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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2025.1668445</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Dectin-1 and dectin-2 drive protection against <italic>Sporothrix brasiliensis</italic> in experimental sporotrichosis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Yoshikawa</surname>
<given-names>Fabio Seiti Yamada</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/485847/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Almeida</surname>
<given-names>Sandro Rogerio</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/43703/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Saijo</surname>
<given-names>Shinobu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3046893/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Division of Molecular Immunology, Medical Mycology Research Center, Chiba University</institution>, <addr-line>Chiba</addr-line>,&#xa0;<country>Japan</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>School of Pharmaceutical Sciences, Department of Clinical e Toxicological Analysis, University of S&#xe3;o Paulo</institution>, <addr-line>S&#xe3;o Paulo</addr-line>,&#xa0;<country>Brazil</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/41765/overview">Hector Mora Montes</ext-link>, University of Guanajuato, Mexico</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/476619/overview">Aldo Henrique Tavares</ext-link>, University of Brasilia, Brazil</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1982268/overview">Laura Garcia-Carnero</ext-link>, University of S&#xe3;o Paulo, Ribeir&#xe3;o Preto, Brazil</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Shinobu Saijo, <email xlink:href="mailto:saijo@faculty.chiba-u.jp">saijo@faculty.chiba-u.jp</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1668445</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>07</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>09</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Yoshikawa, de Almeida and Saijo.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Yoshikawa, de Almeida and Saijo</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>
<sec>
<title>Introduction</title>
<p>The emerging fungal pathogen <italic>Sporothrix brasiliensis</italic> has been responsible for epidemic outbursts of sporotrichosis in Latin America, particularly Brazil, in recent years. The higher aggressiveness of the infection and its zoonotic nature are hallmarks of the pathogen, but the immunological markers of protection are not fully characterized. The C-type lectin receptors &#x2013; dectin-1 and dectin-2 &#x2013; drive key antifungal responses, and here we aimed to uncover their contribution against <italic>S. brasiliensis</italic> in a murine model of disseminated sporotrichosis.</p>
</sec>
<sec>
<title>Methods</title>
<p>Wild-type, Dectin-1 and/or Dectin-2 knockout, and IL-17A/F knockout C57BL/6J mice were challenged with <italic>S. brasiliensis</italic> in a model of systemic infection. Animals were monitored for parameters as survival and body weight loss. Immunological analyses as assessment of cytokines and immune cell profiling were conducted in the livers.</p>
</sec>
<sec>
<title>Results</title>
<p>We showed that the receptors are essential for host survival, necessary to limit the fungal dissemination, and that their main effector functions can be related to shaping the T cell response, notably the cytotoxic CD8+ and Treg cell populations, instead of a conventional TH17 profile. While we also observed a contribution of IL-17 in the host defense, the cytokine is not involved in the restriction of the fungal growth.</p>
</sec>
<sec>
<title>Discussion</title>
<p>Our results uncover dectin-1 and dectin-2 as novel determinants of protection against <italic>S. brasiliensis</italic>, but their effector function is not linked to the induction of IL-17 responses. Our fundings help to expand the understanding of the pathophysiology of this infection.</p>
</sec>
</abstract>
<kwd-group>
<kwd>
<italic>Sporothrix brasiliensis</italic>
</kwd>
<kwd>Dectin-1</kwd>
<kwd>Dectin-2</kwd>
<kwd>IL-17</kwd>
<kwd>Treg</kwd>
</kwd-group>
<contract-num rid="cn001">24K18433, 25K10398</contract-num>
<contract-num rid="cn002">22/11944-9</contract-num>
<contract-num rid="cn003">25-05</contract-num>
<contract-sponsor id="cn001">Japan Society for the Promotion of Science<named-content content-type="fundref-id">10.13039/501100001691</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Funda&#xe7;&#xe3;o de Amparo &#xe0; Pesquisa do Estado de S&#xe3;o Paulo<named-content content-type="fundref-id">10.13039/501100001807</named-content>
</contract-sponsor>
<contract-sponsor id="cn003">Chiba University<named-content content-type="fundref-id">10.13039/501100008529</named-content>
</contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="49"/>
<page-count count="12"/>
<word-count count="5519"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Microbial Immunology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>
<italic>Sporothrix brasiliensis</italic> is an emerging fungal pathogen associated with epidemic outbreaks of a more aggressive form of the mycosis sporotrichosis (<xref ref-type="bibr" rid="B1">1</xref>). Belonging to the <italic>Sporothrix schenckii</italic> complex, <italic>Sporothrix</italic> spp. have always caused concern among the scientific community (<xref ref-type="bibr" rid="B2">2</xref>). However, the higher severity of <italic>S. brasiliensis</italic> infections linked to its strong epidemic potential has put this pathogen in the spotlight in recent years (<xref ref-type="bibr" rid="B3">3</xref>). Currently, <italic>S. brasiliensis</italic> has surpassed the other members of the <italic>S. schenckii</italic> complex as the main causative agent of sporotrichosis in Brazil, and unfortunately, it is spreading across several countries in Latin America (<xref ref-type="bibr" rid="B4">4</xref>), with isolated cases already being reported in Europe and North America (<xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>Infections by <italic>Sporothrix</italic> spp. are primarily associated with contact with contaminated soil, plants, or organic matter (hence, the alias as the &#x201c;gardener&#x2019;s disease&#x201d;) (<xref ref-type="bibr" rid="B6">6</xref>); however, for <italic>S. brasiliensis</italic>, zoonotic sporotrichosis and animal-to-human transmissions have been recognized as the main sources of contamination (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B4">4</xref>). For instance, the ability of <italic>S. brasiliensis</italic> to infect animals, particularly stray cats, helps to explain its rapid dissemination and poses a great challenge for control by public health measures (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B7">7</xref>). In addition, despite the subcutaneous nature of the mycosis, atypical (extra-cutaneous) presentations with invasive commitment linked to <italic>S. brasiliensis</italic> are more common and are on the rise (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>The higher virulence of <italic>S. brasiliensis</italic> is not fully understood and cannot be traced to a single trait. The most important features include: i) higher thermotolerance and thermodimorphic behavior (whereas the mycelial form is considered saprophytic and the yeast phase parasitic) (<xref ref-type="bibr" rid="B7">7</xref>)&#x2014;but for <italic>S. brasiliensis</italic>, the zoonotic transmission occurs directly by yeast inoculation; ii) the ability to form biofilms (<xref ref-type="bibr" rid="B9">9</xref>); and iii) the production of enzymes, adhesion molecules, and melanin (<xref ref-type="bibr" rid="B10">10</xref>). Nevertheless, the interaction of these attributes with the host system is what determines the infection outcome.</p>
<p>From the host&#x2019;s perspective, an even larger gap exists about the immune response triggered against <italic>S. brasiliensis</italic>, and only in recent years have some advances in addressing those questions been observed. In this context, innate immunity is our first layer of defense, and its operation requires pathogen detection mediated by pattern recognition receptors (<xref ref-type="bibr" rid="B11">11</xref>). The prototypical innate molecules Toll-like receptor 2 (TLR2) and TLR4 have been shown to be important for host defense in murine models of <italic>S. brasiliensis</italic> infection, mainly by regulating the effector function of phagocytes and the inflammatory response, although their deficiency did not compromise animal survival upon the fungal challenge (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>). The complement protein C3 and the surface molecule CD11b have also been shown to be important for the interaction between <italic>S. brasiliensis</italic> and macrophages (<xref ref-type="bibr" rid="B14">14</xref>).</p>
<p>The main sensors involved in fungal recognition, however, belong to the family of the C-type lectin receptors (CLRs). Dectin-1 (<italic>CLEC7A</italic> in humans and <italic>Clec7a</italic> in mice) and dectin-2 (<italic>CLEC6A/Clec4n</italic>) are the most studied CLRs, and we and others have reported their roles in the defense against a plethora of fungal pathogens (<xref ref-type="bibr" rid="B15">15</xref>&#x2013;<xref ref-type="bibr" rid="B20">20</xref>). The induction of T helper 17 (T<sub>H</sub>17) responses is considered their canonical, but not solely, effector function (<xref ref-type="bibr" rid="B21">21</xref>).</p>
<p>Independent groups have suggested a marginal contribution of dectin-1 in the interaction between <italic>S. brasiliensis</italic> and phagocytes (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>), but these findings are limited to <italic>in vitro</italic> settings. Thus, the <italic>in vivo</italic> relevance of CLRs in anti-<italic>S. brasiliensis</italic> response is still an open question. Here, we proposed to evaluate the relevance of dectin-1/dectin-2 in the host response to <italic>S. brasiliensis</italic> in an experimental model of disseminated disease. We observed that the lack of these receptors severely compromised the ability to resist the fungal challenge. Curiously, the defective antifungal response in the absence of CLRs was not directly linked to an interleukin 17 (IL-17) response, but rather to a dysbalanced profile of cytotoxic CD8<sup>+</sup> T cells and regulatory T cells (Tregs), which could be the result of a poor ability to activate dendritic cells. Our findings underscore dectin-1/dectin-2 as key determinants for an efficient host defense against <italic>S. brasiliensis</italic>.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="s2_1">
<title>Mice</title>
<p>Female mice in C57BL/6J genetic background deficient for dectin-1 (<italic>Clec7a</italic>
<sup>&#x2013;/&#x2013;</sup>), dectin-2 (<italic>Clec4n</italic>
<sup>&#x2013;/&#x2013;</sup>), dectin-1/dectin-2 (<italic>Clec7a</italic>
<sup>&#x2013;/&#x2013;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2013;/&#x2013;</sup>), IL-17A/IL-17F (I<italic>l17a</italic>
<sup>&#x2013;/&#x2013;</sup>&#x2013;<italic>Il17f</italic>
<sup>&#x2013;/&#x2013;</sup>), and rag2 (<italic>Rag2</italic>
<sup>&#x2013;/&#x2013;</sup>) were used in this study (<xref ref-type="bibr" rid="B15">15</xref>). C57BL/6J wild-type (WT) mice were acquired from CLEA Japan (Tokyo, Japan) and co-housed with the knockout animals for at least 1 week prior to the experiments. All mice were maintained under specific pathogen-free conditions with a gamma ray-sterilized diet and acidified tap water (0.002 N HCl) <italic>ad libitum</italic>.</p>
<p>All experiments were conducted following the &#x201c;Fundamental Guidelines for Proper Conduct of Animal Experiments and Related Activities in Academic Research Institutions under the Jurisdiction of the Ministry of Education, Culture, Sports, Science, and Technology&#x201d; (Ministry of Education, Culture, Sports, Science and Technology, Japan, 2006). The Institutional Animal Care and Use Committee from Chiba University approved the protocols reported in this paper under process number A7-198.</p>
