<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2022.858979</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Recognition of Cell Wall Mannosylated Components as a Conserved Feature for Fungal Entrance, Adaptation and Survival Within Trophozoites of <italic>Acanthamoeba castellanii</italic> and Murine Macrophages</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ferreira</surname>
<given-names>Marina da Silva</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1045178"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mendoza</surname>
<given-names>Susana Ruiz</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1648381"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gon&#xe7;alves</surname>
<given-names>Diego de Souza</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/407600"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rodr&#xed;guez-de la Noval</surname>
<given-names>Claudia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/522669"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Honorato</surname>
<given-names>Leandro</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1129012"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nimrichter</surname>
<given-names>Leonardo</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/19412"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ramos</surname>
<given-names>Lu&#xed;s Felipe Costa</given-names>
</name>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1232077"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nogueira</surname>
<given-names>F&#xe1;bio C. S.</given-names>
</name>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/133553"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Domont</surname>
<given-names>Gilberto B.</given-names>
</name>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/367433"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Peralta</surname>
<given-names>Jos&#xe9; Mauro</given-names>
</name>
<xref ref-type="aff" rid="aff8">
<sup>8</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/252694"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Guimar&#xe3;es</surname>
<given-names>Allan J.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="aff" rid="aff9">
<sup>9</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/39464"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Laborat&#xf3;rio de Bioqu&#xed;mica e Imunologia das Micoses, Departamento de Microbiologia e Parasitologia, Instituto Biom&#xe9;dico, Universidade Federal Fluminense</institution>, <addr-line>Niter&#xf3;i</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>P&#xf3;s-Gradua&#xe7;&#xe3;o em Imunologia e Inflama&#xe7;&#xe3;o, Universidade Federal do Rio de Janeiro</institution>, <addr-line>Rio de Janeiro</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>P&#xf3;s-Gradua&#xe7;&#xe3;o em Doen&#xe7;as Infecciosas e Parasit&#xe1;rias, Faculdade de Medicina, Universidade Federal do Rio de Janeiro</institution>, <addr-line>Rio de Janeiro</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Programa de P&#xf3;s-Gradua&#xe7;&#xe3;o em Ci&#xea;ncias (Microbiologia), Instituto de Microbiologia Professor Paulo de G&#xf3;es, Universidade Federal do Rio de Janeiro</institution>, <addr-line>Rio de Janeiro</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Laborat&#xf3;rio de Glicobiologia de Eucariotos, Instituto de Microbiologia Professor Paulo de G&#xf3;es, Universidade Federal do Rio de Janeiro</institution>, <addr-line>Rio de Janeiro</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Rede Micologia RJ - FAPERJ</institution>, <addr-line>Rio de Janeiro</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff7">
<sup>7</sup>
<institution>Laborat&#xf3;rio de Qu&#xed;mica de Prote&#xed;nas, Departamento de Bioqu&#xed;mica, Instituto de Qu&#xed;mica, Universidade Federal do Rio de Janeiro</institution>, <addr-line>Rio de Janeiro</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff8">
<sup>8</sup>
<institution>Departamento de Imunologia, Instituto de Microbiologia Paulo de G&#xf3;es, Universidade Federal do Rio de Janeiro</institution>, <addr-line>Rio de Janeiro</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff9">
<sup>9</sup>
<institution>Programa de P&#xf3;s-Gradua&#xe7;&#xe3;o em Microbiologia e Parasitologia Aplicadas, Instituto Biom&#xe9;dico, Universidade Federal Fluminense</institution>, <addr-line>Niter&#xf3;i</addr-line>, <country>Brazil</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Wei Tang, Fujian Agriculture and Forestry University, China</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Zhongqiang Qi, Jiangsu Academy of Agricultural Sciences, China; Rongbo Wang, Fujian Academy of Agricultural Sciences, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Allan J. Guimar&#xe3;es, <email xlink:href="mailto:allanguimaraes@id.uff.br">allanguimaraes@id.uff.br</email> </p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Fungal Pathogenesis, a section of the journal Frontiers in Cellular and Infection Microbiology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>31</day>
<month>05</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>12</volume>
<elocation-id>858979</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>01</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>03</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Ferreira, Mendoza, Gon&#xe7;alves, Rodr&#xed;guez-de la Noval, Honorato, Nimrichter, Ramos, Nogueira, Domont, Peralta and Guimar&#xe3;es</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Ferreira, Mendoza, Gon&#xe7;alves, Rodr&#xed;guez-de la Noval, Honorato, Nimrichter, Ramos, Nogueira, Domont, Peralta and Guimar&#xe3;es</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<italic>Acanthamoeba castellanii</italic> (<italic>Ac</italic>) is a species of free-living amoebae (FLAs) that has been widely applied as a model for the study of host-parasite interactions and characterization of environmental symbionts. The sharing of niches between <italic>Ac</italic> and potential pathogens, such as fungi, favors associations between these organisms. Through predatory behavior, <italic>Ac</italic> enhances fungal survival, dissemination, and virulence in their intracellular milieu, training these pathogens and granting subsequent success in events of infections to more evolved hosts. In recent studies, our group characterized the amoeboid mannose binding proteins (MBPs) as one of the main fungal recognition pathways. Similarly, mannose-binding lectins play a key role in activating antifungal responses by immune cells. Even in the face of similarities, the distinct impacts and degrees of affinity of fungal recognition for mannose receptors in amoeboid and animal hosts are poorly understood. In this work, we have identified high-affinity ligands for mannosylated fungal cell wall residues expressed on the surface of amoebas and macrophages and determined the relative importance of these pathways in the antifungal responses comparing both phagocytic models. Mannose-purified surface proteins (MPPs) from both phagocytes showed binding to isolated mannose/mannans and mannosylated fungal cell wall targets. Although macrophage MPPs had more intense binding when compared to the amoeba receptors, the inhibition of this pathway affects fungal internalization and survival in both phagocytes. Mass spectrometry identified several MPPs in both models, and in silico alignment showed highly conserved regions between spotted amoeboid receptors (MBP and MBP1) and immune receptors (Mrc1 and Mrc2) and potential molecular mimicry, pointing to a possible convergent evolution of pathogen recognition mechanisms.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Acanthamoeba</italic>
</kwd>
<kwd>macrophages</kwd>
<kwd>interaction</kwd>
<kwd>pathogenic fungi</kwd>
<kwd>mannose receptor</kwd>
</kwd-group>
<counts>
<fig-count count="11"/>
<table-count count="0"/>
<equation-count count="8"/>
<ref-count count="94"/>
<page-count count="19"/>
<word-count count="10707"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>    <p>Free-living amoeba (FLAs) are single-cell ubiquitous protozoa, found in environments such as soil, air, fresh and saltwater, dust, as well as men-built devices such as air conditioning units and cooling towers (<xref ref-type="bibr" rid="B26">Fonseca et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B56">Lee et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B66">Paknejad et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B91">Wopereis et&#xa0;al., 2020</xref>). The ubiquitous conditions of some FLAs, including <italic>Acanthamoeba</italic> spp., facilitate their access to susceptible hosts, making <italic>Acanthamoeba</italic> an opportunistic pathogen to humans and other mammals (<xref ref-type="bibr" rid="B63">Marciano-Cabral and Cabral, 2003</xref>; <xref ref-type="bibr" rid="B71">Schuster and Visvesvara, 2004</xref>; <xref ref-type="bibr" rid="B87">Visvesvara et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B34">Ghadage et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B57">Liu et&#xa0;al., 2019</xref>). In fact, studies show that more than 80% of individuals have circulating antibodies against <italic>Acanthamoeba</italic> antigens (<xref ref-type="bibr" rid="B14">Chappell et&#xa0;al., 2001</xref>). <italic>Acanthamoeba</italic> sp. can cause keratitis (AK), by direct exposure of the eyes to contaminated water or lack of hygiene when wearing contact lenses, posing serious risk of blindness if left untreated (<xref ref-type="bibr" rid="B58">Lorenzo-Morales et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B8">Carnt and Stapleton, 2016</xref>; <xref ref-type="bibr" rid="B64">Neelam and Niederkorn, 2017</xref>; <xref ref-type="bibr" rid="B50">Ju&#xe1;rez et&#xa0;al., 2018</xref>). <italic>Acanthamoeba</italic> sp. can also gain access to the bloodstream through the respiratory tract or skin lesions and disseminate to the central nervous system (CNS) causing an often fatal <italic>Acanthamoeba</italic> granulomatous encephalitis (AGE) (<xref ref-type="bibr" rid="B76">Siddiqui and Khan, 2012b</xref>; <xref ref-type="bibr" rid="B20">Das et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B51">Kalra et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B55">Lau et&#xa0;al., 2021</xref>). Currently, the development of precise forms of diagnosis and effective therapeutic strategies for reducing the high mortality rates are the main challenges in the control of these amoeba infections (<xref ref-type="bibr" rid="B74">Siddiqui et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B3">Anwar et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B67">Papa et&#xa0;al., 2020</xref>).</p>
<p>Due to their predatory behavior and active phagocytic capacity, FLAs feed on microorganisms to supply their nutritional needs. Thus, by the recently described &#x201c;feast-fit-fist-feat&#x201d; theory, <italic>A. castellanii</italic> and other FLAs might have imposed selective pressures on microorganisms. Those that adapted and resisted to the ameboid intracellular environment (<xref ref-type="bibr" rid="B40">Greub and Raoult, 2004</xref>; <xref ref-type="bibr" rid="B76">Siddiqui and Khan, 2012b</xref>; <xref ref-type="bibr" rid="B37">Go&#xf1;i et&#xa0;al., 2020</xref>) displayed an enhanced expression of virulence factors as well as an increased ability to survive and replicate. These attributes have been associated with their capacity to infect and disseminate into evolutionarily complex hosts and later escalating up to mammals (<xref ref-type="bibr" rid="B9">Casadevall, 2012</xref>; <xref ref-type="bibr" rid="B11">Casadevall et&#xa0;al., 2019b</xref>; <xref ref-type="bibr" rid="B21">da Silva Ferreira et&#xa0;al., 2021</xref>). In this context, <italic>Acanthamoeba</italic> sp. has also functioned as natural reservoirs for epidemiologically important microorganisms, acting as &#x201c;Trojan horses&#x201d; for viruses, bacteria, and fungi (<xref ref-type="bibr" rid="B45">Guimaraes et&#xa0;al., 2016</xref>).</p>
<p>The association of <italic>A. castellanii</italic> with several fungal pathogens has been documented, amongst which we can highlight: the encapsulated <italic>Cryptococcus neoformans</italic> (<italic>Cn</italic>), the causative agent of the fatal meningoencephalitis in immunosuppressed individuals (<xref ref-type="bibr" rid="B10">Casadevall et&#xa0;al., 2019a</xref>; <xref ref-type="bibr" rid="B62">Maliehe et&#xa0;al., 2020</xref>); the thermally dimorphic <italic>Histoplasma capsulatum</italic> (<italic>Hc</italic>), extremely resistant to the host&#x2019;s defense (<xref ref-type="bibr" rid="B41">Guimar&#xe3;es et&#xa0;al., 2011a</xref>; <xref ref-type="bibr" rid="B33">Garfoot and Rappleye, 2016</xref>), and the commensal <italic>Candida albicans</italic> (<italic>Ca</italic>), often associated with candidemia and invasive candidiasis in immunosuppressed individuals (<xref ref-type="bibr" rid="B5">Boral et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B32">Garcia-Rubio et&#xa0;al., 2019</xref>).</p>
<p>Several pathogens are able to survive within <italic>A. castellanii</italic> by using similar strategies in the encounter with macrophages (<xref ref-type="bibr" rid="B82">Steenbergen et&#xa0;al., 2001</xref>; <xref ref-type="bibr" rid="B86">Van Waeyenberghe et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B5">Boral et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B1">Albuquerque et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B62">Maliehe et&#xa0;al., 2020</xref>); therefore, the main hypothesis points to <italic>Acanthamoeba</italic> sp. and macrophages being evolutionarily related (<xref ref-type="bibr" rid="B75">Siddiqui and Khan, 2012a</xref>; <xref ref-type="bibr" rid="B24">Derengowski et&#xa0;al., 2013</xref>). <italic>Acanthamoeba</italic> and macrophages share many properties such as cell structure, molecular motility, phagocytosis into vacuoles and production of digestive lysosomal enzymes, physiology, oxidative metabolism, and secretion of extracellular vesicles playing roles on the interaction processes with microorganisms.</p>
<p>Besides these features, the molecular mechanisms involved in the fungal association to both cells seem to be analogous (<xref ref-type="bibr" rid="B32">Garcia-Rubio et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B2">Alcazar-Fuoli et&#xa0;al., 2020</xref>). Macrophages recognize fungal cell wall polysaccharides through several pattern recognition receptors (PRRs) inducing phagocytosis, oxidative stress, and pro-inflammatory immune responses (<xref ref-type="bibr" rid="B6">Brown et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B52">Kirkland and Fierer, 2020</xref>). Among these, mannose receptor (MR) and mannose-binding lectin (MBL) play a key role in fungal recognition by the immune system (<xref ref-type="bibr" rid="B7">Brummer and Stevens, 2010</xref>; <xref ref-type="bibr" rid="B39">Goyal et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B65">Nikolakopoulou et&#xa0;al., 2020</xref>).</p>
<p>Our group pioneered the characterization of two lectin-type receptors, Mannose-Binding Protein and Mannose-Binding Protein-1 (MBP and MPB-1, respectively) on the surface of <italic>A. castellanii</italic>, with the ability to recognize distinct fungal species and thereby mediate a &#x201c;universal&#x201d; mechanism of fungus-amoeba interaction (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). Both lectins share a domain matching the secondary structure of ConA-like lectins/glucanases superfamily and treatment with soluble mannose specifically inhibited fungal association to trophozoites (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). Besides the structural similarity to ConA, no significant similarity to other MBPs were retrieved upon BLAST search.</p>
<p>In this work, we sought to evaluate the importance of MBLs from <italic>A. castellanii</italic> and macrophages by assessing their relative impact on the interactions with fungi and fungal survival. As part of our objective, we performed a targeted search of surface proteins present in <italic>A. castellanii</italic> and murine macrophages to identify possible high affinity ligands and receptors to mannoproteins and fungal cell wall mannans. Therefore, we were able to establish similar relationships between mannose affinity pathways in both phagocytes, which could also evidence the possibility of convergent evolution regarding their interactions with fungal pathogens and fungal adaptation in both models.</p>
</sec>
<sec id="s2">
<title>Methods</title>
<sec id="s2_1">
<title>Organisms and Growth Conditions</title>
<p>
<italic>A. castellanii</italic> ATCC 30234 (American Type Culture Collection, Manassas, VA) was cultured in Peptone- Yeast Extract- Glucose (PYG) () medium (pH 6.5) containing 20 g/L of peptone, 1 g/L yeast extract and 100 mM glucose, supplemented with 0.4 mM CaCl<sub>2</sub>, 0.4 mM MgSO<sub>4</sub>, 2.5 mM Na<sub>2</sub>HPO<sub>4</sub>, 2.5 mM KH<sub>2</sub>PO<sub>4</sub>, 1 g/L sodium citrate, 0.05 mM Fe(NH4)<sub>2</sub>(SO4)<sub>2</sub>) and 1% penicillin/streptomycin (ThermoFisher Scientific, MA, USA) at 28&#xb0;C (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). RAW 264.7 murine macrophages were cultured in Dulbecco Modified Eagle&#x2019;s Medium (DMEM, pH 7.0) supplemented with 10% heat-inactivated fetal bovine serum, 10% NCTC-109 medium (Sigma-Aldrich, MO, USA), 1% non-essential amino acids (Sigma-Aldrich) and 1% penicillin/streptomycin (ThermoFisher) at 37&#xb0;C in a 5% CO<sub>2</sub> incubator. Both cells were cultured until the formation of monolayers for about 48&#xa0;h and subsequently used in all experiments (<xref ref-type="bibr" rid="B84">Taciak et&#xa0;al., 2018</xref>).</p>
<p>Fungi were grown according to standard protocols: <italic>Ca</italic> SC5314 (ATCC MYA 2876) was cultured in Sabouraud medium (pH 5.6) containing 10 g/L of peptone and 40 g/L dextrose (<xref ref-type="bibr" rid="B28">G&#xe1;cser et&#xa0;al., 2007</xref>), <italic>Cn</italic> H99 serotype A (ATCC 208821) in a minimum medium (pH 5.5) composed of glucose (15 mM), MgSO<sub>4</sub> (10 mM), KH<sub>2</sub>PO<sub>4</sub> (29.4 mM), glycine (13 mM), and thiamine-HCl (3 &#x3bc;M) (<xref ref-type="bibr" rid="B43">Guimar&#xe3;es et&#xa0;al., 2010</xref>) and <italic>Hc</italic> G217B (ATCC 26032), in Ham&#x2019;s F-12 medium (pH 7.2) supplemented with glucose (18.2 g/L), glutamic acid (1 g/L), HEPES (6 g/L) and cysteine (8.4 mg/L) (<xref ref-type="bibr" rid="B42">Guimar&#xe3;es et&#xa0;al., 2019</xref>). All fungi were cultured for 48&#xa0;h at 37&#xb0;C with 150 rpm shaking.</p>
</sec>
<sec id="s2_2">
<title>Biotinylation of Phagocytes&#x2019; Surface Proteins</title>    <p>
<italic>A. castellanii</italic> trophozoites and RAW 264.7 macrophages were grown for 48&#xa0;h and the percentage of viability was determined by 0.4<italic>%</italic> Trypan Blue dye exclusion, as the number of viable (white) &#xd7; 100, over total cells (white + blue), with values ~100% for both cells (<xref ref-type="bibr" rid="B83">Strober, 2001</xref>). The phagocytes were detached from the culture flasks and washed three times with PBS (Phosphate Buffered Saline pH 8.0;137 mM NaCl, 2.7 mM KCl, 10 mM Na<sub>2</sub>HPO<sub>4</sub> and 1.8 mM KH<sub>2</sub>PO<sub>4</sub>) at 4&#xb0;C, with centrifugation at 250<italic>xg</italic> for 10&#xa0;min for amoebas and 400<italic>xg</italic> for 5&#xa0;min for macrophages. The cell concentration was adjusted to 25x10<sup>6</sup>cells/mL and surfaces biotinylated by incubating cells with 2 mM Sulfo-NHS-LC-Biotin (ThermoFisher) at 4&#xb0;C for 30&#xa0;min (<xref ref-type="bibr" rid="B4">Azim-Zadeh et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). The excess of biotin was inactivated by four washes with 100 mM glycine in cold PBS (pH 8.0) and 10&#xa0;min centrifugation.</p>
</sec>
<sec id="s2_3">
<title>Production of Phagocytes&#x2019; Surface Protein Extracts</title>
