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The Journal of Immunology, 2000, 165: 941-947.
Copyright © 2000 by The American Association of Immunologists

IL-18 Contributes to Host Resistance Against Infection with Cryptococcus neoformans in Mice with Defective IL-12 Synthesis Through Induction of IFN-{gamma} Production by NK Cells1

Kazuyoshi Kawakami2,*, Yoshinobu Koguchi*, Mahboob Hossain Qureshi3,*, Akiko Miyazato*, Satomi Yara*, Yuki Kinjo*, Yoichiro Iwakura{dagger}, Kiyoshi Takeda{ddagger}, Shizuo Akira{ddagger}, Masashi Kurimoto§ and Atsushi Saito*

* First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan; {dagger} Laboratory Animal Research Center, Institute of Medical Science, University of Tokyo, Tokyo, Japan; {ddagger} Department of Host Defense, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan; and § Fujisaki Institute, Hayashibara Biochemical Laboratories, Okayama, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The aim of this study was to examine the contribution of IL-18 in host defense against infection caused by Cryptococcus neoformans in mice with defective IL-12 production. Experiments were conducted in mice with a targeted disruption of the gene for IL-12p40 subunit (IL-12p40-/- mice). In these mice, host resistance was impaired, as shown by increased number of organisms in both lungs and brains, compared with control mice. Serum IFN-{gamma} was still detected in these mice at a considerable level (20–30% of that in control mice). The host resistance was moderately impaired in IL-12p40-/- mice compared with IFN-{gamma}-/- mice. Neutralizing anti-IFN-{gamma} mAb further increased the lung burdens of organisms. In addition, treatment with neutralizing anti-IL-18 Ab almost completely abrogated the production of IFN-{gamma} and also impaired the host resistance. Host resistance in IL-12p40-/- IL-18-/- mice was more profoundly impaired than in IL-12p40-/- mice. Administration of IL-12 as well as IL-18 increased the serum levels of IFN-{gamma} and significantly restored the reduced host resistance. Spleen cells obtained from infected IL-12p40-/- mice did not produce any IFN-{gamma} upon restimulation with the same organisms, while those from infected and IL-12-treated mice produced IFN-{gamma}. In contrast, IL-18 did not show such effect. Finally, depletion of NK cells by anti-asialo GM1 Ab mostly abrogated the residual production of IFN-{gamma} in IL-12p40-/- mice. Our results indicate that IL-18 contributes to host resistance to cryptococcal infection through the induction of IFN-{gamma} production by NK cells, but not through the development of Th1 cells, under the condition in which IL-12 synthesis is deficient.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
C;-2qryptococcus neoformans, a ubiquitous fungal pathogen, causes a life-threatening infection of the CNS in patients with impaired cell-mediated immunity, such as AIDS (1). In these patients, meningoencephalitis caused by this fungal pathogen is often resistant to antifungal treatment and requires long-term chemotherapy even when patients are rescued from death (2). Therefore, for the development of effective immunotherapy, it is important to understand the precise mechanism of host resistance to this infection.

Cell-mediated immunity plays a major role in host defense (3, 4, 5, 6, 7), and Th1 cytokines, such as IFN-{gamma}, which acts by inducing NO-dependent fungicidal activity of macrophages (8, 9), are essential for this response (10). Many investigators have reported the essential role of IL-12, an important cytokine for differentiation of Th1 cells (11), in host resistance to a variety of infectious pathogens (12, 13, 14, 15, 16, 17). Using mice with a targeted disruption of the gene for IL-12p40 or p35 subunit (IL-12p40-/- or p35-/- mice), Decken et al. (17) recently indicated that this cytokine is a prerequisite for protecting hosts against infection with C. neoformans. In a series of studies, we have previously demonstrated that administration of IL-12 promoted the clearance of fungal organisms from the lung and prevented dissemination to the brain (18, 19, 20). In contrast, IL-18, a novel cytokine identified as an IFN-{gamma}-inducing factor (21), is known to potentiate the differentiation of Th1 cells, although this cytokine by itself fails to induce this response (22). Several studies showed that IL-18 plays important roles in host defense against infection with Yersinia enterocolitica, Salmonella typhimurium, HSV1 and Leishmania major (23, 24, 25, 26). We have recently shown that this cytokine plays an important role in the host resistance against cryptococcal infection, and its administration protects mice against this infection (27). Furthermore, IL-18 potentiates the protective effects of IL-12 against this infection both in in vitro and in vivo studies (28, 29). However, the contribution of the former cytokine to host defense against infectious pathogens is not fully understood because it has been difficult to discriminate the activity of IL-18 from that of the counterpart cytokine.

