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Dysfunctional polymorphisms of FcγRIIb, an inhibitory receptor, are associated with Systemic Lupus Erythaematosus (SLE). Cryptococcosis is an invasive fungal infection in SLE, perhaps due to the de novo immune defect. We investigated cryptococcosis in the FcγRIIb−/− mouse-lupus-model. Mortality, after intravenous  C. neoformans -induced cryptococcosis, in young (8-week-old) and older (24-week-old) FcγRIIb−/− mice, was higher than in age-matched wild-types. Severe cryptococcosis in the FcγRIIb−/− mice was demonstrated by high fungal burdens in the internal organs with histological cryptococcoma-like lesions and high levels of TNF-α and IL-6, but not IL-10. Interestingly, FcγRIIb−/− macrophages demonstrated more prominent phagocytosis but did not differ in killing activity  in vitro  and the striking TNF-α, IL-6 and IL-10 levels, compared to wild-type cells. Indeed,  in vivo  macrophage depletion with liposomal clodronate attenuated the fungal burdens in FcγRIIb−/− mice, but not wild-type mice. When administered to wild-type mice, FcγRIIb−/− macrophages with phagocytosed  Cryptococcus  resulted in higher fungal burdens than FcγRIIb+/+ macrophages with phagocytosed  Cryptococcus . These results support, at least in part, a model whereby, in FcγRIIb−/− mice, enhanced  C. neoformans  transmigration occurs through infected macrophages. In summary, prominent phagocytosis, with limited effective killing activity, and high pro-inflammatory cytokine production by FcγRIIb−/− macrophages were correlated with more severe cryptococcosis in FcγRIIb−/− mice.

The role of macrophages in the susceptibility of Fc gamma receptor IIb deficient mice to Cryptococcus neoformans