<p>The cell pellets were resuspended in a cold extraction buffer (0.5% CHAPS; 2 mM &#x3b2;-mercaptoethanol; 25 mM Tris-HCl; 100 mM NaCl; 20 mM CaCl<sub>2</sub>; 1 mM phenylmethylsulfonyl&#xa0;fluoride), with addition of protease inhibitors (Complete Mini Tablets, Roche), and disrupted with a dounce homogenizer and zirconium beads, for 20 cycles in an ice bath, to obtain the total cell extract. The preparations were centrifuged at 18,000<italic>xg</italic> for 30&#xa0;min at 4&#xb0;C to obtain the clarified total extracts. The protein concentrations in both extracts were determined by the Pierce&#x2122; Bicinchonic Acid (BCA) Protein Assay Kit, ThermoFisher, following manufacturer&#x2019;s instruction. To analyze the protein pattern of the extracts, 10 &#x3bc;g of proteins were resolved by 10% SDS-PAGE, as described elsewhere (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). The efficiency of surface protein biotinylation was analyzed by Western blot using an alkaline phosphatase-streptavidin conjugate (SouthernBiotech, AL, USA) and developed with an NBT/BCIP substrate (ThermoFisher) as described (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>).</p>
</sec>
<sec id="s2_4">
<title>Affinity of Mannose-Binding Lectins in Phagocyte Surface Protein Extracts</title>
<p>Clarified surface protein extracts of the phagocytes were purified by affinity chromatography assay, using a mannose column, according to manufacturer&#x2019;s instruction (D-Mannose Agarose, Sigma-Aldrich) (<xref ref-type="bibr" rid="B31">Garate et&#xa0;al., 2004</xref>). After washing to remove the preservation solution, the resin was equilibrated with Dulbecco&#x2019;s Phosphate Buffered Saline (DPBS) with MgCl<sub>2</sub> and CaCl<sub>2</sub> (pH 7.4, 0.49 mM MgCl<sub>2</sub> and 0.90 mM CaCl<sub>2</sub>), with washes at 640<italic>xg</italic> for 5&#xa0;min. Then, clarified extracts were incubated with the resins, in a proportion of 2.5 mL resin for every 5 mL of clarified extract (2 mg/mL), for 1&#xa0;h at room temperature. Subsequently, resins were packed, and fractions of unbound proteins (F1) were collected. Then, the columns were washed with 10 bed volume of DPBS, at a 1 mL/min flow to remove non-specific binding proteins (F2). Thereafter, column-bound proteins were eluted with PBS/Ca<sup>+2</sup>/Mg<sup>+2</sup>, plus 2 mM EDTA and 150 mM soluble mannose, and the eluent (F3) was collected in 0.5 mL fractions. The collected fractions F1, F2, and F3 had absorbances monitored at 280 nm, along with quantification by the BCA method, and were evaluated by SDS PAGE and Western blot as described.</p>
</sec>
<sec id="s2_5">
<title>Production of Mannose-Purified Surface Protein Extracts</title>
<p>The mannose-purification of clarified surface protein extracts of <italic>Ac</italic> and RAW 264.7 was scaled up to 96-well microplates previously sensitized with 50 &#xb5;L of mannose solution (10 &#xb5;g/mL) for 1&#xa0;h at 37&#xb0;C, and subsequently overnight at 4&#xb0;C. After, the plates were blocked with blocking buffer (SuperBlock&#x2122; (PBS) Blocking Buffer, ThermoFisher), for 1&#xa0;h at 37&#xb0;C. Thereafter, plates were incubated with 200 &#xb5;g/mL (50 &#xb5;L/well) of phagocytes&#x2019; clarified extracts in DPBS, for 1&#xa0;h at 37&#xb0;C. Posteriorly, plates were washed three times with PBS to remove mannose unbound proteins. Then, mannose-attached proteins were recovered with stripping buffer (50 mM Tris-HCl, 50 mM DTT, and 2% SDS; pH 7.0) for 1&#xa0;h at 70&#xb0;C. Next, the content of each well was collected and dialyzed in dialysis cassettes (Slide-A-Lyzer&#x2122; 10K MWCO, ThermoFisher) against PBS/Ca<sup>+2</sup>/Mg<sup>+2</sup> at 4&#xb0;C, under 200 rpm shaking for three days, with daily buffer exchanges. Then, the mannose-purified surface proteins (MPPs) were collected, identified, and analyzed by Western blot. The protein banding pattern of the MPPs were compared between the distinct phagocytes.</p>
</sec>
<sec id="s2_6">
<title>Identification and Comparison of the Protein Profile of Mannose-Binding Lectins Between Phagocytes</title>
<p>
<italic>Ac</italic> and RAW MPPs were processed for analysis by mass spectrometry. We sought to identify and compare the sequences of mannose-binding proteins from both phagocytes to establish any possible degrees of similarity regarding mannose affinity. For isolation of biotinylated surface proteins, the MPPs were purified using the Dynabeads<sup>&#xae;</sup> M-280 Streptavidin Kit with 100 &#x3bc;g of magnetic beads. The beads were washed with PBS + Tween 20 (0.01%) at pH 7.4, separated using a magnet for 5&#xa0;min and incubated with biotinylated proteins for 30&#xa0;min at room temperature under orbital shaking. Beads were washed five times with PBS and dehydrated in a speed vac. Beads were resuspended in Urea (7 M) and Thiourea (2 M), added of 1 M HEPES (to a final concentration of 100 mM), followed by 100 mM dithiothreitol (to 10 mM), and incubated for 1&#xa0;h at 30&#xb0;C. Iodoacetamide (400 mM) was added to a final concentration 40 mM, with subsequent incubation for 30&#xa0;min in the dark. Then, 175 &#x3bc;L of ultrapure H<sub>2</sub>O TEDIA and trypsin solution in 0.1 M acetic acid (0.1 &#x3bc;g/&#x3bc;L were added to a final concentration of 16 ng/&#x3bc;L and incubated overnight at 37&#xb0;C. After this incubation, 2 &#x3bc;L of 10% TFA trifluoroacetic acid (TFA) (0.1% final concentration) were added. Then, peptides were purified in an UltraMicroSpin&#x2122;columns (Havard Apparatus) and dried in a speed vac. At the end of the process, tryptic peptides were solubilized in 10 &#x3bc;L of 0.1% TFA and about 4 &#x3bc;L of the mixture wwere loaded onto an in&#x2010;house packed column (15&#xa0;cm &#xd7; 75 &#x3bc;m) filled with 3 &#x3bc;m ReproSil C<sub>18</sub> resin (Dr. Maisch GmbH) using the Nano LC-Ultra nano liquid chromatography system (Eksigent Technologies) (<xref ref-type="bibr" rid="B36">Gon&#xe7;alves et&#xa0;al., 2018</xref>).</p>
</sec>
<sec id="s2_7">
<title>Mass Spectrometry Analysis</title>
<p>An amount of 0.8 &#x3bc;g of peptides was injected in a nano-LC&#x2013;MS/MS system consisting of an EASY II-nano LC system (Proxeon Biosystem, Denmark), for LC-based separation, coupled to a nano-ESI LTQ-Orbitrap Velos mass spectrometer (Thermo Fisher). Peptide separation was performed in NanoAccquity system equipped with C-18 ReproSil 5 &#x3bc;m resin (Dr. Maisch) and a New Objective PicoFrit<sup>&#xae;</sup> analytical column (75 &#x3bc;m &#xd7; 20&#xa0;cm) packed with Reprosil-pur C18-AQ 3 &#x3bc;m resin (Dr. Maisch). For each sample, peptides elution used a linear gradient of solvent solution ACN 95%, 0.1% TFA from 5% to 20% for 85&#xa0;min, 20%-40% for 22&#xa0;min, 40%-95% for 5&#xa0;min and 95% for 8&#xa0;min, using a flow rate of 250 nL/min. Mass spectra were acquired in a positive mode top 10 DDA (Data-Dependent Acquisition) method. MS1 scan was acquired in an Orbitrap analyzer set for a 350-1800 m/z range, 60000 resolution (at m/z 400) with a minimal signal required of 10000, isolation width of 2.0. The 10 most intense ions were fragmented by collision-induced dissociation (CID) at 30 NCE (Normalized Collision Energy) with a dynamic exclusion of 30s. The acquired spectra were processed using the peptides search engine BSI PEAKS<sup>&#xae;</sup> X+ 10.5 (Bioinformatics Solution Inc.) for peptide identification. The considered parent mass error tolerance and fragment mass error tolerance were both set to 0.6 Da and 0.5 Da, with precursor mass search type monoisotopic. The maximum missed tryptic cleavages was set to two, and one non&#x2010;specific cleavage was allowed. Carbamidomethylating was set as fixed modification (MW = 57.02 Da) and as variable modifications, methionine oxidation (MW = 15.99 Da) and lysine Sulfo-NHS-LC-Biotin conjugation (MW = 339.16 Da) were allowed. The <italic>A. castellanii</italic> trophozoites (14,944 proteins) and <italic>Mus musculus</italic> (86,586 proteins) databases were downloaded at <uri xlink:href="http://www.uniprot.org">www.uniprot.org</uri> as for April 2021. The considered false discovery rate was set at 1%. The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium <italic>via</italic> the PRIDE (<xref ref-type="bibr" rid="B68">Perez-Riverol et&#xa0;al., 2019</xref>) partner repository with the dataset identifier PXD031121.</p>
</sec>
<sec id="s2_8">
<title>
<italic>De Novo</italic> Sequencing Analysis</title>
<p>An output of <italic>de novo</italic> peptides was obtained from the Peaks<sup>&#xae;</sup>X+ software and analyzed in the DeNovo Sequencing (PepExplorer) of the PatternLab for Proteomics (<uri xlink:href="http://www.patternlabforproteomics.org">http://www.patternlabforproteomics.org</uri>). The PepExplorer was set up against the same target-decoy sequence database of <italic>Ac</italic> and RAW as described above, according to instructions informed elsewhere (<xref ref-type="bibr" rid="B22">da Veiga Leprevost et&#xa0;al., 2015</xref>), with a set of parameters that were adjusted to optimize the analysis process and most stringent comparison parameters, including the ReverseDecoy Label insertion, minimal identity of 0.7, a minimum peptide size of 5 amino acids (for <italic>Ac</italic>), minimal identity of 0.8, a minimum peptide size of 5 amino acids (for <italic>M. musculus</italic>), and a denovo cut off score of 90, for both. After analysis, the dynamic report showed a list of identified proteins and the corresponding peptides based on sequence alignments that were compared between samples for the determination of proteins with affinity to mannosylated residues. Proteins abundances were calculated according to the number of spectra of all peptides identified and validatedby <italic>de novo</italic> sequencing a specific protein divided by the sum of all counted spectra for each of the candidate proteins (<xref ref-type="bibr" rid="B48">Ishihama et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B46">Guimar&#xe3;es et&#xa0;al., 2011b</xref>). Further proteins annotation and gene ontology molecular function determination were performed using the online DAVID database for annotation (<uri xlink:href="https://david.ncifcrf.gov">https://david.ncifcrf.gov</uri>). To detect similarities between <italic>A. castellanii</italic> and <italic>M. musculus</italic> MPPs sequences identified, we performed a BLASTp search (<xref ref-type="bibr" rid="B49">Johnson et&#xa0;al., 2008</xref>) with the proteins identified in <xref ref-type="supplementary-material" rid="ST1">
<bold>Supplementary Table 1</bold>
</xref> as queries. The results were filtered by selecting the macrophage identified MPPs (<xref ref-type="supplementary-material" rid="ST2">
<bold>Supplementary Table 2</bold>
</xref>) with a percentage of identity greater than 30% and suitable maximum score (&gt;30).</p>
</sec>
<sec id="s2_9">
<title>Binding of Phagocytes Surfaces Protein Extracts to Mannose and Mannan</title>
<p>An indirect ELISA was used to evaluate the binding of clarified surface protein extracts of phagocytic cells to mannose and mannan. Initially, 96-well plates were coated with mannose or mannan as described and blocked with blocking solution (1% BSA in TBS-T) for 1&#xa0;h at 37&#xb0;C. After three washes, the biotinylated clarified extracts were serially diluted (200 to 0.09 &#xb5;g/mL) in blocking solution and added to wells for 1&#xa0;h at 37&#xb0;C. Non-biotinylated clarified extracts of both phagocytes were used as negative controls. Thereafter, the plates were washed three times and incubated with an alkaline phosphatase-streptavidin conjugate (SouthernBiotech) diluted at 0.5 &#xb5;g/mL in blocking solution, for 1&#xa0;h at 37&#xb0;C. The wells were washed three times with TBS-T and reactions developed with p-nitrophenyl phosphate (pNPP tablets, Sigma-Aldrich), at 37&#xb0;C for 15 to 30&#xa0;min. The absorbances were read at 405 nm on a microplate reader (Molecular Devices, CA, USA) (<xref ref-type="bibr" rid="B44">Guimar&#xe3;es et&#xa0;al., 2009</xref>).</p>
<p>Likewise, MPPs binding performances were evaluated under similar indirect ELISA, as previously described, and reactions compared between both phagocytes and to clarified total extracts.</p>
</sec>
<sec id="s2_10">
<title>Binding of Mannose-Purified Proteins to Fungi</title>
<p>Several techniques were used to characterize the binding of the MPPs from both phagocytes to fungi, including indirect ELISA, flow cytometry, and fluorescence microscopy <xref ref-type="bibr" rid="B44">Guimar&#xe3;es et&#xa0;al., 2009</xref>; (<xref ref-type="bibr" rid="B43">Guimar&#xe3;es et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B17">Cordero et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). For indirect ELISAs, yeasts were washed three times with PBS at 1,100 x g for 5&#xa0;min, fixed in 4% paraformaldehyde for 30&#xa0;min at room temperature, resuspended in PBS and enumerated. After, plates were coated (10<sup>6</sup> yeasts/well) and blocked with blocking solution for 1&#xa0;h at 37&#xb0;C. Subsequently, plates were incubated with the serially diluted MPPs of both phagocytes, alkaline phosphatase-streptavidin conjugate, and upon incubation with substrate, absorbances were measured as previously described. Non-biotinylated clarified extracts were used as negative controls. For the flow cytometry and fluorescence microscopy assays, yeasts were washed three times and blocked with 2% BSA in PBS for 2&#xa0;h at room temperature with shaking. Upon washes, 10<sup>7</sup> yeasts were incubated with clarified or MPPs (100 &#xb5;g) diluted in 1 mL PBS/Ca<sup>+2</sup>/Mg<sup>+2</sup> plus 2% BSA and incubated for 2&#xa0;h at room temperature. After three washes with PBS/Ca<sup>+2</sup>/Mg<sup>+2</sup>, yeasts were incubated with the streptavidin-Alexa 488 conjugate (ThermoFisher) at 5 &#x3bc;g/mL blocking solution for 1&#xa0;h at room temperature, in the dark, and subsequently washed three times. As a positive control for the binding to mannosylated components on the fungal cell wall, yeasts were incubated with ConA-TRITC (at 5 &#x3bc;g/mL; Thermo Fisher) for 1&#xa0;h at room temperature, in the dark. After washing, yeasts were incubated with 0.5 &#xb5;g/mL of Uvitex 2B (Polyscience, USA) for 30&#xa0;min at room temperature in the dark, with three further washes with PBS/Ca<sup>+2</sup>/Mg<sup>+2</sup>. The yeasts were examined using an Axio Imager microscope (Carl Zeiss MicroImaging Inc., USA), using a 495 nm filter, appropriate for the fluorochrome used, at 100x. In addition, the preparations were analyzed in a FACSCalibur (BD Biosciences, USA) and the intensity of FL1<sup>+</sup> cells (for binding to streptavidin-Alexa 488) and FL2<sup>+</sup> cells (for binding to ConA-TRITC) were recorded, Yeasts were also incubated with either only non-biotinylated clarified extracts or fluorophore conjugates, as negative controls (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>) and the average fluorescence intensity compared among groups.</p>
</sec>
<sec id="s2_11">
<title>Cross-Inhibition of the Interaction Between Phagocytes and Fungi</title>
<p>To confirm the similarity of recognition to fungal mannosylated residues by phagocytic cells, their crossed-inhibiting effect on fungal interaction was evaluated. <italic>Ac</italic> and RAW were plated at a concentration of 4x10<sup>5</sup> cells/well in 24-well plates and incubated overnight under specific conditions. Yeasts were washed with PBS and labeled with 0.04 mg/ml NHS-Rhodamine (Thermo Fisher) diluted in PBS, for 1&#xa0;h at room temperature. After five washes, the yeasts were pre-incubated with 50 &#xb5;g/mL of MPPs from either phagocyte for 1&#xa0;h at room temperature. Following three washes with PBS, yeast concentrations were adjusted and added to phagocytes at a multiplicity of infection (MOI) of 5 fungi: 1 phagocytic cell in a crossed-way: (i) yeasts pre-incubated with MPPs of RAW 264.7 interacted with amoeba and (ii) yeasts pre-incubated with MPPs of <italic>Ac</italic> interacted with macrophages, for 30&#xa0;min and 2&#xa0;h, under appropriate conditions for each phagocytic cell. The stipulated interaction times were based on information from live-microscopy experiments, for early adhesion and late interaction (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). After, phagocytes were washed three times, detached from the plate by pipetting up and down and analyzed in a FACSCalibur (BD Biosciences). The interaction ratio (i.e., FL2<sup>+</sup> phagocytes interacting with fungi, over the total number of cells analyzed) was calculated:</p>
<disp-formula>
<mml:math display="block" id="M1">
<mml:mrow>
<mml:mi>F</mml:mi>
<mml:mi>A</mml:mi>
<mml:mi>C</mml:mi>
<mml:mi>S</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>I</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>n</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi> </mml:mi>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>h</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>:</mml:mo>
<mml:mi> </mml:mi>
<mml:mfrac>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>g</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>p</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>g</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>&#x2217;</mml:mo>
<mml:mn>100</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mi>t</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi> </mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>p</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>g</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
</sec>
<sec id="s2_12">
<title>Evaluating the Importance of the Mannose Receptor on the Phagocyte&#x2013;Fungi Interaction</title>
<p>Inhibition experiments were performed to confirm the importance of MBPs from each specific phagocyte model during phagocytosis. Phagocytes were plated (4x10<sup>5</sup> cells/well) in 24-well plates under the appropriate growth conditions. Yeasts were washed, NHS-Rhodamine stained as described, and diluted in the required media for each phagocyte (PYG or DMEM) with or without 100 mM soluble mannose, at a MOI of 5 fungi: 1 phagocytic cell. Plates were incubated for 30&#xa0;min and 2&#xa0;h (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>) under best condition for each phagocyte and washed three times. The intracellular yeasts that remained adhered to the phagocytes were stained with 0.5 &#xb5;g/ml of Uvitex 2B. Therefore, it was possible to distinguish the internalized yeasts, displaying a red fluorescence, whereas yeasts adhered to the phagocyte surface, displayed simultaneously red and blue fluorescence. Phagocytes were detached from the plates, fixed, and analyzed by flow cytometry. Additionally, the cells were examined under a fluorescence microscope at 63x objective magnification. Through the records and cell counts of each experimental group, several parameters were calculated (<xref ref-type="bibr" rid="B28">G&#xe1;cser et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B42">Guimar&#xe3;es et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B19">Cseresnyes et&#xa0;al., 2020</xref>), including:</p>
<disp-formula>
<mml:math display="block" id="M2">
<mml:mrow><mml:mtext>Interaction</mml:mtext><mml:mi>&#xa0;</mml:mi><mml:mtext>ratio</mml:mtext><mml:mi>&#xa0;</mml:mi>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>h</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>:</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo><mml:mtext>number</mml:mtext> <mml:mi/><mml:mtext>of</mml:mtext><mml:mi>&#xa0;</mml:mi><mml:mtext>interacting</mml:mtext><mml:mi>&#xa0;</mml:mi><mml:mtext>phagocytes</mml:mtext><mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo><mml:mtext>total</mml:mtext><mml:mi>&#xa0;</mml:mi><mml:mtext>number</mml:mtext><mml:mi>&#xa0;</mml:mi><mml:mtext>of</mml:mtext><mml:mi>&#xa0;</mml:mi><mml:mtext>phagocytes</mml:mtext><mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<mml:math display="block" id="M3">
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>n</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:msub>
<mml:mi>h</mml:mi>
<mml:mrow>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>:</mml:mo>
<mml:mi> </mml:mi>
<mml:mfrac>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi> </mml:mi>
<mml:mo>+</mml:mo>
<mml:mi> </mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>z</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<mml:math display="block" id="M4">
<mml:mrow>