In the present study, we elucidated the role of IL-18 in host resistance to pulmonary and disseminated infections with C. neoformans using IL-12p40-/- mice. For this purpose, we examined the effect of neutralizing anti-IL-18 Ab on the clinical course of this infection and cytokine responses by measuring the serum levels of IFN-{gamma}. Furthermore, we compared the host resistance of IL-12p40-/- and IFN-{gamma}-/- mice or IL-12p40-/- and IL-12p40-/- IL-18-/- mice. Finally, to define the ability of IL-18 to induce Th1 responses, we tested the ability of spleen cells obtained from IL-12p40-/- mice infected with C. neoformans to produce IFN-{gamma} upon restimulation with fungal Ags and the effect of IL-18 treatment on this response.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals

Breeding pairs of IL-12p40-/- mice on a C57BL/6 background were obtained from The Jackson Laboratory (Bar Harbor, ME). IFN-{gamma}-/- mice were established as described previously (30) and backcrossed to C57BL/6 mice. IL-18-/- mice were established as described previously (31) and backcrossed to C57BL/6 mice. Mice with a deletion of the genes coding both IL-12p40 and IL-18 were generated by mating between IL-12p40-/- and IL-18-/- mice. These mice were bred in a pathogen-free environment in the Laboratory Animal Center for Biomedical Science, University of the Ryukyus. C57BL/6 mice were purchased from SLC Japan (Hamamatsu, Japan) and used as a control wild-type (WT)4 animal. All mice were used at 8–13 wk of age. All experimental protocols were approved by the Ethics Review Committee for Animal Experimentation of our university.

Microorganisms

A serotype A-encapsulated strain of C. neoformans, designated as YC-13, was established from a patient with pulmonary cryptococcosis (32). Infection with this pathogen was self-limited in the lungs of WT mice and did not disseminate to the brain. The yeast cells were cultured on potato dextrose agar plates for 2–3 days before use. To induce pulmonary infection, mice were anesthetized by i.p. injection of 70 mg/kg of pentobarbital (Abbott Laboratories, North Chicago, IL) and restrained on a small board. Live C. neoformans (1 x 106 cells) were inoculated at 50 µl per mouse by insertion of a 25-gauge blunt needle into and parallel to the trachea.

Culture medium and reagents

RPMI 1640 medium was obtained from Life Technologies (Grand Island, NY), and FCS was obtained from Cansera (Rexdale, Ontario, Canada). Con A was purchased from Sigma (St. Louis, MO). Murine rIL-12 was kindly provided by Hoffmann-La Roche (Nutley, NJ). Murine rIL-18 was prepared as described recently by Okamura et al. (21). The above cytokines were i.p. injected at 0.1 and 10 µg per mouse, respectively, everyday for 7 days after infection with C. neoformans.

Enumeration of viable C. neoformans

Mice were sacrificed 3 wk after infection, and lungs and brains were dissected carefully and excised, then separately homogenized in 10 ml of distilled water by teasing with a stainless mesh at room temperature. The homogenates, appropriately diluted with distilled water, were inoculated at 100 µl on potato dextrose agar plates, cultured for 2–3 days, followed by counting the number of colonies.

Measurement of cytokine

Murine IFN-{gamma} was measured by using ELISA kit (Endogen, Cambridge, MA). The sensitivity of the assay was 15 pg/ml.

Antibodies

Anti-IFN-{gamma} mAb (rat IgG) was purified by a protein G column kit (Kirkegaard & Perry Laboratories, Gaithersburg, MD) from ascitic fluid obtained from nude mice injected i.p. with a hybridoma (clone R4-6A2, purchased from American Type Culture Collection, Manassas, VA). To block endogenously synthesized IFN-{gamma}, mice were injected i.p. with this mAb at 200 µg on day -1, 0, +3, +7, and +14 of infection. Rat IgG (ICN Pharmaceuticals, Auora, OH), was used as a control Ab.

