Document 0532 DOCN M9620532 TI The role of monocyte chemotactic protein-1 (MCP-1) in the recruitment of monocytes and CD4+ T cells during a pulmonary Cryptococcus neoformans infection. DT 9602 AU Huffnagle GB; Strieter RM; Standiford TJ; McDonald RA; Burdick MD; Kunkel SL; Toews GB; Internal Medicine-Pulmonary and Critical Care Medicine Division,; University of Michigan Medical Center, Ann Arbor 48109, USA. SO J Immunol. 1995 Nov 15;155(10):4790-7. Unique Identifier : AIDSLINE MED/96062297 AB Cryptococcus neoformans is acquired via the respiratory tract and is the leading cause of fatal mycosis in AIDS. Development of a T cell-mediated pulmonary inflammatory response is critical for clearance of this pathogen; however, the chemotactic factors that mediate inflammatory cell recruitment into the lungs have not been identified. In the present study, the bronchoalveolar lavage (BAL) fluid levels of the C-C chemokine monocyte chemotactic protein-1 (MCP-1) and the recruitment of inflammatory cells both increased following pulmonary infection with C. neoformans. The kinetics of MCP-1 production in the lungs correlated most closely with the recruitment of CD4+ T cells and monocytes/macrophages. Administration of neutralizing anti-MCP-1 Abs in vivo reduced the BAL fluid levels of MCP-1, decreased the recruitment of both macrophages (> 95%) and CD4+ T cells (76 +/- 9%), and inhibited cryptococcal clearance. Although no in vitro neutrophil or B cell chemotactic activity has been reported for MCP-1, recruitment of these leukocytes was also decreased in anti-MCP-1-treated mice (most likely an indirect effect of reducing the number of CD4+ T cells and macrophages). Neutralization of MCP-1 also resulted in decreased BAL fluid levels of TNF-alpha and IL-6. This is the first demonstration of a role for MCP-1 in clearance of an infection, and provides direct evidence that MCP-1 plays a critical role in the T cell-dependent immune response to C. neoformans. DE Animal Bronchoalveolar Lavage Chemotaxis Cryptococcosis/*IMMUNOLOGY/PATHOLOGY CD4-Positive T-Lymphocytes/*IMMUNOLOGY/PATHOLOGY Female Immunity, Cellular Lung Diseases, Fungal/*IMMUNOLOGY/MICROBIOLOGY/PATHOLOGY Mice Mice, Inbred CBA Monocyte Chemoattractant Protein-1/*IMMUNOLOGY Monocytes/*IMMUNOLOGY/PATHOLOGY Support, Non-U.S. Gov't Support, U.S. Gov't, Non-P.H.S. Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).