</sec>
<sec id="s2_2">
<title>Fungal strain and inoculum preparation</title>
<p>The reference strain <italic>S. brasiliensis</italic> 5110 (<italic>Sporothrix brasiliensis</italic> Marimon MYA-4823; American Type Culture Collection, Manassas, VA, USA) was used throughout this study. The fungus was maintained in brain heart infusion (BHI) agar (BD, Franklin Lakes, NJ, USA) at 37&#xb0;C with biweekly subcultures.</p>
<p>For inoculum preparation, the fungus was seeded in BHI agar plates and incubated for 5 days at 37&#xb0;C. Colonies were harvested and washed in 0.1% Tween-80/PBS (phosphate-buffered saline) solution, resuspended in saline solution (0.9% NaCl), and kept at 4&#xb0;C until use.</p>
</sec>
<sec id="s2_3">
<title>
<italic>In vivo</italic> infections</title>
<p>For <italic>in vivo</italic> infections, the animals were inoculated through the intravenous route (lateral caudal vein) with 5 &#xd7; 10<sup>6</sup> yeast cells in 100 &#x3bc;l of saline solution. Animal weight and survival were monitored daily for up to 27 days post-infection (dpi).</p>
<sec id="s2_3_1">
<title>Fungal burden analysis</title>
<p>On the indicated dpi, the animals were euthanized by cervical dislocation, and the organs were perfused with ice-cold PBS before surgical removal. After being weighed, the organs were macerated in PBS through mesh sieves. Dilutions of the macerates were plated on PDA plates (Eiken Chemical, Tokyo, Japan), incubated at 30&#xb0;C for 4 days, and the recovered colony-forming units (CFU) counted. Fungal burden was expressed as CFU per gram of organ. The macerates were centrifuged at 14,000 &#xd7; <italic>g</italic> for 5 min, and the supernatants were collected and stored at &#x2212;80&#xb0;C for cytokine analysis (see below).</p>
</sec>
<sec id="s2_3_2">
<title>Histopathological analyses</title>
<p>On the indicated dpi, the livers were perfused with PBS and fixed overnight in commercial formalin solution (Fujifilm Wako, Osaka, Japan). Samples were embedded in paraffin, and sections were stained with routine hematoxylin&#x2013;eosin, Grocott&#x2019;s methenamine silver, or Masson&#x2019;s trichrome staining method.</p>
</sec>
<sec id="s2_3_3">
<title>Isolation of liver leukocytes and flow cytometry analysis</title>
<p>Liver leukocytes were isolated from the sample macerates by Percoll centrifugation as described by Prosser et&#xa0;al. (<xref ref-type="bibr" rid="B24">24</xref>). The recovered cells were submitted to surface and intracellular staining for flow cytometry evaluation. For cell permeabilization, the commercial kits &#x201c;Foxp3 Staining Buffer Set&#x201d; (for CD4<sup>+</sup> T-cell evaluation) and &#x201c;Fixation &amp; Permeabilization Buffer Set&#x201d; (CD8<sup>+</sup> T cells) (eBioscience, San Diego, CA, USA) were used according to the manufacturer&#x2019;s instructions. Data were acquired with a FACSVerse flow cytometer (eight-color; BD, Franklin Lakes, NJ, USA) and analyzed using FlowJo (v.10.7.1 for Mac OS X; BD, Franklin Lakes, NJ, USA). The list of antibodies used for the analysis is provided in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>, and representative gating strategies are shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1</bold>
</xref>.</p>
</sec>
</sec>
<sec id="s2_4">
<title>Bone marrow-derived dendritic cells and <italic>in vitro</italic> infections</title>
<p>Bone marrow-derived dendritic cells (BMDCs) were generated from bone marrow cells harvested from the femur and tibia of the WT and <italic>Clec7a</italic>
<sup>&#x2013;/&#x2013;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2013;/&#x2013;</sup> mice by granulocyte&#x2013;macrophage colony-stimulating factor (GM-CSF) differentiation protocol as previously described (<xref ref-type="bibr" rid="B15">15</xref>). On the day of the assay, 1 &#xd7; 10<sup>6</sup> BMDCs were stimulated with freshly harvested <italic>S. brasiliensis</italic> yeast cells (multiplicity of infection, 1:1) or 100 ng/ml of lipopolysaccharide (LPS) (from <italic>Escherichia coli</italic> O111:B4; Sigma-Aldrich, St. Louis, MO, USA) for 24h at 37&#xb0;C and 5% CO<sub>2</sub>. The supernatants were harvested for cytokine measurements (see below), and the cells were stained with antibodies (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>) for the flow cytometry analysis.</p>
</sec>
<sec id="s2_5">
<title>Cytokine measurements</title>
<p>Cytokines [except for IL-10 and transforming growth factor beta (TGF-&#x3b2;)] were quantified using the BD Cytometric Bead Array assay according to the manufacturer&#x2019;s instructions. Data were acquired using FACSVerse and analyzed with the FCAP Array software (v.3.0.1; BD, Franklin Lakes, NJ, USA). The detection limits were as follows: IL-1&#x3b2; = 1.9 pg/ml, IL-6 = 1.4 pg/ml, tumor necrosis factor (TNF) = 2.8 pg/ml, interferon gamma (IFN-&#x3b3;) = 0.5 pg/ml, IL-4 = 0.3 pg/ml, IL-17A = 0.95 pg/ml, and IL-17F = 0.81 pg/ml.</p>
<p>The levels of IL-10 and TGF-&#x3b2; were quantified by sandwich ELISA using commercially available kits (DuoSet&#x2122; ELISA Development System, BioTechne/R&amp;D Systems, Minneapolis, MN, USA) according to the manufacturer&#x2019;s instructions. The adopted measurement range was 2,000&#x2013;31.2 pg/ml.</p>
</sec>
<sec id="s2_6">
<title>Statistical analysis</title>
<p>Statistical analyses were performed using the software GraphPad Prism (v.10 for OSX; GraphPad Inc., La Jolla, CA, USA). Data were screened for the detection of outliers using the ROUT method. The statistical test employed for each analysis, the sample size, and the number of replicates in each experiment are described in the figure legends. A <italic>p-</italic>value &lt;0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Dectin-1/dectin-2 are essential for protection against <italic>S. brasiliensis</italic> infection</title>
