Leukocyte dectin-1 expression is differentially regulated in fungal versus polymicrobial sepsis

Tammy R. Ozment-Skelton, Elizabeth A. Defluiter, Tuanzhu Ha, Chuanfu Li, Bridget M. Graves, Donald A. Ferguson, John B. Schweitzer, Johanna Preizsner, Gordon D. Brown, Siamon Gordon, John H. Kalbfleisch, David L. Williams

Research output: Contribution to journalJournal Article peer-review

10 Scopus citations

Abstract

OBJECTIVE:: To examine peripheral leukocyte Dectin-1 regulation in clinically relevant models of fungal and polymicrobial sepsis. DESIGN:: Prospective animal study. SETTING:: University medical school research laboratory. SUBJECTS:: Age, weight, and sex matched ICR/HSD mice. INTERVENTIONS:: Mice were infected with Candida albicans (1 × 10, intravenously) or were subjected to cecal ligation and puncture to induce polymicrobial sepsis. MEASUREMENTS:: Blood, spleen, and peritoneal exudate were harvested and leukocytes were isolated. Leukocytes were evaluated for membrane-associated Dectin-1 expression and cell phenotype by flow cytometry. MAIN RESULTS:: In C. albicans infection, Dectin-1-positive blood and splenic leukocytes were increased from 23.5% to 58.9% over the course of infection. The increased percentage of Dectin-1-expressing cells was primarily attributable to neutrophilia. However, the amount of Dectin-1 expressed by blood and splenic neutrophils in C. albicans-infected mice was decreased by a range of 49.0% to 53.3%. C. albicans infection also resulted in an infiltration of Dectin-1-positive macrophages and neutrophils into the kidney. In contrast, polymicrobial sepsis decreased blood leukocyte Dectin-1-expressing cells by up to 51.4%. This reduction was due to a decrease in Dectin-1-positive neutrophils in the periphery. However, the percentage of Dectin-1-expressing cells in the peritoneal cavity increased by 774% with cecal ligation and puncture. Treatment of isolated neutrophils with three soluble glucans, mannan, lipopolysaccharide, or a variety of cytokines revealed that glucans, alone or in combination, were the only treatment that resulted in a decrease in Dectin-1-positive neutrophils. CONCLUSIONS:: We conclude that peripheral leukocyte Dectin-1 expression is differentially regulated in fungal vs. polymicrobial sepsis. These data demonstrate that leukocyte Dectin-1 levels are modulated in response to infections of fungal and nonfungal origin.

Original languageEnglish
Pages (from-to)1038-1045
Number of pages8
JournalCritical Care Medicine
Volume37
Issue number3
DOIs
StatePublished - 03 2009
Externally publishedYes

Keywords

  • Candida albicans
  • Dectin-1
  • Glucan
  • Leukocytes
  • Polymicrobial sepsis

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