M. Miyaji

Studies on a saprophyte of Exophiala dermatitidis isolated from a humidifier.

Black yeast (MM-7) isolated from a humidifier was studied morphologically, biologically and serologically. Furthermore, its pathogenicity was compared with that of four human isolates of Exophiala dermatitidis.The MM-7 is dimorphic and its growth at 37 °C was better than that at 27 °C. Giant colonies of the MM-7 were very similar to those of the four human isolates. Microscopically, hyphae were pale brown, slender or toruloid. Cylindrical, bottle- or flaskshaped conidiogenous cells arose from the tips and sides of the hyphae. Conidiogenous foci were also seen as small projections at the lateral walls of hyphae. One to four projections were seen at the conidiogenous apices by scanning electron microscopy. Annellation could be observed clearly on them. It was also seen in all of the human isolates of E. dermatitidis used for reference. Conidia were globose to subglobose, one celled, smooth, hyaline to brown.The MM-7 utilized all carbon compounds examined except lactose, melibiose and raffinose. It split arbutin, but did not hydrolyze starch. It utilized neither potassium nitrate, nor hydrolyzed skim milk and gelatin.The GC content of the MM-7 (56.6%) was almost the same as that of Kanos isolate (58%) and titers of agglutinin of the anti-E. dermatitidis serum to the MM-7 and four isolates of the fungus were 512-fold.From these morphological, biological and serological examinations the MM-7 was identified as E. dermatitidis (Kano) de Hoog.As far as pathogenicity is concerned, the MM-7 showed the strongest pathogenicity of all. Two of the ten mice inoculated intravenously with 5×106 cells of the MM-7 died on the 6th and 7th day, and the fungus was recovered from various organs. Histopathologically, the brains were affected severely. A large number of polymorphonuclear leucocytes accumulated around short hyphae and yeast cells to form micro-abscesses. Some micro-granulomatous lesions with a few yeast cells were also observed. Seven of the surviving eight mice showed nervous symptoms. The MM-7 was recovered from the brains of the four mice sacrificed on the 30th day. Some granulomatous lesions with a few yeast cells were recognized in the tissues.

Determination of ploidy in Cryptococcus neoformans by flow cytometry

We determined the ploidy of Cryptococcus neoformans (28 strains) isolated from patients and nature. The cellular DNA content of these strains, which stained with propidium iodide in comparison to that of two authentic haploid strains, was determined by flow cytometry. All the strains exhibited diphasic histograms. In case of the authentic haploid strains, the first peak was centred around channel 9, and the second peak around channel 18. Most strains exhibited this type of histogram. Some strains exhibited another type of histogram: the first peak was centred around channel 18, and the second one around channel 35. In flow cytometry, the channel number is correlated with the intensity of fluorescence, namely, in proportion to the channel number the DNA content in the cells increases. The cellular DNA content of the second type of histograms showed twice that of the authentic haploid strains, and thus, five of 28 isolates were concluded to be diploid, and the others haploid.

An improved culture medium for detecting live yeast phase cells of Paracoccidioides brasiliensis

The plating efficiency of standard mycological media such as brain heart infusion (BHI) agar is poor for Paracoccidioides brasiliensis. We prepared a water-extract of yeast phase cells of P. brasiliensis and examined it for growth-enhancing activity for the fungus. The water-extract, when added to BHI agar to a concentration of 5%, improved the plating efficiency of the medium for the fungus to some extent, but the degree of improvement was considerably varied among P. brasiliensis isolates. By contrast, when the water-extract was added in combination with horse serum (4%), the plating efficiency was highly improved (to 94-99%) for all the P. brasiliensis isolates employed. The growth-enhancing factor(s) in the water-extract was heat-stable and heating at 120 degrees C for 15 min had little, if any, effect on growth-enhancing activity.

Isolation of Phialophora verrucosa and Fonsecaea pedrosoi from nature in Japan

Seventeen strains of Phialophora verrucosa and one strain of Fonsecaea pedrosoi were isolated from natural sources such as rotting wood, pine bark, pine logs or soil in Japan. These saprophytic isolates were compared morphologically, biologically and serologically with human isolates and their virulence for rats was studied. There were no distinct differences between the isolates from the two sources.

Granuloma formation and killing functions of granuloma in congenitally athymic nude mice infected with Blastomyces dermatitidis and Paracoccidioides brasiliensis.

