Glucocorticoid-induced alterations of monocyte defense mechanisms against Candida albicans.

Abstract:

:The mechanisms of glucocorticoid-induced immunosuppression of human monocytes for the defense of Candida albicans were examined in this in vitro study. Dexamethasone at pharmacological concentrations (10(-7)-10(-5) M) dose-dependently attenuated growth inhibition of C. albicans by resident monocytes. In interferon-gamma (IFN-gamma)-primed monocytes, fungal growth inhibition was maximal and not altered by dexamethasone. Similarly, phagocytosis and killing of Candida by monocytes were not affected by steroids. To study the underlying mechanisms, we found that Candida-induced synthesis of tumor necrosis factor-alpha (TNF-alpha) by monocytes was completely abrogated by dexamethasone. Substitution of TNF-alpha to dexamethasone-treated monocytes fully reversed the alterations of growth inhibition of C. albicans induced by steroids. These findings suggest that glucocorticoids affect the growth control of Candida by monocytes indirectly via suppression of the formation of TNF-alpha, which is required as an autocrine cofactor for full monocyte activation.

journal_name

Cell Immunol

journal_title

Cellular immunology

authors

Heidenreich S,Kubis T,Schmidt M,Fegeler W

doi

10.1006/cimm.1994.1230

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

320-7

issue

2

eissn

0008-8749

issn

1090-2163

pii

S0008-8749(84)71230-5

journal_volume

157

pub_type

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