Title | Inflammatory ER stress responses dictate the immunopathogenic progression of systemic candidiasis. |
Publication Type | Journal Article |
Year of Publication | 2023 |
Authors | Awasthi, 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 |
Journal | J Clin Invest |
Volume | 133 |
Issue | 17 |
Date Published | 2023 Sep 01 |
ISSN | 1558-8238 |
Keywords | Adaptor 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. |
DOI | 10.1172/JCI167359 |
Alternate Journal | J Clin Invest |
PubMed ID | 37432737 |
PubMed Central ID | PMC10471176 |
Grant List | R37 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 |