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Galactosaminogalactan (GAG) is an extracellular polysaccharide produced by the mycelium of the opportunistic human fungal pathogen Aspergillus fumigatus. GAG is the first polysaccharide described as a virulence factor in medical mycology. This review presents our current knowledge of the structural organization and biosynthesis of this polymer. The function of this molecule as an adhesin that also masks Aspergillus PAMPs and the impact of GAG on the modulation of the host immune response by inducing neutropenia and blocking the IL-1 signaling pathway also will be emphasised. [ABSTRACT FROM AUTHOR]

Objective: Preeclampsia (PE) is characterized by systemic intravascular inflammation. Women who develop PE are at an increased risk for cardiovascular disease in later life. Tumor necrosis factor related apoptosis-inducing ligand (TRAIL) has anti-atherosclerotic effects in endothelial cells and can mediate neutrophil apoptosis. Low soluble TRAIL (sTRAIL) and high C-reactive protein (CRP) concentrations are associated with an increased risk of future cardiovascular disease in non-pregnant individuals. The aim of this study was to determine whether maternal plasma concentrations of sTRAIL and CRP differ between women with PE and those with uncomplicated pregnancies. Method: This cross-sectional study included women with an uncomplicated pregnancy ( n = 93) and those with PE ( n = 52). Maternal plasma concentrations of sTRAIL and CRP concentrations were determined by ELISA. Results: 1) The median plasma sTRAIL concentration (pg/mL) was significantly lower and the median plasma CRP concentration was significantly higher in women with PE than in those with an uncomplicated pregnancy (25.55 versus 29.17; p = 0.03 and 8.0 versus 4.1; p = 0.001, respectively); 2) the median plasma concentration sTRAIL/CRP ratio was two-fold lower in women with PE than in those with an uncomplicated pregnancy ( p < 0.001); and 3) women with plasma sTRAIL and CRP ratio in the lowest quartile were 8 times more likely to have PE than women with concentrations in the upper three quartiles (OR 8.9; 95% CI: 2.8-27.8). Conclusion: Maternal plasma sTRAIL concentrations are lower (while those of CRP are higher) in women with PE than in those with uncomplicated pregnancies. These findings are consistent with the evidence of intravascular inflammation in this disorder. [ABSTRACT FROM AUTHOR]

Objective: Pregnancy is characterized by activation of the innate immune response demonstrated by phenotypic and metabolic changes in granulocytes and monocytes. This state of activation has been implicated in the pathophysiology of multiorgan dysfunction of pregnant women with acute viral or bacterial infection. Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) is one of the mediators responsible for neutrophil apoptosis. Gene deletion of TRAIL results in delayed neutrophil apoptosis and resolution of inflammation after the administration of bacterial endotoxin. The aim of this study was to determine whether maternal plasma concentrations of the soluble form of TRAIL (sTRAIL) differ in women with uncomplicated pregnancy and those with acute pyelonephritis. Method: A cross-sectional study was conducted to include women in the following groups: (1) non-pregnant ( n = 23); (2) uncomplicated pregnancies ( n = 93) and (3) pregnancies with acute pyelonephritis ( n = 23). Plasma concentrations of sTRAIL were determined by enzyme-linked immunoassay. Results: (1) Women with uncomplicated pregnancies had a lower mean plasma sTRAIL concentration (pg/mL) than non-pregnant women (31.5 ± 10.1 versus 53.3 ± 12.5; p < 0.001); (2) plasma sTRAIL concentrations did not change as a function of gestational age (Pearson correlation = −0.1; p = 0.4); (3) the mean plasma sTRAIL concentration (pg/mL) was significantly lower in pregnant women with acute pyelonephritis than in those with uncomplicated pregnancies (20.5 ± 6.6 versus 31.5 ± 10.1; p < 0.001) and (4) among patients with acute pyelonephritis, patients with bacteremia had a significantly lower mean plasma concentration of sTRAIL (pg/mL) than those without bacteremia (15.1 ± 4.8 versus 24.7 ± 4.6; p < 0.001). Conclusion: Women with uncomplicated pregnancies are associated with a significantly lower mean maternal plasma concentration of sTRAIL than that observed in non-pregnant women. Moreover, a further decrease in plasma sTRAIL concentration was observed in pregnant women with acute pyelonephritis, and this could account, at least in part, for the exaggerated intravascular inflammatory response previously reported in pyelonephritis during pregnancy. [ABSTRACT FROM AUTHOR]