Neutralizing anti-IL-18 Ab was prepared from sera of rabbits immunized with murine rIL-18. A dose of 200 µg of anti-IL-18 Ab completely blocked IFN-{gamma}-inducing activity of 50 ng IL-18 in spleen cells stimulated with Con A. To neutralize endogenously produced IL-18, mice were injected i.p. with the Ab at 400 µg on day -1, 0, +3, +7, and +14 of infection. Rabbit IgG (Wako Pure Chemical Industries, Osaka, Japan) was used as a control Ab.

Anti-{gamma}{delta} TCR mAb (hamster IgG) was purified by using a protein G column kit from serum-free culture supernatants of a hybridoma (clone UC7-13D5, purchased from American Type Culture Collection). Anti-asialo GM1 (ASGM1) polyclonal Ab was purchased from Wako Pure Chemical Industries. To deplete {gamma}{delta} T or NK cells, mice were injected i.p. with anti-{gamma}{delta} TCR or -ASGM1 Ab at 200 µg on day -3, 0, +3, and +7 of infection. Hamster IgG (Organon Teknika, Durham, NC) and rabbit IgG were used as the control Ab. Flow cytometry was performed as described previously by our laboratory (33) using lung intraparenchymal leukocytes obtained from infected IL-12p40-/- mice. When lymphocyte population was gated on forward and side scatter profiles, the results showed 3.7% {gamma}{delta} TCR-bearing T cells and 18.2% ASGM1+ cells. We confirmed that treatment with each Ab almost completely depleted the corresponding cell population. Thus, only 0.3% {gamma}{delta} TCR-bearing T cells were present after treatment with anti-{gamma}{delta} TCR mAb and 0.7% ASGM1+ cells after treatment with anti-ASGM1 Ab.

In vitro stimulation of spleen cells

Spleen cells were prepared from mice 2 wk after infection with C. neoformans and cultured at 2 x 106/ml with various doses of viable organisms or 1 µg/ml of Con A for 48 h. The culture supernatants were collected and measured for the concentration of IFN-{gamma} by ELISA.

Statistical analysis

Analysis of data was conducted using Statview II software (Abacus Concept, Berkeley, CA) on a Macintosh computer. Data are expressed as mean ± SD. Statistical analysis between groups was performed using the ANOVA test with a post-hoc analysis (Fisher PLSD test). A value of p < 0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Impaired host resistance to C. neoformans in IL-12p40-/- mice

In the first step, we examined the role of endogenously synthesized IL-12 in host resistance against cryptococcal infection by intratracheally infecting IL-12p40-/- and WT mice with C. neoformans, and the number of viable organisms in lungs and brains were compared between these mice. None of the infected mice died during the observation period (data not shown). As shown in Fig. 1GoA, the lung burdens of this fungal pathogen were significantly higher in IL-12p40-/- mice than in WT mice at 3 wk after infection. C. neoformans did not disseminate to the brain in all nine WT mice, while a considerable number of organisms was detected in the brain of five of seven IL-12p40-/- mice (Fig. 1GoB). Thus, in IL-12p40-/- mice, both lung clearance of C. neoformans and prevention of dissemination of infection to the brain were apparently impaired, compared with the WT mice.



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FIGURE 1. Impaired host resistance to cryptococcal infection in IL-12p40-/- mice. WT and IL-12p40-/- mice were infected intratracheally with 1 x 106 cells of C. neoformans. Viable colonies in the lungs (A) and brains (B) were counted at 3 wk after infection. Each symbol represents the result from one mouse, and bars indicate the mean ± SD. Experiments were repeated three times with similar results. Symbols within shaded area indicate mice with zero counts. *, p < 0.05.

