Skip to main content

Advertisement

Log in

Immunization with Recombinant Pb27 Protein Reduces the Levels of Pulmonary Fibrosis Caused by the Inflammatory Response Against Paracoccidioides brasiliensis

  • Published:
Mycopathologia Aims and scope Submit manuscript

Abstract

Paracoccidioidomycosis (PCM) is a systemic mycosis in which the host response to the infectious agent typically consists of a chronic granulomatous inflammatory process. This condition causes lesions that impair lung function and lead to chronic pulmonary insufficiency resulting from fibrosis development, which is a sequel and disabling feature of the disease. The rPb27 protein has been studied for prophylactic and therapeutic treatment against PCM. Previous studies from our laboratory have shown a protective effect of rPb27 against PCM. However, these studies have not determined whether rPb27 immunization prevents lung fibrosis. We therefore conducted this study to investigate fibrosis resulting from infection by Paracoccidioides brasiliensis in the lungs of animals immunized with rPb27. Animals were immunized with rPb27 and subsequently infected with a virulent strain of P. brasiliensis. Fungal load was evaluated by counting colony-forming units, and Masson’s trichrome staining was performed to evaluate fibrosis at 30 and 90 days post-infection. The levels of CCR7, active caspase 3, collagen and cytokines were analyzed. At the two time intervals mentioned, the rPb27 group showed lower levels of fibrosis on histology and reduced levels of collagen and the chemokine receptor CCR7 in the lungs. CCR7 was detected at higher levels in the control groups that developed very high levels of pulmonary fibrosis. Additionally, the immunized groups showed high levels of active caspase 3, IFN-γ, TGF-β and IL-10 in the early phase of P. brasiliensis infection. Immunization with Pb27, in addition to its protective effect, was shown to prevent pulmonary fibrosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

References

  1. Lacaz CS, Porto E, Martins JEC, Heinz-Vaccari EM, Melo NT. Treaty of medical mycology. 8th ed. São Paulo: Sarvier; 2002.

    Google Scholar 

  2. Teixeira MM, Theodoro RC, de Carvalho MJ, Fernandes L, Paes HC, Hahn RC, Mendoza L, Bagagli E, San-Blas G, Felipe MS. Phylogenetic analysis reveals a high level of speciation in the Paracoccidioides genus. Mol Phylogenet Evol. 2009;52:273–83.

    Article  PubMed  Google Scholar 

  3. Brummer E, Castaneda E, Restrepo A. Paracoccidioidomycosis: an update. Clin Microbiol Rev. 1993;6:89–117. http://www.ncbi.nlm.nih.gov/pubmed/8472249.

  4. Wanhe B, Aide MA. Chapter 6—paracoccidioidomycosis. Bras J Pneumol. 2009; 1245–1249. http://dx.doi.org/10.1590/S1806-37132009001200013.

  5. Marques-da-Silva SH, Colombo AL, Blotta MH, Queiroz-Telles F, Balthazar AB, et al. Diagnosis of paracoccidioidomycosis by detection of antigen and antibody in bronchoalveolar lavage fluids. Clin Vaccine Immunol. 2006;13:1363–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. Bertini S, Colombo AL, Takahashi HK, Straus AH. Expression of antibodiesndirected to Paracoccidioides brasiliensis glycosphingolipids during the course of paracoccidioidomycosis treatment. Clin Vaccine Immunol. 2007;14:150–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Camargo ZP, Franco MF. Current knowledge on pathogenesis and immunodiagnosis of paracoccidioidomycosis. Rev Iberoam Micol. 2000;17:41–8.

    PubMed  Google Scholar 

  8. Da Silva FC, Svidzinski TI, Patussi EV, Cardoso CP, De Oliveira Dalalio MM, Hernandes L. Morphologic organization of pulmonary granulomas in mice infected with Paracoccidioides brasiliensis. Am J Trop Med Hyg. 2009;80:798–804.

    PubMed  Google Scholar 

  9. Shikanai-Yasuda MA, Telles FFQ, Mendes RP, Colombo AL, Moretti ML. Guidelines in paracoccidioidomycosis. Rev Soc Bras Med Trop. 2006;39:297–310.

    Article  PubMed  Google Scholar 

  10. Wilson M, Wynn T. Pulmonary fibrosis: pathogenesis, etiology and regulation. Mucosal Immunol. 2009;2:103–21.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Franco L, Najvar L, Gomez BL, Restrepo S, Graybill JR, et al. Experimental pulmonary fibrosis induced by Paracoccidioides brasiliensis conidia: measurement of local host responses. Am J Trop Med Hyg. 1998;58:424–30.

    CAS  PubMed  Google Scholar 

  12. Silva FCD, Svidzinski TIE, Patussi EV, Cardoso CP, Dalalio MMDO, et al. Morphologic organization of pulmonary granulomas in mice infected with Paracoccidioides brasiliensis. Am J Trop Med Hyg. 2009;80:798–804.

