Molecular Profiling Reveals Characteristic and Decisive Signatures in Patients after Allogeneic Stem Cell Transplantation Suffering from Invasive Pulmonary Aspergillosis

Despite available diagnostic tests and recent advances, diagnosis of pulmonary invasive aspergillosis (IPA) remains challenging. We performed a longitudinal case-control pilot study to identify host-specific, novel, and immune-relevant molecular candidates indicating IPA in patients post allogeneic...

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Main Authors: Tamara Zoran, Bastian Seelbinder, Philip Lewis White, Jessica Sarah Price, Sabrina Kraus, Oliver Kurzai, Joerg Linde, Antje Häder, Claudia Loeffler, Goetz Ulrich Grigoleit, Hermann Einsele, Gianni Panagiotou, Juergen Loeffler, Sascha Schäuble
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Journal of Fungi
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Online Access:https://www.mdpi.com/2309-608X/8/2/171
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author Tamara Zoran
Bastian Seelbinder
Philip Lewis White
Jessica Sarah Price
Sabrina Kraus
Oliver Kurzai
Joerg Linde
Antje Häder
Claudia Loeffler
Goetz Ulrich Grigoleit
Hermann Einsele
Gianni Panagiotou
Juergen Loeffler
Sascha Schäuble
author_facet Tamara Zoran
Bastian Seelbinder
Philip Lewis White
Jessica Sarah Price
Sabrina Kraus
Oliver Kurzai
Joerg Linde
Antje Häder
Claudia Loeffler
Goetz Ulrich Grigoleit
Hermann Einsele
Gianni Panagiotou
Juergen Loeffler
Sascha Schäuble
author_sort Tamara Zoran
collection DOAJ
description Despite available diagnostic tests and recent advances, diagnosis of pulmonary invasive aspergillosis (IPA) remains challenging. We performed a longitudinal case-control pilot study to identify host-specific, novel, and immune-relevant molecular candidates indicating IPA in patients post allogeneic stem cell transplantation (alloSCT). Supported by differential gene expression analysis of six relevant in vitro studies, we conducted RNA sequencing of three alloSCT patients categorized as probable IPA cases and their matched controls without <i>Aspergillus</i> infection (66 samples in total). We additionally performed immunoassay analysis for all patient samples to gain a multi-omics perspective. Profiling analysis suggested <i>LGALS2</i>, <i>MMP1</i>, IL-8, and caspase-3 as potential host molecular candidates indicating IPA in investigated alloSCT patients. MMP1, IL-8, and caspase-3 were evaluated further in alloSCT patients for their potential to differentiate possible IPA cases and patients suffering from COVID-19-associated pulmonary aspergillosis (CAPA) and appropriate control patients. Possible IPA cases showed differences in IL-8 and caspase-3 serum levels compared with matched controls. Furthermore, we observed significant differences in IL-8 and caspase-3 levels among CAPA patients compared with control patients. With our conceptual work, we demonstrate the potential value of considering the human immune response during <i>Aspergillus</i> infection to identify immune-relevant molecular candidates indicating IPA in alloSCT patients. These human host candidates together with already established fungal biomarkers might improve the accuracy of IPA diagnostic tools.
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spelling doaj.art-86fbb2e9ff97466fa51d8bb8feb3bb702023-11-23T20:37:57ZengMDPI AGJournal of Fungi2309-608X2022-02-018217110.3390/jof8020171Molecular Profiling Reveals Characteristic and Decisive Signatures in Patients after Allogeneic Stem Cell Transplantation Suffering from Invasive Pulmonary AspergillosisTamara Zoran0Bastian Seelbinder1Philip Lewis White2Jessica Sarah Price3Sabrina Kraus4Oliver Kurzai5Joerg Linde6Antje Häder7Claudia Loeffler8Goetz Ulrich Grigoleit9Hermann Einsele10Gianni Panagiotou11Juergen Loeffler12Sascha Schäuble13Department of Internal Medicine II, University Hospital Wuerzburg, 97080 Wuerzburg, GermanySystems Biology and Bioinformatics Unit, Leibniz Institute for Natural Product Research and Infection Biology—Hans Knoell Institute, 07745 Jena, GermanyPublic Health Wales, Microbiology Cardiff, UHW, Cardiff CF14 4XW, UKPublic Health Wales, Microbiology Cardiff, UHW, Cardiff CF14 4XW, UKDepartment of Internal Medicine II, University Hospital Wuerzburg, 97080 Wuerzburg, GermanyResearch Group Fungal Septomics, Leibniz Institute for Natural Product Research and Infection Biology—Hans Knoell Institute, 07745 Jena, GermanyFriedrich—Loeffler Institute, Institute of Bacterial Infections and Zoonoses, 