<mml:mi>I</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>z</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>n</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:msub>
<mml:mi>t</mml:mi>
<mml:mrow>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>:</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>z</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo> <mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi> </mml:mi>
<mml:mo>+</mml:mo>
<mml:mi> </mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>z</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
</mml:mrow><mml:mo stretchy="false">)</mml:mo></mml:math>
</disp-formula>
<disp-formula>
<mml:math display="block" id="M5">
<mml:mrow>
<mml:mi>S</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>z</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>n</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>x</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:msub>
<mml:mi>h</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>:</mml:mo>
<mml:mi> </mml:mi>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:msub>
<mml:mi>h</mml:mi>
<mml:mrow>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mi> </mml:mi>
<mml:mi>X&#x3d5;</mml:mi>
<mml:mi>h</mml:mi>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<mml:math display="block" id="M6">
<mml:mrow>
<mml:mi>S</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>z</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>z</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>n</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>x</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:msub>
<mml:mi>t</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>:</mml:mo>
<mml:mi> </mml:mi>
<mml:mi> </mml:mi>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:msub>
<mml:mi>t</mml:mi>
<mml:mrow>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mi> </mml:mi>
<mml:mi>X&#x3d5;</mml:mi>
<mml:mi>h</mml:mi>
</mml:mrow>
</mml:math>
</disp-formula>
<p>The Interaction ratio (&#x3a6;h) describes the ratio of host cells that has at least one interacting pathogen. The adhesion (&#x3a6;adh<sub>ratio</sub>) and internalization (&#x3a6;int<sub>ratio</sub>) ratios describe respectively the proportion of adhered and internalized fungi relative to the total number of interacting fungi. Symmetrized adhesion (&#x3a6;adh<sub>sym</sub>) and internalization (&#x3a6;int<sub>sym</sub>) indices reveal the overall probability of a fungus to be respectively adhered or internalized by a host cell. All parameters were compared between the mannose treated versus untreated and between both phagocytes for early adhesion and late interaction events.</p>
</sec>
<sec id="s2_13">
<title>Assessing the Importance of the Mannose Receptor for Fungal Viability</title>
<p>Fungal viability was assessed by determining colony forming units (CFUs) upon interaction inhibition with mannose. Phagocytic cells were plated (4x10<sup>5</sup> cells/well), incubated overnight, and yeast added at a MOI of five fungi: one phagocyte in the presence or absence of 100 mM soluble mannose. Initially, interactions occurred for 2&#xa0;h to allow phagocytosis of the majority of yeasts, as described in previous procedures (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). Upon incubations, systems were washed three times with PBS, the appropriate culture media for each phagocyte was added and the plates returned to the appropriate conditions of either phagocytic cells, remaining for additional 24&#xa0;h. Subsequently, the phagocytes were lysed with cold sterile H<sub>2</sub>O for 1&#xa0;h, followed by 15 to 20 passages through a 26 G needle and recovered yeasts plated on specific media and kept at the appropriate temperature conditions for either yeasts (<xref ref-type="bibr" rid="B17">Cordero et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B42">Guimar&#xe3;es et&#xa0;al., 2019</xref>).</p>
<p>In addition, fungal viability upon interactions was also assessed by fluorescence microscopy. Yeasts were incubated with two-color fluorescent viability probe FUN&#x2122; 1 (10 mM, ThermoFisher), diluted in 1 mL of glucose buffer (2% glucose, 10 mM HEPES; pH 7.2), for 30&#xa0;min at 37&#xb0;C, in the dark (<xref ref-type="bibr" rid="B29">Gantner et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B28">G&#xe1;cser et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B80">Slesiona et&#xa0;al., 2012</xref>). After washes with glucose buffer, yeasts were incubated with phagocytes, in the absence and presence of 100 mM mannose, as previously described. Yeasts that remained adhered to the phagocyte surface were labeled with Uvitex 2B. Therefore, internalized yeasts displayed a red (viable) or yellow-green (non-viable) fluorescence, whereas yeasts adhered to the phagocyte surface displayed a red (viable) or yellow-green (non-viable) and a blue fluorescence. Analyses were carried out by examining the preparations in an Axio Imager microscope at 63x magnification. Cell counts of each experimental group, in different fields, were performed and the following parameters were determined (<xref ref-type="bibr" rid="B19">Cseresnyes et&#xa0;al., 2020</xref>).</p>
<disp-formula>
<mml:math display="block" id="M7">
<mml:mrow>
<mml:mi>V</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi> </mml:mi>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>v</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>l</mml:mi>
<mml:msub>
<mml:mi>e</mml:mi>
<mml:mrow>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>:</mml:mo>
<mml:mi> </mml:mi>
<mml:mfrac>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi> </mml:mi> <mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mi>v</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi> </mml:mi> <mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi> </mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi> </mml:mi> <mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mi>v</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi> </mml:mi>
<mml:mo>+</mml:mo>
<mml:mi> </mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<mml:math display="block" id="M8">
<mml:mrow>
<mml:mi>M</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi> </mml:mi>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>&#x3d5;</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:msub>
<mml:mi>d</mml:mi>
<mml:mrow>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>o</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>:</mml:mo>
<mml:mi> </mml:mi>
<mml:mfrac>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi> </mml:mi> <mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mi> </mml:mi> <mml:mi>d</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi> </mml:mi>
<mml:mi>o</mml:mi><mml:mi>f</mml:mi>
<mml:mi>v</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi> </mml:mi>
<mml:mo>+</mml:mo>
<mml:mi> </mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi> </mml:mi> <mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>d</mml:mi>
<mml:mi> </mml:mi> <mml:mi>y</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
</sec>
<sec id="s2_14">
<title>Statistical Analysis</title>
<p>Statistical analyses were performed using GraphPad Prism version 8.00 for Windows (GraphPad Software, La Jolla California USA, <uri xlink:href="http://www.graphpad.com">www.graphpad.com</uri>). Comparisons between three or more groups were made by two-way ANOVA, with subsequent Tukey&#x2019;s or Dunnett&#x2019;s multiple comparisons test. Comparisons between two groups were made using the Student <italic>t-</italic>test. Values of p &#x2264; 0.05 were considered statistically significant. Each experiment was repeated at least three times.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Extracts Purified With Mannose Display Distinct Protein Complexity Between Phagocytes</title>
<p>The clarified extracts of both phagocytes were purified using a mannose-coupled resin, as described elsewhere (<xref ref-type="bibr" rid="B31">Garate et&#xa0;al., 2004</xref>), and both chromatograms display the purification efficiency and isolation of proteins with affinity to mannose (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A, B</bold>
</xref>). For the purification of amoeboid extracts, the eluate (F3 fraction) comprised the fractions 2-10 and displayed concentrations ranging from 0.32 to 0.16 mg/mL, with the amount of total proteins that bound to mannose consisting of 12.9% of the total extract (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). Eluted fractions (F3) from the purification of macrophage extracts localized at the fractions 4 and 5, with concentrations of 0.9 and 0.5 mg/ml respectively, with higher values when compared to ameboid extracts, and recovered mannose-binding proteins totalized 17.3% of the total protein mass (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). Altogether, differences in protein concentration and elution time of MPPs between the phagocytes suggest higher relative content or greater affinity of the mannose-binding lectins in macrophage extracts relative to those in the ameboid extracts.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Differences between the profile composition of mannose-binding lectins on the surface of <italic>Acanthamoeba castellanii</italic> and macrophages. <bold>(A, B)</bold> Affinity chromatography with D-mannose agarose columns displaying the chromatogram results upon purification of surface extracts of <bold>(A)</bold> <italic>A. castellanii (Ac)</italic> and <bold>(B)</bold> RAW 264.7 macrophages. <bold>(C)</bold> Western blot, corresponding to clarified and (MPPs, of <italic>Ac</italic> and macrophages. The molecular weight standard was used in the analysis. Lane MW: Molecular Weight Standard (Prestained&#x2122; Standards, Kleidoscope&#x2122;); Lane <italic>Ac</italic> CE: Clarified extract of <italic>Ac</italic>; Line <italic>Ac</italic> MPPs: MPPs of <italic>Ac</italic>, with open arrows indicating the molecular weight of approximately 55 KDa, 75 KDa, 110 KDa and above 150 KDa; Lane RAW 246.7 CE: Clarified extract of RAW 246.7 macrophages; Lane RAW 246.7 MPPs: MPPs of RAW 246.7 macrophages where nine bands were identified, ranging from 37 KDa to 150 KDa.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g001.tif"/>
</fig>
<p>Upon a large-scale purification/enrichment of MPPs, Western blot of purified extracts of <italic>Ac</italic> revealed four mannose-affinity proteins of different molecular weights - approximately 55 KDa; 75 KDa; 110 KDa and above 150 KDa, whereas in macrophages, nine bands were identified, ranging from 37 KDa to 150 KDa (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>). Differences observed in the complexity of protein patterns between phagocytes point to greater diversity and variability of mannose-binding lectins on the surface of macrophages. However, upon purification, the presence of bands around 55 KDa, 75 KDa, and 100 KDa in similar ways was also evidenced in the two phagocytes.</p>
</sec>
<sec id="s3_2">
<title>Phagocytes&#x2019; Biotinylated Extracts Showed a Dose-Dependent Binding to Mannose and Mannan</title>
<p>The indirect ELISA assays revealed a dose-dependent binding to mannose with concentrations above 0.78 &#x3bc;g/mL for clarified biotinylated surface extracts of amoeba, in contrast to concentrations above 0.20 &#x3bc;g/mL for macrophages (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A, B</bold>
</xref>). Nevertheless, the clarified RAW macrophages&#x2019; extracts (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>) overall displayed higher absorbances than <italic>Ac</italic> extracts (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>), configuring higher affinity.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>
<italic>Acanthamoeba castellanii</italic> and macrophage extracts showed a dose-dependent binding to mannose and mannan. Indirect ELISA demonstrated dose dependent binding of clarified extracts of <bold>(A)</bold> <italic>A. castellanii (Ac)</italic> and <bold>(B)</bold> RAW 264.7 macrophages to mannan and mannose. <bold>(C)</bold> MPPs of <italic>Ac</italic> and macrophages displayed a more intense binding to mannose than the phagocyte&#x2019;s biotinylated surface extracts. In addition, MPPs of macrophages seem to bind more effectively to mannose in comparison to <italic>Ac</italic> MPPs. The streptavidin-alkaline phosphatase conjugate was used to detect biotinylated proteins. As a negative control, clarified non-biotinylated extracts were used in the process and displayed no reactivity.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g002.tif"/>
</fig>
<p>Upon purification, the evaluation of MPPs&#x2019; affinity to mannose (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>) displayed detectable binding above 12.5 &#x3bc;g/mL for proteins of amoeba origin, in comparison to 3.1 &#x3bc;g/mL for macrophages&#x2019; proteins; however, MPPs preparations of both phagocytes displayed saturation at 50 &#x3bc;g/mL, despite the similar K<sub>d</sub> values for both extracts (K<sub>damoeba</sub>= 59.15 and K<sub>dmacrophage</sub>= 51.44). The maximum binding capacity was higher for macrophages (Bmax<sub>macrophage</sub>= 1.55) versus <italic>Ac</italic> MPPs (Bmax<sub>amoeba</sub>= 0.88), confirming the higher affinity.</p>
</sec>
<sec id="s3_3">
<title>Phagocytes Extracts Binding to Fungal Cell Wall Components</title>
<p>Amoeba and macrophage MPPs displayed a dose-dependent binding to all three fungi of distinct cell wall structure tested (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>, p&lt;0.05). Corroborating with the aforementioned results, macrophage MPPs exhibited greater binding intensity when compared to the ameboid MPPs to <italic>Ca</italic> (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>), <italic>Cn</italic> (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>) and <italic>Hc</italic> (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>), pointing to greater affinity of MPPs present on the macrophage surface.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>
<italic>Acanthamoeba castellanii</italic> and macrophages mannose-purified proteins (MPPs) showed a dose-dependent binding to fungi. Indirect ELISA to analyze the binding of MPPs of <italic>A. castellanii</italic> and RAW 264.7 macrophages to <bold>(A)</bold> <italic>Candida albicans</italic>, <bold>(B)</bold> <italic>Cryptococcus neoformans</italic> and <bold>(C)</bold> <italic>Histoplasma capsulatum</italic>. (*p &lt; 0.05; **p &lt; 0.001 and ****p &lt; 0.0001).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g003.tif"/>
</fig>
</sec>
<sec id="s3_4">
<title>Binding Pattern of Phagocytes&#x2019; MPPs to Fungal Cell Surface</title>
<p>The binding intensity and qualitative pattern of the MPPs of <italic>Ac</italic> and RAW macrophages to fungi were analyzed by flow cytometry and fluorescence microscopy and compared with ConA-TRITC mannose-binding lectin (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref> and <xref ref-type="supplementary-material" rid="ST1">
<bold>Supplementary Figure S1</bold>
</xref>). The means of fluorescence intensity of yeasts incubated with MPPs of either origin differed significantly from their respective negative controls (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>, p&lt;0.0001; <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>, p&lt;0.01; <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>, p&lt;0.0001), and demonstrated a similar profile to the positive ConA control, which bound significantly more to the surface of <italic>Ca</italic> and <italic>Hc</italic> (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>, p&lt;0.0001; <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4F</bold>
</xref>, p&lt;0.0001), and weakly to <italic>Cn</italic> (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). Phagocytes&#x2019; comparison, therefore, demonstrated that macrophage MPPs bound more efficiently than amoeba MPPs (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A&#x2013;C</bold>
</xref>). Confirming the binding to the same target, addition of ConA inhibited the binding of both MPPs in all instances (light curves, <xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A&#x2013;C</bold>
</xref>); however, addition of either MPPs had a statistically significant impact on ConA binding only in the case of <italic>Hc</italic> (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4F</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Mannose-purified proteins (MPPs) of <italic>Acanthamoeba castellanii</italic> and macrophages recognized targets on the fungal cell wall. <bold>(A&#x2013;C)</bold> Histograms representing the FL1-H fluorescence and binding intensity of phagocytes MPPs to fungi <bold>(A)</bold> <italic>Candida albicans</italic> (<italic>Ca</italic>), <bold>(B)</bold> <italic>Cryptococcus neoformans</italic> (<italic>Cn</italic>) and <bold>(C)</bold> <italic>Histoplasma capsulatum</italic> (<italic>Hc</italic>), with the respective co-incubation with Concanavalin A (ConA) for inhibition evaluations. <bold>(D&#x2013;F)</bold> Besides, yeast labeling with the positive control ConA data on <bold>(D)</bold> <italic>Ca</italic>, <bold>(E)</bold> <italic>Cn</italic> and <bold>(F)</bold> <italic>Hc</italic>, which were analyzed by FL2-H intensity, are demonstrated, along with respective incubations with the MPPs of each phagocyte for inhibition evaluation.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g004.tif"/>
</fig>
<p>Besides, it is possible to observe similarities in the patterns of binding of MPPs as a punctuated way to along the external layer of the cell walls of <italic>Ca</italic> (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>), <italic>Cn</italic> (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>) and <italic>Hc</italic> (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>), which co-localized, at the cell wall level with mannosylated regions marked by ConA and chitin by Uvitex2B.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Mannose purified proteins (MPPs) of <italic>Acanthamoeba castellanii</italic> and RAW 246.7 macrophages co-localized with a mannose-specific lectin Concanavalin A. Fluorescence microscopy images demonstrate the cell wall of the fungi <bold>(A)</bold> <italic>Candida albicans</italic>; <bold>(B)</bold> <italic>Cryptococcus neoformans</italic> and <bold>(C)</bold> <italic>Histoplasma capsulatum</italic> stained in blue (Uvitex 2B); MPPs of phagocytes stained in green upon incubations with yeasts, followed by the streptavidin-Alexa 488 conjugate; and the mannosylated components of the yeast cell wall stained in red, after incubations with ConA-TRITC. Scale bar= 5&#x3bc;m.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g005.tif"/>
</fig>
</sec>
<sec id="s3_5">
<title>Binding Nature of Phagocytes&#x2019; MPPs to Fungi</title>
<p>Upon the confirmation of binding to mannose/mannan or yeasts&#xb4; surface by the proteins present in MPPs of <italic>Ac</italic> and RAW, cross-inhibitions were performed to evaluate whether, in fact, MPPs from either <italic>Ac</italic> and RAW bind to the same target on the fungal cell wall. The pre-incubation of yeasts with MPPs of either phagocyte inhibited the fungus-second phagocytic cell interaction, at early (30&#xa0;min) and late (2&#xa0;h) events (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6</bold>
</xref>). Pre-incubations with macrophage MPPs inhibited the early association (at 30&#xa0;min) of <italic>Ac</italic> with <italic>Ca</italic> (63.2% inhibition, p&lt;0.0001; <xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>) and <italic>Hc</italic> (58.5% inhibition, p&lt;0.0001; <xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>). Similarly, pre-incubations with <italic>Ac</italic> MPPs were able to impact the association of macrophages with <italic>Ca</italic> (60.8% inhibition; p&lt;0.0001; <xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>) and <italic>Hc</italic> (25.8% inhibition; p&lt;0.001; <xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>). For 2&#xa0;h of interaction, pre-incubations with macrophage MPPs inhibited the <italic>Ac</italic> engulfment of <italic>Ca</italic> (74.8%, p&lt;0.0001; <xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>) and <italic>Hc</italic> (38.5%, p&lt;0.0001; <xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>) by amoeba, whereas pre-treatment with <italic>Ac</italic> MPPs inhibited the interaction between macrophages and <italic>Ca</italic> (43.9%, p&lt;0.0001; <xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>) and <italic>Cn</italic> (30.4%, p&lt;0.01; <xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>). The occurrence of inhibition in the two phagocytic models suggests binding of MPPs of both phagocytes to the same targets of the fungal cell wall.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>
