Anti-inflammatory and Immunomodulatory Effect of an Extract of Coccidioides posadasii in Experimental Arthritis

Mycopathologia et mycologia applicata - Tập 175 - Trang 193-206 - 2013
Ana Carolina Matias Dinelly Pinto1, Rossana de Aguiar Cordeiro2, José Julio Costa Sidrim2, Ana Karine Rocha de Melo Leite1, Ana Caroline Rocha de Melo Leite1, Virgínia Cláudia Carneiro Girão3, Raimunda Sâmia Nogueira Brilhante2, Marcos Fábio Gadelha Rocha2, Fernando de Queiroz Cunha4, Francisco Airton Castro Rocha1
1Department of Internal Medicine, Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil
2Specialized Medical Mycology Center, Federal University of Ceará, Fortaleza, Brazil
3Department of Morphology, Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil
4Department of Pharmacology, Faculty of Medicine, University of São Paulo, Ribeirão Preto, Brazil

Tóm tắt

Trying to surpass host defenses, fungal infections alter the immune response. Components from nonpathogenic fungi present therapeutic anti-inflammatory and immunomodulating activities. This study reveals that proteins present in a Coccidioides posadasii extract provide anti-inflammatory benefit in experimental arthritis. Zymosan was given intra-articularly to rats and mice, and groups were pretreated with C. posadasii extract either per os or intraperitoneally. Controls received the vehicle. Acute hypernociception was evaluated using articular incapacitation and von Frey methods. Cell influx and cytokine levels were assessed in joint exudates. Joint damage was evaluated by histopathology and determination of glycosaminoglycan content of the cartilage. Synovia was evaluated for cell death and inducible nitric oxide synthase (iNOS) expression using TUNEL and immunohistochemistry, respectively. Pretreatment with C. posadasii extract significantly inhibited acute and chronic cell influx, hypernociception, and provoked reduction of glycosaminoglycan loss while reducing chronic synovitis, cell death, and iNOS expression. Reduction/alkylation of C. posadasii extract abrogated these effects. C. posadasii administration did not alter TNF-α, IL-1β, IL-17, and γ-interferon levels, whereas IL-10 levels were significantly reduced. Data reveal that a C. posadasii extract reduces iNOS expression that is associated with inhibition of synovial apoptosis and decrease in IL-10 levels released into zymosan-inflamed joints. Characterization of active components excluded charged carbohydrates while pointing to a protein as responsible for these effects. In summary, systemic administration of components from a pathogenic fungus provides anti-inflammatory effects, being species-independent and orally active. Besides adding to understand host response against fungi, the results may lead to therapeutic implications.