 
Involvement of IFN-{gamma} in host resistance to C. neoformans in IL-12p40-/- mice

In WT mice, IFN-{gamma} was detected in serum at day 3 after infection, reached to a maximal level at days 7 and 14, and then decreased. In IL-12p40-/- mice, IFN-{gamma} production was markedly reduced, but still detected at a considerable level, 20–30% of that in WT mice (data not shown). In the next experiment, therefore, we examined the contribution of residual IFN-{gamma} in host defense under IL-12-deficient condition by examining the effect of neutralizing anti-IFN-{gamma} mAb on the lung burdens of C. neoformans in IL-12p40-/- mice. As shown in Fig. 2Go, the number of viable organisms in lung significantly increased by neutralizing endogenously synthesized IFN-{gamma} compared with IgG-treated control mice, and the increase was almost comparable to the levels detected in IFN-{gamma}-/- mice. These results suggested that the residual IFN-{gamma} was still functional in eliminating the pathogen from the lungs in IL-12p40-/- mice.



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FIGURE 2. Involvement of IFN-{gamma} in host resistance to cryptococcal infection in IL-12p40-/- mice. WT, IFN-{gamma}-/-, and IL-12p40-/- mice were infected intratracheally with 1 x 106 cells of C. neoformans. IL-12p40-/- mice were injected i.p. with 200 µg of control rat IgG or anti-IFN-{gamma} mAb on day -1, 0, +3, +7, and +14 of infection. Three weeks after infection, the number of viable colonies in lungs were counted. Each column represents the mean ± SD of five mice. Experiments were repeated twice with similar results. *, p < 0.05; **, p < 0.01.

 
Contribution of IL-18 to host resistance to C. neoformans under IL-12-deficient conditions

To define the role of IL-18 in host defense under IL-12-deficient conditions, we elucidated the effect of neutralizing anti-IL-18 Ab on the fungal burdens in lungs of IL-12p40-/- mice at 3 wk after infection with C. neoformans. As shown in Fig. 3GoA, the number of viable pathogens in the lungs was significantly higher in IL-12p40-/- mice than in WT mice, and treatment with anti-IL-18 Ab significantly increased the lung burden, whereas control rabbit IgG did not show such effect. The lung clearance of C. neoformans was worse in mice with disruption of both IL-12p40 and IL-18 genes than in IL-12p40-/- mice. The magnitude of impaired host resistance in the former group was almost comparable to that in IFN-{gamma}-/- mice. The host resistance in IL-18-/- was less impaired than in IL-12p40-/- mice (Fig. 3GoB).



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FIGURE 3. Involvement of IL-18 in host resistance to cryptococcal infection in IL-12-/- mice. A, WT and IL-12p40-/- mice were infected intratracheally with 1 x 106 cells of C. neoformans. IL-12p40-/- mice were injected i.p. with 400 µg of control rabbit IgG or anti-IL-18 Ab on day -1, 0, +3, +7, and +14 of infection. B, WT, IL-12p40-/-, IL-18-/-, IL-12-/- IL-18-/-, and IFN-{gamma}-/- mice were infected intratracheally with 1 x 106 cells of C. neoformans. Three weeks after infection, the number of viable colonies in the lungs were counted. Each column represents the mean ± SD of five mice. Experiments were repeated twice with similar results. *, p < 0.05; **, p < 0.01.

 
In other experiments, we measured the serum levels of IFN-{gamma} in these mice at 14 days after infection. As shown in Fig. 4GoA, treatment with anti-IL-18 Ab almost completely abrogated the synthesis of IFN-{gamma} in IL-12p40-/- mice. Serum levels of IFN-{gamma} were hardly detected in IL-12p40-/- IL-18-/- mice, while considerable levels of IFN-{gamma} were detected in IL-12p40-/- and IL-18-/- mice (Fig. 4GoB).



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FIGURE 4. Contribution of IL-18 to IFN-{gamma} production in IL-12p40-/- mice. In experiments similar to those in Fig. 3Go, serum levels of IFN-{gamma} were measured at 2 wk after infection. Each column represents the mean ± SD of five mice. Experiments were repeated twice with similar results. ND, not detected. *, p < 0.05.

 
Effect of IL-18 treatment on clinical course in IL-12p40-/--infected mice

We further examined the effect of exogenous administration of IL-18 on lung burdens of C. neoformans in IL-12p40-/- mice to confirm the protective effect of this cytokine under IL-12-deficient conditions. For this purpose, IL-12p40-/- mice infected with C. neoformans were treated daily with i.p. injections of IL-18 or IL-12, as a control, during the first 7 days, and the number of viable organisms in the lungs was examined at 3 wk after infection. As shown in Fig. 5GoA, treatment with IL-18 lowered the lung burdens by almost 10-fold, although the magnitude of this effect was less than that of IL-12 treatment, which was 100-fold different compared with untreated mice. In addition, serum levels of IFN-{gamma} were measured in these mice at 14 days after infection. As shown in Fig. 5GoB, IL-12 as well as IL-18 increased the serum concentrations of IFN-{gamma} in IL-12p40-/- mice, although the effect was larger in the former cytokine than in the latter.