<italic>Acanthamoeba castellanii</italic> and RAW mannose-binding lectins share the same binding targets on the fungal cell wall. <bold>(A)</bold> <italic>Candida albicans</italic>, <bold>(B)</bold> <italic>Cryptococcus neoformans</italic> and <bold>(C)</bold> <italic>Histoplasma capsulatum</italic> yeasts were pre-incubated with 50 &#xb5;g/mL of either <italic>A. castellanii</italic> or RAW 264.7 MPPs. After this stage, cross-inhibitions were evaluated, where yeasts pre-treated with RAW 264.7 MPPs interacted with <italic>A. castellanii</italic> (light green bar) and compared to controls in the absence of inhibition (dark green bar). Additionally, yeasts pre-treated with <italic>A. castellanii</italic> MPPs interacted with RAW 264.7 macrophages (light blue bar), and compared to controls in the absence of inhibition (dark blue bar). Interactions were performed for 30&#xa0;min and 2&#xa0;h, to evaluate the initial fungal adhesion and the late interactions, respectively. Inhibition percentages (numbers above bars) were calculated from the interaction percentages as follows: (Control - Pre-treated group) x 100/Control. The statistical significances comparing inhibition x controls are represented above each group (**p &lt; 0.01; ***p &lt; 0.001; ****p &lt; 0.0001; ns, not significant). The bars represent the average of three independent experiments, performed in triplicates.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g006.tif"/>
</fig>
</sec>
<sec id="s3_6">
<title>The Recognition of Mannosylated Residues Is Important for the Phagocytes-Fungi Interaction</title>
<p>To clearly determine the impact of MBPs on the phagocyte-fungi interaction, we further performed the interaction assays for 30&#xa0;min and 2&#xa0;h using 100 mM soluble mannose as an inhibitor. The results were obtained through analysis by flow cytometry and fluorescence microscopy to establish within the interaction the probability of adhesion and internalization events (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7</bold>
</xref>, <xref ref-type="fig" rid="f8">
<bold>8</bold>
</xref>). The presence of mannose inhibited the interaction between phagocytic cells and yeasts, at all times analyzed. At 30&#xa0;min of interaction, inhibition of association with <italic>Ac</italic> was observed for <italic>Ca</italic> (29.1%; p&lt;0.0001, <xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>), <italic>Cn</italic> (65.5%; p&lt;0.05, <xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>) and <italic>Hc</italic> (52.1%; p&lt;0.0001, <xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>). For late events (2&#xa0;h), mannose also had an impact on the interaction of <italic>Ac</italic> with <italic>Ca</italic>, <italic>Cn</italic>, and <italic>Hc</italic> (27.1%, 73.6%, and 20.0% inhibition, respectively; p&lt;0.0001). Regarding macrophages, within the first 30&#xa0;min, soluble mannose affected RAW-fungi association, to <italic>Ca</italic> and <italic>Hc</italic> (21.5% and 19.3% inhibition, respectively; p&lt;0.001). At 2&#xa0;h, mannose inhibition was less impacting, but it still impaired the phagocytosis of <italic>Ca</italic> and <italic>Hc</italic> (13.4%, <xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref> and 11.9% inhibition, <xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>, respectively; p&lt;0.01). Mannose was not able to inhibit the interactions of <italic>Cn</italic> and RAW macrophages at the two time-points evaluated (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). These observations suggest the participation of mannose-binding lectins on the phagocytes-yeast interaction, and blocking these receptors affects both early fungal adhesion and phagocytosis. Overall, we can conjecture a greater inhibitory effect by mannose in the interaction between fungi and <italic>Ac</italic> than macrophage, and possibly, MBPs are essential and exclusive pathways for the interaction of amoeba with pathogens, whereas in the context of interaction with macrophages, mannose receptors have less expressive action or there is a compensation, with the participation of other pathways for fungal recognition.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>The mannose receptor plays an important role in the events of fungal interaction with <italic>Acanthamoeba castellanii</italic> and macrophages. After NHS-Rhodamine labeling of <bold>(A)</bold> <italic>Candida albicans</italic>, <bold>(B)</bold> <italic>Cryptococcus neoformans</italic> and <bold>(C)</bold> <italic>Histoplasma capsulatum</italic>, interaction assays were performed with both <italic>A. castellanii</italic> and RAW 264.7, with phagocytes model indicated on the graphs, in two conditions: absence (Control group, black bars) and presence of 100 mM soluble mannose (Mannose 100 mM, white bars) and analyzed upon 30&#xa0;min and 2&#xa0;h. The interaction ratios were determined in each case, and inhibition percentages (numbers above bars) calculated as followed: (Control - Pre-treated group) x 100/Control. The statistical significances comparing inhibition x controls are displayed above each group (**p &lt; 0.01; ***p &lt; 0.001; ****p &lt; 0.0001; ns, not significant). The bars represent the average of three independent experiments, performed in triplicates.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g007.tif"/>
</fig>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>The mannose receptors participates on fungal internalization by <italic>Acanthamoeba castellanii</italic> and macrophages Phagocytosis assays were performed with either <bold>(A&#x2013;C)</bold> <italic>A. castellanii</italic> or <bold>(D&#x2013;F)</bold> RAW 264.7 upon addition of NHS-Rhodamine labeled <bold>(A, D)</bold> <italic>Candida albicans</italic>, <bold>(B, E)</bold> <italic>Cryptococcus neoformans</italic> and <bold>(C, F)</bold> <italic>Histoplasma capsulatum</italic>, in the absence (Control group, black bars) and presence of 100 mM soluble mannose (Mannose 100 mM, white bars) and analyzed after 30&#xa0;min, to evaluate the initial fungal adhesion, and 2h, to evaluate the late interaction. Symmetrized adhesion and phagocytic indices were determined and the mannose inhibition groups were compared to controls. The statistical significances are represented above each group, where *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001 or ****p &lt; 0.0001 indicate statistically significant decrease upon mannose inhibition; <sup>#</sup>p &lt; 0.05, <sup>###</sup>p &lt; 0.001 indicate statistically significant increase upon mannose inhibition; ns = not significant). The bars represent the average of three independent experiments, performed in triplicates.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g008.tif"/>
</fig>
<p>To dissect the impact of the mannose dependency on the events of fungal adherence and internalization to phagocytes, the samples were examined under a fluorescence microscope and symmetrized indices of adherence and internalization were determined, i.e., the overall probability of any fungi to be adhered or internalized by a phagocytic cell (<xref ref-type="bibr" rid="B28">G&#xe1;cser et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B42">Guimar&#xe3;es et&#xa0;al., 2019</xref>) (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8</bold>
</xref>). For the <italic>Ac</italic>-fungi interaction upon 30&#xa0;min, the presence of soluble mannose seemed to directly impair the adhesion and initial internalization of <italic>Ca</italic>; at 2&#xa0;h, despite similar average of adhered fungi, the mannose greatly inhibited the overall internalization of <italic>Ca</italic> (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8A</bold>
</xref>). For <italic>Cn</italic>, a higher number of adhered yeasts along with less internalization were observed under mannose inhibition at 30&#xa0;min; however, at 2&#xa0;h, mannose inhibition seems to impair both adherence and internalization process of <italic>Cn</italic> by <italic>Ac</italic> (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8B</bold>
</xref>). For <italic>Hc</italic> at 30&#xa0;min of interaction, soluble mannose impaired initial internalization, resulting in higher number of adhered yeasts; therefore at 2&#xa0;h, even with similar average number of attached yeasts per <italic>Ac</italic>, the internalization process is greatly impaired (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8C</bold>
</xref>). Overall, inhibition with mannose also resulted in a disbalance, with greater adhesion and lower fungal internalization by macrophages at 30&#xa0;min; within 2&#xa0;h, mannose inhibition greatly impacted the internalization of <italic>Ca</italic> (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8D</bold>
</xref>), <italic>Cn</italic> (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8E</bold>
</xref>) and <italic>Hc</italic> (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8F</bold>
</xref>) by RAW macrophages, with more adhered yeast as a result. Altogether, these findings demonstrate that mannose blocks the early fungal entry through high-affinity receptors, which constitute faster pathways of interaction and for the initial adhesion/encompassing phase. Furthermore, mannose inhibition continues to impact the late interaction mechanisms and the action of lower affinity receptors in the establishment of posterior connections for the phagocytic process.</p>
</sec>
<sec id="s3_7">
<title>Mannose Receptor Affects Fungal Survival in the Intracellular Environment of Phagocytes</title>
<p>As demonstrated in competition trials with soluble mannose, the mannose binding proteins play an essential role in the adhesion and internalization of fungi by phagocytes. However, we also assessed the impact of the mannose recognition on the viability of internalized fungi by monitoring the viability and mortality ratios (<xref ref-type="bibr" rid="B29">Gantner et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B28">G&#xe1;cser et&#xa0;al., 2007</xref>; <xref ref-type="bibr" rid="B80">Slesiona et&#xa0;al., 2012</xref>) (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9</bold>
</xref>). Upon 2&#xa0;h, co-incubations with mannose reduced the viability ratios for <italic>Ca</italic> and <italic>Hc</italic> in comparison to the control groups in the <italic>Ac</italic>-fungi interaction (<xref ref-type="fig" rid="f9">
<bold>Figures&#xa0;9A, C</bold>
</xref>, respectively). For these two fungi, similar results upon interactions with RAW macrophages were observed. Instead, for <italic>Cn</italic>, the inhibition of the mannose receptor had no impact on the proportion of alive/dead yeasts in the interactions with <italic>Ac</italic> (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9B</bold>
</xref>) in contrast to RAW macrophages, in which blockade of mannose receptors seemed to reduce fungal viability. Altogether, the inhibition assays highlight the role of the mannose receptor on fungal entry and survival.</p>
<fig id="f9" position="float">
<label>Figure&#xa0;9</label>
<caption>
<p>Inhibition of mannose receptor impacts fungal survival inside <italic>Acanthamoeba castellanii</italic> and RAW macrophages. Fungal survival upon interactions with either <bold>(A&#x2013;C)</bold> <italic>A. castellanii</italic> and <bold>(D&#x2013;F)</bold> RAW 264.7 macrophages was evaluated for <bold>(A, D)</bold> <italic>Candida albicans</italic>, <bold>(B, E)</bold> <italic>Cryptococcus neoformans</italic> and <bold>(C, F)</bold> <italic>Histoplasma capsulatum</italic> were performed in the absence (Control group, black bars) and presence of 100 mM soluble mannose (Mannose 100 mM, white bars), and viability and mortality ratios were determined. The Mannose groups were compared to controls. Statistical differences are represented above each group (*p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001 or ****p &lt; 0.0001 indicate statistically significant decrease upon mannose inhibition; <sup>#</sup>p &lt; 0.05, <sup>##</sup>p &lt; 0.01, <sup>###</sup>p &lt; 0.001 or <sup>####</sup>p &lt; 0.0001 indicate statistically significant increase upon mannose inhibition; ns, not significant). The bars represent the average of three independent experiments, performed in triplicates.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g009.tif"/>
</fig>
<p>Given the results exposed and the likelihood of mannose inhibition to impact on fungal survival in the intracellular environment of phagocytes, we assessed the fungicidal capacity of phagocytes by determining the colony-forming units (CFUs), at 24&#xa0;h upon internalization. The absolute CFU numbers obtained were normalized by the symmetrized internalization (phagocytic) index, to estimate relatively the number of viable pathogens that were internalized by phagocytes. For <italic>Ca</italic> (<xref ref-type="fig" rid="f10">
<bold>Figure&#xa0;10A</bold>
</xref>) and <italic>Hc</italic> (<xref ref-type="fig" rid="f10">
<bold>Figure&#xa0;10C</bold>
</xref>) mannose inhibition reduced viability about 2-logs in comparison to control groups for both phagocytes. Similar behavior was observed for mannose inhibition during <italic>Ca</italic> and <italic>Hc</italic> interactions with RAW macrophages. However, for <italic>Cn</italic>, despite the lower absolute CFU numbers in the presence of mannose, the normalization by the symmetrized internalization index (<xref ref-type="fig" rid="f10">
<bold>Figure&#xa0;10B</bold>
</xref>) demonstrated overall similar viability upon interactions with amoeba (<xref ref-type="fig" rid="f10">
<bold>Figure&#xa0;10B</bold>
</xref>), whereas a reduction was observed for <italic>Cn</italic> interaction with macrophages.</p>
<fig id="f10" position="float">
<label>Figure&#xa0;10</label>
<caption>
<p>The mannose receptor plays an important role in fungal survival inside <italic>Acanthamoeba castellanii</italic> and RAW macrophages. The phagocyte interaction assays with <bold>(A)</bold> <italic>Candida albicans</italic>, <bold>(B)</bold> <italic>Cryptococcus neoformans</italic> and <bold>(C)</bold> <italic>Histoplasma capsulatum</italic> were performed in the absence (solid circles) and presence of 100mM soluble mannose (empty circles), and fungal viability was assessed by determining the number of Colony Forming Units (CFUs) 24&#xa0;h upon interaction to assess the fungicidal capacity of phagocytes (*p &lt; 0.05, **p &lt; 0.01 or ****p &lt; 0.0001 indicate statistically significant decrease upon mannose inhibition; ns, not significant). The data represent the average of three independent experiments, performed in triplicates.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g010.tif"/>
</fig>
</sec>
<sec id="s3_8">
<title>Proteomic Characterization of Phagocytes&#x2019; MPPs</title>
<p>After the isolation of MPPs of <italic>Ac</italic> and RAW, the samples were processed for identification by mass spectrometry. In the <italic>Ac</italic> MPPs pool, 43 proteins were identified and relatively quantified (<xref ref-type="supplementary-material" rid="ST1">
<bold>Supplementary Table 1</bold>
</xref>), whose molecular function annotation classified the vast majority of proteins as carbohydrate binding (GO:0030246) and seven other main groups (<xref ref-type="fig" rid="f11">
<bold>Figure&#xa0;11A</bold>
</xref>). For macrophages instead, 120 MPPs were identified (<xref ref-type="supplementary-material" rid="ST2">
<bold>Supplementary Table 2</bold>
</xref>) and fell into 15 distinct molecular functions (<xref ref-type="fig" rid="f11">
<bold>Figure&#xa0;11B</bold>
</xref>), with the vast majority demonstrating the carbohydrate binding function (GO:0030246).</p>
<fig id="f11" position="float">
<label>Figure&#xa0;11</label>
<caption>
<p>Mannose-binding proteins from <italic>Acanthamoeba castellanii</italic> and RAW macrophages exhibited identity in domains with lectin properties. Proteins identified in MPPs of <bold>(A)</bold> <italic>A. castellanii (Ac)</italic> and <bold>(B)</bold> RAW 246.7 macrophages were annotated using the DAVID annotation tools and classified according to their molecular functions. For both MPPs pools, carbohydrate binding proteins comprised the main category, <bold>(C)</bold> <italic>In silico</italic> alignment of the <italic>Ac</italic> transmembrane proteins MBP (L8GXW7) and MBP1 (Q6J288) with the RAW receptors Mrc1 (Q61830) and Mrc2 (Q64449), using the multiple sequence alignment algorithm, Clustal Omega by Jalview Software. Amino acids on colored background show highly conserved residues. The DUF4114 domains of <italic>Ac</italic> proteins and C-type lectin-like domains of RAW receptors are highlighted by a black rectangle, while the domains equivalent to the secondary structure of ConA-like lectins/glucanases superfamily are indicated by black underlining. <bold>(D)</bold> From the MPPs identified in <italic>Ac</italic>, six displayed high similarity to proteins also found in the macrophage MBPs pools, suggesting molecular mimicry.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-858979-g011.tif"/>
</fig>
<p>Regarding specifically the literature recognized mannose binding lectins of <italic>Ac</italic> (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>), the transmembrane protein MBP1 (Q6J288) was the most abundant (2.6%), followed by the MBP (L8GXW7, 0.7%). In RAW macrophages, the mannose receptor Mrc2 (Q64449) was the most abundant (0.8%), followed by the Mrc1 (Q61830; 0.7%), both featuring transmembrane helical domain. Alignment of the sequence of these knows mannose receptors from both organisms demonstrated an overlapping of the DUF4114 domains of <italic>Ac</italic> proteins and the C-type lectin-like domains of RAW receptors and denoted a perfect alignment of the regions equivalent to the secondary structure of ConA-like lectins/glucanases superfamily in all proteins (<xref ref-type="fig" rid="f11">
<bold>Figure&#xa0;11C</bold>
</xref>).</p>
<p>Protein sequences of identified <italic>Ac</italic> MPPs (<xref ref-type="supplementary-material" rid="ST1">
<bold>Supplementary Table 1</bold>
</xref>) were used as query to find the highest similarity among macrophage identified MPPs (<xref ref-type="supplementary-material" rid="ST2">
<bold>Supplementary Table 2</bold>
</xref>), and in this subset specifically, six amoeba proteins, including the MBPs Q6J288 and five other lectins, had mimetic macrophages proteins with high similarity (<xref ref-type="fig" rid="f11">
<bold>Figure&#xa0;11D</bold>
</xref>). Overall, amoebas seem to possess a simpler repertory for mannose binding and lower number of analog genes, whereas MPPs from macrophages represented a more diverse group, which could be the result of paralogical genetic evolution from ancestor genes.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>
