Candida albicans elicits protective allergic responses via platelet mediated T helper 2 and T helper 17 cell polarization.

Candida albicans elicits protective allergic responses via platelet mediated T helper 2 and T helper 17 cell polarization.
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DOI:
10.1016/j.immuni.2021.08.009
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发表时间:
2021-11-09
期刊:
影响因子:
32.4
通讯作者:
Corry DB
Corry DB
中科院分区:
医学1区
文献类型:
--
作者:
Wu Y;Zeng Z;Guo Y;Song L;Weatherhead JE;Huang X;Zeng Y;Bimler L;Chang CY;Knight JM;Valladolid C;Sun H;Cruz MA;Hube B;Naglik JR;Luong AU;Kheradmand F;Corry DB

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Fungal airway infection (airway mycosis) is an important cause of allergic airway diseases such as asthma, but the mechanisms by which fungi trigger asthmatic reactions are poorly understood. Here, we leverage wild-type and mutant Candida albicans to determine how this common fungus elicits characteristic Th2 and Th17 cell-dependent allergic airway disease in mice. We demonstrate that rather than proteinases that are essential virulence factors for molds, C. albicans instead promoted allergic airway disease through the peptide toxin candidalysin. Candidalysin activated platelets through the Von Willebrand factor (VWF) receptor GP1bα to release the Wnt antagonist Dickkopf-1 (Dkk-1) to drive Th2 and Th17 cell responses that correlated with reduced lung fungal burdens. Platelets simultaneously precluded lethal pulmonary hemorrhage resulting from fungal lung invasion. Thus, in addition to hemostasis, platelets promoted protection against C. albicans airway mycosis through an antifungal pathway involving candidalysin, GP1bα, and Dkk-1 that promotes Th2 and Th17 responses. Candida albicans causes Th2 and Th17 cell-dependent allergic airway disease, but the pathogenesis is obscure. Wu, et al., reveal an allergic effector pathway in which the C. albicans factor candidalysin signals through platelet-expressed GP1bα to drive release of dickkopf 1 (Dkk-1) that in turn promotes antifungal T cell responses.
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