Citations 40

Fungal beta-glucan interacts with vitronectin and stimulates tumor necrosis factor alpha release from macrophages

Infection and Immunity | January 6, 2020 | Volume: 64 | Issue: 9 | Pages: 3548-3554

10.1128/iai.64.9.3548-3554.1996 | PMID 8751898

beta-Glucans are polymers of D-glucose which represent major structural components of fungal cell walls. It was shown previously that fungi interact with macrophages through beta-glucan receptors, thereby inducing release of tumor necrosis factor alpha (TNF-alpha). Additional studies demonstrated that vitronectin, a host adhesive glycoprotein, binds to fungi and enhances macrophage recognition of these organisms. Since vitronectin contains a carbohydrate-binding region, we postulated that vitronectin binds fungal beta-glucans and subsequently augments macrophage TNF-alpha release in response to this fungal component. To study this, we first determined the release of TNF-alpha from alveolar macrophages stimulated with fungal beta-glucan. Maximal TNF-alpha release occurred with moderate concentrations of beta-glucan (100 to 200 micrograms/ml), whereas higher concentrations of beta-glucan (> or = 500 micrograms/ml) caused apparent suppression of the TNF-alpha activity released. This suppression of TNF-alpha activity by high concentrations of beta-glucan was mediated by the particulate beta-glucan binding soluble TNF-alpha, through the lectin-binding domain of the cytokine, rendering the TNF-alpha less available for measurement. Next, we assessed the interaction of vitronectin with beta-glucan. Binding of 125I-vitronectin to particulate fungal beta-glucan was dose dependent and specifically inhibitable by unlabeled vitronectin. Furthermore, treatment of beta-glucan with vitronectin substantially augmented macrophage TNF-alpha release in response to this fungal component. These findings demonstrate that fungal beta-glucan can directly modulate TNF-alpha release from macrophages. Further, these studies indicate that the host adhesive glycoprotein vitronectin specifically binds beta-glucan and augments macrophage cytokine release in response to this fungal element.
Chronic Opioid Therapy and Sleep: An American Academy of Sleep Medicine Position Statement

Journal of Clinical Sleep Medicine | November 14, 2019 | Volume: 15 | Issue: 11 | Pages: 1671-1673

10.5664/jcsm.8062 | PMID 31739858

Clinical Use of a Home Sleep Apnea Test: An Updated American Academy of Sleep Medicine Position Statement

Journal of Clinical Sleep Medicine | December 14, 2018 | Volume: 14 | Issue: 12 | Pages: 2075-2077

10.5664/jcsm.7540 | PMID 30518456

Practical Implementation of a Single-Night Split-Titration Protocol With BPAP-ST and AVAPS in Patients With Neuromuscular Disease

Journal of Clinical Sleep Medicine | December 14, 2018 | Volume: 14 | Issue: 12 | Pages: 2031-2035

10.5664/jcsm.7530 | PMID 30518448

1059 Sleep Medicine as a Career Choice in US Residency Programs

Sleep | April 27, 2018 | Volume: 41 | Issue: suppl_1 | Pages: A394-A394

10.1093/sleep/zsy061.1058

1080 The Collaborative Care Visit Model: A New Way to Provide Ongoing Care Targeted to Long-Term Stable Positive Airway Pressure Users

Sleep | April 27, 2018 | Volume: 41 | Issue: suppl_1 | Pages: A401-A401

10.1093/sleep/zsy061.1079

0521 Perioperative Positive Airway Pressure Compliance in Obstructive Sleep Apnea Patients

Sleep | April 27, 2018 | Volume: 41 | Issue: suppl_1 | Pages: A195-A195

10.1093/sleep/zsy061.520

1056 Exploring the Impact of a Sleep Enhancement Program in the Inpatient Environment on Patient Satisfaction: Lessons Learned

Sleep | April 27, 2018 | Volume: 41 | Issue: suppl_1 | Pages: A393-A393

10.1093/sleep/zsy061.1055

Clinical Use of a Home Sleep Apnea Test: An American Academy of Sleep Medicine Position Statement

Journal of Clinical Sleep Medicine | October 16, 2017 | Volume: 13 | Issue: 10 | Pages: 1205-1207

10.5664/jcsm.6774 | PMID 28942762

Are Zebras Simply Striped Horses?

Circulation | January 25, 2016 | Volume: 133 | Issue: 4 | Pages: 434-441

10.1161/circulationaha.115.018730 | PMID 26811273