<italic>Acanthamoeba</italic>, a free lifestyle and ubiquitous protozoan, has been standing out as an important host for a myriad of microorganisms in the environment (<xref ref-type="bibr" rid="B45">Guimaraes et&#xa0;al., 2016</xref>), which favors a wide range of opportunities for interaction to distinct individuals and the generation of a complex network (<xref ref-type="bibr" rid="B12">Casadevall et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B70">Rizzo et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B21">da Silva Ferreira et&#xa0;al., 2021</xref>). Several authors raise the hypothesis that the emergence of mammalian-fungal virulence could be the result of pressures established by soil predators, as <italic>A. castellanii</italic>, which acting as a &#x201c;Trojan horse&#x201d; for fungi, may select their virulence traits, enabling them to establish infections in more evolutionarily complex hosts (<xref ref-type="bibr" rid="B81">Steenbergen and Casadevall, 2003</xref>; <xref ref-type="bibr" rid="B45">Guimaraes et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B21">da Silva Ferreira et&#xa0;al., 2021</xref>). In fact, several studies demonstrate that the interaction between <italic>Ac</italic> and fungi enhances fungal resistance strategies within these soil predators, which are important for survival and fungal pathogenicity in animal models, from as simple invertebrate model, the lepidoptera larvae <italic>Galleria mellonella</italic>, to murine models (<xref ref-type="bibr" rid="B82">Steenbergen et&#xa0;al., 2001</xref>; <xref ref-type="bibr" rid="B13">Chaffin, 2008</xref>; <xref ref-type="bibr" rid="B53">Kruppa, 2009</xref>; <xref ref-type="bibr" rid="B16">Chrisman et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B38">Gow et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B54">Latge et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B88">Wang, 2018</xref>; <xref ref-type="bibr" rid="B10">Casadevall et&#xa0;al., 2019a</xref>; <xref ref-type="bibr" rid="B18">Cortes et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B93">Zaragoza, 2019</xref>; <xref ref-type="bibr" rid="B62">Maliehe et&#xa0;al., 2020</xref>).</p>
<p>The fungal cell wall, the main target for phagocyte recognition (<xref ref-type="bibr" rid="B2">Alcazar-Fuoli et&#xa0;al., 2020</xref>), is mostly composed by polysaccharide fibers and several anchored proteins responsible for promoting vital functions to fungi (<xref ref-type="bibr" rid="B38">Gow et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B54">Latge et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B18">Cortes et&#xa0;al., 2019</xref>). Among fungal species, the cell wall has a widely variable organization (<xref ref-type="bibr" rid="B32">Garcia-Rubio et&#xa0;al., 2019</xref>), which justifies the approach of three different fungi evaluated in the present work. <italic>Ca</italic> has the outer layer of the cell wall rich in mannoproteins, which consist of proteins associated with O- or N-linked mannans (<xref ref-type="bibr" rid="B13">Chaffin, 2008</xref>; <xref ref-type="bibr" rid="B53">Kruppa, 2009</xref>). In <italic>C. neoformans</italic>, anchored to the cell wall is the cryptococcal capsule, which consists of glucuronoxylomannan (GXM) and glururonoxylomanogalactan (GXMGal) polymers, along with some mannoproteins (<xref ref-type="bibr" rid="B38">Gow et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B88">Wang, 2018</xref>). <italic>Hc</italic> has a glucan-rich cell wall where &#x3b2;-1,3-glucan is a pathogen-associate molecular pattern (PAMP)that modulates the host&#x2019;s immune response system, whereas the external &#x3b1;-1-3-glucan plays a major role in the immune escape and fungal virulence (<xref ref-type="bibr" rid="B41">Guimar&#xe3;es et&#xa0;al., 2011a</xref>).</p>
<p>The prevalence of mannoproteins on the fungal surface highlight the importance of mannans among the polysaccharides involved in fungal pathogenesis. To immunological recognition, the Mannose Receptor (MR) and MBL- Pathogen Recognition Receptors (PRRs) of the C-tyle lectin receptors (CLRs) family- are active participants in the interaction between fungi and macrophages (<xref ref-type="bibr" rid="B6">Brown et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B52">Kirkland and Fierer, 2020</xref>; <xref ref-type="bibr" rid="B65">Nikolakopoulou et&#xa0;al., 2020</xref>). In the same way, our group identified two mannose recognizing transmembrane proteins on the ameboid surface, a Mannose-Binding Protein (MBP, L8GXW7) and a Mannose-Binding Protein-1 (MBP1, Q6J288), as the main receptors for universal fungal recognition, granting access to the amoeboid intracellular environment, which could affect the fungal virulence and potentialize the impact of these pathogens on superior hosts (<xref ref-type="bibr" rid="B11">Casadevall et&#xa0;al., 2019b</xref>; <xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>).</p>
<p>(<xref ref-type="bibr" rid="B76">Siddiqui and Khan 2012a</xref>, <xref ref-type="bibr" rid="B75">2012b</xref>) hypothesize that <italic>Acanthamoeba</italic> is a possible common ancestor of macrophages, as these phagocytes, besides sharing similarities on cell morphology and ultrastructure, biology, and phagocytosis, also display conserved pathogen&#xb4;s recognition mechanisms. The MBLs identified in fungal recognition by both amoeboid and macrophage surfaces, belong to a ConA-like super family proteins, suggesting the possibility of convergent evolution (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B65">Nikolakopoulou et&#xa0;al., 2020</xref>). However, despite evidence, the relative importance of MBLs in the interaction of each phagocyte has not been determined and explored in the literature to corroborate this hypothesis. In the present study, we seek to explore the mechanisms of interaction between amoeba and macrophages with pathogenic fungi, molecularly investigating the profiles and characterizing the activity of mannose recognizing proteins to fungal cell wall mannoproteins and mannans, and possibly establish degrees of similarity between these organisms. Affinity chromatography initially suggested that differences in elution profiles of proteins with affinity to mannose present on the phagocytes&#x2019; surface reflects distinct affinity of MPPs, as lower mannose concentrations were sufficient for detachment of amoeboid proteins, as opposed to higher mannose-concentrations of macrophages MPPs, indicating the presence of greater affinity by macrophages.</p>
<p>A MBP from <italic>Ac</italic> characterized in previous studies revealed a 400 KDa protein, with 130 KDa subunits composed of a large extracellular N-terminal domain, with a region rich in cysteine; a transmembrane domain, and a small C-terminal cytoplasmic domain (<xref ref-type="bibr" rid="B31">Garate et&#xa0;al., 2004</xref>; <xref ref-type="bibr" rid="B30">Garate et&#xa0;al., 2006</xref>). Mammalian immune cells, on the other hand, express MBPs ranging from 200 KDa to 650 KDa, with 31 KDa subunits forming a trimer hexamer, with 18 identical subunits (<xref ref-type="bibr" rid="B72">Sheriff et&#xa0;al., 1994</xref>; <xref ref-type="bibr" rid="B89">Weis and Drickamer, 1994</xref>; <xref ref-type="bibr" rid="B27">Fraser et&#xa0;al., 1998</xref>). Each subunit has four distinct domains: a cysteine-rich domain, a collagen-like domain, a coil region and a calcium-dependent domain (<xref ref-type="bibr" rid="B72">Sheriff et&#xa0;al., 1994</xref>; <xref ref-type="bibr" rid="B89">Weis and Drickamer, 1994</xref>). The cluster of three calcium-dependent domains by elongated and branched oligosaccharides, such as those found in yeast cell walls and other microorganisms, allows receptors to establish high-affinity bonds and display themselves as ideally configured, arranged for strong interactions between MBPs of superior hosts and pathogens (<xref ref-type="bibr" rid="B89">Weis and Drickamer, 1994</xref>; <xref ref-type="bibr" rid="B27">Fraser et&#xa0;al., 1998</xref>).</p>
<p>The identification of bands of approximately 55 KDa, 75 KDa, 110 KDa and 150 KDa by Western blots in RAW macrophages corroborates with existing descriptions of the greater structural complexity of the receptor of macrophage compared to the amoeba. However, the enrichment process allowed us to confirm the presence of a ~130 KDa, a <italic>Ac</italic> MBP1- (<xref ref-type="bibr" rid="B31">Garate et&#xa0;al., 2004</xref>) and a 55 KDa MBP described by our group as proteins with high affinity to yeasts (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). In macrophages, low molecular weight protein subunits have been identified and probably correspond to the 31 KDa subunits, described in previous studies (<xref ref-type="bibr" rid="B72">Sheriff et&#xa0;al., 1994</xref>; <xref ref-type="bibr" rid="B89">Weis and Drickamer, 1994</xref>; <xref ref-type="bibr" rid="B27">Fraser et&#xa0;al., 1998</xref>). The mannose receptor CD206 was previously identified by Western blot assays, with bands of approximately 170 and 175 KDa corresponding to soluble and transmembrane forms (<xref ref-type="bibr" rid="B90">Wileman et&#xa0;al., 1986</xref>; <xref ref-type="bibr" rid="B69">R&#xf8;dgaard-Hansen et&#xa0;al., 2014</xref>). This information corroborates the presence of the band corresponding to &gt;150 KDa, identified upon the purification process.</p>
<p>The success of enrichment process in MPPs purification is demonstrated by the more intense binding to targets on the fungal cell wall in comparison to total extracts. Regarding the quantitative differences between the phagocytes, macrophage MPPs bound more intensely to the yeasts compared to the ameboids, by both ELISA and flow cytometry, which could be explained by the lower heterogeneity of surface proteins recognizing the fungal cell wall of the last. However, qualitative binding evaluation of MPPs from both models provides a point-less binding pattern, which co-localized with the mannose-affinity lectin ConA and suggested an overlapping recognition on each cell wall model. In addition, regardless of the fungal model, MPPs of <italic>Ac</italic> and RAW targeted similar fungal cell wall targets, and cross-inhibited each other in the interaction assays. This could be translated also in terms of evolutionarily developed fungal escaping mechanisms, since masking or reduced expression of ligands on fungal cell wall to avoid recognition and predation by amoeba in the environment could result in the same phenomena toward macrophages <italic>in vivo</italic> (<xref ref-type="bibr" rid="B12">Casadevall et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B62">Maliehe et&#xa0;al., 2020</xref>).</p>
<p>The inhibition with soluble mannose impacted all the interaction processes evaluated. The highest percentages of inhibition occurred in the interaction between fungi and <italic>Ac</italic>, justifying the MBPs as main route of fungal interaction in amoebae (<xref ref-type="bibr" rid="B35">Gon&#xe7;alves et&#xa0;al., 2019</xref>). The macrophages display a higher binding capacity and consequently, a wider ability to recognize the most diverse polysaccharides present on the fungal cell wall, potentiating the fungal recognition by these phagocytes and triggering a broader and more complex antifungal response. With inhibition detected within 30&#xa0;min of interaction, mannose recognition seems to be an immediate route for fungal adherence and internalization, regardless of the phagocyte. In <italic>Ac</italic>, the late interaction seems to be more impacted, whereas in macrophages, other existing routes may compensate for the interruption of this pathway, such as the Dectin-1 receptor, specific for the recognition of fungal &#x3b2;-glucans (<xref ref-type="bibr" rid="B39">Goyal et&#xa0;al., 2018</xref>).</p>
<p>The blockade of the mannose receptor directly affected fungal viability inside phagocytes. By monitoring antifungal activity with a fungal viability probe, we observed that the mannose recognition plays a role on the fungal survival inside the amoeba as the interaction <italic>via</italic> MBPs might result in the adaptation of pathogens inside these protozoa. However, additional experiments need to be carried out to understand, molecularly, the fate of yeasts inside amoeba after phagocytosis. Along in macrophages, there were higher percentages of non-viable yeasts in the groups inhibited with mannose. Therefore, interactions occurring through pathways other than mannose recognition might activate fungicidal activity of phagocytes.</p>
<p>Finally, the protein characterization within the MPP&#x2019;s pools confirmed the presence of the amoeboid receptors MBP (L8GXW7) and MBP1 (Q6J288), as well as the lectins Mrc1- Macrophage mannose receptor 1 (Q61830), and Mrc2- C-type mannose receptor 2 (Q64449), in addition to the participation of other proteins with transmembrane domains in the recognition of mannose in both models. The alignment between these proteins displayed conserved regions in the carbohydrate binding domains, mainly between the transmembrane proteins MBP1, Mrc1 and Mrc2. It is possible to justify the complexity of RAW macrophage receptors, as already observed in results throughout this work, by the presence of eight Lectin C-type domains in each of the structures of Mrc1 and Mrc2 (Q61830 and Q64449), compared to a short Con-A like domain in MBP and MBP-1 (L8GXW7 and Q6J288). However, the abundant presence of highly conserved residues among these proteins leads to the proposal of evolution of this interaction pathway through the recognition of mannosylated residues. Probably, in simpler organisms, such as amoeba, the interaction <italic>via</italic> MBPs is widely used for nutritional purposes and for the survival of amoeboid organisms. Throughout evolution these pathways were not lost; they are complex in higher organisms, as in immune cells, such as macrophages, a cell model used for comparison in this work.</p>
<p>Besides fungi, other pathogens also recognized by mannose receptors of immune cells can be found inside amoeboid cells. This is the case of Coronaviruses, such as SARS-CoV-1 and SARS-CoV-2, the causative agents of the pandemic Severe Acute Respiratory Syndrome (SARS) in humans, currently considered by the World Health Organization (WHO) as a global public health emergency (<xref ref-type="bibr" rid="B61">Madhav et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B15">Chatterjee et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B92">Yang et&#xa0;al., 2020</xref>). We know that mannose receptors are key molecules in the innate immune responses against these viruses and that, possibly, <italic>Acanthamoeba</italic> can harbor and supply new coronaviruses to the environment, contributing to the infection of susceptible hosts (<xref ref-type="bibr" rid="B94">Zhang et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B85">Tu et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B73">Siddiqui and Ahmed Khan, 2020</xref>; <xref ref-type="bibr" rid="B78">Siddiqui and Khan, 2020b</xref>; <xref ref-type="bibr" rid="B77">Siddiqui and Khan, 2020a</xref>; <xref ref-type="bibr" rid="B47">Ip et al., 2005</xref>). Likewise, resistant bacteria such as <italic>Streptococcus pneumoniae</italic>, interact with <italic>Ac</italic>, selecting traces of pathogenicity within this host (<xref ref-type="bibr" rid="B25">Evstigneeva et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B60">Macedo-Ramos et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B59">Macedo-Ramos et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B23">Denet et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B79">Siddiqui et&#xa0;al., 2017</xref>). <italic>Acanthamoeba</italic> being a major environmental reservoir for potential pathogens contributes to the emergence of epidemics (<xref ref-type="bibr" rid="B40">Greub and Raoult, 2004</xref>; <xref ref-type="bibr" rid="B57">Liu et&#xa0;al., 2019</xref>).</p>
<p>Due to the fundamental role of MBLs in the specificity and the high affinity recognition of universal antigens by phagocytic cells, there is a need to expand the knowledge, with comparative studies of how these lectins recognize microorganisms, specially pathogenic fungus, in order to provide subsidies to reduce the pathogen&#x2019;s impact on subsequent mammalian infections and promote approaches for future therapeutic interventions and mycological diagnosis, the main challenges in the current scenario.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The link to the repository and accession number can be found below: <uri xlink:href="http://www.ebi.ac.uk/pride">http://www.ebi.ac.uk/pride</uri>; PXD031121.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author Contributions</title>
<p>All authors contributed to conception and design of the study. MF, SM, DG, CR, LH, LR, and AG performed the experiments. MF, SM, DG, and AG organized the database. MF, SM, DG, and AG performed the statistical analysis. All authors designed experiments and participated in scientific discussions. MF, SM, LN, and AG wrote the first draft of the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>AG was supported by grants from the Brazilian agencies Conselho Nacional de Desenvolvimento Cient&#xed;fico e Tecnol&#xf3;gico (CNPq, grant 311470/2018-1) and Funda&#xe7;&#xe3;o Carlos Chagas de Amparo &#xe0; Pesquisa no Estado do Rio de Janeiro (FAPERJ E-26/202.696/2018).</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The data in this manuscript are part of a thesis to be submitted by Marina da Silva Ferreira in partial fulfillment of the requirement for the degree of Doctor of Philosophy in the Graduate Division of Microbiology (Immunology and Inflammation) of the Federal University of Rio de Janeiro, RJ, Brazil.</p>
</ack>
<sec id="s10" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcimb.2022.858979/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcimb.2022.858979/full#supplementary-material</ext-link>
</p>
  <supplementary-material xlink:href="Table_1.docx" id="ST1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document">
<label>Supplementary Table&#xa0;1</label>
<caption>
<p>Listing of proteins identified by mass spectrometry and <italic>de novo</italic> sequencing analysis in <italic>Acanthamoeba castellanii</italic> mannose purified proteins (MPPs). Experimental and biological duplicates were performed, and spectra counts were validated by <italic>De novo</italic> sequencing analysis. MPPs&#x2019; candidates and their UniprotKB entries are indicated in the table. Likewise, proteins that have a transmembrane helix domain are flagged (underline). The percentages of protein abundance in the samples were determined as follows: SpecCounts of protein/&#x2211;SpecCounts of all proteins validated x 100. The absolute average and percentages of protein abundance among the samples are displayed in the table. All identified proteins are part of the database of lectins of the species <italic>Acanthamoeba castellanii</italic>, obtained from <uri xlink:href="https://www.uniprot.org/">https://www.uniprot.org/</uri>. </p>
</caption>
</supplementary-material>
  <supplementary-material xlink:href="Table_2.docx" id="ST2" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document">
<label>Supplementary Table&#xa0;2</label>
<caption>
<p>Listing of lectins validated by <italic>De novo</italic> sequencing analysis in RAW mannose purified proteins (MPPs). Other carbohydrate-affinity lectins were identified in the samples, demonstrating cross-linking to mannose. Likewise, proteins that have a transmembrane helix domain are pointed (underline) and their absolute averages and percentages of abundance within samples are displayed in the table. All identified proteins are part of the database reviewed of lectins of the species <italic>Mus musculus</italic>, obtained from <uri xlink:href="https://www.uniprot.org/">https://www.uniprot.org/</uri>. </p>
</caption>
</supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Albuquerque</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Nicola</surname> <given-names>A. M.</given-names>
</name>
<name>
<surname>Magnabosco</surname> <given-names>D. A. G.</given-names>
</name>
<name>
<surname>Derengowski</surname> <given-names>L.</given-names>
</name>
<name>
<surname>da</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Cris&#xf3;stomo</surname> <given-names>L. S.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>A Hidden Battle in the Dirt: Soil Amoebae Interactions With Paracoccidioides Spp</article-title>. <source>PloS Negl. Trop. Dis.</source> <volume>13</volume>, <elocation-id>e0007742</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pntd.0007742</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Alcazar-Fuoli</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Bayry</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Aimanianda</surname> <given-names>V.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Editorial: The Role of the Fungal Cell Wall in Host-Fungal Interactions</article-title>. <source>Front. Cell Infect. Microbiol.</source> <volume>10</volume>, <elocation-id>392</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fcimb.2020.00392</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Anwar</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>N. A.</given-names>