AbstractWe did this experiment to clarify the mechanism of granuloma formation and the killing functions of granuloma in nude mice against Blastomyces dermatitidis and Paracoccidioides brasiliensis infections. B. dermatitidis A-295 and P. brasiliensis B-1183 were the cultures used. Congenitally athymic nude (nu/ nu) mice and their heterozygous (nu/ +) littermates of BALB/ c background were the test animals. From culture A-295, 0.1% and 1% cell suspensions (wet weight) were prepared and from culture B-1183 0.2% and 2% cells suspensions were prepared. Ten nu/ + and 10 nu/ nu mice were allotted to each of four cell suspensions. For experimental blastomycosis each mouse was inoculated intravenously with 0.2 ml of the cell suspension of A-295 and for experimental paracoccidioidomycosis, with 0.15 ml of the cell suspension of B-1183. Two mice from each of the four groups were killed at 5, 8, 12, 18 and 25 days after inoculation, and histopathologic sections, stained with H&E or by PAS, were prepared from various internal organs.In the nu/ nu mice inoculated with B. dermatitidis A-295 granuloma was formed in the brain tissue after the 12th day. However, mononuclear cells, which formed the granuloma, did not kill the fungal cells, and the fungal cells continued to multiply in the granuloma. On the other hand, in the heart, kidney and fat tissue, their histopathological findings after the 18th day were clumps of fungal cells with slight cell reactions. In these organs the exertion of cell-mediated immunity was necessary for granuloma formation against the fungal infection.In the nu/ nu mice infected with P. brasiliensis B-1183, granuloma appeared in the brain and kidney after the 18th day and fungal cells continued to multiply within the granuloma as well as in those inoculated with culture A-295.These results show that the exertion of cell-mediated immunity plays an important role as the defense mechanisms of hosts against these fungal infections. However, PMNs also play an important role in the mouses defense mechanisms against these fungal infections.We assume that the defense mechanisms of immunocompetent mice against B. dermatitidis or P. brasiliensis infection consist chiefly of two steps: in the first step phagocytosis by PMNs occurs and in the second step cell-mediated immunity enters into play.

Killing of Histoplasma capsulatum by γ-interferon-activated human monocyte-derived macrophages : evidence for a superoxide anion-dependent mechanism

The interaction of human macrophages with the yeast form of the thermally dimorphic fungal pathogen, Histoplasma capsulatum, was studied. Macrophages derived from monocytes by culture in vitro for 3 days ingested H. capsulatum, but were neither fungicidal or fungistatic. In contrast, when monocytes were exposed to human recombinant gamma-interferon (gamma-IFN) during their differentiation into macrophages, those macrophages were able to reduce the number of ingested or adherent cfu of H. capsulatum by 44-75% in 2 h. Activation of macrophages for fungicidal activity by gamma-IFN was dose dependent and 500-1000 units ml were optimal. Antibody to gamma-IFN abrogated the gamma-IFN activation process. Killing of H. capsulatum by activated macrophages in 2-h assays could be inhibited by superoxide dismutase but not by sodium azide.

Defense mechanisms of mice against Fonsecaea pedrosoi infection

Defense mechanisms of a host against Fonsecaea pedrosoi infection were studied histopathologically using athymic nude (nu/nu) mice of BALB/c background and their heterozygous (nu/+) littermates. Thirty male nu/nu and 30 nu/+ mice, weighing 16–19 g, were employed in this experiment. The nu/nu or nu/+ mice were divided into 3 groups consisting of 10 each. Furthermore, 4 nu/nu mice were supplemented to investigate effects of lymph node cell transfer. Subglobose cells of F. pedrosoi Tsuchiya strain were obtained from a culture in brain heart infusion glucose (1%) broth with reciprocal shaking at 37 °C for 17 days, and then 0.02, 0.1 and 0.5% cells suspensions were prepared. Each cell suspension was allotted to one group of the nu/nu or nu/+ mice. 0.1 ml of the cell suspension was inoculated into a tail vein, then one mouse from each group was sacrificed 1, 2, 4, 6, 8, 10, 14, 18, 21 and 25 days after inoculation. In both the nu/nu and nu/+ mice, the brain, kidneys and heart were affected severely with the strain in that order. Histopathologically, the defense mechanisms of the nu/+ mice against the fungus infection consisted chiefly of 2 steps: first, of non-immune phagocytosis by polymorphonuclear leucocytes (PMNs), and second, of granuloma formation induced by cell-mediated immunity. Those of the nu/nu mice consisted only of one step: phagocytosis by PMNs. A difference in susceptibility to the strain between the nu/nu and nu/+ mice changed according to the amount of the fungal cells inoculated. When inoculated with the 0.02% cell suspension, the resistance of the nu/nu mice was stronger than that of the nu/+ mice. In contrast, when inoculated with the 0.5% cell suspension, the former was affected more severely than the latter. There were little differences in the susceptibility to the strain between the nu/nu and nu/+ mice inoculated with the 0.1% cell suspension. These data seem to indicate that the phagocytic function of PMNs of the nu/nu mice was more active than that of the nu/+ mice, and the nu/nu mice inoculated with the 0.5% cells suspension (beyond the phagocytic capacity) lost resistance against the fungus infection. When the nu/nu mice were transferred with lymph node cells before inoculation of the strain, granulomata were formed to prevent hyphae from growing freely in the tissue.

