Phagocytosis-dependent activation of a TLR9-BTK-calcineurin-NFAT pathway co-ordinates innate immunity to Aspergillus fumigatus
Author(s)
Type
Journal Article
Abstract
Transplant recipients on calcineurin inhibitors are at high risk of invasive fungal infection. Understanding how calcineurin inhibitors impair fungal immunity is a key priority for defining risk of infection. Here, we show that the calcineurin inhibitor tacrolimus impairs clearance of the major mould pathogen Aspergillus fumigatus from the airway, by inhibiting macrophage inflammatory responses. This leads to defective early neutrophil recruitment and fungal clearance. We confirm these findings in zebrafish, showing an evolutionarily conserved role for calcineurin signalling in neutrophil recruitment during inflammation. We find that calcineurin–NFAT activation is phagocytosis dependent and collaborates with NF‐κB for TNF‐α production. For yeast zymosan particles, activation of macrophage calcineurin–NFAT occurs via the phagocytic Dectin‐1–spleen tyrosine kinase pathway, but for A. fumigatus, activation occurs via a phagosomal TLR9‐dependent and Bruton's tyrosine kinase‐dependent signalling pathway that is independent of MyD88. We confirm the collaboration between NFAT and NF‐κB for TNF‐α production in primary alveolar macrophages. These observations identify inhibition of a newly discovered macrophage TLR9–BTK–calcineurin–NFAT signalling pathway as a key immune defect that leads to organ transplant‐related invasive aspergillosis.
Date Issued
2015-03-01
Date Acceptance
2015-01-08
Citation
EMBO Molecular Medicine, 2015, 7 (3), pp.240-258
ISSN
1757-4676
Publisher
Wiley
Start Page
240
End Page
258
Journal / Book Title
EMBO Molecular Medicine
Volume
7
Issue
3
Copyright Statement
© 2015 The Authors. Published under the terms of the CC BY 4.0 license
Sponsor
Medical Research Council (MRC)
Medical Research Council (MRC)
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000350767600002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
G0902260
MR/K002708/1
Subjects
Science & Technology
Life Sciences & Biomedicine
Medicine, Research & Experimental
Research & Experimental Medicine
aspergillus
calcineurin
phagocytosis
TLR9
transplant
INVASIVE FUNGAL-INFECTIONS
BETA-GLUCAN RECEPTOR
TNF-ALPHA
TRANSPLANT RECIPIENTS
GENE-EXPRESSION
NUCLEAR-FACTOR
HOST-DEFENSE
SYK KINASE
T-CELLS
NFAT
Publication Status
Published
Date Publish Online
2015-01-30