</name>
<name>
<surname>Siddiqui</surname> <given-names>R.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Repurposing of Drugs Is a Viable Approach to Develop Therapeutic Strategies Against Central Nervous System Related Pathogenic Amoebae</article-title>. <source>ACS Chem. Neurosci.</source> <volume>11</volume>, <fpage>2378</fpage>&#x2013;<lpage>2384</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acschemneuro.9b00613</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Azim-Zadeh</surname> <given-names>O.</given-names>
</name>
<name>
<surname>Hillebrecht</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Linne</surname> <given-names>U.</given-names>
</name>
<name>
<surname>Marahiel</surname> <given-names>M. A.</given-names>
</name>
<name>
<surname>Klebe</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Lingelbach</surname> <given-names>K.</given-names>
</name>
<etal/>
</person-group>. (<year>2007</year>). <article-title>Use of Biotin Derivatives to Probe Conformational Changes in Proteins</article-title>. <source>J. Biol. Chem.</source> <volume>282</volume>, <fpage>21609</fpage>&#x2013;<lpage>21617</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1074/jbc.M610921200</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Boral</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Metin</surname> <given-names>B.</given-names>
</name>
<name>
<surname>D&#xf6;&#x11f;en</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Seyedmousavi</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Ilkit</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Overview of Selected Virulence Attributes in Aspergillus Fumigatus, Candida Albicans, Cryptococcus Neoformans, Trichophyton Rubrum, and Exophiala Dermatitidis</article-title>. <source>Fungal Genet. Biol.</source> <volume>111</volume>, <fpage>92</fpage>&#x2013;<lpage>107</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.fgb.2017.10.008</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brown</surname> <given-names>G. D.</given-names>
</name>
<name>
<surname>Willment</surname> <given-names>J. A.</given-names>
</name>
<name>
<surname>Whitehead</surname> <given-names>L.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>C-Type Lectins in Immunity and Homeostasis</article-title>. <source>Nat. Rev. Immunol.</source> <volume>18</volume>, <fpage>374</fpage>&#x2013;<lpage>389</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41577-018-0004-8</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brummer</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Stevens</surname> <given-names>D. A.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Collectins and Fungal Pathogens: Roles of Surfactant Proteins and Mannose Binding Lectin in Host Resistance</article-title>. <source>Med. Mycol.</source> <volume>48</volume>, <fpage>16</fpage>&#x2013;<lpage>28</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3109/13693780903117473</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Carnt</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Stapleton</surname> <given-names>F.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Strategies for the Prevention of Contact Lens-Related Acanthamoeba Keratitis: A Review</article-title>. <source>Ophthalmic. Physiol. Opt.</source> <volume>36</volume>, <fpage>77</fpage>&#x2013;<lpage>92</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/opo.12271</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Casadevall</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Fungi and the Rise of Mammals</article-title>. <source>PloS Pathog.</source> <volume>8</volume>, <elocation-id>e1002808</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.ppat.1002808</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Casadevall</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Coelho</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Cordero</surname> <given-names>R. J. B.</given-names>
</name>
<name>
<surname>Dragotakes</surname> <given-names>Q.</given-names>
</name>
<name>
<surname>Jung</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Vij</surname> <given-names>R.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>a). <article-title>The Capsule of Cryptococcus Neoformans</article-title>. <source>Virulence</source> <volume>10</volume>, <fpage>822</fpage>&#x2013;<lpage>831</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/21505594.2018.1431087</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Casadevall</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Fu</surname> <given-names>M. S.</given-names>
</name>
<name>
<surname>Guimaraes</surname> <given-names>A. J.</given-names>
</name>
<name>
<surname>Albuquerque</surname> <given-names>P.</given-names>
</name>
</person-group> (<year>2019</year>b). <article-title>The &#x201c;Amoeboid Predator-Fungal Animal Virulence&#x201d; Hypothesis</article-title>. <source>J. Fungi (Basel)</source> <volume>5</volume>, <fpage>E10</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jof5010010</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Casadevall</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Steenbergen</surname> <given-names>J. N.</given-names>
</name>
<name>
<surname>Nosanchuk</surname> <given-names>J. D.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>&#x201c;Ready Made&#x201d; Virulence and &#x201c;Dual Use&#x201d; Virulence Factors in Pathogenic Environmental Fungi&#x2013;the Cryptococcus Neoformans Paradigm</article-title>. <source>Curr. Opin. Microbiol.</source> <volume>6</volume>, <fpage>332</fpage>&#x2013;<lpage>337</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/s1369-5274(03)00082-1</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chaffin</surname> <given-names>W. L.</given-names>
</name>
</person-group> (<year>2008</year>). <article-title>Candida Albicans Cell Wall Proteins</article-title>. <source>Microbiol. Mol. Biol. Rev.</source> <volume>72</volume>, <fpage>495</fpage>&#x2013;<lpage>544</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/MMBR.00032-07</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chappell</surname> <given-names>C. L.</given-names>
</name>
<name>
<surname>Wright</surname> <given-names>J. A.</given-names>
</name>
<name>
<surname>Coletta</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Newsome</surname> <given-names>A. L.</given-names>
</name>
</person-group> (<year>2001</year>). <article-title>Standardized Method of Measuring Acanthamoeba Antibodies in Sera From Healthy Human Subjects</article-title>. <source>Clin. Diagn. Lab. Immunol.</source> <volume>8</volume>, <fpage>724</fpage>&#x2013;<lpage>730</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/CDLI.8.4.724-730.2001</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chatterjee</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Nagi</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Agarwal</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Das</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Banerjee</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Sarkar</surname> <given-names>S.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>The 2019 Novel Coronavirus Disease (COVID-19) Pandemic: A Review of the Current Evidence</article-title>. <source>Indian J. Med. Res.</source> <volume>151</volume>, <fpage>147</fpage>&#x2013;<lpage>159</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4103/ijmr.IJMR_519_20</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chrisman</surname> <given-names>C. J.</given-names>
</name>
<name>
<surname>Albuquerque</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Guimaraes</surname> <given-names>A. J.</given-names>
</name>
<name>
<surname>Nieves</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Casadevall</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Phospholipids Trigger Cryptococcus Neoformans Capsular Enlargement During Interactions With Amoebae and Macrophages</article-title>. <source>PloS Pathog.</source> <volume>7</volume>, <elocation-id>e1002047</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.ppat.1002047</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cordero</surname> <given-names>R. J. B.</given-names>
</name>
<name>
<surname>Liedke</surname> <given-names>S. C.</given-names>
</name>
<name>
<surname>de S Ara&#xfa;jo</surname> <given-names>G. R.</given-names>
</name>
<name>
<surname>Martinez</surname> <given-names>L. R.</given-names>
</name>
<name>
<surname>Nimrichter</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Frases</surname> <given-names>S.</given-names>
</name>
<etal/>
</person-group>. (<year>2016</year>). <article-title>Enhanced Virulence of Histoplasma Capsulatum Through Transfer and Surface Incorporation of Glycans From Cryptococcus Neoformans During Co-Infection</article-title>. <source>Sci. Rep.</source> <volume>6</volume>, <elocation-id>21765</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/srep21765</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cortes</surname> <given-names>J. C. G.</given-names>
</name>
<name>
<surname>Curto</surname> <given-names>M. A.</given-names>
</name>
<name>
<surname>Carvalho</surname> <given-names>V. S. D.</given-names>
</name>
<name>
<surname>Perez</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Ribas</surname> <given-names>J. C.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>The Fungal Cell Wall as a Target for the Development of New Antifungal Therapies</article-title>. <source>Biotechnol. Adv.</source> <volume>37</volume>, <fpage>107352</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.biotechadv.2019.02.008</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cseresnyes</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Hassan</surname> <given-names>M. I. A.</given-names>
</name>
<name>
<surname>Dahse</surname> <given-names>H.-M.</given-names>
</name>
<name>
<surname>Voigt</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Figge</surname> <given-names>M. T.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Quantitative Impact of Cell Membrane Fluorescence Labeling on Phagocytosis Measurements in Confrontation Assays</article-title>. <source>Front. Microbiol.</source> <volume>11</volume>, <elocation-id>1193</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmicb.2020.01193</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Das</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Gunasekaran</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Ajjampur</surname> <given-names>S. S. R.</given-names>
</name>
<name>
<surname>Abraham</surname> <given-names>D.</given-names>
</name>
<name>
<surname>George</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Janeela</surname> <given-names>M. A.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Acanthamoeba Encephalitis in Immunocompetent Hosts: A Report of Two Cases</article-title>. <source>J. Family Med. Prim. Care</source> <volume>9</volume>, <fpage>1240</fpage>&#x2013;<lpage>1243</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4103/jfmpc.jfmpc_1010_19</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>da Silva Ferreira</surname> <given-names>M.</given-names>
</name>
<name>
<surname>de Souza Gon&#xe7;alves</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Medeiros</surname> <given-names>E. G.</given-names>
</name>
<name>
<surname>Peralta</surname> <given-names>J. M.</given-names>
</name>
<name>
<surname>Guimar&#xe3;es</surname> <given-names>A. J.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>&#x201c;Feast-Fit-Fist-Feat&#x201d;: Overview of Free-Living Amoeba Interactions With Fungi and Virulence as a Foundation for Success in Battle</article-title>. <source>Curr. Trop. Med. Rep.</source> <volume>8</volume>, <fpage>18</fpage>&#x2013;<lpage>31</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s40475-020-00220-3</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>da Veiga Leprevost</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Barbosa</surname> <given-names>V. C.</given-names>
</name>
<name>
<surname>Carvalho</surname> <given-names>P. C.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Using PepExplorer to Filter and Organize <italic>De Novo</italic> Peptide Sequencing Results</article-title>. <source>Curr. Protoc. Bioinf.</source> <volume>51</volume>, <fpage>13.27.1</fpage>&#x2013;<lpage>13.27.9</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/0471250953.bi1327s51</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Denet</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Coupat-Goutaland</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Nazaret</surname> <given-names>S.</given-names>
</name>
<name>
<surname>P&#xe9;landakis</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Favre-Bont&#xe9;</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Diversity of Free-Living Amoebae in Soils and Their Associated Human Opportunistic Bacteria</article-title>. <source>Parasitol. Res.</source> <volume>116</volume>, <fpage>3151</fpage>&#x2013;<lpage>3162</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00436-017-5632-6</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Derengowski</surname> <given-names>L.</given-names>
</name>
<name>
<surname>da</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Paes</surname> <given-names>H. C.</given-names>
</name>
<name>
<surname>Albuquerque</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Tavares</surname> <given-names>A. H. F. P.</given-names>
</name>
<name>
<surname>Fernandes</surname> <given-names>L.</given-names>
</name>
<etal/>
</person-group>. (<year>2013</year>). <article-title>The Transcriptional Response of Cryptococcus Neoformans to Ingestion by Acanthamoeba Castellanii and Macrophages Provides Insights Into the Evolutionary Adaptation to the Mammalian Host</article-title>. <source>Eukaryot Cell</source> <volume>12</volume>, <fpage>761</fpage>&#x2013;<lpage>774</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/EC.00073-13</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Evstigneeva</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Raoult</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Karpachevskiy</surname> <given-names>L.</given-names>
</name>
<name>
<surname>La Scola</surname> <given-names>B.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Amoeba Co-Culture of Soil Specimens Recovered 33 Different Bacteria, Including Four New Species and Streptococcus Pneumoniae</article-title>. <source>Microbiol. (Reading)</source> <volume>155</volume>, <fpage>657</fpage>&#x2013;<lpage>664</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1099/mic.0.022970-0</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fonseca</surname> <given-names>J. D. G.</given-names>
</name>
<name>
<surname>G&#xf3;mez-Hern&#xe1;ndez</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Barbosa</surname> <given-names>C. G.</given-names>
</name>
<name>
<surname>Rezende-Oliveira</surname> <given-names>K.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Identification of T3 and T4 Genotypes of Acanthamoeba Sp. In Dust Samples Isolated From Air Conditioning Equipment of Public Hospital of Ituiutaba-MG</article-title>. <source>Curr. Microbiol.</source> <volume>77</volume>, <fpage>890</fpage>&#x2013;<lpage>895</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00284-019-01869-4</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fraser</surname> <given-names>I. P.</given-names>
</name>
<name>
<surname>Koziel</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Ezekowitz</surname> <given-names>R. A.</given-names>
</name>
</person-group> (<year>1998</year>). <article-title>The Serum Mannose-Binding Protein and the Macrophage Mannose Receptor are Pattern Recognition Molecules That Link Innate and Adaptive Immunity</article-title>. <source>Semin. Immunol.</source> <volume>10</volume>, <fpage>363</fpage>&#x2013;<lpage>372</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1006/smim.1998.0141</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>G&#xe1;cser</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Trofa</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Sch&#xe4;fer</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Nosanchuk</surname> <given-names>J. D.</given-names>
</name>
</person-group> (<year>2007</year>). <article-title>Targeted Gene Deletion in Candida Parapsilosis Demonstrates the Role of Secreted Lipase in Virulence</article-title>. <source>J. Clin. Invest.</source> <volume>117</volume>, <fpage>3049</fpage>&#x2013;<lpage>3058</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1172/JCI32294</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gantner</surname> <given-names>B. N.</given-names>
</name>
<name>
<surname>Simmons</surname> <given-names>R. M.</given-names>
</name>
<name>
<surname>Underhill</surname> <given-names>D. M.</given-names>
</name>
</person-group> (<year>2005</year>). <article-title>Dectin-1 Mediates Macrophage Recognition of Candida Albicans Yeast But Not Filaments</article-title>. <source>EMBO J.</source> <volume>24</volume>, <fpage>1277</fpage>&#x2013;<lpage>1286</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/sj.emboj.7600594</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garate</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Alizadeh</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Neelam</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Niederkorn</surname> <given-names>J. Y.</given-names>
</name>
<name>
<surname>Panjwani</surname> <given-names>N.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>Oral Immunization With Acanthamoeba Castellanii Mannose-Binding Protein Ameliorates Amoebic Keratitis</article-title>. <source>Infect. Immun.</source> <volume>74</volume>, <fpage>7032</fpage>&#x2013;<lpage>7034</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/IAI.00828-06</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garate</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Cao</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Bateman</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Panjwani</surname> <given-names>N.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>Cloning and Characterization of a Novel Mannose-Binding Protein of Acanthamoeba</article-title>. <source>J. Biol. Chem.</source> <volume>279</volume>, <fpage>29849</fpage>&#x2013;<lpage>29856</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1074/jbc.M402334200</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garcia-Rubio</surname> <given-names>R.</given-names>
</name>
<name>
<surname>de Oliveira</surname> <given-names>H. C.</given-names>
</name>
<name>
<surname>Rivera</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Trevijano-Contador</surname> <given-names>N.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>The Fungal Cell Wall: Candida, Cryptococcus, and Aspergillus Species</article-title>. <source>Front. Microbiol.</source> <volume>10</volume>, <elocation-id>2993</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmicb.2019.02993</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garfoot</surname> <given-names>A. L.</given-names>
</name>
<name>
<surname>Rappleye</surname> <given-names>C. A.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Histoplasma Capsulatum Surmounts Obstacles to Intracellular Pathogenesis</article-title>. <source>FEBS J.</source> <volume>283</volume>, <fpage>619</fpage>&#x2013;<lpage>633</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/febs.13389</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ghadage</surname> <given-names>D. P.</given-names>
</name>
<name>
<surname>Choure</surname> <given-names>A. C.</given-names>
</name>
<name>
<surname>Wankhade</surname> <given-names>A. B.</given-names>
</name>
<name>
