PMID- 23836814 OWN - NLM STAT- MEDLINE DCOM- 20140220 LR - 20211021 IS - 1098-5522 (Electronic) IS - 0019-9567 (Print) IS - 0019-9567 (Linking) VI - 81 IP - 9 DP - 2013 Sep TI - Dectin immunoadhesins and pneumocystis pneumonia. PG - 3451-62 LID - 10.1128/IAI.00136-13 [doi] AB - The opportunistic pathogen Pneumocystis jirovecii is a significant cause of disease in HIV-infected patients and others with immunosuppressive conditions. Pneumocystis can also cause complications in treatment following antiretroviral therapy or reversal of immunosuppressive therapy, as the newly reconstituted immune system can develop a pathological inflammatory response to remaining antigens or a previously undetected infection. To target beta-(1,3)-glucan, a structural component of the Pneumocystis cell wall with immune-stimulating properties, we have developed immunoadhesins consisting of the carbohydrate binding domain of Dectin-1 fused to the Fc regions of the 4 subtypes of murine IgG (mIgG). These immunoadhesins bind beta-glucan with high affinity, and precoating the surface of zymosan with Dectin-1:Fc can reduce cytokine production by macrophages in an in vitro stimulation assay. All Dectin-1:Fc variants showed specificity of binding to the asci of Pneumocystis murina, but effector activity of the fusion molecules varied depending on Fc subtype. Dectin-1:mIgG2a Fc was able to reduce the viability of P. murina in culture through a complement-dependent mechanism, whereas previous studies have shown the mIgG1 Fc fusion to increase macrophage-dependent killing. In an in vivo challenge model, systemic expression of Dectin-1:mIgG1 Fc significantly reduced ascus burden in the lung. When administered postinfection in a model of immune reconstitution inflammatory syndrome (IRIS), both Dectin-1:mIgG1 and Dectin-1:mIgG2a Fc reduced hypoxemia despite minimal effects on fungal burden in the lung. Taken together, these data indicate that molecules targeting beta-glucan may provide a mechanism for treatment of fungal infection and for modulation of the inflammatory response to Pneumocystis and other pathogens. FAU - Ricks, David M AU - Ricks DM AD - Department of Genetics, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA. FAU - Chen, Kong AU - Chen K FAU - Zheng, Mingquan AU - Zheng M FAU - Steele, Chad AU - Steele C FAU - Kolls, Jay K AU - Kolls JK LA - eng GR - R01 HL062052/HL/NHLBI NIH HHS/United States PT - Journal Article DEP - 20130708 PL - United States TA - Infect Immun JT - Infection and immunity JID - 0246127 RN - 0 (Antibodies, Monoclonal) RN - 0 (Cytokines) RN - 0 (Immunoglobulin G) RN - 0 (Lectins, C-Type) RN - 0 (beta-Glucans) RN - 0 (dectin 1) RN - 9010-72-4 (Zymosan) SB - IM MH - Animals MH - Antibodies, Monoclonal/*immunology MH - B-Lymphocytes/immunology MH - Cell Wall/immunology MH - Cytokines/immunology MH - Immune Reconstitution Inflammatory Syndrome/immunology MH - Immunoglobulin G/immunology MH - Inflammation/immunology MH - Lectins, C-Type/*immunology MH - Lung/immunology MH - Macrophages/immunology MH - Mice MH - Mice, Inbred C57BL MH - Pneumonia, Pneumocystis/*immunology MH - T-Lymphocytes/immunology MH - Zymosan/immunology MH - beta-Glucans/immunology PMC - PMC3754224 EDAT- 2013/07/10 06:00 MHDA- 2014/02/22 06:00 PMCR- 2014/03/01 CRDT- 2013/07/10 06:00 PHST- 2013/07/10 06:00 [entrez] PHST- 2013/07/10 06:00 [pubmed] PHST- 2014/02/22 06:00 [medline] PHST- 2014/03/01 00:00 [pmc-release] AID - IAI.00136-13 [pii] AID - 00136-13 [pii] AID - 10.1128/IAI.00136-13 [doi] PST - ppublish SO - Infect Immun. 2013 Sep;81(9):3451-62. doi: 10.1128/IAI.00136-13. Epub 2013 Jul 8.