<p>Systemic sporotrichosis is the most studied experimental model for investigating host&#x2013;pathogen interactions and the immune response (<xref ref-type="bibr" rid="B25">25</xref>). We established a model of disseminated disease by administering <italic>S. brasiliensis</italic> yeast cells through the intravenous route and analyzed the outcome of the infection among WT and dectin-1 and/or dectin-2 knockout mice (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Dectin-1 and dectin-2 are essential for resistance against <italic>Sporothrix brasiliensis</italic> infection. <bold>(A, B)</bold> Wild type (WT), <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>, <italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup>, and <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> mice were infected intravenously with 5 &#xd7; 10<sup>6</sup> yeast cells, and the survival <bold>(A)</bold> and body weight loss <bold>(B)</bold> were monitored for up to 27 days post-infection (dpi). <italic>n</italic> = 16&#x2013;20 mice per group, pooled from two independent experiments. <bold>(A)</bold> Survival curves compared by log-rank (Mantel&#x2013;Cox) test: <bold><sup>##</sup></bold> <italic>p</italic> &lt; 0.01 (<italic>vs</italic>. WT); ****<italic>p</italic> &lt; 0.0001 (<italic>vs</italic>. <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup> and <italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup>). <bold>(B)</bold> Body weight loss plots and area under the curve (AUC) bars shown as the mean &#xb1; SEM. One-way ANOVA and Fisher&#x2019;s least significant difference (LSD) posttest: **<italic>p</italic> &lt; 0.001. <bold>(C)</bold> Fungal burden in the organs harvested at 14 dpi. Data shown as colony-forming units (CFU) per gram of organ. <italic>n</italic> = 7&#x2013;9 mice per group, pooled from two independent experiments. <italic>Each dot</italic> represents one mouse, and <italic>bars</italic> indicate the mean &#xb1; SEM. Kruskal&#x2013;Wallis and Dunn&#x2019;s posttest: *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001, ****<italic>p</italic> &lt; 0.0001. <bold>(D)</bold> Micrographs of the liver sections stained with hematoxylin&#x2013;eosin (HE, <italic>first row</italic>) or Grocott&#x2019;s methenamine silver (<italic>second row</italic>) methods. <italic>Scale bars</italic> represent 100 &#x3bc;m. Data representative of two (sham)&#x2013;four (infected) mice per group from two independent experiments.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1668445-g001.tif">
<alt-text content-type="machine-generated">Kaplan-Meier survival curve (A) shows survival percentages for different genotypes over days post-infection (dpi). Weight loss graph (B) and area under the curve (AUC) bar chart indicate genotype differences. Colony-forming units (CFU) per organ (C) are depicted for liver, spleen, lung, and kidney. Histological images (D) of wild-type (WT) and Clec7a^-/-Clec4n^-/- tissue with hematoxylin and eosin (HE) and Grocott staining show contrasts between sham and S. brasiliensis infection. Statistical significance is marked in each graph.</alt-text>
</graphic>
</fig>
<p>In agreement with our initial expectations, animals lacking dectin-1/dectin-2 were remarkably susceptible to <italic>S. brasiliensis</italic> infection (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). In addition to the enhanced mortality observed in the <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> animals (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>), the infection caused a more intense weight loss during the course of the experiment compared with their WT counterparts (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>), indicating a more aggressive disease in the absence of the receptors. In line with this, the knockouts also presented higher fungal burdens in the liver, spleen, lungs, and kidneys (measured at 14 dpi), pointing to a systemic inability to restrain the pathogen dissemination (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>).</p>
<p>Interestingly, when the individual contribution of each receptor was analyzed using single knockout animals, dectin-1 appeared to play the dominant role, while the lack of dectin-2 alone did not remarkably alter the analyzed parameters (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). Nevertheless, it must be highlighted that the <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup> mice could not fully recapitulate the double-knockout profile, as the <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> animals remained the most sensitive group. This suggests that dectin-2 is still involved in the protective response, but it may act by potentiating the functionality of dectin-1. Thus, to better characterize the host mechanisms involved, we followed the subsequent analyses with double-knockout animals.</p>
<p>These initial results indicate that dectin-1/dectin-2 are essential players in the host defense against <italic>S. brasiliensis</italic>, required for fungal restriction and maintenance of the host fitness.</p>
<sec id="s3_1_1">
<title>Lack of dectin-1/dectin-2 does not enhance tissue inflammation</title>
<p>The results from the fungal burden analysis pointed to the liver as the most compromised organ (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>), and it was chosen as a proxy for the response characterization. Initially, we confirmed the fungal colonization in the livers by histopathological analysis (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>). Interestingly, <italic>S. brasiliensis</italic> infection led to the development of diffuse, granuloma-like inflammatory foci around the fungal structures both in the WTs and the knockouts (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>, top row). However, as expected, in the <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> mice, a massive fungal burden could be detected, as observed in the silver staining images (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>, bottom row). Thus, we next measured the levels of the cytokines classically involved in the inflammatory response and host defense to fungal pathogens (<xref