<surname>Bhore</surname> <given-names>A. V.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Opportunistic Free: Living Amoeba Now Becoming a Usual Pathogen</article-title>? <source>Indian J. Pathol. Microbiol.</source> <volume>60</volume>, <fpage>601</fpage>&#x2013;<lpage>603</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4103/IJPM.IJPM_815_16</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gon&#xe7;alves</surname> <given-names>D.</given-names>
</name>
<name>
<surname>de</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Ferreira</surname> <given-names>M. S.</given-names>
</name>
<name>
<surname>Gomes</surname> <given-names>K. X.</given-names>
</name>
<name>
<surname>Rodr&#xed;guez-de La Noval</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Liedke</surname> <given-names>S. C.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>Unravelling the Interactions of the Environmental Host Acanthamoeba Castellanii With Fungi Through the Recognition by Mannose-Binding Proteins</article-title>. <source>Cell. Microbiol.</source> <volume>21</volume>, <elocation-id>e13066</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/cmi.13066</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gon&#xe7;alves</surname> <given-names>D.</given-names>
</name>
<name>
<surname>de</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Ferreira</surname> <given-names>M.S.</given-names>
</name>
<name>
<surname>Liedke</surname> <given-names>S. C.</given-names>
</name>
<name>
<surname>Gomes</surname> <given-names>K. X.</given-names>
</name>
<name>
<surname>de Oliveira</surname> <given-names>G. A.</given-names>
</name>
<etal/>
</person-group>. (<year>2018</year>). <article-title>Extracellular Vesicles and Vesicle-Free Secretome of the Protozoa Acanthamoeba Castellanii Under Homeostasis and Nutritional Stress and Their Damaging Potential to Host Cells</article-title>. <source>Virulence</source> <volume>9</volume>, <fpage>818</fpage>&#x2013;<lpage>836</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/21505594.2018.1451184</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Go&#xf1;i</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Benito</surname> <given-names>M.</given-names>
</name>
<name>
<surname>LaPlante</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Fern&#xe1;ndez</surname> <given-names>M. T.</given-names>
</name>
<name>
<surname>S&#xe1;nchez</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Chueca</surname> <given-names>P.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Identification of Free-Living Amoebas and Amoeba-Resistant Bacteria Accumulated in Dreissena Polymorpha</article-title>. <source>Environ. Microbiol.</source> <volume>22</volume>, <fpage>3315</fpage>&#x2013;<lpage>3324</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/1462-2920.15093</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gow</surname> <given-names>N. A. R.</given-names>
</name>
<name>
<surname>Latge</surname> <given-names>J. P.</given-names>
</name>
<name>
<surname>Munro</surname> <given-names>C. A.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>The Fungal Cell Wall: Structure, Biosynthesis, and Function</article-title>. <source>Microbiol. Spectr.</source> <volume>5</volume>, <fpage>1</fpage>&#x2013;<lpage>19</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/microbiolspec.FUNK-0035-2016</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Goyal</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Castrill&#xf3;n-Betancur</surname> <given-names>J. C.</given-names>
</name>
<name>
<surname>Klaile</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Slevogt</surname> <given-names>H.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>The Interaction of Human Pathogenic Fungi With C-Type Lectin Receptors</article-title>. <source>Front. Immunol.</source> <volume>9</volume>, <elocation-id>1261</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2018.01261</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Greub</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Raoult</surname> <given-names>D.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>Microorganisms Resistant to Free-Living Amoebae</article-title>. <source>Clin. Microbiol. Rev.</source> <volume>17</volume>, <fpage>413</fpage>&#x2013;<lpage>433</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/CMR.17.2.413-433.2004</pub-id>
</citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guimar&#xe3;es</surname> <given-names>A. J.</given-names>
</name>
<name>
<surname>de Cerqueira</surname> <given-names>M. D.</given-names>
</name>
<name>
<surname>Nosanchuk</surname> <given-names>J. D.</given-names>
</name>
</person-group> (<year>2011</year>a). <article-title>Surface Architecture of Histoplasma Capsulatum</article-title>. <source>Front. Microbiol.</source> <volume>2</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmicb.2011.00225</pub-id>
</citation>
</ref>
<ref id="B42">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guimar&#xe3;es</surname> <given-names>A. J.</given-names>
</name>
<name>
<surname>de Cerqueira</surname> <given-names>M. D.</given-names>
</name>
<name>
<surname>Zamith-Miranda</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Lopez</surname> <given-names>P. H.</given-names>
</name>
<name>
<surname>Rodrigues</surname> <given-names>M. L.</given-names>
</name>
<name>
<surname>Pontes</surname> <given-names>B.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>Host Membrane Glycosphingolipids and Lipid Microdomains Facilitate Histoplasma Capsulatum Internalisation by Macrophages</article-title>. <source>Cell Microbiol.</source> <volume>21</volume>, <elocation-id>e12976</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/cmi.12976</pub-id>
</citation>
</ref>
<ref id="B43">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guimar&#xe3;es</surname> <given-names>A. J.</given-names>
</name>
<name>
<surname>Frases</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Cordero</surname> <given-names>R. J. B.</given-names>
</name>
<name>
<surname>Nimrichter</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Casadevall</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Nosanchuk</surname> <given-names>J. D.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Cryptococcus Neoformans Responds to Mannitol by Increasing Capsule Size <italic>In Vitro</italic> and <italic>In Vivo</italic>
</article-title>. <source>Cell Microbiol.</source> <volume>12</volume>, <fpage>740</fpage>&#x2013;<lpage>753</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1462-5822.2010.01430.x</pub-id>
</citation>
</ref>
<ref id="B44">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guimar&#xe3;es</surname> <given-names>A. J.</given-names>
</name>
<name>
<surname>Frases</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Gomez</surname> <given-names>F. J.</given-names>
</name>
<name>
<surname>Zancop&#xe9;-Oliveira</surname> <given-names>R. M.</given-names>
</name>
<name>
<surname>Nosanchuk</surname> <given-names>J. D.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Monoclonal Antibodies to Heat Shock Protein 60 Alter the Pathogenesis of Histoplasma Capsulatum</article-title>. <source>Infect. Immun.</source> <volume>77</volume>, <fpage>1357</fpage>&#x2013;<lpage>1367</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/IAI.01443-08</pub-id>
</citation>
</ref>
<ref id="B45">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guimaraes</surname> <given-names>A. J.</given-names>
</name>
<name>
<surname>Gomes</surname> <given-names>K. X.</given-names>
</name>
<name>
<surname>Cortines</surname> <given-names>J. R.</given-names>
</name>
<name>
<surname>Peralta</surname> <given-names>J. M.</given-names>
</name>
<name>
<surname>Peralta</surname> <given-names>R. H. S.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Acanthamoeba Spp. As a Universal Host for Pathogenic Microorganisms: One Bridge From Environment to Host Virulence</article-title>. <source>Microbiol. Res.</source> <volume>193</volume>, <fpage>30</fpage>&#x2013;<lpage>38</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.micres.2016.08.001</pub-id>
</citation>
</ref>
<ref id="B46">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guimar&#xe3;es</surname> <given-names>A. J.</given-names>
</name>
<name>
<surname>Nakayasu</surname> <given-names>E. S.</given-names>
</name>
<name>
<surname>Sobreira</surname> <given-names>T. J. P.</given-names>
</name>
<name>
<surname>Cordero</surname> <given-names>R. J. B.</given-names>
</name>
<name>
<surname>Nimrichter</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Almeida</surname> <given-names>I. C.</given-names>
</name>
<etal/>
</person-group>. (<year>2011</year>b). <article-title>Histoplasma Capsulatum Heat-Shock 60 Orchestrates the Adaptation of the Fungus to Temperature Stress</article-title>. <source>PloS One</source> <volume>6</volume>, <elocation-id>e14660</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0014660</pub-id>
</citation>
</ref>
<ref id="B47">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ip</surname> <given-names>W. K.</given-names>
</name>
<name>
<surname>Chan</surname> <given-names>K. H.</given-names>
</name>
<name>
<surname>Law</surname> <given-names>H. K.</given-names>
</name>
<name>
<surname>Tso</surname> <given-names>G. H.</given-names>
</name>
<name>
<surname>Kong</surname> <given-names>E. K.</given-names>
</name>
<name>
<surname>Wong</surname> <given-names>W. H.</given-names>
</name>
<etal/>
</person-group>. (<year>2005</year>). <article-title>Mannose-Binding Lectin in Severe Acute Respiratory Syndrome Coronavirus Infection</article-title>. <source>J Infect Dis</source> <volume>15</volume>, <page-range>1697&#x2013;704</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1086/429631</pub-id>
</citation>
</ref>
<ref id="B48">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ishihama</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Oda</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Tabata</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Sato</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Nagasu</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Rappsilber</surname> <given-names>J.</given-names>
</name>
<etal/>
</person-group>. (<year>2005</year>). <article-title>Exponentially Modified Protein Abundance Index (emPAI) for Estimation of Absolute Protein Amount in Proteomics by the Number of Sequenced Peptides Per Protein</article-title>. <source>Mol. Cell Proteomics</source> <volume>4</volume>, <fpage>1265</fpage>&#x2013;<lpage>1272</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1074/mcp.M500061-MCP200</pub-id>
</citation>
</ref>
<ref id="B49">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Johnson</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Zaretskaya</surname> <given-names>I.</given-names>
</name>
<name>
<surname>Raytselis</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Merezhuk</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>McGinnis</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Madden</surname> <given-names>T. L.</given-names>
</name>
</person-group> (<year>2008</year>). <article-title>NCBI BLAST: A Better Web Interface</article-title>. <source>Nucleic Acids Res.</source> <volume>36</volume>, <fpage>W5</fpage>&#x2013;<lpage>W9</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/nar/gkn201</pub-id>
</citation>
</ref>
<ref id="B50">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ju&#xe1;rez</surname> <given-names>M. M.</given-names>
</name>
<name>
<surname>T&#xe1;rtara</surname> <given-names>L. I.</given-names>
</name>
<name>
<surname>Cid</surname> <given-names>A. G.</given-names>
</name>
<name>
<surname>Real</surname> <given-names>J. P.</given-names>
</name>
<name>
<surname>Berm&#xfa;dez</surname> <given-names>J. M.</given-names>
</name>
<name>
<surname>Rajal</surname> <given-names>V. B.</given-names>
</name>
<etal/>
</person-group>. (<year>2018</year>). <article-title>Acanthamoeba in the Eye, can the Parasite Hide Even More? Latest Developments on the Disease</article-title>. <source>Cont. Lens Anterior Eye</source> <volume>41</volume>, <fpage>245</fpage>&#x2013;<lpage>251</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.clae.2017.12.017</pub-id>
</citation>
</ref>
<ref id="B51">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kalra</surname> <given-names>S. K.</given-names>
</name>
<name>
<surname>Sharma</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Shyam</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Tejan</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Ghoshal</surname> <given-names>U.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Acanthamoeba and its Pathogenic Role in Granulomatous Amebic Encephalitis</article-title>. <source>Exp. Parasitol</source> <volume>208</volume>, <fpage>107788</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.exppara.2019.107788</pub-id>
</citation>
</ref>
<ref id="B52">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kirkland</surname> <given-names>T. N.</given-names>
</name>
<name>
<surname>Fierer</surname> <given-names>J.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Innate Immune Receptors and Defense Against Primary Pathogenic Fungi</article-title>. <source>Vaccines (Basel)</source> <volume>8</volume>, <fpage>E303</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/vaccines8020303</pub-id>
</citation>
</ref>
<ref id="B53">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kruppa</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Quorum Sensing and Candida Albicans</article-title>. <source>Mycoses</source> <volume>52</volume>, <fpage>1</fpage>&#x2013;<lpage>10</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1439-0507.2008.01626.x</pub-id>
</citation>
</ref>
<ref id="B54">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Latge</surname> <given-names>J. P.</given-names>
</name>
<name>
<surname>Beauvais</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Chamilos</surname> <given-names>G.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>The Cell Wall of the Human Fungal Pathogen Aspergillus Fumigatus: Biosynthesis, Organization, Immune Response, and Virulence</article-title>. <source>Annu. Rev. Microbiol.</source> <volume>71</volume>, <fpage>99</fpage>&#x2013;<lpage>116</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev-micro-030117-020406</pub-id>
</citation>
</ref>
<ref id="B55">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lau</surname> <given-names>H. L.</given-names>
</name>
<name>
<surname>De Lima Corvino</surname> <given-names>D. F.</given-names>
</name>
<name>
<surname>Guerra</surname> <given-names>F. M.</given-names>
</name>
<name>
<surname>Malik</surname> <given-names>A. M.</given-names>
</name>
<name>
<surname>Lichtenberger</surname> <given-names>P. N.</given-names>
</name>
<name>
<surname>Gultekin</surname> <given-names>S. H.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>Granulomatous Amoebic Encephalitis Caused by Acanthamoeba in a Patient With AIDS: A Challenging Diagnosis</article-title>. <source>Acta Clin. Belg</source> <volume>76</volume>, <fpage>127</fpage>&#x2013;<lpage>131</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/17843286.2019.1660023</pub-id>
</citation>
</ref>
<ref id="B56">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>D.-I.</given-names>
</name>
<name>
<surname>Park</surname> <given-names>S. H.</given-names>
</name>
<name>
<surname>Baek</surname> <given-names>J. H.</given-names>
</name>
<name>
<surname>Yoon</surname> <given-names>J. W.</given-names>
</name>
<name>
<surname>Jin</surname> <given-names>S. I.</given-names>
</name>
<name>
<surname>Han</surname> <given-names>K. E.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Identification of Free-Living Amoebas in Tap Water of Buildings With Storage Tanks in Korea</article-title>. <source>Korean J. Parasitol</source> <volume>58</volume>, <fpage>191</fpage>&#x2013;<lpage>194</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3347/kjp.2020.58.2.191</pub-id>
</citation>
</ref>
<ref id="B57">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Xing</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>H.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>One-Year Survey of Opportunistic Premise Plumbing Pathogens and Free-Living Amoebae in the Tap-Water of One Northern City of China</article-title>. <source>J. Environ. Sci. (China)</source> <volume>77</volume>, <fpage>20</fpage>&#x2013;<lpage>31</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jes.2018.04.020</pub-id>
</citation>
</ref>
<ref id="B58">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lorenzo-Morales</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Mart&#xed;n-Navarro</surname> <given-names>C. M.</given-names>
</name>
<name>
<surname>L&#xf3;pez-Arencibia</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Arnalich-Montiel</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Pi&#xf1;ero</surname> <given-names>J. E.</given-names>
</name>
<name>
<surname>Valladares</surname> <given-names>B.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Acanthamoeba Keratitis: An Emerging Disease Gathering Importance Worldwide</article-title>? <source>Trends Parasitol</source> <volume>29</volume>, <fpage>181</fpage>&#x2013;<lpage>187</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.pt.2013.01.006</pub-id>
</citation>
</ref>
<ref id="B59">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Macedo-Ramos</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Batista</surname> <given-names>A. F.</given-names>
</name>
<name>
<surname>Carrier-Ruiz</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Alves</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Allodi</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Ribeiro-Resende</surname> <given-names>V. T.</given-names>
</name>
<etal/>
</person-group>. (<year>2014</year>). <article-title>Evidence of Involvement of the Mannose Receptor in the Internalization of Streptococcus Pneumoniae by Schwann Cells</article-title>. <source>BMC Microbiol.</source> <volume>14</volume>, <elocation-id>211</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12866-014-0211-9</pub-id>
</citation>
</ref>
<ref id="B60">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Macedo-Ramos</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Campos</surname> <given-names>F. S. O.</given-names>
</name>
<name>
<surname>Carvalho</surname> <given-names>L. A.</given-names>
</name>
<name>
<surname>Ramos</surname> <given-names>I. B.</given-names>
</name>
<name>
<surname>Teixeira</surname> <given-names>L. M.</given-names>
</name>
<name>
<surname>De Souza</surname> <given-names>W.</given-names>
</name>
<etal/>
</person-group>. (<year>2011</year>). <article-title>Olfactory Ensheathing Cells as Putative Host Cells for Streptococcus Pneumoniae: Evidence of Bacterial Invasion <italic>via</italic> Mannose Receptor-Mediated Endocytosis</article-title>. <source>Neurosci. Res.</source> <volume>69</volume>, <fpage>308</fpage>&#x2013;<lpage>313</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.neures.2010.12.015</pub-id>
</citation>
</ref>
<ref id="B61">
<citation citation-type="web">
<person-group person-group-type="author">
<name>
<surname>Madhav</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Oppenheim</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Gallivan</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Mulembakani</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Rubin</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Wolfe</surname> <given-names>N.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>Pandemics: Risks, Impacts, and Mitigation</article-title>. In: <source>Disease Control Priorities: Improving Health and Reducing Poverty</source> (<publisher-loc>Washington (DC</publisher-loc>: <publisher-name>The International Bank for Reconstruction and Development / The World Bank</publisher-name>). Available at: <uri xlink:href="http://www.ncbi.nlm.nih.gov/books/NBK525302/">http://www.ncbi.nlm.nih.gov/books/NBK525302/</uri> (Accessed <access-date>August 18, 2021</access-date>).</citation>
</ref>
<ref id="B62">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Maliehe</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Ntoi</surname> <given-names>M. A.</given-names>
</name>
<name>