Tài liệu tham khảo

Lull C, Wichers HJ, Savelkoul HFJ. Antiinflammatory and immunomodulating properties of fungal metabolites. Mediators Inflamm. 2005;2:63–80. Wasser SP. Medicinal mushrooms as a source of antitumor and immunomodulating polysaccharides. Appl Microbiol Biotechnol. 2002;60:258–74. Bach JF. The effect of infections on susceptibility to autoimmune and allergic diseases. N Engl J Med. 2002;347:911–20. Rook GA, Stanford JL. Give us this day our daily germs. Immunol Today. 1998;19:113–6. Rocha FAC, Leite AKRM, Pompeu MML, Cunha TM, Verri WA Jr, Soares FM, Castro RR, Cunha FQ. Protective effect of an extract from Ascaris suum in experimental arthritis models. Infect Immun. 2008;76:2736–45. Hung CY, Xue J, Cole GT. Virulence mechanisms of Coccidioides. Ann N Y Acad Sci. 2007;1111:225–35. Brass C, Levine HB, Stevens DA. Stimulation and suppression of cell-mediated immunity by endosporulation antigens of Coccidioides immitis. Infect Immun. 1982;35:431–6. Cordeiro RA, Brilhante RS, Rocha MF, Fechine MA, Camara LM, Camargo ZP, Sidrim JJ. Phenotypic characterization and ecological features of Coccidioides spp. from northeast Brazil. Med Mycol. 2006;44:631–9. Rocha FAC, Aragão AGM Jr, Oliveira RC, Pompeu MML, Vale MR, Ribeiro RA. Periarthritis promotes gait disturbance in zymosan-induced arthritis in rats. Inflamm Res. 1999;48:485–90. Silva FS Jr, Rocha FAC. Artrite induzida por zymosan em ratos-Mecanismos envolvidos na hipernocicepção e na lise da cartilagem articular. Acta Reum Port. 2006;31:143–9. Guerrero ATG, Cunha TM, Verri WA Jr, Gazzinelli RT, Teixeira MM, Cunha FQ, Ferreira SH. Toll-like receptor 2/MyD88 signaling mediates zymosan-induced joint hypernociception in mice: participation of TNF-α, IL-1β and CXCL1/KC. Eur J Pharmacol. 2012;674:51–7. Guerrero ATG, Verri WA Jr, Cunha TM, Silva TA, Schivo IRS, Dal-Secco D, Canetti C, Rocha FAC, Parada CA, Cunha FQ, Ferreira SH. Involvement of LTB4 in zymosan-induced joint nociception in mice: participation of neutrophils and PGE2. J Leukoc Biol. 2008;83:122–30. Kroemer G, Galluzzi L, Vandenabeele P, Abrams J, Alnemri ES, Baehrecke EH, Blagosklonny MV, El-Deiry WS, Golstein P, Green DR, Hengartner M, Knight RA, Kumar S, Lipton SA, Malorni W, Nuñez G, Peter ME, Tschopp J, Yuan J, Piacentini M, Zhivotovsky B, Melino G. Nomenclature Committee on cell death 2009. Classification of cell death: recommendations of the Nomenclature Committee on cell death 2009. Cell Death Differ. 2009;16(1):3–11. Silva FS Jr, Yoshinari NH, Castro RR, Girão VCC, Pompeu MML, Feitosa JPA, Rocha FAC. Combined glucosamine and chondroitin sulfate provides functional and structural benefit in the anterior cruciate ligament transection model. Clin Rheumatol. 2009;28:109–17. Brilhante RSN, Cordeiro RA, Rocha MFG, Fechine MAB, Furtado FM, Nagao-Dias AT, Camargo ZP, Sidrim JJC. Coccidioidal pericarditis: a rapid presumptive diagnosis by an in-house antigen confirmed by mycological and molecular methods. J Med Microbiol. 2008;57:1288–92. Porto IM, Laure HJ, Tykot RH, Sousa FB, Rosa JC, Gerlach RF. Recovery and identification of mature enamel proteins in ancient teeth. Eur J Oral Sci. 2011;119:83–7. Bradford MM. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem. 1976;72:248–54. Bezerra MM, Brain SD, Greenacre S, Jerônimo SMB, Melo LB, Keeble J, Rocha FAC. Reactive nitrogen species scavenging, rather than nitric oxide inhibition, protects from articular cartilage damage in rat zymosan-induced arthritis. Br J Pharmacol. 2004;141:172–82. Romani L. Cell mediated immunity to fungi: a reassessment. Med Mycol. 2008;46:515–29. Bezerra MM, Brain SD, Girão VCC, Greenacre S, Keeble J, Rocha FAC. Neutrophils-derived peroxynitrite contributes to acute hyperalgesia and cell influx in zymosan arthritis. Naunyn Schmiedebergs Arch Pharmacol. 2007;374:265–73. Konno AYC, Maricato JT, Konno FTC, Mariano M, Lopes JD. Peptides from Paracoccidioides brasiliensis GP43 inhibit macrophage functions and inflammatory response. Microbes Infect. 2009;11:92–9. del Pilar Jiménez AM, Viriyakosol S, Walls L, Datta SK, Kirkland T, Heinsbroek SEM, Brown G, Fierer J. Susceptibility to Coccidioides species in C57BL/6 mice is associated with expression of a truncated splice variant of Dectin-1 (Clec7a). Genes Immun. 2008;9:338–48. Leite ACRM, Cunha FQ, Dal-Secco D, Fukada SY, Girão VCC, Rocha FAC. Effects of nitric oxide on neutrophil influx depends on the tissue: role of leukotriene B4 and adhesion molecules. Br J Pharmacol. 2009;156:818–25. Bombini G, Canetti C, Rocha FA, Cunha FQ. Tumour necrosis factor-α mediates neutrophil migration to the knee synovial cavity during immune inflammation. Eur J Pharmacol. 2004;496:197–204. Moore KW, Malefyt RW, Coffman RL, O’Garra A. Interleukin-10 and the interleukin-10 receptor. Annu Rev Immunol. 2001;19:683–765. Pinto LG, Cunha TM, Vieira SM, Lemos HP, Verri WA Jr, Cunha FQ, Ferreira SH. IL-17 mediates articular hypernociception in antigen-induced arthritis in mice. Pain. 2010;148:247–56. Taylor PR, Tsoni SV, Willment JA, Dennehy KM, Rosas M, Findon H, Haynes K, Steele C, Botto M, Gordon S, Brown GD. Dectin-1 is required for b-glucan recognition and control of fungal infection. Nat Immunol. 2007;8:31–8. Chen Q, Casali B, Pattacini L, Boiardi L, Salvarani C. Tumor necrosis factor-alpha protects synovial cells from nitric oxide induced apoptosis through phosphoinositide 3-kinase Akt signal transduction. J Rheumatol. 2006;33(6):1061–8. Municio C, Hugo E, Alvarez Y, Alonso S, Blanco L, Fernández N. Sánchez Crespo M. Apoptotic cells enhance IL-10 and reduce IL-23 production in human dendritic cells treated with zymosan. Mol Immunol. 2011;49:97–106.