ref-type="bibr" rid="B26">26</xref>) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Cytokine profile in the liver macerates of <italic>Sporothrix brasiliensis-</italic>infected mice. Wild-type (WT) and <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> mice were infected intravenously with 5 &#xd7; 10<sup>6</sup> yeast cells, and livers were harvested at 14 days post-infection (dpi). <bold>(A)</bold> Levels of IL-1&#x3b2;, TNF, and IL-6. <bold>(B)</bold> Levels of IFN-&#x3b3;, IL-4, IL-17A, and IL-17F. <bold>(C)</bold> Levels of IL-10 and TGF-&#x3b2;. Data shown as picograms of cytokine per gram of organ. <italic>n</italic> = 8 mice per group, pooled from two independent experiments. <italic>Each dot</italic> represents one mouse, and <italic>bars</italic> indicate the mean &#xb1; SEM. Mann&#x2013;Whitney <italic>U</italic> test: *<italic>p</italic> &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1668445-g002.tif">
<alt-text content-type="machine-generated">Bar charts comparing levels of various cytokines in wild type (WT) and Clec7a&#x207b;/&#x207b;Clec4n&#x207b;/&#x207b; mice. Panel A shows IL-1&#x3b2;, TNF, and IL-6; IL-1&#x3b2; shows a significant reduction in the knockout group. Panel B displays IFN-&#x3b3;, IL-4, IL-17A, and IL-17F; IL-17F has a significant reduction. Panel C presents IL-10 and TGF-&#x3b2; with no significant differences. Bars represent mean &#xb1; SEM with individual data points and statistical significance indicated by asterisks.</alt-text>
</graphic>
</fig>
<p>Curiously, despite the massive fungal colonization, the inflammatory cytokines were not proportionally augmented (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). While TNF and IL-6 were not altered by the lack of dectin-1/dectin-2, lower levels of IL-1&#x3b2; were found in the knockouts. Interestingly, with regard to the cytokines associated with adaptive immunity, we found a predominance of the IL-17 response, particularly IL-17F, whose levels were compromised by the deficiency of the receptors (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). Concurrently, we did not detect differences in the levels of the anti-inflammatory cytokines, i.e., IL-10 and TGF-&#x3b2; (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>).</p>
<p>Thus, instead of an overt inflammation driven by an unrestrained fungal growth, the lower levels of IL-1&#x3b2; and IL-17F would argue in favor of a hypothesis of dectin-1/dectin-2 promoting protection against <italic>S. brasiliensis</italic> through the induction of a prototypical type 3 (IL-17&#x2013;driven) response, which is the paradigmatic branch of the adaptive immunity linked to resistance against fungal infections (<xref ref-type="bibr" rid="B27">27</xref>).</p>
</sec>
<sec id="s3_1_2">
<title>IL-17A/F are required for protection, but they do not regulate the fungal containment</title>
<p>To validate the importance of IL-17 in our model, we challenged the <italic>Il17a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Il17f</italic>
<sup>&#x2212;/&#x2212;</sup> mice with <italic>S. brasiliensis</italic> and compared their infection outcome to those of the WT and <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> groups (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A, B</bold>
</xref>). As expected, IL-17 deficiency did compromise the host defense, leading to higher mortality and weight loss compared with the WT. Nonetheless, the <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> mice were still more susceptible than their <italic>Il17a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Il17f</italic>
<sup>&#x2212;/&#x2212;</sup> counterparts, indicating the involvement of additional mechanisms.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>IL-17A/F promote resistance against <italic>Sporothrix brasiliensis</italic> infection, but do not alter fungal restriction. <bold>(A, B)</bold> Wild-type (WT), <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup>, and <italic>Il17a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Il17f</italic>
<sup>&#x2212;/&#x2212;</sup> mice were infected intravenously with 5 &#xd7; 10<sup>6</sup> yeast cells, and the survival <bold>(A)</bold> and body weight <bold>(B)</bold> loss were monitored for up to 27 days post-infection (dpi). <italic>n</italic> = 18&#x2013;20 mice per group, pooled from two independent experiments. <bold>(A)</bold> Survival curves compared by log-rank (Mantel&#x2013;Cox) test: ****<italic>p</italic> &lt; 0.0001. <bold>(B)</bold> Body weight loss plots and area under the curve (AUC) bars shown as the mean &#xb1; SEM. One-way ANOVA and Fisher&#x2019;s least significant difference (LSD) posttest: **<italic>p</italic> &lt; 0.001, ****<italic>p</italic> &lt; 0.0001. <bold>(C)</bold> Fungal burden in the organs harvested at 18 dpi. Data shown as colony-forming units (CFU) per gram of organ. <italic>n</italic> = 8 mice per group, pooled from two independent experiments. <italic>Each dot</italic> represents one mouse, and <italic>bars</italic> indicate the mean &#xb1; SEM. Mann&#x2013;Whitney <italic>U</italic> test: no significance detected. <bold>(D)</bold> Micrographs of the liver sections stained with hematoxylin&#x2013;eosin (HE, <italic>first row</italic>), Grocott&#x2019;s methenamine silver (<italic>second row</italic>), or Masson&#x2019;s trichrome (<italic>third row</italic>) method. <italic>Scale bars</italic> represent 100 &#x3bc;m. Data representative of two (sham)&#x2013;four (infected) mice per group from two independent experiments.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1668445-g003.tif">
<alt-text content-type="machine-generated">Survival curves (A) show reduced survival in mutant groups compared to WT. Weight loss graph (B) displays trends over days post-infection, with an inset bar graph showing statistical significance. Bar graphs (C) present CFU data from different organs, with blue and gray indicating two genotypes. Histology images (D) compare tissue sections across conditions using HE, Grocott, and Masson stains, with distinct differences between WT and mutant samples under both sham and infection conditions.</alt-text>
