News and Research
Immune System
Enzyme Revealed That Is Key To Fungus's Ability To Breach
Immune System
11-13-2003
DURHAM, N.C. – A newly discovered mechanism by which
an infectious fungus evades the immune system could lead
to novel methods to fight the fungus and other disease-causing
microbes, according to Howard Hughes Medical Institute investigators
at Duke University Medical Center.
Disruption
of a key enzyme in the fungus Cryptococcus neoformans –
a common cause of infection of the central nervous system
in patients such as organ transplant recipients who lack
a functioning immune system -- led to a significant loss
of fungal virulence in mice, the team found. That loss of
virulence stemmed from the fungus's inability to launch
a counterattack against components of the innate immune
system, the body's first line of defense against infection,
the study showed.
The
Duke-based team -- led by HHMI geneticist Joseph Heitman,
M.D., director of Duke's Center for Microbial Pathogenesis,
and HHMI biochemist Jonathan Stamler, M.D. -- reported their
findings in the Nov. 11, 2003, issue of Current Biology.
The work was funded by the National Institutes of Allergy
and Infectious Diseases and the Burroughs Wellcome Fund.
The
"fungal defense" enzyme, called flavohemoglobin,
is prevalent among many bacterial and fungal pathogens,
Heitman said, which suggests that the findings in Cryptococcus
are likely relevant to other infectious microbes. New drugs
that target these enzymes might therefore represent effective
treatments for a wide range of infectious diseases, he said.
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The human immune system uses a two-pronged mechanism
to fight infection: a rapid innate response and a slower adaptive
response that depends on the production of antibodies. Key components
of the innate immune system are "search-and-destroy" cells
called macrophages that engulf and kill invading pathogens. Macrophages
kill infectious microbes using a combination of oxidants, including
hydrogen peroxide, nitric oxide and related molecules.
"The body must rely on macrophages of the innate
immune system to protect itself before the adaptive immune system
can respond to invasion," Heitman said. "While much is known
about how pathogens defend themselves against hydrogen peroxide produced
by the macrophages, this study is the first biologically relevant
test of what microbes do to counteract nitric oxide and promote infection."
The researchers found that a mutant C. neoformans
strain lacking the flavohemoglobin enzyme failed to break down nitric
oxide in laboratory cultures. Fungus with the enzyme deficiency also
ceased to grow when in the presence of nitric oxide, whereas ordinary
fungus survived normally.
Mice infected with the flavohemoglobin-deficient C.
neoformans survived for five days longer than those infected with
the normally virulent strain. In contrast, the normal and mutant fungal
strains were equally virulent in mice whose immune cells could not
produce nitric oxide, the team reported.
The mutant fungus also failed to grow normally in
laboratory dishes containing macrophage cells, further implicating
the innate immune system in the loss of virulence exhibited by fungi
lacking flavohemoglobin.
The team discovered a second enzyme, known as GSNO
reductase, which also plays a role in defending the fungus against
nitric oxide-related molecules produced by macrophages. Mutant fungal
strains deficient in both enzymes were more severely impaired than
those lacking flavohemoglobin only.
"By disabling either the fungal nitric oxide
defense system or the immune system's ability to produce nitric oxide,
we were able to tip the balance one way or the other – in favor
of the fungal infection or the host," Heitman said. "That
raises the possibility that we could treat infectious disease with
drugs that either inhibit fungal defense enzymes or increase the innate
immune system's ability to mount a nitrosative attack."
Collaborators on the study include Marisol de Jesus-Berrios,
Ph.D., Gary Cox, M.D., Limin Liu, Ph.D., and Jesse Nussbaum, all of
Duke.
This story has been adapted from a news release issued
by Duke University Medical Center, www.dukemednews.org.
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