FUNGAL-INFECTIONS, Science & Technology, NFATC Transcription Factors, Tumor Necrosis Factor-alpha, aspergillus, Aspergillus fumigatus, Macrophages, 06 Biological Sciences, Immunity, Innate, Mice, Inbred C57BL, Disease Models, Animal, Toll-Like Receptor 9, T-CELLS
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