</graphic>
</fig>
<p>Astoundingly, despite the higher susceptibility of the IL-17 knockouts to the fungal challenge, the absence of the cytokines did not affect the fungal burden in any of the assessed organs (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>) as observed for dectin-1/dectin-2 deficiency (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>). Rather than uncontrolled fungal dissemination, the <italic>Il17a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Il17f</italic>
<sup>&#x2212;/&#x2212;</sup> mice were colonized to the same levels as the WTs.</p>
<p>To obtain further insight into this observation, we also performed histopathological analysis of the livers from these animals (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). Intriguingly, in contrast to the diffuse inflammatory foci observed, as shown in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>, deficiency in IL-17 led to a disorganized tissue structure, characterized by massive fibrosis, as revealed by Masson&#x2019;s trichrome staining. It should also be noted that these features were not accompanied by widespread fungal growth, in agreement with the fungal burden data (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>), unlike what was observed in animals deficient in dectin-1/dectin-2 (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). These results suggest that the maintenance of host fitness against <italic>S. brasiliensis</italic> does not exclusively involve pathogen containment.</p>
</sec>
<sec id="s3_1_3">
<title>Dectin-1/dectin-2 do not shape the local T-helper cell profile</title>
<p>The disconnection between dectin-1/dectin-2 and IL-17 in the control of the fungal dissemination prompted us to re-evaluate whether type 3 immunity is the major response induced by the CLRs.</p>
<p>Initially, we aimed to confirm the requirement of lymphocytes for host resistance in our model by using animals knockout for Rag2 (<xref ref-type="bibr" rid="B15">15</xref>) and comparing their performance upon <italic>S. brasiliensis</italic> challenge (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A, B</bold>
</xref>). Indeed, the lack of lymphocytes severely compromised the survival of the mice and led to a marked weight loss during the experiment. More importantly, their phenotype was virtually identical to <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> mice, strongly implying that the lymphocyte response could be the primary effector function of dectin-1/dectin-2.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>The T-cell profile is affected by the lack of dectin-1/dectin-2. <bold>(A, B)</bold> Wild type (WT), <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup>, and <italic>Rag2</italic>
<sup>&#x2212;/&#x2212;</sup> mice were infected intravenously with 5 &#xd7; 10<sup>6</sup> yeast cells, and the survival <bold>(A)</bold> and body weight loss <bold>(B)</bold> were monitored for up to 27 days post-infection (dpi). <italic>n</italic> = 19&#x2013;20 mice per group, pooled from two independent experiments. <bold>(A)</bold> Survival curves compared by log-rank (Mantel&#x2013;Cox) test: ****<italic>p</italic> &lt; 0.0001. <bold>(B)</bold> Body weight loss plots and area under the curve (AUC) bars shown as the mean &#xb1; SEM. One-way ANOVA and Fisher&#x2019;s least significant difference (LSD) posttest: ****<italic>p</italic> &lt; 0.0001. <bold>(C&#x2013;G)</bold> T-cell profile in the livers of infected mice harvested at 14 dpi. Frequency and counts of the total CD4 T cells <bold>(C)</bold>; T<sub>H</sub>1, T<sub>H</sub>2, and T<sub>H</sub>17 cells <bold>(D)</bold>; total CD8 T cells <bold>(E)</bold>; granzyme B (GzmB)-expressing CD8 T cells <bold>(F)</bold>; and regulatory T cells (Tregs) <bold>(G)</bold>. <italic>n</italic> = 8 mice per group, pooled from two independent experiments. <italic>Each dot</italic> represents one mouse, and <italic>bars</italic> indicate the mean &#xb1; SEM. Mann&#x2013;Whitney <italic>U</italic> test: *<italic>p</italic> &lt; 0.05, ***<italic>p</italic> &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1668445-g004.tif">
<alt-text content-type="machine-generated">A series of graphs showing immune response data for different genetic groups. Panel A shows a survival curve comparing Clec7a&#x207b;/&#x207b; Clec4n&#x207b;/&#x207b;, WT, and Rag2&#x207b;/&#x207b; mice. Panel B depicts weight loss percentages over time for the same groups with a bar graph showing AUC values. Panels C to G display bar plots with error bars comparing frequencies and counts of CD4&#x207a;, CD8&#x207a;, and CD4&#x207a; T_reg cells, and GzmB&#x207a; CD8&#x207a; T cells in Clec7a&#x207b;/&#x207b; Clec4n&#x207b;/&#x207b; and WT mice, indicating statistical significance with asterisks.</alt-text>
</graphic>
</fig>
<p>Subsequently, we aimed to identify the dominant adaptive response induced by <italic>S. brasiliensis</italic>. Firstly, we harvested splenocytes from infected mice, re-stimulated them with the pathogen yeast cells, and measured the hallmark cytokines in the culture supernatants (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>). Interestingly, IFN-&#x3b3; was the predominant cytokine observed, whereas IL-4, IL-17A, and IL-17F were barely detected. Furthermore, the levels of IFN-&#x3b3; were compromised by the lack of dectin-1/dectin-2. These results suggest that <italic>S. brasiliensis</italic> infection polarizes toward a type 1/T<sub>H</sub>1, not type 3/T<sub>H</sub>17, profile and that the process is instructed by dectin-1/dectin-2.</p>
<p>Thus, we next evaluated the profile of the CD4<sup>+</sup> T-cell population in the livers of the infected animals (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4C, D</bold>