The authors report 9 cases of gastric carcinomas characterized by a prominent neutrophilic infiltration of the stroma. These tumors (8 of intestinal type, 1 of diffuse type) showed a pushing growth pattern. Metastatic involvement of regional lymph nodes was seen in 5 cases. The metastatic foci were associated with heavy neutrophilia as well. There was no histologic evidence of Helicobacter pylori infection, whereas various degrees of multifocal intestinal metaplasia were present in the background mucosa. Based on histologic and histochemical results, there were no apparent causes due to other infectious agents responsible for the neutrophil-rich gastric carcinomas. Some of intraepithelial and stromal neutrophils exhibited apoptotic changes, such as chromatin condensation and cell shrinkage, and were TUNEL-positive. Electron microscopy disclosed apoptotic neutrophils in cytoplasmic vacuoles of tumor cells, a finding suggestive of neutrophil-tumor cell phagocytosis (cannibalism). Different stages of neutrophil apoptosis were also shown by electron microscopy and the ultrastructural findings were compared to those described in experimental models, both in vivo and in vitro. [ABSTRACT FROM AUTHOR]

Apoptosis, or programmed cell death, has been reported to play an important role in the resolution of pulmonary inflammation. This study was undertaken to investigate the role of apoptosis in resolving particle-induced lung inflammatory responses in exposed rats, using a dose-response / time course experimental design. Groups of rats were exposed via intratracheal instillation to 0, 0.5, 1, 5, 10, or 50 mg/kg body weight of quartz (i.e., crystalline silica) particles or to 0, 0.5, 1, 5, 10, 20, or 50 mg/kg of pigment-grade titanium dioxide (TiO[sub 2]) particles and evaluated for lung inflammation parameters and evidence of apoptosis of inflammatory cells at 24, 48, 72, or 168 hours post exposure. At each post exposure evaluation period, bronchoalveolar lavage (BAL)-recovered cells from control and particle-exposed rats were assessed for apoptosis using 4 different techniques. The results in silica-exposed rats demonstrated a significant dose-related increase in inflammation concomitant with apoptosis of pulmonary inflammatory cells at 24 to 48 hours post exposure. At later postexposure time points, both the silica-induced inflammatory responses and apoptotic levels of inflammatory cells at higher doses (i.e., ≥ 5 mg/kg) were reduced but persisted through 1 week. TUNEL (TdT-mediated dUTP nick end-labeling) assay studies confirmed that the vast majority of apoptotic cells were neutrophils. In contrast, titanium dioxide particle exposures produced transient pulmonary inflammation but only small measurable and nonsignificant apoptotic responses at higher exposure concentrations. These results suggest that the sustained lung inflammatory response in rats exposed to ≥ 5 mg/kg silica may be related to the ineffectiveness of the normal apoptotic mechanisms associated with resolution of inflammation. However, because quartz particles are known to be cytotoxic to alveolar macrophages and other lung cells, normal apoptotic mechanisms may have limited utility for resolving particle-induced inflammation, particularly because silica may not be representative of other particle-types. Alternatively, it seems unlikely that apoptosis served to promote silica-induced lung inflammatory responses because the initial increase of apoptosis in inflammatory cells was subsequently correlated with a reduction of the pulmonary inflammatory response in silica-exposed rats. The findings from this in vivo study demonstrate that the neutrophil, and not the alveolar macrophage, is the primary inflammatory cell-type that undergoes apoptosis in response to particles. Furthermore, at doses causing similar degrees of inflammation at 24 hours post exposure, the magnitude of apoptosis induced by silica is significantly larger than that induced by TiO[sub 2], indicating that there are potency differences in lung inflammation as well as apoptotic responses among different particle-types. [ABSTRACT FROM AUTHOR]