    PubMed  Google Scholar 

  13. Cock AM, Cano LE, Velez D, Aristizabal BH, Trujillo J, et al. Fibrotic sequelae in pulmonary paracoccidioidomycosis: histopathological aspects in BALB/c mice infected with viable and non-viable Paracoccidioides brasiliensis propagules. Rev Inst Med Trop Sao Paulo. 2000;42:59–66.

    Article  CAS  PubMed  Google Scholar 

  14. Reis BS, Fernandes VC, Martins EM, Serakides R, Goes AM. Protective immunity induced by rPb27 of Paracoccidioides brasiliensis. Vaccine. 2008;26:5461–9.

    Article  CAS  PubMed  Google Scholar 

  15. Fernandes VC, Coitinho JB, Veloso JM, Araujo SA, Pedroso EP, et al. Combined use of Paracoccidioides brasiliensis recombinant rPb27 and rPb40 antigens in an enzyme-linked immunosorbent assay for immunodiagnosis of paracoccidioidomycosis. J Immunol Methods. 2011;367:78–84.

    Article  CAS  PubMed  Google Scholar 

  16. Morais EA, Martins EMN, Fernandes CV, Santos IGD dos, Silva GAB, et al. Immunization with rPb27 protects mice from the disruption of VEGF signaling in Paracoccidioides brasiliensis infection. J Life Sci 2013;7:913–927. http://www.davidpublishing.com/show.html?15014.

  17. Fernandes VC, Martins EM, Boeloni JN, Coitinho JB, Serakides R, et al. Additive effect of rPb27 immunization and chemotherapy in experimental Paracoccidioidomycosis. PLoS One. 2011;6(3):e17885.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  18. Santos LS, Fernandes VC, Cruz SG, Siqueira WC, Goes AM, et al. Profile of total IgG, IgG1, IgG2, IgG3 and IgG4 levels in sera of patients with paracoccidioidomycosis: treatment follow-up using Mexo and rPb27 as antigens in an ELISA. Mem Inst Oswaldo Cruz. 2012;107:1–10.

    Article  Google Scholar 

  19. Giulietti A, Overbergh L, Valckx D, Decallonne B, Bouillon R, et al. An overview of real-time quantitative PCR: applications to quantify cytokine gene expression. Methods. 2001;25:386–401.

    Article  CAS  PubMed  Google Scholar 

  20. Martinez R. Paracoccidioidomycosis: the dimension of the problem of a neglected disease. Rev Soc Bras Med Trop. 2010;43:480.

    Article  PubMed  Google Scholar 

  21. Henderson NC, Mackinnon AC, Rooney C, Sethi T. Galectin-3: A central regulator of chronic inflammation and tissue fibrosis. In: Klyosov AA, Traber PG, editors. Galectins and disease implications for targeted therapeutics. Washington, DC: American Chemical Society; 2012. p. 377–90.

    Chapter  Google Scholar 

  22. Marciani DJ. Vaccine adjuvants: role and mechanisms of action in vaccine immunogenicity. Drug Discov Today. 2003;15:934–43.

    Article  Google Scholar 

  23. Mayorga O, Muñoz JE, Lincopan N, Teixeira AF, Ferreira LC, et al. The role of adjuvants in therapeutic protection against paracoccidioidomycosis after immunization with the P10 peptide. Front Microbiol. 2012. doi:10.3389/fmicb.2012.00154.

    PubMed Central  PubMed  Google Scholar 

  24. Andrade ZA. Regression of hepatic fibrosis. Rev Soc Bras Med Trop. 2005;38:514–20.

    Article  PubMed  Google Scholar 

  25. Wynn TA, Ramalingam TR. Mechanisms of fibrosis: therapeutic translation for fibrotic disease. Nat Med. 2002;18:1028–40.

    Article  Google Scholar 

  26. David H, Cory H. Heterogeneity in fibroblast proliferation and survival in idiopathic pulmonary fibrosis. Front Pharmacol. 2014;. doi:10.3389/fphar.2014.00002.

    PubMed Central  PubMed  Google Scholar 

  27. Shinoda H, Tasaka S, Fujishima S, Yamasawa W, Miyamoto K, et al. Elevated CC chemokine level in bronchoalveolar lavage fluid is predictive of a poor outcome of idiopathic pulmonary fibrosis. Respiration. 2009;78:285–92.

    Article  CAS  PubMed  Google Scholar 

  28. Yoshida T, Ohnuma A, Horiuchi H, Harada T. Pulmonary fibrosis in response to environmental cues and molecular targets involved in its pathogenesis. J Toxicol Pathol. 2011;24:9–24.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  29. Choi ES, Pierce EM, Jakubzick C, Carpenter KJ, Kunkel SL, et al. Focal interstitial CC chemokine receptor 7 (CCR7) expression in idiopathic interstitial pneumonia. J Clin Pathol. 2006;59:28–39.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  30. Pierce EM, Carpenter K, Jakubzick C, Kunkel SL, Evanoff H, et al. Idiopathic pulmonary fibrosis fibroblasts migrate and proliferate to CC chemokine ligand 21. Eur Respir J. 2007;29:1082–93.

