Pneumocystis species are opportunistic fungal organisms that cause severe pneumonia in immune-compromised hosts, with resultant high morbidity and mortality. Recent work indicates that IL-17 responses are important components of host defense against fungal pathogens. In the present study, we demonstrate that cellsurface b-glucan components of Pneumocystis (PCBG) stimulate human dendritic cells (DCs) to secrete IL-23 and IL-6. These cytokines are well established to stimulate a T helper-17 (Th17) phenotype. Accordingly, we further observe that PCBG-stimulated human DCs interact with lymphocytes to drive the secretion of IL-17 and IL-22, both Th17-produced cytokines. The activation of DCs was shown to involve the dectin-1 receptor with a downstream activation of the Syk kinase and subsequent translocation of both the canonical and noncanonical components of the NF-kB transcription factor family. Finally, we demonstrate that glycosphingolipid-rich microdomains of the plasma membrane participate in the activation of DCs by PCBG through the accumulation of lactosylceramide at the cell surface during stimulation with PCBG. These data strongly support the idea that the b-glucan surface components of Pneumocystis drive the activation of the IL-23/IL-17 axis during this infection, through a glycosphingolipid-initiated mechanism.Keywords: Pneumocystis; b-glucan; dendritic cells; Pneumocystis infection remains an all too common cause of pneumonia in immune-compromised hosts. Before the early 1990s, this infection was largely related to cases of childhood leukemia and infants with severe malnourishment. However, with the onset of the HIV pandemic, Pneumocystis pneumonia (PcP) has emerged as one of most serious causes of pneumonia among this patient population (1-3). In more recent years, an increasing number of PcP cases have been attributed to immunosuppressed individuals with malignancy, or as a result of immunosuppressive agents administered for organ transplantation or autoimmune diseases (4-10).Earlier studies established the central importance of T cells in the host defense against Pneumocystis infection, where CD4 cell counts of less than 200 cells/mm 3 were shown to place individuals at increased risk for this infection (11). More recently, CD4-independent mechanisms were also demonstrated to be important in clearing this infection (12). This is also supported by the fact that patients receiving B cell-suppressive therapy, and animal models of B-cell deficiency, also reveal a higher risk for developing PcP (13,14). Thus, inadequate immune response across multiple components of host defense can render an individual susceptible to this infection.In addition, exaggerated innate inflammatory responses in patients with PcP appear to be associated with a higher risk of developing respiratory failure, as indicated by early work from our laboratory showing that the degree of respiratory failure in immunosuppressed patients with PcP correlated best with the degree of inflammation, and not with the organism burden itself (15...