</xref>), which revealed no alterations in the population of total CD4<sup>+</sup> T cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). Furthermore, we characterized the subpopulations of T<sub>H</sub> cells based on the expression of the classical transcription factors, i.e., T-bet (T<sub>H</sub>1), GATA3 (T<sub>H</sub>2), and ROR&#x3b3;t (T<sub>H</sub>17) (<xref ref-type="bibr" rid="B28">28</xref>). In agreement with the splenocyte results (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>), the major subset was composed of T<sub>H</sub>1 cells, whereas the other subtypes were detected at lower levels (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>). Unexpectedly, no changes in their proportions were observed due to the lack of CLRs.</p>
<p>Therefore, even though dectin-1/dectin-2 might be needed to shape the T-cell response in secondary lymphoid organs, such as the spleen, this does not necessarily reflect in the cell profile at peripheral organs.</p>
</sec>
<sec id="s3_1_4">
<title>Deficiency of dectin-1/dectin-2 favors an immunosuppressed T-cell environment</title>
<p>The weak influence of dectin-1/dectin-2 over the T<sub>H</sub>-cell population prompted us to investigate other branches of the T-cell response, particularly CD8<sup>+</sup> T cells and Tregs (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4E&#x2013;G</bold>
</xref>).</p>
<p>Curiously, there was a pronounced influx of CD8<sup>+</sup> T cells in the knockout group (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). However, these cells showed lower levels of granzyme B (GzmB) compared with their WT counterparts (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4F</bold>
</xref>). Therefore, despite the higher presence of CD8<sup>+</sup> lymphocytes, they displayed a dampened cytotoxic profile in the absence of dectin-1/dectin-2.</p>
<p>Remarkably, we could also detect a significant population of Tregs that was further increased in the <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2212;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> mice (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4G</bold>
</xref>). Together with the impaired presence of cytotoxic CD8<sup>+</sup> T cells, these results indicate that the lack of dectin-1/dectin-2 favors an immunosuppressed environment that might be less able to counter the fungal growth.</p>
</sec>
<sec id="s3_1_5">
<title>
<italic>S. brasiliensis</italic> is a poor activator of dendritic cells</title>
<p>Our results indicate that dectin-1/dectin-2 are required for the balance of the lymphocyte response against <italic>S. brasiliensis</italic>. However, notwithstanding the profile of T cells that the receptors might enforce, rather than working directly on lymphocytes, CLRs act by shaping the profile of antigen-presenting cells, particularly dendritic cells (<xref ref-type="bibr" rid="B28">28</xref>).</p>
<p>To conciliate our findings, we analyzed the response of BMDCs stimulated with <italic>S. brasiliensis</italic> (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>). Interestingly, we observed that the pathogen is a very weak BMDC activator. In contrast to the positive control LPS, <italic>S. brasiliensis</italic> triggered almost no cytokine production (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>) or expression of the co-stimulatory molecule CD86 (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). We only observed a dectin-1/dectin-2-dependent production of TNF (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>), suggesting that these CLRs are still needed for a minimal level of cell activation.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>
<italic>Sporothrix brasiliensis</italic> is a poor activator of bone marrow-derived dendritic cells (BMDCs). BMDCs were stimulated with <italic>S. brasiliensis</italic> or lipopolysaccharides (LPS) for 24h, and the activation markers were analyzed. <bold>(A)</bold> Levels of IL-1&#x3b2;, IL-6, and TNF in the culture supernatants. <bold>(B)</bold> Expression of CD86 on the BMDC surface (representative histograms on the <italic>right side</italic>). Data shown as the mean &#xb1; SEM, pooled from three independent experiments. Unpaired <italic>t</italic>-test: *<italic>p</italic> &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1668445-g005.tif">
<alt-text content-type="machine-generated">Graphs depicting cytokine and CD86 expression. Panel A shows bar graphs for IL-1&#x3b2;, IL-6, and TNF levels in control, S. brasiliensis, and LPS groups with p-values. TNF levels show a significant increase in the LPS group. Panel B shows CD86 levels with a similar grouping and p-values, accompanied by histograms comparing WT and Clec7a&#x207b;/&#x207b;Clec4n&#x207b;/&#x207b; samples stained for CD86 with different treatments (control, S. brasiliensis, and LPS).</alt-text>
</graphic>
</fig>
<p>The poor response of BMDCs could be indicative of a polarization toward a tolerogenic profile (<xref ref-type="bibr" rid="B29">29</xref>), and dendritic cells lacking dectin-1/dectin-2 show an even less activated phenotype that might reflect in potentiation of Treg differentiation, leading to a poorer cytotoxic environment that favors fungal proliferation.</p>
</sec>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>The world is witnessing a mounting rise in the cases of fungal infections in recent years, partially driven by the emergence of novel, more aggressive pathogens such as <italic>S. brasiliensis</italic>, <italic>Candida auris</italic> (<xref ref-type="bibr" rid="B30">30</xref>), and <italic>Trichophyton indotineae</italic> (<xref ref-type="bibr" rid="B31">31</xref>). The understanding of the immunology of these infections is an urgent requirement for counteractions. Here, we showed that dectin-1 and dectin-2 are key receptors for host resistance against <italic>S. brasiliensis</italic>, but the infection itself displays features of dampened inflammation, which can sustain the chronic evolution of the disease.</p>