Fungistatic and fungicidal activities of murine polymorphonuclear leucocytes against yeast cells of Paracoccidioides brasiliensis

Recently, a novel culture medium for detecting live yeast cells of Paracoccidioides brasiliensis was developed by Kurita et al. Using this culture medium, murine peritoneal polymorphonuclear leucocytes (PMN) were examined for fungistatic and fungicidal activities against P. brasiliensis yeast cells. The magnitude of the antifungal effect of PMN varied depending upon the fungal isolates used. PMN exhibited a killing effect on P. brasiliensis isolate Bt-4 in 2 h of coculture. In contrast, the other three fungal isolates employed were resistant to killing by PMN. However, PMN considerably suppressed the growth of isolates Tatu and Recife in a long-term assay (approximately 72 h). The growth of isolate Bt-9 was also suppressed by PMN during the first 24 h, but was found to be considerably promoted at 72 h of coculture. Interferon-gamma (IFN-gamma), but not tumour-necrosis factor-alpha, significantly augmented the antifungal activity of PMN. IFN-gamma-treated PMN exhibited a killing effect on isolates Tatu, Recife and Bt-9 after 24 h of coculture, and showed an enhanced killing effect on isolate Bt-4. Contact between PMN and fungal cells was required for PMN to exert the antifungal effect. Our results suggest that PMN, whether activated with cytokines or not, might play a critical role in host resistance in early infection with this fungus by buying time for development of more effective immunologic responses.

Phaeohyphomycosis caused by Chaetomium globosum in an allogeneic bone marrow transplant recipient.

Bone marrow transplant recipients are highly susceptible to opportunistic fungal infections. This is the report, of the first case of a Chaetomium systemic infection described in Brazil. A 34 year-old patient with chronic myeloid leukemia underwent an allogeneic sibling matched bone marrow transplant. Seven months later, he developed systemic infection with enlargement of the axillary and cervical lymph nodes. Culture of the aspirates from both lymph nodes yielded Chaetomium globosum. The infection was successfully treated with amphotericin B. The increasing population of immunosupressed patients requires a careful microbiologic investigation for uncommon fungal infections.

Defensive role of granuloma againstSporothrix schenckii infection

The defensive role of granuloma againstSporothrix schenckii infection was studied histopathologically using nude(nu/nu) and their heterozygous(nu/+) littermates.Three strains ofS. schenckii (Sp.-1, Sp-17 and Sp-56) were used in this experiment. Each mouse was inoculated into a tail vein with 106 yeast cells of the Sp-1, Sp-17 or Sp-56. The mice were sacrificed at adequate intervals until the 30th day and histopathological sections were prepared from various organs.The numbers of lesions and yeast cells were counted using the liver sections. Furthermore, an experiment of lymph node cell transfer and immunological examinations were carried out.As results the susceptibility of mice to three strains were conspicuously different from each other. The Sp-1 showed the strongest pathogenicity and the Sp-56, the weakest. The susceptibility of the nu/nu mice inoculated with the Sp-1 was much higher than that of the nu/+ mice and the difference was due to the killing functions of granuloma. Even though about two days’ delay was observed in the granuloma formation in the nu/nu mice in comparison with that in the nu/+ mice, these granulomata could not be distinguished from those of the nu/+ mice. However, functionally there was a definite difference between the granulomata formed in the nu/+ and nu/nu mice. Mononuclear cells forming the granulomata in the nu/nu mice did not have the ability to kill the yeast cells they had engulfed. Cooperation with T-lymphocytes was necessary for the killing of the yeast cells. A significant response of MIF developed in the immunocompetent mice 11 days after inoculation of the Sp-56, and that day nearly coincided with the day when yeast cells of the Sp-1 began to be destroyed in the granulomata. It was also confirmed by the experiment of lymph node cell transfer that T-cell functions were indispensable for the killing of the yeast cells by mononuclear cells.From these results the authors hypothesize that the mononuclear cells activated with T-lymphocytes could play a leading role as the defense mechanism of mice againstS. schenckii infection.