FTY720 reactivates cryptococcal granulomas in mice through S1P receptor 3 on macrophages.

FTY720 is a treatment for relapsing remitting multiple sclerosis (MS). It is an analog of sphingosine-1-phosphate (S1P) and targets S1P receptors 1, 3, 4, and 5. Recent reports indicate an association between long-term exposure to FTY720 and cases of cryptococcal infection. Here, we studied the effe...

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Publicado en:Journal of Clinical Investigation Vol. 130; no. 9; pp. 4546 - 4561
Autores principales: Bryan, Arielle M., You, Jeehyun Karen, McQuiston, Travis, Lazzarini, Cristina, Zhijuan Qiu, Sheridan, Brian, Nuesslein-Hildesheim, Barbara, Del Poeta, Maurizio, Qiu, Zhijuan, Sheridan, Brian S
Formato: research Journal Article
Publicado: American Society for Clinical Investigation Sep2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2020
      vid: 130
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      pub: American Society for Clinical Investigation
      place: Ann Arbor, Michigan
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        10.1172/JCI136068
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        atl: FTY720 reactivates cryptococcal granulomas in mice through S1P receptor 3 on macrophages.
      aug:
        au:
          Bryan, Arielle M.
          You, Jeehyun Karen
          McQuiston, Travis
          Lazzarini, Cristina
          Zhijuan Qiu
          Sheridan, Brian
          Nuesslein-Hildesheim, Barbara
          Del Poeta, Maurizio
          Qiu, Zhijuan
          Sheridan, Brian S
        affil: Department of Microbiology and Immunology, Stony Brook University, Stony Brook, New York, USA.
      sug:
        subj:
          Granuloma Drug Therapy
          Cryptococcosis Drug Therapy
          Cryptococcus Metabolism
          Macrophages Metabolism
          Granuloma Pathology
          Granuloma Metabolism
          Mice
          Cryptococcosis Pathology
          Animal Studies
          Macrophages Microbiology
          Male
          Cryptococcosis Metabolism
          Female
          Cell Line
          Granuloma Microbiology
          Human
          Macrophages Pathology
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Male
          Female
      ab: FTY720 is a treatment for relapsing remitting multiple sclerosis (MS). It is an analog of sphingosine-1-phosphate (S1P) and targets S1P receptors 1, 3, 4, and 5. Recent reports indicate an association between long-term exposure to FTY720 and cases of cryptococcal infection. Here, we studied the effect of FTY720 and its derivative, BAF312, which only target S1P receptors 1 and 5, in a mouse model of cryptococcal infection. We found that treatment with FTY720, but not with BAF312, led to decreased survival and increased organ burden in mouse cryptococcal granulomas. Both FTY720 and BAF312 caused a profound CD4+ and CD8+ T cell depletion in blood and lungs but only treatment with FTY720 led to cryptococcal reactivation. Treatment with FTY720, but not with BAF312, was associated with disorganization of macrophages and with M2 polarization at the granuloma site. In a cell system, FTY720 decreased phagocytosis and production of reactive oxygen species by macrophages, a phenotype recapitulated in the S1pr3-/- knockout macrophages. Our results suggest that FTY720 reactivates cryptococcosis from the granuloma through a S1P receptor 3-mediated mechanism and support the rationale for development of more-specific receptor modulators for therapeutic use of MS.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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