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FIGURE 5. Effect of IL-18 treatment on host resistance to cryptococcal infection in IL-12p40-/- mice IL-12p40-/- mice received daily i.p. injections of PBS (n = 4), IL-12 (0.1 µg; n = 5), or IL-18 (10 µg; n = 4) for 7 days from the day of intratracheal inoculation with 1 x 106 cells of C. neoformans. Three weeks after infection, viable colonies in the lungs were counted (A). Serum levels of IFN-{gamma} were measured at 2 wk after infection (B). Each column represents the mean ± SD of the indicated number of mice. Experiments were repeated twice with similar results. *, p < 0.005; **, p < 0.0001, compared with PBS-treated mice.

 
Failure of IL-18 to induce Th1 cells in IL-12p40-/- mice

To define the mechanism of the protective effect of IL-18, we examined the effects of IL-18 on the differentiation of Th1 cells in IL-12p40-/- mice infected with C. neoformans. For this purpose, spleen cells were obtained from these mice at 14 days after infection and restimulated with the same organisms, followed by measurement of the concentration of IFN-{gamma} in the culture supernatants. As shown in Fig. 6GoA, spleen cells obtained from IL-12p40-/- mice did not produce any detectable amount of IFN-{gamma} upon stimulation with C. neoformans, while they synthesized a large amount of IFN-{gamma} by Con A stimulation (see Fig. 6Go). In contrast, spleen cells derived from infected WT mice produced a considerable amount of IFN-{gamma} upon stimulation with C. neoformans. These results suggested that endogenously synthesized IL-18 alone did not induce differentiation of Th1 cells.



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FIGURE 6. Failure of IL-18 to induce Th1 response in IL-12p40-/- mice. A, WT and IL-12p40-/- mice were infected intratracheally with 1 x 106 cells of C. neoformans. Two weeks after infection, spleen cells from these mice were cultured with the indicated doses of viable organisms or Con A (1 µg/ml) for 48 h, and the concentration of IFN-{gamma} in culture supernatants was measured. B, IL-12p40-/- mice were treated daily with i.p. injections of PBS, IL-12 (0.1 µg), or IL-18 (10 µg) for 7 days from the day of intratracheal inoculation of similar number of C. neoformans. Two weeks after infection, spleen cells were stimulated for 48 h and the concentration of IFN-{gamma} in culture supernatants was measured. Each column represents the mean ± SD of three mice. Experiments were repeated three times with similar results. Production of IFN-{gamma} by Con A-stimulated spleen cells was as follows: A, WT, 8617.5 pg/ml; IL-12p40-/-, 5162.3 pg/ml; B, PBS, 6201.5 pg/ml; IL-12, 9465.5 pg/ml; IL-18, 9889.3 pg/ml in IL-12p40-/- mice. ND, not detected.

 
To further confirm this conclusion, IL-12p40-/- mice were administered exogenous IL-18 or IL-12, as a control, during the first 7 days of infection, and spleen cells obtained 14 days later were examined for IFN-{gamma} production upon stimulation with C. neoformans or Con A. As shown in Fig. 6GoB, spleen cells derived from both infected/PBS-treated and infected/IL-18-treated mice did not produce any detectable amount of IFN-{gamma} upon stimulation with the fungus, but induced its synthesis at large amounts by Con A stimulation (see Fig. 6Go). In contrast, IL-12 treatment induced a considerable production of IFN-{gamma} by spleen cells restimulated with C. neoformans.

