albicans, by chemokines production such as KC and MIP-2, importan

albicans, by chemokines production such as KC and MIP-2, important for neutrophils influx [37]. Yet, in candidiasis, TLR2 is involved in TNF-α, PR-171 ic50 MIP-2 [45], IL-12, IFN-γ [46] and IL-10 production [47]. In relation to paracoccidioidomycosis, our data showing preferential involvement

of TLR4 in cytokines production are not in agreement with some studies showing that IL-10 production by dendritic cells or monocytes/neutrophils in response to Pb involves a preferential fungus recognition by TLR2 and dectin-1 instead of TLR4 [48, 49]. The possible explanation for these differences might be related for differences in experimental protocols such as evaluation periods and the blockade or not of receptors. In paracoccidioidomycosis, as in other infections, IL-10 production in response to Pb has been considered as an escape mechanism from host defence. High levels of this cytokine are detected in serum and culture supernatants of patients [50–52], and patients’ monocytes spontaneously release high levels of this cytokine in vitro [53]. In experimental model of the mycosis, higher levels of IL-10 were released by susceptible mice when compared to those of resistant mice [54]. In our laboratory, this cytokine has been demonstrated to inhibit Pb AZD9668 in vivo killing by IFN-γ-activated and TNF-α-activated human monocytes and neutrophils [36, 55]. However, we cannot discard the possible beneficial role of IL-10, controlling excessive inflammatory response induced by pro-inflammatory

cytokines. In a recent study, less virulent strain of Pb was shown to be recognized by TLR2 and dectin-1 with consequent balanced production of TNF-α and IL-10. On the other hand, more virulent strain induced only TNF-α production. Thus, less virulent strain, by IL-10 production, induced a more controlled response, beneficial for the host [49]. Regarding IL-8, studies in our laboratory have demonstrated that this cytokine is involved in an anti-apoptotic effect of Pb on neutrophils, resulting in a delay on cells death, ADP ribosylation factor a process that could allow the fungus to survive intracellularly [56].

In addition, some studies showed that delayed neutrophil apoptosis induced by IL-8 involves signalling by TLR4 [57]. In summary, our data suggest that Pb18 uses TLR4 to gain access to human neutrophils. However, this process does not result in an increase in killing mechanisms by these cells. On the other hand, it is involved in IL-8 and IL-10 production by human neutrophils in response to activator cytokines and/or Pb. Considering that IL-10 and IL-8 are preferentially involved in escape mechanisms of Pb from neutrophil functions, our study points to the idea that Pb interaction with TLR4 on human neutrophils could be considered as a pathogenicity mechanism of this fungus, which would use host receptors of innate immunity to infect cells and to guarantee its own multiplication. We thank Valéria Alves da Silva for helpful assistance in flow cytometry assays. Jossimara Polentini and Dra.

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