PMID- 24293628 OWN - NLM STAT- MEDLINE DCOM- 20140227 LR - 20211021 IS - 1550-6606 (Electronic) IS - 0022-1767 (Print) IS - 0022-1767 (Linking) VI - 192 IP - 1 DP - 2014 Jan 1 TI - MyD88 signaling regulates both host defense and immunopathogenesis during pneumocystis infection. PG - 282-92 LID - 10.4049/jimmunol.1301431 [doi] AB - The immune response protects against Pneumocystis infection but is also a key component of Pneumocystis pneumonia (PcP)-related immunopathogenesis. Signaling through myeloid differentiation factor 88 (MyD88) is critical for activation of immune pathways downstream of TLRs and IL-1R. To determine whether MyD88 regulates normal host defense against Pneumocystis, nonimmunosuppressed wild-type (WT) and MyD88-deficient mice were infected. MyD88(-/-) mice had higher early Pneumocystis burdens than did WT mice but mounted an effective adaptive immune response and cleared Pneumocystis similarly to WT. However, MyD88(-/-) mice displayed a more intense and prolonged pulmonary immune response than did WT mice. To determine the role of MyD88 in the development of PcP-related immunopathogenesis, WT and MyD88(-/-) mice were rendered susceptible to PcP by depletion of CD4(+) T cells. At 4 wk postinfection, CD4-depleted WT and MyD88(-/-) mice harbored similar organism burdens, but MyD88(-/-) mice were protected from the PcP-related respiratory impairment observed in WT mice. Improved pulmonary physiology in MyD88(-/-) mice correlated with lower lung CCL2 levels and reduced cell recruitment. However, by 5 wk postinfection, the overall health of MyD88(-/-) mice began to deteriorate rapidly relative to WT, with accelerated weight loss, impaired lung function, and exacerbated alveolar inflammation. This physiological decline of MyD88(-/-) mice was associated with increased TNF-alpha and IFN-gamma in the lung, and by the inability to control Pneumocystis burden. Thus, MyD88 is not required for resistance to Pneumocystis infection, but limits the adaptive immune response in immunocompetent mice. In the setting of active PcP, MyD88 signaling contributes to both immunopathogenesis and control of fungal burden. FAU - Bello-Irizarry, Sheila N AU - Bello-Irizarry SN AD - Department of Microbiology and Immunology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642. FAU - Wang, Jing AU - Wang J FAU - Johnston, Carl J AU - Johnston CJ FAU - Gigliotti, Francis AU - Gigliotti F FAU - Wright, Terry W AU - Wright TW LA - eng GR - R01 HL113495/HL/NHLBI NIH HHS/United States GR - HL113495/HL/NHLBI NIH HHS/United States GR - T32 AR053459/AR/NIAMS NIH HHS/United States GR - R01 HL083761/HL/NHLBI NIH HHS/United States GR - HL083761/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20131129 PL - United States TA - J Immunol JT - Journal of immunology (Baltimore, Md. : 1950) JID - 2985117R RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (Myeloid Differentiation Factor 88) SB - IM MH - Animals MH - Bone Marrow Cells/metabolism MH - Chemokines/biosynthesis MH - Colony Count, Microbial MH - Cytokines/biosynthesis MH - Female MH - Hematopoiesis/genetics MH - Lung/immunology/microbiology/pathology MH - Male MH - Mice MH - Mice, Knockout MH - Myeloid Differentiation Factor 88/deficiency/genetics/*metabolism MH - Pneumocystis/*immunology MH - Pneumocystis Infections/genetics/*immunology/*metabolism/microbiology MH - *Signal Transduction PMC - PMC4140532 MID - NIHMS535102 EDAT- 2013/12/03 06:00 MHDA- 2014/02/28 06:00 PMCR- 2015/01/01 CRDT- 2013/12/03 06:00 PHST- 2013/12/03 06:00 [entrez] PHST- 2013/12/03 06:00 [pubmed] PHST- 2014/02/28 06:00 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - jimmunol.1301431 [pii] AID - 10.4049/jimmunol.1301431 [doi] PST - ppublish SO - J Immunol. 2014 Jan 1;192(1):282-92. doi: 10.4049/jimmunol.1301431. Epub 2013 Nov 29.