Contribution of NK cells to production of IFN-{gamma} in IL-12p40-/- mice

Finally, to determine the cellular source of IFN-{gamma} under IL-12-deficient conditions, we examined the effect of depletion of innate immune cells on serum levels of IFN-{gamma} in infected IL-12p40-/- mice. For this purpose, IL-12p40-/- mice, which received either anti-ASGM1 Ab or anti-{gamma}{delta} TCR mAb, were infected with C. neoformans and serum levels of IFN-{gamma} were measured at 2 wk after infection. As shown in Fig. 7Go, A and B, depletion of NK cells markedly reduced serum levels of IFN-{gamma}, while treatment with anti-{gamma}{delta} TCR mAb showed only a marginal effect. These results indicated that NK cell was the major source of IFN-{gamma} production in response to IL-18 after infection with C. neoformans under conditions of defective IL-12.



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FIGURE 7. Contribution of innate immune cells to IFN-{gamma} production in IL-12p40-/- mice. IL-12p40-/- mice were injected i.p. with PBS, 200 µg of control rabbit IgG, or anti-ASGM1 Ab on day -3, 0, +3, and +7 of infection. Serum levels of IFN-{gamma} were measured 2 wk after infection (A). Similar experiments were conducted with anti-{gamma}{delta} TCR mAb and control hamster IgG (B). Each column represents the mean ± SD of five mice. Experiments were repeated twice with similar results. *, p < 0.01, compared with PBS-treated mice.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-12 plays a critical role in the host defense against infection caused by a variety of pathogens (12, 13, 14, 15, 16, 17) through the induction of IFN-{gamma} production by innate immune cells (34, 35, 36) and development of Th1 cells (11). Using mice with a disrupted gene of IL-12p35 or p40, Decken et al. (17) recently demonstrated that IL-12 was essential for the production of IFN-{gamma} and host resistance to infection with C. neoformans. They also demonstrated that in both IL-12p35-/- and p40-/- mice, the survival time was shorter after infection and the lung burdens of organisms significantly increased compared with the respective values in WT mice. The production of IFN-{gamma} by spleen cells derived from these mice infected with C. neoformans was mostly abrogated compared with WT mice. In the present study using IL-12p40-/- mice, similar results were obtained with regard to the lung burdens of C. neoformans. Although the above investigators did not examine the effect of disruption of the IL-12 gene on the dissemination of infection from the lung to brain, we demonstrated here that brain dissemination was enhanced in these mice.

Our results showed that IFN-{gamma} synthesis was profoundly impaired in IL-12p40-/- mice after infection with C. neoformans, as indicated by the low serum levels of this cytokine. Interestingly, however, a considerable level of IFN-{gamma} (20–30% of that in WT mice) was detected in the serum of IL-12p40-/--infected mice. Our data were consistent with those by Magram et al. (37), who demonstrated that IL-12p40-/- mice did not fail completely to produce IFN-{gamma} following endotoxin administration and secreted IFN-{gamma} by immune lymph node cells upon stimulation with specific Ags. Furthermore, in IL-12p40-/- mice, the fungal organisms did not grow over the initial load following infection of the lungs, which indicated the existence of IL-12-independent mechanisms for eradicating these pathogens. In agreement with this argument, the magnitude of impairment of host resistance was not markedly severe in IL-12p40-/- mice compared with IFN-{gamma}-/- mice, and the lung clearance of C. neoformans in the former group was further impaired by neutralization of endogenously synthesized IFN-{gamma} to levels comparable to those in the latter mice. Considered together, these results demonstrated that the residual IFN-{gamma} was still functional in the host resistance to cryptococcal infection and suggested the involvement of IL-18 in the production of IFN-{gamma} in IL-12p40-/- mice.

Although IL-12 has been recently evaluated as an essential cytokine in host resistance to a variety of organisms including C. neoformans (12, 13, 14, 15, 16, 17), the contribution of IL-18 remains to be fully elucidated. In our previous study, we showed that IL-18 exerted a protective activity against lethal infection with C. neoformans and was involved in the host resistance to a weakly virulent strain of this fungal pathogen (27). The latter finding was evident in the results of experiments that examined the effect of neutralizing anti-IL-18 Ab on the local host defense in the lungs. Similarly, several investigators have recently reported the important role of this cytokine in host defense against infection using neutralizing Ab or IL-18-/- mice (23, 24, 25, 26). However, the possible influence of the compensatory effects of IL-12 has not been excluded, and the main contribution of the two IFN-{gamma}-inducing cytokines remains to be elucidated. In the present study, we extended these findings by defining the role of IL-18 in host resistance to cryptococcal infection without any influence of endogenously synthesized IL-12. Neutralization of IL-18 almost completely abrogated the production of IFN-{gamma} and further impaired the lung clearance of this pathogen in IL-12p40-/- mice. In comparison, both IFN-{gamma} synthesis and host defense were further impaired in mice with dual disruption of the genes of IL-12p40 and IL-18 compared with IL-12p40-/- mice. Furthermore, comparative analysis between IL-12p40-/- and IL-18-/- mice suggested the predominant contribution of IL-12 over IL-18. Thus, our results clearly demonstrated that not only IL-12 but also IL-18 played important role in the host resistance against infectious pathogen.

