Interleukin-4 causes susceptibility to invasive pulmonary aspergillosis through suppression of protective type I responses

J Infect Dis. 1999 Dec;180(6):1957-68. doi: 10.1086/315142.

Abstract

Aspergillus fumigatus, an opportunistic fungal pathogen, causes multiple allergic and nonallergic airway diseases. Invasive pulmonary aspergillosis (IPA) is a nonallergic, life-threatening disease of immunocompromised patients. In a murine model of IPA, interleukin (IL)-4-deficient (IL-4-/-) BALB/c mice were used to examine the role of IL-4 in lung pathology and immune responses. IL-4-/- mice were more resistant than wild-type mice to infection caused by multiple intranasal injections of viable A. fumigatus conidia. Resistance was associated with decreased lung inflammatory pathology, impaired T helper (Th)-2 responses (including lung eosinophilia), and an IL-12-dependent Th1 response. In contrast, development of host-detrimental antifungal Th2 cells occurred in IL-12-/- and interferon-gamma-/- mice and in IL-4-/- mice when subjected to IL-12 neutralization. These results demonstrate that IL-4 renders mice susceptible to infection with A. fumigatus by inhibition of protective Th1 responses. IL-4 appears to have a distinct role in the pathogenesis of allergic and nonallergic lung diseases caused by the fungus.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aspergillosis / immunology*
  • Aspergillosis / microbiology
  • Aspergillosis / pathology
  • Aspergillus fumigatus / growth & development
  • Aspergillus fumigatus / immunology
  • Bronchoalveolar Lavage Fluid / cytology
  • Bronchoalveolar Lavage Fluid / immunology
  • Disease Models, Animal
  • Female
  • Flow Cytometry
  • Humans
  • Immune Tolerance
  • Interleukin-4 / genetics
  • Interleukin-4 / immunology*
  • Lung / immunology
  • Lung / pathology
  • Lung Diseases, Fungal / immunology*
  • Lung Diseases, Fungal / microbiology
  • Lung Diseases, Fungal / pathology
  • Lymphocyte Activation
  • Lymphocytes / immunology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred DBA
  • Mice, Knockout
  • Th1 Cells / immunology*
  • Th2 Cells / immunology

Substances

  • Interleukin-4