    Article  CAS  PubMed  Google Scholar 

  31. Trujillo G, Hartigan AJ, Hogaboam CM. T regulatory cells and attenuated bleomycin-induced fibrosis in lungs of CCR7−/− mice. Fibrogenesis Tissue Repair. 2010;. doi:10.1186/1755-1536-3-18.

    PubMed Central  PubMed  Google Scholar 

  32. Grivicich I, Regner A, Rocha AB. Apoptosis: programmed cell death. Revista Brasileira de Cancerologia 2007;53:335–343. http://www.inca.gov.br/rbc/n_53/v03/pdf/revisao4.pdf.

  33. Parolin MB, Reason JM. Apoptosis as a mechanism of tissue injury in hepatobiliary diseases. Arq Gastroenterol. 2001;38:138–44.

    CAS  PubMed  Google Scholar 

  34. Verícimo MA, França KM, Arnholdt AC, Kipnis TL. Increased apoptosis during the early phase of experimental paracoccidioidomycosis as a phenotypic marker of resistance. Microbes Infect. 2006;8:2811–20.

    Article  PubMed  Google Scholar 

  35. Lukacs NW, Hogaboam C, Chensue SW, Blease K. Kunkel SL Type 1/type 2 cytokine paradigm and the progression of pulmonary fibrosis. Chest. 2001;120:5S–8S.

    Article  CAS  PubMed  Google Scholar 

  36. Elias JA, Freundlich B, Kern JA, Rosenbloom J. Cytokine networks in the regulation of inflammation and fibrosis in the lung. Chest. 1990;97:1439–45.

    Article  CAS  PubMed  Google Scholar 

  37. Atamas SP, Chapoval SP, Keegan AD. Cytokines in chronic respiratory diseases. F1000 Biol Rep 2013. doi:10.3410/B5-3.

  38. Castaneda E, Brummer E, Pappagianis D, Stevens DA. Impairment of cellular but not humoral immune responses in chronic pulmonary and disseminated paracoccidioidomycosis in mice. Infect Immun. 1988;56:1771–7.

    CAS  PubMed Central  PubMed  Google Scholar 

  39. Cano LE, Singer-Vermes LM, Vaz CA, Russo M, Calich VL. Pulmonary paracoccidioidomycosis in resistant and susceptible mice: relationship among progression of infection, bronchoalveolar cell activation, cellular immune response, and specific isotype patterns. Infect Immun. 1995;63:1777–83.

    CAS  PubMed Central  PubMed  Google Scholar 

  40. Denis M, Gregg EO. Recombinant tumour necrosis factor-alpha decreases whereas recombinant interleukin-6 increases growth of a virulent strain of Mycobacterium avium in human macrophages. Immunology. 1990;71:139–41.

    CAS  PubMed Central  PubMed  Google Scholar 

  41. Dooley DP, Cox RA, Hestilow KL, Dolan MJ, Magee DM. Cytokine induction in human coccidioidomycosis. Infect Immun. 1994;62:3980–3.

    CAS  PubMed Central  PubMed  Google Scholar 

  42. Siqueira KZ, Soares AMC, Dias-Melicio LA, Calvi SA, Peracoli MT. Interleukin-6 treatment enhances human monocyte permissiveness for Paracoccidioides brasiliensis growth by modulating cytokine production. Med Mycol. 2009;47:259–67.

    Article  CAS  PubMed  Google Scholar 

  43. Abbas AK, LIchtman AH. Cellular and molecular Immunology. 5th ed. Rio de Janeiro: Elsevier; 2005.

  44. Pinzan CF, Ruas LP, Casabona-Fortunato AS, Carvalho FC, Roque-Barreira MC. Immunological basis for the gender differences in murine Paracoccidioides brasiliensis infection. PLoS One. 2010. doi:10.1371/0010757.

  45. Ferreira KS, Maranhao AQ, Garcia MC, Brigido MM, Santos SS, et al. Dendritic cells transfected with scFv from Mab 7. B12 mimicking original antigen gp43 induces protection against experimental Paracoccidioidomycosis. PLoS One. 2011;6:e15935.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

This research was supported by Fundação de Amparo a Pesquisa do Estado de Minas Gerais (FAPEMIG), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), and Pró-Reitoria de Pesquisa da UFMG (PRPQ).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alfredo Miranda Goes.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Morais, E.A., Martins, E.M.N., Boelone, J.N. et al. Immunization with Recombinant Pb27 Protein Reduces the Levels of Pulmonary Fibrosis Caused by the Inflammatory Response Against Paracoccidioides brasiliensis . Mycopathologia 179, 31–43 (2015). https://doi.org/10.1007/s11046-014-9815-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11046-014-9815-8

Keywords

Navigation