IL-18 is known to induce the synthesis of IFN-{gamma} by NK and Th1 cells and by B cells and macrophages in collaboration with IL-12 (21, 28, 38, 39, 40, 41). Importantly, IL-12 and IL-18 activate NK and Th1 cells to produce IFN-{gamma} in a synergistic manner. Robinson et al. (22) demonstrated that IL-18 by itself did not induce the differentiation of Th1 cells from naive T cells, but potentiated IL-12-induced Th1 cell development. Similar results were recently reported by Stoll and coworkers (42). However, whether IL-18 alone induces the development of Th1 cells in vivo remains to be determined. In agreement with these findings, in the present study, Th1 cells did not develop after infection with C. neoformans in IL-12p40-/- mice in which a considerable production of IL-18 was observed although it was significantly reduced compared with the WT mice (data not shown). Furthermore, administration of IL-18 did not induce the differentiation of Th1 cells in infected IL-12p40-/- mice, while Th1 response was evident by treatment with IL-12. These results indicated that IL-18 protected mice against infection with C. neoformans not through the induction of development of Th1 cells, but by potentiating IL-12-induced Th1 cell development under normal conditions.

Our results also demonstrated that the residual synthesis of IFN-{gamma} in IL-12p40-/- mice was almost completely abrogated by depleting innate immune cells, especially NK cells. These cells are known to produce large amounts of IFN-{gamma} upon stimulation with IL-18 (28, 40, 41) and to play an important role in early host resistance against infection until the development of acquired immunity (43, 44, 45). Recently, we indicated that NK cells were involved both in vitro and in vivo in the elimination of C. neoformans through the production of IFN-{gamma} after administration of IL-12 and IL-18 (28, 29). Considered collectively, these findings suggested that the protective effect of IL-18 against cryptococcal infection was mediated by activating NK cells to produce IFN-{gamma} in IL-12-deficient mice.

In conclusion, we demonstrated in the present study that IL-18 is a potent cytokine that by itself contributes significantly to the host resistance against infection with C. neoformans, although the involvement of IL-12 appears to be more important than that of IL-18 in our comparative analysis in IL-12p40-/- and IL-18-/- mice. These results suggest that IL-12 as well as IL-18 can be the target cytokines for the development of immunomodulating therapy against intractable cryptococcal infection, particularly in severely immunocompromised patients.


    Acknowledgments
 
We thank Dr. F. G. Issa (Word-Medex, Sydney, Australia) for critical reading and editing of this manuscript and Tomoe Mullins for her technical assistance.


    Footnotes
 
1 This work was supported in part by a grant-in-aid (C) (09670292) from the Ministry of Education, Science, and Culture, by grants from the Ministry of Health and Welfare, Japan, and by the Japan Health Science Foundation. Back

2 Address correspondence and reprint requests to Dr. Kazuyoshi Kawakami, First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan. Back

3 Current address: Division of Infectious Diseases, Department of Internal Medicine, University of Kentucky, Lexington, KY 40536. Back

4 Abbreviations used in this paper: WT, wild type; ASGM1, asialo GM1. Back

Received for publication September 28, 1999. Accepted for publication May 4, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Stevens, D. A.. 1990. Fungal infections in AIDS patients. Br. J. Clin. Practice 44:(Suppl. 1):11.
  2. Diamond, R. D.. 1995. Cryptococcus neoformans 2331. In Principles and Practice of Infectious Diseases. G. L. Mandell, J. E. Bennett and R. Dollin, eds. Churchill Livingstone, New York.
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