07743 Jena, GermanyResearch Group Fungal Septomics, Leibniz Institute for Natural Product Research and Infection Biology—Hans Knoell Institute, 07745 Jena, GermanyDepartment of Internal Medicine II, University Hospital Wuerzburg, 97080 Wuerzburg, GermanyDepartment of Internal Medicine II, University Hospital Wuerzburg, 97080 Wuerzburg, GermanyDepartment of Internal Medicine II, University Hospital Wuerzburg, 97080 Wuerzburg, GermanySystems Biology and Bioinformatics Unit, Leibniz Institute for Natural Product Research and Infection Biology—Hans Knoell Institute, 07745 Jena, GermanyDepartment of Internal Medicine II, University Hospital Wuerzburg, 97080 Wuerzburg, GermanySystems Biology and Bioinformatics Unit, Leibniz Institute for Natural Product Research and Infection Biology—Hans Knoell Institute, 07745 Jena, GermanyDespite available diagnostic tests and recent advances, diagnosis of pulmonary invasive aspergillosis (IPA) remains challenging. We performed a longitudinal case-control pilot study to identify host-specific, novel, and immune-relevant molecular candidates indicating IPA in patients post allogeneic stem cell transplantation (alloSCT). Supported by differential gene expression analysis of six relevant in vitro studies, we conducted RNA sequencing of three alloSCT patients categorized as probable IPA cases and their matched controls without <i>Aspergillus</i> infection (66 samples in total). We additionally performed immunoassay analysis for all patient samples to gain a multi-omics perspective. Profiling analysis suggested <i>LGALS2</i>, <i>MMP1</i>, IL-8, and caspase-3 as potential host molecular candidates indicating IPA in investigated alloSCT patients. MMP1, IL-8, and caspase-3 were evaluated further in alloSCT patients for their potential to differentiate possible IPA cases and patients suffering from COVID-19-associated pulmonary aspergillosis (CAPA) and appropriate control patients. Possible IPA cases showed differences in IL-8 and caspase-3 serum levels compared with matched controls. Furthermore, we observed significant differences in IL-8 and caspase-3 levels among CAPA patients compared with control patients. With our conceptual work, we demonstrate the potential value of considering the human immune response during <i>Aspergillus</i> infection to identify immune-relevant molecular candidates indicating IPA in alloSCT patients. These human host candidates together with already established fungal biomarkers might improve the accuracy of IPA diagnostic tools.https://www.mdpi.com/2309-608X/8/2/171host responseinvasive pulmonary aspergillosisalloSCT patientsgalectin-2caspase-3matrix metallopeptidase-1
spellingShingle Tamara Zoran
Bastian Seelbinder
Philip Lewis White
Jessica Sarah Price
Sabrina Kraus
Oliver Kurzai
Joerg Linde
Antje Häder
Claudia Loeffler
Goetz Ulrich Grigoleit
Hermann Einsele
Gianni Panagiotou
Juergen Loeffler
Sascha Schäuble
Molecular Profiling Reveals Characteristic and Decisive Signatures in Patients after Allogeneic Stem Cell Transplantation Suffering from Invasive Pulmonary Aspergillosis
Journal of Fungi
host response
invasive pulmonary aspergillosis
alloSCT patients
galectin-2
caspase-3
matrix metallopeptidase-1
title Molecular Profiling Reveals Characteristic and Decisive Signatures in Patients after Allogeneic Stem Cell Transplantation Suffering from Invasive Pulmonary Aspergillosis
title_full Molecular Profiling Reveals Characteristic and Decisive Signatures in Patients after Allogeneic Stem Cell Transplantation Suffering from Invasive Pulmonary Aspergillosis
title_fullStr Molecular Profiling Reveals Characteristic and Decisive Signatures in Patients after Allogeneic Stem Cell Transplantation Suffering from Invasive Pulmonary Aspergillosis
title_full_unstemmed Molecular Profiling Reveals Characteristic and Decisive Signatures in Patients after Allogeneic Stem Cell Transplantation Suffering from Invasive Pulmonary Aspergillosis
title_short Molecular Profiling Reveals Characteristic and Decisive Signatures in Patients after Allogeneic Stem Cell Transplantation Suffering from Invasive Pulmonary Aspergillosis
title_sort molecular profiling reveals characteristic and decisive signatures in patients after allogeneic stem cell transplantation suffering from invasive pulmonary aspergillosis
topic host response
invasive pulmonary aspergillosis
alloSCT patients
galectin-2
caspase-3
matrix metallopeptidase-1
url https://www.mdpi.com/2309-608X/8/2/171
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