Absence of Respiratory Burst in X-linked Chronic Granulomatous Disease Mice Leads to Abnormalities in Both Host Defense and Inflammatory Response to Aspergillus fumigatus
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Mice with X-linked chronic granulomatous disease (CGD) generated by targeted disruption of the gp91phox subunit of the NADPH-oxidase complex (X-CGD mice) were examined for their response to respiratory challenge with Aspergillus fumigatus. This opportunistic fungal pathogen causes infection in CGD patients due to the deficient generation of neutrophil respiratory burst oxidants important for damaging A. fumigatus hyphae. Alveolar macrophages from X-CGD mice were found to kill A. fumigatus conidia in vitro as effectively as alveolar macrophages from wild-type mice. Pulmonary disease in X-CGD mice was observed after administration of doses ranging from 10(5) to 48 spores, none of which produced disease in wild-type mice. Higher doses produced a rapidly fatal bronchopneumonia in X-CGD mice, whereas progression of disease was slower at lower doses, with development of chronic inflammatory lesions. Marked differences were also observed in the response of X-CGD mice to the administration of sterilized Aspergillus hyphae into the lung. Within 24 hours of administration, X-CGD mice had significantly higher numbers of alveolar neutrophils and increased expression of the proinflammatory cytokines IL-1 beta and TNF-alpha relative to the responses seen in wild-type mice. By one week after administration, pulmonary inflammation was resolving in wild-type mice, whereas X-CGD mice developed chronic granulomatous lesions that persisted for at least six weeks. This is the first experimental evidence that chronic inflammation in CGD does not always result from persistent infection, and suggests that the clinical manifestations of this disorder reflect both impaired microbial killing as well as other abnormalities in the inflammatory response in the absence of a respiratory burst.
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Killing of Aspergillus conidia by AMs is dependent on both oxidative and nonoxidative mechanisms.
“Although killing of Aspergillus conidia by AMs is undoubtedly dependent on both oxidative and nonoxidative mechanisms (240, 241)”
From Aspergillus fumigatus and Aspergillosis in 2019 (2019) · cites this paper as [240]
Much of the discrepancy in the literature on killing of Aspergillus conidia by AMs is related to differences in study endpoints, methodology of killing assessment, moiety of infection, infection time points, NADPH oxidase knockout mouse strains, and method of immunosuppression.
“much of the discrepancy in the literature is related to differences in study endpoints (e.g., inhibition of growth versus killing), methodology of killing assessment (e.g., CFU plating versus conidial germination), moiety of infection, infection time points, NADPH oxidase knockout mouse strains, and method of immunosuppression used (203, 240–245).”
From Aspergillus fumigatus and Aspergillosis in 2019 (2019) · cites this paper as [240]
Unlike the neutropenic mouse model, extensive signs of chronic inflammation remained evident in the X-CGD mice post-day 14.
“Unlike the neutropenic mouse model, extensive signs of chronic inflammation remained evident in the X-CGD mice post-day 14, consistent with previously reported results in these animals [45].”
From A Sterol-Regulatory Element Binding Protein Is Required for Cell Polarity, Hypoxia Adaptation, Azole Drug Resistance, and Virulence in Aspergillus fumigatus (2008) · cites this paper as [45]
X-CGD gp91phox−/− mice exhibit a hyper-inflammatory response when exposed to A. fumigatus and other Aspergillus species.
“These mice exhibit a hyper-inflammatory response when exposed to A. fumigatus and other Aspergillus species.”
From A Sterol-Regulatory Element Binding Protein Is Required for Cell Polarity, Hypoxia Adaptation, Azole Drug Resistance, and Virulence in Aspergillus fumigatus (2008) · cites this paper as [45]
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- Authors
- Morgenstern, D. E., Gifford, M. A. C., Li, L. L., Doerschuk, C. M., & Dinauer, M. C.
- Affiliations
- Riley Hospital for Children (US)
- Venue
- The Journal of Experimental Medicine
- Publisher
- Rockefeller University Press
- Published
- 1997-01-20
- Volume
- 185
- Issue
- 2
- Pages
- 207-218
- ISSN
- 0022-1007 (ISSN-L)
- 1540-9538
- PMC
- PMC2196125
- OpenAlex
- W2138396364
- Cited by
- 370
- References
- 51
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 2 · 2023: 4 · 2022: 9 · 2021: 13 · 2020: 7 · 2019: 11 · 2018: 11 · 2017: 18 · 2016: 12 · 2015: 11 · 2014: 22 · 2013: 18 · 2012: 17
- FWCI
- 5.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Experimental Medicine (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- IUScholarWorks (Indiana University) (submittedVersion, cc-by-nc-sa)
- UNC Libraries
- Funders
- Arthritis Foundation
- National Institutes of Health (5r01hl052565-05)
- National Heart, Lung, and Blood Institute (R01 HL52565)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Keywords
- X-linked chronic granulomatous disease, Aspergillus fumigatus, respiratory burst, NADPH oxidase, gp91phox, alveolar macrophages, neutrophils, lung inflammation, IL-1β, TNF-α, fungal infection, bronchopneumonia
- MeSH terms
- NADPH Oxidase 2, Animals, Aspergillus fumigatus, Granulomatous Disease, Chronic, Inflammation, Genetic Linkage, Lung Diseases, Membrane Glycoproteins, Phagocytosis, X Chromosome, Cytokines, Macrophages, Alveolar, Respiratory Burst, NADPH Oxidases, Mice
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