Paracoccidioidomycosis (PCM), caused by Paracoccidioides brasiliensis , is the most prevalent invasive fungal disease in South America. Systemic mycoses are the 10th most common cause of death among infectious diseases in Brazil and PCM is responsible for more than 50% of deaths due to fungal infections. PCM is typically treated with sulfonamides, amphotericin B or azoles, although complete eradication of the fungus may not occur and relapsing disease is frequently reported. A 15-mer peptide from the major diagnostic antigen gp43, named P10, can induce a strong T-CD4+ helper-1 immune response in mice. The TEPITOPE algorithm and experimental data have confirmed that most HLA-DR molecules can present P10, which suggests that P10 is a candidate antigen for a PCM vaccine. In the current work, the therapeutic efficacy of plasmid immunization with P10 and/or IL-12 inserts was tested in murine models of PCM. When given prior to or after infection with P. brasiliensis virulent Pb 18 isolate, plasmid-vaccination with P10 and/or IL-12 inserts successfully reduced the fungal burden in lungs of infected mice. In fact, intramuscular administration of a combination of plasmids expressing P10 and IL-12 given weekly for one month, followed by single injections every month for 3 months restored normal lung architecture and eradicated the fungus in mice that were infected one month prior to treatment. The data indicate that immunization with these plasmids is a powerful procedure for prevention and treatment of experimental PCM, with the perspective of being also effective in human patients.
Paracoccidioidomycosis (PCM) is a systemic granulomatous disease caused by the dimorphic fungusParacoccidioidomycosis (PCM) is a granulomatous disease caused by the thermodimorphic fungus Paracoccidioides brasiliensis, which is prevalent in Brazil and other Latin American countries (5, 6, 33). Some individuals develop one of the two main clinical forms of PCM. The acute form is characterized by impaired cellular immunity, negative delayed-type hypersensitivity reactions, increased systemic proliferation of the fungus, and high mortality rate. The chronic form, ranging from mild to severe chronic disease, shows exacerbated host cellular immune responses and formation of granulomas containing fungal cells and may evolve to develop extensive sequelae, including fibrotic lesions and impairment of lung function (33, 39).Vaccines against PCM are still not available for human use, but promising formulations have been experimentally tested during the last few years. Irradiated P. brasiliensis or cellular antigens fractionated by anion-exchange chromatography conferred partial protection against fungal proliferation in the murine model (11). The extracellular gp43 glycoprotein, the major diagnostic antigen of P. brasiliensis, is the most intensively studied component aimed at a vaccine for PCM control. Previous reports have shown that mice immunized with the purified protein, DNA, or anti-idiotypic monoclonal antibody were partially protected against challenges by P. brasiliensis (28,36,37,40). A 15-amino-acid peptide (QTLIAIHTLAIRY AN), designated P10, contains the gp43 immunodominant CD4 ϩ T-cell-specific epitope presented by major histocompatibility complex class II molecules from three different mouse haplotypes (37) and most human HLA-DR alleles (17, 18). Indeed, parenteral immunization with P10 in complete Freund adjuvant (CFA), or in the form of a truncated multiple-antigen peptide (MAP) complex, induced protective Th1 cellular immune responses in mice against intratracheal (i.t.) challenge with a virulent P. brasiliensis isolate (37,38,41).The rational use of vaccines has been significantly improved after elucidation of innate immune mechanisms in mammalian cells. The recognition of distinct pathogen-associated molecular patterns by members of the Toll-like receptor (TLR) family initiates a signaling cascade mediated by adaptor proteins, including MyD88 and interleukin-1 (IL-1) receptor-associated kinase, that culminates in the production of proinflammatory cytokines, such as tumor necrosis factor alpha and IL-12, and increased expression of cell surface molecules involved in epitope presentation by antigen-presenting cells (APC) (1,19). Proper APC activation by TLR agonists represents a key step for an effective adaptive immune response induced by pathogens or vaccines and explains, at least in part, the marked adjuvant effects of several bacterial molecules, including lipopolysaccharides, lipoproteins, peptidoglycan fragments, and flagellins (2).Flagellin, the structural subunit of bacterial flagellum, is a
Paracoccidioidomycosis is a granulomatous systemic mycosis endemic in Brazil and other Latin America countries. A DNA vaccine encoding the immunoprotective peptide 10 (P10) significantly reduced the fungal burden in mice when given prior to or after intratracheal challenge with Paracoccidioides brasiliensis. Presently, the generation/expansion of CD4+ CD44hi memory T cells as well as Foxp3+ Treg cells in mice immunized with the DNA vaccine (pcDNA3-P10) before and after infection with P. brasiliensis was investigated. Memory CD4+ CD44hi T cells simultaneously with Foxp3+ Treg cells increased in the spleens and lungs of pcDNA3-P10 immunized mice on day 0, 30, 60 and 120 postinfection. Histopathology of the lung tissue showed minimal inflammation in immunized mice compared with the unimmunized group, suggesting a role for regulatory T cells in controlling the immunopathology. The DNA vaccine shows that the repeated immunization generates memory cells and regulatory T cells that replace the initially protective pro-inflammatory T cells conferring a long term protection while preserving the integrity of the infected tissue.
Paracoccidioidomycosis (PCM) is an endemic systemic mycosis in Latin America, with the highest prevalence in Brazil, Colombia, and Venezuela. Fungi of the Paracoccidioides genus are etiologic agents of the disease. The 15 amino acid peptide P10 is derived from gp43, the main diagnostic antigen of Paracoccidioides brasiliensis. We previously reported that P10-pulsed dendritic cells (DCs) induce a protective response against P. brasiliensis. Presently, dexamethasone-treated BALB/c mice were intratracheally infected with P. brasiliensis Pb18 to establish the therapeutic efficacy of P10-pulsed DCs. Immunosuppressed and infected animals that received DCs had a reduction in their fungal burden, and this result was most pronounced in mice receiving DCs primed with P10. The efficacy of therapeutic DCs was significantly augmented by concomitant treatment with trimethoprim-sulfamethoxazole. Additionally, primed-DCs with or without the antifungal drug induced a beneficial Th1-biased immune response and significantly reduced tissue damage. In conclusion, these studies with immunocompromised mice demonstrate that P10-pulsed DCs with or without concomitant antifungal drugs are potently effective in combating invasive PCM. These findings support further translational studies to validate the use of P10-primed DCs for PCM in immunocompetent and immunosuppressed hosts.
A survey of Microsporum gypseum was conducted in soil samples in different geographical regions of Brazil. The isolation of dermatophyte from soil samples was performed by hair baiting technique and the species were identified by morphology studies. We analyzed 692 soil samples and the recuperating rate was 19.2%. The activities of keratinase and elastase were quantitatively performed in 138 samples. The sequencing of the ITS region of rDNA was performed in representatives samples. M. gypseum isolates showed significant quantitative differences in the expression of both keratinase and elastase, but no significant correlation was observed between these enzymes. The sequencing of the representative samples revealed the presence of two teleomorphic species of M. gypseum (Arthroderma gypseum and A. incurvatum). The enzymatic activities may play an important role in the pathogenicity and a probable adaptation of this fungus to the animal parasitism. Using the phenotypical and molecular analysis, the Microsporum identification and their teleomorphic states will provide a useful and reliable identification system.
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