<surname>Lahiri</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Folorunso</surname> <given-names>O. S.</given-names>
</name>
<name>
<surname>Ogundeji</surname> <given-names>A. O.</given-names>
</name>
<name>
<surname>Pohl</surname> <given-names>C. H.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Environmental Factors That Contribute to the Maintenance of Cryptococcus Neoformans Pathogenesis</article-title>. <source>Microorganisms</source> <volume>8</volume>, <fpage>1</fpage>&#x2013;<lpage>19</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/microorganisms8020180</pub-id>
</citation>
</ref>
<ref id="B63">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Marciano-Cabral</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Cabral</surname> <given-names>G.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>Acanthamoeba Spp. As Agents of Disease in Humans</article-title>. <source>Clin. Microbiol. Rev.</source> <volume>16</volume>, <fpage>273</fpage>&#x2013;<lpage>307</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/CMR.16.2.273-307.2003</pub-id>
</citation>
</ref>
<ref id="B64">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Neelam</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Niederkorn</surname> <given-names>J. Y.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Pathobiology and Immunobiology of Acanthamoeba Keratitis: Insights From Animal Models</article-title>. <source>Yale J. Biol. Med.</source> <volume>90</volume>, <fpage>261</fpage>&#x2013;<lpage>268</lpage>.</citation>
</ref>
<ref id="B65">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nikolakopoulou</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Willment</surname> <given-names>J. A.</given-names>
</name>
<name>
<surname>Brown</surname> <given-names>G. D.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>C-Type Lectin Receptors in Antifungal Immunity</article-title>. <source>Adv. Exp. Med. Biol.</source> <volume>1204</volume>, <fpage>1</fpage>&#x2013;<lpage>30</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/978-981-15-1580-4_1</pub-id>
</citation>
</ref>
<ref id="B66">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Paknejad</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Hajialilo</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Saraei</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Javadi</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Isolation and Identification of Acanthamoeba Genotypes and Naegleria Spp. From the Water Samples of Public Swimming Pools in Qazvin, Iran</article-title>. <source>J. Water Health</source> <volume>18</volume>, <fpage>244</fpage>&#x2013;<lpage>251</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.2166/wh.2019.074</pub-id>
</citation>
</ref>
<ref id="B67">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Papa</surname> <given-names>V.</given-names>
</name>
<name>
<surname>Rama</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Radford</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Minassian</surname> <given-names>D. C.</given-names>
</name>
<name>
<surname>Dart</surname> <given-names>J. K. G.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Acanthamoeba Keratitis Therapy: Time to Cure and Visual Outcome Analysis for Different Antiamoebic Therapies in 227 Cases</article-title>. <source>Br. J. Ophthalmol.</source> <volume>104</volume>, <fpage>575</fpage>&#x2013;<lpage>581</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1136/bjophthalmol-2019-314485</pub-id>
</citation>
</ref>
<ref id="B68">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Perez-Riverol</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Csordas</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Bai</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Bernal-Llinares</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Hewapathirana</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Kundu</surname> <given-names>D. J.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>The PRIDE Database and Related Tools and Resources in 2019: Improving Support for Quantification Data</article-title>. <source>Nucleic Acids Res.</source> <volume>47</volume>, <fpage>D442</fpage>&#x2013;<lpage>D450</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/nar/gky1106</pub-id>
</citation>
</ref>
<ref id="B69">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>R&#xf8;dgaard-Hansen</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Rafique</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Christensen</surname> <given-names>P. A.</given-names>
</name>
<name>
<surname>Maniecki</surname> <given-names>M. B.</given-names>
</name>
<name>
<surname>Sandahl</surname> <given-names>T. D.</given-names>
</name>
<name>
<surname>Nex&#xf8;</surname> <given-names>E.</given-names>
</name>
<etal/>
</person-group>. (<year>2014</year>). <article-title>A Soluble Form of the Macrophage-Related Mannose Receptor (MR/CD206) is Present in Human Serum and Elevated in Critical Illness</article-title>. <source>Clin. Chem. Lab. Med.</source> <volume>52</volume>, <fpage>453</fpage>&#x2013;<lpage>461</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1515/cclm-2013-0451</pub-id>
</citation>
</ref>
<ref id="B70">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rizzo</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Albuquerque</surname> <given-names>P. C.</given-names>
</name>
<name>
<surname>Wolf</surname> <given-names>J. M.</given-names>
</name>
<name>
<surname>Nascimento</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Pereira</surname> <given-names>M. D.</given-names>
</name>
<name>
<surname>Nosanchuk</surname> <given-names>J. D.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>Analysis of Multiple Components Involved in the Interaction Between Cryptococcus Neoformans and Acanthamoeba Castellanii</article-title>. <source>Fungal Biol.</source> <volume>121</volume>, <fpage>602</fpage>&#x2013;<lpage>614</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.funbio.2017.04.002</pub-id>
</citation>
</ref>
<ref id="B71">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schuster</surname> <given-names>F. L.</given-names>
</name>
<name>
<surname>Visvesvara</surname> <given-names>G. S.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>Free-Living Amoebae as Opportunistic and non-Opportunistic Pathogens of Humans and Animals</article-title>. <source>Int. J. Parasitol</source> <volume>34</volume>, <fpage>1001</fpage>&#x2013;<lpage>1027</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ijpara.2004.06.004</pub-id>
</citation>
</ref>
<ref id="B72">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sheriff</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Chang</surname> <given-names>C. Y.</given-names>
</name>
<name>
<surname>Ezekowitz</surname> <given-names>R. A.</given-names>
</name>
</person-group> (<year>1994</year>). <article-title>Human Mannose-Binding Protein Carbohydrate Recognition Domain Trimerizes Through a Triple Alpha-Helical Coiled-Coil</article-title>. <source>Nat. Struct. Biol.</source> <volume>1</volume>, <fpage>789</fpage>&#x2013;<lpage>794</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nsb1194-789</pub-id>
</citation>
</ref>
<ref id="B73">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siddiqui</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Ahmed Khan</surname> <given-names>N.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Centralized Air-Conditioning and Transmission of Novel Coronavirus</article-title>. <source>Pathog. Glob Health</source> <volume>114</volume>, <fpage>228</fpage>&#x2013;<lpage>229</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/20477724.2020.1765653</pub-id>
</citation>
</ref>
<ref id="B74">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siddiqui</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Aqeel</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>N. A.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>The Development of Drugs Against Acanthamoeba Infections</article-title>. <source>Antimicrob. Agents Chemother.</source> <volume>60</volume>, <fpage>6441</fpage>&#x2013;<lpage>6450</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/AAC.00686-16</pub-id>
</citation>
</ref>
<ref id="B75">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siddiqui</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>N. A.</given-names>
</name>
</person-group> (<year>2012</year>a). <article-title>Acanthamoeba is an Evolutionary Ancestor of Macrophages: A Myth or Reality</article-title>? <source>Exp. Parasitol</source> <volume>130</volume>, <fpage>95</fpage>&#x2013;<lpage>97</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.exppara.2011.11.005</pub-id>
</citation>
</ref>
<ref id="B76">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siddiqui</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>N. A.</given-names>
</name>
</person-group> (<year>2012</year>b). <article-title>Biology and Pathogenesis of Acanthamoeba</article-title>. <source>Parasit Vectors</source> <volume>5</volume>, <elocation-id>6</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/1756-3305-5-6</pub-id>
</citation>
</ref>
<ref id="B77">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siddiqui</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>N. A.</given-names>
</name>
</person-group> (<year>2020</year>a). <article-title>Can the Environmental Phagocyte Acanthamoeba Be a Useful Model to Study SARS-CoV-2 Pathogenicity, Infectivity, and Evasion of Cellular Immune Defenses</article-title>? <source>ACS Chem. Neurosci.</source> <volume>11</volume>, <fpage>2149</fpage>&#x2013;<lpage>2151</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acschemneuro.0c00401</pub-id>
</citation>
</ref>
<ref id="B78">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siddiqui</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>N. A.</given-names>
</name>
</person-group> (<year>2020</year>b). <article-title>War on Terror Cells: Strategies to Eradicate &#x201c;Novel Coronavirus&#x201d; Effectively</article-title>. <source>ACS Chem. Neurosci.</source> <volume>11</volume>, <fpage>1198</fpage>&#x2013;<lpage>1199</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acschemneuro.0c00162</pub-id>
</citation>
</ref>
<ref id="B79">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Siddiqui</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Yee Ong</surname> <given-names>T. Y.</given-names>
</name>
<name>
<surname>Jung</surname> <given-names>S. Y.</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>N. A.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Acanthamoeba Castellanii Interactions With Streptococcus Pneumoniae and Streptococcus Pyogenes</article-title>. <source>Exp. Parasitol</source> <volume>183</volume>, <fpage>128</fpage>&#x2013;<lpage>132</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.exppara.2017.08.005</pub-id>
</citation>
</ref>
<ref id="B80">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Slesiona</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Gressler</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Mihlan</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Zaehle</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Schaller</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Barz</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2012</year>). <article-title>Persistence Versus Escape: Aspergillus Terreus and Aspergillus Fumigatus Employ Different Strategies During Interactions With Macrophages</article-title>. <source>PloS One</source> <volume>7</volume>, <elocation-id>e31223</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0031223</pub-id>
</citation>
</ref>
<ref id="B81">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Steenbergen</surname> <given-names>J. N.</given-names>
</name>
<name>
<surname>Casadevall</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>The Origin and Maintenance of Virulence for the Human Pathogenic Fungus Cryptococcus Neoformans</article-title>. <source>Microbes Infect.</source> <volume>5</volume>, <fpage>667</fpage>&#x2013;<lpage>675</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/s1286-4579(03)00092-3</pub-id>
</citation>
</ref>
<ref id="B82">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Steenbergen</surname> <given-names>J. N.</given-names>
</name>
<name>
<surname>Shuman</surname> <given-names>H. A.</given-names>
</name>
<name>
<surname>Casadevall</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2001</year>). <article-title>Cryptococcus Neoformans Interactions With Amoebae Suggest an Explanation for Its Virulence and Intracellular Pathogenic Strategy in Macrophages</article-title>. <source>Proc. Natl. Acad. Sci. U.S.A.</source> <volume>98</volume>, <fpage>15245</fpage>&#x2013;<lpage>15250</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.261418798</pub-id>
</citation>
</ref>
<ref id="B83">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Strober</surname> <given-names>W.</given-names>
</name>
</person-group> (<year>2001</year>). <article-title>Trypan Blue Exclusion Test of Cell Viability</article-title>. <source>Curr. Protoc. Immunol.</source> <volume>111</volume>, <fpage>A3.B.1</fpage>&#x2013;<lpage>A3.B.3</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/0471142735.ima03bs21</pub-id>. Appendix 3, Appendix 3B.</citation>
</ref>
<ref id="B84">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Taciak</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Bia&#x142;asek</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Braniewska</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Sas</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Sawicka</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Kiraga</surname> <given-names>&#x141;.</given-names>
</name>
<etal/>
</person-group>. (<year>2018</year>). <article-title>Evaluation of Phenotypic and Functional Stability of RAW 264.7 Cell Line Through Serial Passages</article-title>. <source>PloS One</source> <volume>13</volume>, <elocation-id>e0198943</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0198943</pub-id>
</citation>
</ref>
<ref id="B85">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tu</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Chong</surname> <given-names>W. P.</given-names>
</name>
<name>
<surname>Zhai</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>S.</given-names>
</name>
<etal/>
</person-group>. (<year>2015</year>). <article-title>Functional Polymorphisms of the CCL2 and MBL Genes Cumulatively Increase Susceptibility to Severe Acute Respiratory Syndrome Coronavirus Infection</article-title>. <source>J. Infect.</source> <volume>71</volume>, <fpage>101</fpage>&#x2013;<lpage>109</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jinf.2015.03.006</pub-id>
</citation>
</ref>
<ref id="B86">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Van Waeyenberghe</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Bar&#xe9;</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Pasmans</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Claeys</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Bert</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Haesebrouck</surname> <given-names>F.</given-names>
</name>
<etal/>
</person-group>. (<year>2013</year>). <article-title>Interaction of Aspergillus Fumigatus Conidia With Acanthamoeba Castellanii Parallels Macrophage-Fungus Interactions</article-title>. <source>Environ. Microbiol. Rep.</source> <volume>5</volume>, <fpage>819</fpage>&#x2013;<lpage>824</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/1758-2229.12082</pub-id>
</citation>
</ref>
<ref id="B87">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Visvesvara</surname> <given-names>G. S.</given-names>
</name>
<name>
<surname>Moura</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Schuster</surname> <given-names>F. L.</given-names>
</name>
</person-group> (<year>2007</year>). <article-title>Pathogenic and Opportunistic Free-Living Amoebae: Acanthamoeba Spp., Balamuthia Mandrillaris, Naegleria Fowleri, and Sappinia Diploidea</article-title>. <source>FEMS Immunol. Med. Microbiol.</source> <volume>50</volume>, <fpage>1</fpage>&#x2013;<lpage>26</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1574-695X.2007.00232.x</pub-id>
</citation>
</ref>
<ref id="B88">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Simplicity From Complex Interactions</article-title>. <source>Nat. Ecol. Evol.</source> <volume>2</volume>, <fpage>1201</fpage>&#x2013;<lpage>1202</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41559-018-0618-z</pub-id>
</citation>
</ref>
<ref id="B89">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Weis</surname> <given-names>W. I.</given-names>
</name>
<name>
<surname>Drickamer</surname> <given-names>K.</given-names>
</name>
</person-group> (<year>1994</year>). <article-title>Trimeric Structure of a C-Type Mannose-Binding Protein</article-title>. <source>Structure</source> <volume>2</volume>, <fpage>1227</fpage>&#x2013;<lpage>1240</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S0969-2126(94)00124-3</pub-id>
</citation>
</ref>
<ref id="B90">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wileman</surname> <given-names>T. E.</given-names>
</name>
<name>
<surname>Lennartz</surname> <given-names>M. R.</given-names>
</name>
<name>
<surname>Stahl</surname> <given-names>P. D.</given-names>
</name>
</person-group> (<year>1986</year>). <article-title>Identification of the Macrophage Mannose Receptor as a 175-KDa Membrane Protein</article-title>. <source>Proc. Natl. Acad. Sci. U. S. A.</source> <volume>83</volume>, <fpage>2501</fpage>&#x2013;<lpage>2505</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.83.8.2501</pub-id>
</citation>
</ref>
<ref id="B91">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wopereis</surname> <given-names>D. B.</given-names>
</name>
<name>
<surname>Bazzo</surname> <given-names>M. L.</given-names>
</name>
<name>
<surname>de Macedo</surname> <given-names>J. P.</given-names>
</name>
<name>
<surname>Casara</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Golfeto</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Venancio</surname> <given-names>E.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Free-Living Amoebae and Their Relationship to Air Quality in Hospital Environments: Characterization of Acanthamoeba Spp. Obtained From Air-Conditioning Systems</article-title>. <source>Parasitology</source> <volume>147</volume>, <fpage>782</fpage>&#x2013;<lpage>790</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1017/S0031182020000487</pub-id>
</citation>
</ref>
<ref id="B92">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Peng</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Yange</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Guan</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>T.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>The Deadly Coronaviruses: The 2003 SARS Pandemic and the 2020 Novel Coronavirus Epidemic in China</article-title>. <source>J. Autoimmun.</source> <volume>109</volume>, <elocation-id>102434</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jaut.2020.102434</pub-id>
</citation>
</ref>
<ref id="B93">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zaragoza</surname> <given-names>O.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Basic Principles of the Virulence of Cryptococcus</article-title>. <source>Virulence</source> <volume>10</volume>, <fpage>490</fpage>&#x2013;<lpage>501</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/21505594.2019.1614383</pub-id>
</citation>
</ref>
<ref id="B94">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Zhi</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zhai</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Dong</surname> <given-names>X.</given-names>
</name>
<etal/>
</person-group>. (<year>2005</year>). <article-title>Association Between Mannose-Binding Lectin Gene Polymorphisms and Susceptibility to Severe Acute Respiratory Syndrome Coronavirus Infection</article-title>. <source>J. Infect. Dis.</source> <volume>192</volume>, <fpage>1355</fpage>&#x2013;<lpage>1361</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1086/491479</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>