PMID- 26512987 OWN - NLM STAT- MEDLINE DCOM- 20160328 LR - 20190202 IS - 1935-2735 (Electronic) IS - 1935-2727 (Print) IS - 1935-2727 (Linking) VI - 9 IP - 10 DP - 2015 TI - Loss- and Gain-of-Function Approaches Indicate a Dual Role Exerted by Regulatory T Cells in Pulmonary Paracoccidioidomycosis. PG - e0004189 LID - 10.1371/journal.pntd.0004189 [doi] LID - e0004189 AB - Paracoccidioidomycosis (PCM), is a pulmonary fungal disease whose severity depends on the adequate development of T cell immunity. Although regulatory T (Treg) cells were shown to control immunity against PCM, deleterious or protective effects were described in different experimental settings. To clarify the function of Treg cells in pulmonary PCM, loss-and gain-of-function approaches were performed with Foxp3GFP knock-in mice and immunodeficient Rag1-/- mice, respectively, which were intratracheally infected with 106 yeast cells. The activity of Foxp3-expressing Treg cells in pulmonary PCM was determined in Foxp3GFP transgenic mice. First, it was verified that natural Treg cells migrate to the lungs of infected mice, where they become activated. Depletion of Treg cells led to reduced fungal load, diminished pathogen dissemination and increased Th1/Th2/Th17 immunity. Further, adoptive transfer of diverse T cell subsets to Rag1-/- mice subsequently infected by the pulmonary route demonstrated that isolated CD4+Foxp3+ Treg cells were able to confer some degree of immunoprotection and that CD4+Foxp3- T cells alone reduced fungal growth and enhanced T cell immunity, but induced vigorous inflammatory reactions in the lungs. Nevertheless, transfer of Treg cells combined with CD4+Foxp3- T cells generated more efficient and balanced immune Th1/Th2/Th17 responses able to limit pathogen growth and excessive tissue inflammation, leading to regressive disease and increased survival rates. Altogether, these loss- and gain-of-function approaches allow us to clearly demonstrate the dual role of Treg cells in pulmonary PCM, their deleterious effects by impairing T cell immunity and pathogen eradication, and their protective role by suppressing exacerbated tissue inflammation. FAU - Bazan, Silvia B AU - Bazan SB AD - Departamento de Imunologia, Instituto de Ciencias Biomedicas, Universidade de Sao Paulo, Sao Paulo, Brazil. FAU - Costa, Tania A AU - Costa TA AD - Departamento de Imunologia, Instituto de Ciencias Biomedicas, Universidade de Sao Paulo, Sao Paulo, Brazil. FAU - de Araujo, Eliseu Frank AU - de Araujo EF AD - Departamento de Imunologia, Instituto de Ciencias Biomedicas, Universidade de Sao Paulo, Sao Paulo, Brazil. FAU - Feriotti, Claudia AU - Feriotti C AD - Departamento de Imunologia, Instituto de Ciencias Biomedicas, Universidade de Sao Paulo, Sao Paulo, Brazil. FAU - Loures, Flavio V AU - Loures FV AD - Departamento de Imunologia, Instituto de Ciencias Biomedicas, Universidade de Sao Paulo, Sao Paulo, Brazil. FAU - Pretel, Fernando D AU - Pretel FD AD - Centro de Facilidades de Apoio a Pesquisa (CEFAP), Instituto de Ciencias Biomedicas, Universidade de Sao Paulo, Sao Paulo, Brazil. FAU - Calich, Vera L G AU - Calich VL AD - Departamento de Imunologia, Instituto de Ciencias Biomedicas, Universidade de Sao Paulo, Sao Paulo, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151029 PL - United States TA - PLoS Negl Trop Dis JT - PLoS neglected tropical diseases JID - 101291488 RN - 0 (Forkhead Transcription Factors) RN - 0 (Foxp3 protein, mouse) RN - 147336-22-9 (Green Fluorescent Proteins) SB - IM MH - Animals MH - Artificial Gene Fusion MH - Cell Movement MH - Forkhead Transcription Factors/genetics MH - Green Fluorescent Proteins/analysis/genetics MH - Lung/immunology/pathology MH - Lung Diseases, Fungal/*immunology MH - Male MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Mice, Transgenic MH - Paracoccidioidomycosis/*immunology MH - Staining and Labeling/methods MH - T-Lymphocyte Subsets/immunology MH - T-Lymphocytes, Regulatory/chemistry/*immunology PMC - PMC4626087 COIS- The authors have declared that no competing interests exist. EDAT- 2015/10/30 06:00 MHDA- 2016/03/29 06:00 PMCR- 2015/10/29 CRDT- 2015/10/30 06:00 PHST- 2015/08/04 00:00 [received] PHST- 2015/10/02 00:00 [accepted] PHST- 2015/10/30 06:00 [entrez] PHST- 2015/10/30 06:00 [pubmed] PHST- 2016/03/29 06:00 [medline] PHST- 2015/10/29 00:00 [pmc-release] AID - PNTD-D-15-01368 [pii] AID - 10.1371/journal.pntd.0004189 [doi] PST - epublish SO - PLoS Negl Trop Dis. 2015 Oct 29;9(10):e0004189. doi: 10.1371/journal.pntd.0004189. eCollection 2015.