Inflammatory ER stress responses dictate the immunopathogenic progression of systemic candidiasis.

TitleInflammatory ER stress responses dictate the immunopathogenic progression of systemic candidiasis.
Publication TypeJournal Article
Year of Publication2023
AuthorsAwasthi, D, Chopra, S, Cho, BA, Emmanuelli, A, Sandoval, TA, Hwang, S-M, Chae, C-S, Salvagno, C, Tan, C, Vasquez-Urbina, L, Rodriguez, JJFernande, Santagostino, SF, Iwawaki, T, E Romero-Sandoval, A, Crespo, MSanchez, Morales, DK, Iliev, ID, Hohl, TM, Cubillos-Ruiz, JR
JournalJ Clin Invest
Volume133
Issue17
Date Published2023 Sep 01
ISSN1558-8238
KeywordsAdaptor Proteins, Signal Transducing, Animals, Candida albicans, Candidiasis, Endoplasmic Reticulum Stress, Endoribonucleases, Humans, Mice, Protein Serine-Threonine Kinases, Toll-Like Receptors
Abstract

Recognition of pathogen-associated molecular patterns can trigger the inositol-requiring enzyme 1 α (IRE1α) arm of the endoplasmic reticulum (ER) stress response in innate immune cells. This process maintains ER homeostasis and also coordinates diverse immunomodulatory programs during bacterial and viral infections. However, the role of innate IRE1α signaling in response to fungal pathogens remains elusive. Here, we report that systemic infection with the human opportunistic fungal pathogen Candida albicans induced proinflammatory IRE1α hyperactivation in myeloid cells that led to fatal kidney immunopathology. Mechanistically, simultaneous activation of the TLR/IL-1R adaptor protein MyD88 and the C-type lectin receptor dectin-1 by C. albicans induced NADPH oxidase-driven generation of ROS, which caused ER stress and IRE1α-dependent overexpression of key inflammatory mediators such as IL-1β, IL-6, chemokine (C-C motif) ligand 5 (CCL5), prostaglandin E2 (PGE2), and TNF-α. Selective ablation of IRE1α in leukocytes, or treatment with an IRE1α pharmacological inhibitor, mitigated kidney inflammation and prolonged the survival of mice with systemic C. albicans infection. Therefore, controlling IRE1α hyperactivation may be useful for impeding the immunopathogenic progression of disseminated candidiasis.

DOI10.1172/JCI167359
Alternate JournalJ Clin Invest
PubMed ID37432737
PubMed Central IDPMC10471176
Grant ListR37 AI093808 / AI / NIAID NIH HHS / United States
R01 AI139632 / AI / NIAID NIH HHS / United States
P30 CA008748 / CA / NCI NIH HHS / United States
R21 CA248106 / CA / NCI NIH HHS / United States
R21 AI142639 / AI / NIAID NIH HHS / United States
T32 AI134632 / AI / NIAID NIH HHS / United States
F31 CA257631 / CA / NCI NIH HHS / United States
R01 DK121977 / DK / NIDDK NIH HHS / United States
R01 NS114653 / NS / NINDS NIH HHS / United States
R01 CA271619 / CA / NCI NIH HHS / United States