The neuroimmune response to cryptococcal infection

dc.contributor.advisorDangarembizi, Rachael
dc.contributor.advisorRaimondo Joseph
dc.contributor.authorKauchali, Maahir
dc.date.accessioned2024-05-06T13:56:46Z
dc.date.available2024-05-06T13:56:46Z
dc.date.issued2023
dc.date.updated2024-05-06T13:23:54Z
dc.description.abstractCryptococcal meningitis (CM) is a fatal fungal infection of the brain that is responsible for up to 20% of all AIDS-related deaths globally, 75% of which are from Sub-Saharan Africa. CM is characterised by debilitating neurological damage often resulting in death or serious longterm sequelae even after receiving treatment. Despite the brain being the main organ of injury, there is a paucity of data describing the interaction of the fungus with resident immune cells of the brain. The aim of this study was to investigate the neuroimmune response to cryptococcal infection using a novel organotypic brain slice culture system. We treated cultured brain slices with either whole cell C. neoformans, its purified capsule (a known major virulent factor) or lipopolysaccharide (LPS), and compared them to untreated control slices. The neuroimmune response was measured by tracking the activation of nuclear factor for interleukin 6 (NF-IL6), and confirmed by measuring the release of IL6 and tumour necrosis factor- (TNF-α). Our results showed that neither C. neoformans nor its purified capsule elicited a neuroinflammatory response as observed in LPS-treated slices. Co-stimulation of LPS-treated slices with C. neoformans or its purified capsule did not abolish an LPS-induced inflammatory responses in brain slices. Our findings also show that microglia are the principal cells that phagocytose fungal cells during cryptococcal infection and that even after engulfing fungal cells, microglial cells were not classically activated. Therefore, we concluded that C. neoformans recognition by resident immune cells, on its own, may not be responsible for the debilitating inflammatory response observed during CM, and that the purified cryptococcal capsule does not elicit an inflammatory or anti-inflammatory response.
dc.description.abstractThe neuroimmune response to cryptococcal infection
dc.identifier.apacitationKauchali, M. (2023). <i>The neuroimmune response to cryptococcal infection</i>. (). University of Cape Town ,Faculty of Health Sciences ,Department of Human Biology. Retrieved from http://hdl.handle.net/11427/39582en_ZA
dc.identifier.chicagocitationKauchali, Maahir. <i>"The neuroimmune response to cryptococcal infection."</i> ., University of Cape Town ,Faculty of Health Sciences ,Department of Human Biology, 2023. http://hdl.handle.net/11427/39582en_ZA
dc.identifier.citationKauchali, M. 2023. The neuroimmune response to cryptococcal infection. . University of Cape Town ,Faculty of Health Sciences ,Department of Human Biology. http://hdl.handle.net/11427/39582en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Kauchali, Maahir AB - Cryptococcal meningitis (CM) is a fatal fungal infection of the brain that is responsible for up to 20% of all AIDS-related deaths globally, 75% of which are from Sub-Saharan Africa. CM is characterised by debilitating neurological damage often resulting in death or serious longterm sequelae even after receiving treatment. Despite the brain being the main organ of injury, there is a paucity of data describing the interaction of the fungus with resident immune cells of the brain. The aim of this study was to investigate the neuroimmune response to cryptococcal infection using a novel organotypic brain slice culture system. We treated cultured brain slices with either whole cell C. neoformans, its purified capsule (a known major virulent factor) or lipopolysaccharide (LPS), and compared them to untreated control slices. The neuroimmune response was measured by tracking the activation of nuclear factor for interleukin 6 (NF-IL6), and confirmed by measuring the release of IL6 and tumour necrosis factor- (TNF-α). Our results showed that neither C. neoformans nor its purified capsule elicited a neuroinflammatory response as observed in LPS-treated slices. Co-stimulation of LPS-treated slices with C. neoformans or its purified capsule did not abolish an LPS-induced inflammatory responses in brain slices. Our findings also show that microglia are the principal cells that phagocytose fungal cells during cryptococcal infection and that even after engulfing fungal cells, microglial cells were not classically activated. Therefore, we concluded that C. neoformans recognition by resident immune cells, on its own, may not be responsible for the debilitating inflammatory response observed during CM, and that the purified cryptococcal capsule does not elicit an inflammatory or anti-inflammatory response. DA - 2023 DB - OpenUCT DP - University of Cape Town KW - Medicine LK - https://open.uct.ac.za PY - 2023 T1 - ETD: The neuroimmune response to cryptococcal infection TI - ETD: The neuroimmune response to cryptococcal infection UR - http://hdl.handle.net/11427/39582 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/39582
dc.identifier.vancouvercitationKauchali M. The neuroimmune response to cryptococcal infection. []. University of Cape Town ,Faculty of Health Sciences ,Department of Human Biology, 2023 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/39582en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Human Biology
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subjectMedicine
dc.titleThe neuroimmune response to cryptococcal infection
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMSc
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