PMID- 21765962 OWN - NLM STAT- MEDLINE DCOM- 20111107 LR - 20240324 IS - 1935-2735 (Electronic) IS - 1935-2727 (Print) IS - 1935-2727 (Linking) VI - 5 IP - 7 DP - 2011 Jul TI - Structural and topographic dynamics of pulmonary histopathology and local cytokine profiles in Paracoccidioides brasiliensis conidia-infected mice. PG - e1232 LID - 10.1371/journal.pntd.0001232 [doi] LID - e1232 AB - BACKGROUND: Paracoccidioidomycosis (PCM), an endemic systemic mycosis caused by the fungus Paracoccidioides brasiliensis (Pb), usually results in severe lung damage in patients. METHODS AND FINDINGS: Considering the difficulties to sequentially study the infection in humans, this work was done in mice inoculated intranasally with infective Pb-conidia. Lungs of control and Pb-infected mice were studied after 2-hours, 4, 8, 12 and 16-weeks post-infection (p.i) in order to define histopathologic patterns of pulmonary lesions, multiplex-cytokine profiles and their dynamics during the course of this mycosis. Besides the nodular/granulomatous lesions previously informed, results revealed additional non-formerly described lung abnormalities, such as periarterial sheath inflammation and pseudotumoral masses. The following chronologic stages occurring during the course of the experimental infection were defined: Stage one (2-hours p.i): mild septal infiltration composed by neutrophils and macrophages accompanied by an intense "cytokine burst" represented by significant increases in IL-1alpha, IL-1beta, IL-4, IL-5, IL-6, IL-10, IL12p70, IL-13, IL-17, Eotaxin, G-CSF, MCP1, MIP1alpha, GM-CSF, IFN-gamma, MIP1beta and TNFalpha levels. Stage two (4-weeks p.i): presence of nodules, evidence of incipient periarterial- and intense but disperse parenchymal- inflammation, abnormalities that continued to be accompanied by hyper-secretion of those cytokines and chemokines mentioned in the first stage of infection. Stages three and four (8 and 12-weeks p.i.): fungal proliferation, inflammation and collagenesis reached their highest intensity with particular involvement of the periarterial space. Paradoxically, lung cytokines and chemokines were down-regulated with significant decreases in IL-2,IL-3,IL-5,IL-9,IL-13,IL-15,GM-CSF,IFN-gamma,MIP1beta and TNFalpha. Stage five (16-weeks p.i.): inflammation decreased becoming limited to the pseudotumoral masses and was accompanied by a "silent" cytokine response, except for PDGF, MIG, RANTES and IL12p40 which remained up-regulated for the duration of the experiment. CONCLUSIONS: Results of this study identified both classic and novel patterns corresponding to histopathologic and immunologic responses occurring during the course of experimental PCM. FAU - Lopera, Damaris AU - Lopera D AD - Medical and Experimental Mycology Group, Corporacion para Investigaciones Biologicas, Medellin, Colombia. FAU - Naranjo, Tonny W AU - Naranjo TW FAU - Cruz, Oswaldo G AU - Cruz OG FAU - Restrepo, Angela AU - Restrepo A FAU - Cano, Luz Elena AU - Cano LE FAU - Lenzi, Henrique Leonel AU - Lenzi HL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110712 PL - United States TA - PLoS Negl Trop Dis JT - PLoS neglected tropical diseases JID - 101291488 RN - 0 (Cytokines) SB - IM MH - Animals MH - Cytokines/*metabolism MH - Disease Models, Animal MH - Histocytochemistry MH - Immunoassay MH - Immunohistochemistry MH - Lung/microbiology/*pathology MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Microscopy MH - Paracoccidioides/*immunology/*pathogenicity MH - Paracoccidioidomycosis/*immunology/*pathology MH - Rodent Diseases/immunology/pathology MH - Spores, Fungal/immunology/pathogenicity MH - Time Factors PMC - PMC3134433 COIS- The authors have declared that no competing interests exist. EDAT- 2011/07/19 06:00 MHDA- 2011/11/08 06:00 PMCR- 2011/07/12 CRDT- 2011/07/19 06:00 PHST- 2010/09/29 00:00 [received] PHST- 2011/05/25 00:00 [accepted] PHST- 2011/07/19 06:00 [entrez] PHST- 2011/07/19 06:00 [pubmed] PHST- 2011/11/08 06:00 [medline] PHST- 2011/07/12 00:00 [pmc-release] AID - PNTD-D-10-00033 [pii] AID - 10.1371/journal.pntd.0001232 [doi] PST - ppublish SO - PLoS Negl Trop Dis. 2011 Jul;5(7):e1232. doi: 10.1371/journal.pntd.0001232. Epub 2011 Jul 12.