<p>The poor activation of BMDCs argues in favor of this hypothesis. In agreement with our data, human dendritic cells and granulocytes were also shown to be less responsive to <italic>S. brasiliensis</italic> stimulation (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>), while human macrophages were more sensitive (<xref ref-type="bibr" rid="B23">23</xref>). Interestingly, most of the immunogenicity of <italic>S. brasiliensis</italic> is suggested to be carried by extracellular vesicles secreted by the fungus instead of the fungal cell per se (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>). Antigen masking could be a possible strategy to escaping host detection, as <italic>S. brasiliensis</italic> has been shown to have a thicker cell wall with less antigen exposure (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>). Along this line, while Garc&#xed;a-Carnero et&#xa0;al. reported low <italic>S. brasiliensis</italic>-driven cytokine responses by human peripheral blood mononuclear cells (PBMCs) (<xref ref-type="bibr" rid="B36">36</xref>), Kischkel et&#xa0;al. detected high responsiveness in equivalent PBMC samples (<xref ref-type="bibr" rid="B37">37</xref>); however, the latter employed heat-killed yeast cells instead of native cells as the former, and the heat treatment might have enhanced the immunogenicity of the material. Alternatively, interspecies variables have to be taken into consideration, as human and murine immune cells may display distinct recognition patterns, as observed for <italic>Candida albicans</italic> (<xref ref-type="bibr" rid="B38">38</xref>), which might affect the interpretation of the profiles and limit direct extrapolations.</p>
<p>Although the definitive contribution of each phagocyte type to host defense needs to be addressed in the future, the overall poor inflammatory potential of <italic>S. brasiliensis in vivo</italic> might in fact contribute to the aggressiveness of the infection as the host response is moved toward an environment highly permissive to fungal dissemination and persistence. In this scenario, dectin-1/dectin-2 act by limiting the polarization of Tregs and favoring the cytotoxic activity of CD8 T cells.</p>
<p>In parallel, the finding that IL-17 is involved in host survival, but not due to a presumed antifungal activity, was unexpected and intriguing. In addition to the well-known roles of IL-17 cytokines in driving inflammatory responses, the cytokines are also involved in tissue maintenance and repair (<xref ref-type="bibr" rid="B39">39</xref>). In support of this idea, our histopathological analysis showed that the IL-17 knockouts did not exhibit overwhelming fungal dissemination, as observed in dectin-1/dectin-2 knockouts, but presented compromised, fibrotic livers, which may have contributed to the demise of the animals. The role of IL-17 in organ fibrosis remains a matter of debate, as this cytokine can exert either anti- or profibrotic effects according to the context of the underlying disease (<xref ref-type="bibr" rid="B40">40</xref>). Interestingly, it has been reported that IL-17A neutralization reduced the extent of granuloma formation in a model of infection with the parasite <italic>Schistosoma japonicum</italic> (<xref ref-type="bibr" rid="B41">41</xref>), and a similar mechanism might be occurring in <italic>S. brasiliensis</italic> infection, where IL-17 helps to limit the spread of fungal colonization. Hence, it is tempting to speculate that the primary role of IL-17 here might be containment of the tissue damage linked to the infection rather than driving a direct antifungal response.</p>
<p>The lower levels of IL-17F found in the liver of the <italic>Clec7a</italic>
<sup>&#x2212;/&#x2212;</sup>&#x2013;<italic>Clec4n</italic>
<sup>&#x2212;/&#x2212;</sup> animals suggest that dectin-1/dectin-2 can also regulate the local production of the cytokine; however, this feature might be playing a coadjutant role. Our results also hint that the cytokine might not come from a conventional T<sub>H</sub>17 cell and that alternative sources could include the local population of &#x3b3;&#x3b4; T cells or group 3 innate lymphoid cells (<xref ref-type="bibr" rid="B42">42</xref>). Nonetheless, considering the decoupling in the phenotypes between the dectin-1/dectin-2 and IL-17 knockouts for fungal restriction, assessment of the roles of these cytokines requires an independent evaluation beyond the scope of this manuscript.</p>
<p>In contrast to our results, Batista-Duharte et&#xa0;al. reported a mixed IFN-&#x3b3;/IL-17 (T<sub>H</sub>1/T<sub>H</sub>17) profile in their infected WT mice (<xref ref-type="bibr" rid="B43">43</xref>). However, they based their interpretations on phorbol myristate acetate (PMA)/ionomycin-stimulated cells, while we employed <italic>S. brasiliensis</italic> yeast cells (antigen-specific stimulation), which could explain the discrepancy in the results. In addition, they did not employ immunodeficient animals or pharmacological blockers to confirm the relevance of these cells/cytokines in their model, hindering comparisons about functionality between their study and ours. Nonetheless, they observed that <italic>S. brasiliensis</italic> induced a weaker inflammatory response compared with <italic>S. schenckii-</italic>infected animals, which was associated with the induction of Tregs. The same authors have also shown that Tregs are actively repressing the clearance of <italic>S. schenckii</italic> (<xref ref-type="bibr" rid="B44">44</xref>), indicating that this might be a common denominator of <italic>S. brasiliensis-</italic>driven pathogenesis.</p>
<p>Finally, we acknowledge that we did not investigate the contribution of B cells and antibodies here. However, it also needs to be recognized that the relationship between humoral immunity and the pathogenesis of fungal infections in general is still a poorly explored territory. In the sporotrichosis field, the glycoprotein gp70 is well known as the main virulence factor and antigenic component of <italic>Sporothrix</italic> spp (<xref ref-type="bibr" rid="B45">45</xref>). Although anti-gp70 antibodies can ameliorate the infection severity (<xref ref-type="bibr" rid="B46">46</xref>), most of the studies have focused on their use as biomarkers for diagnosis (<xref ref-type="bibr" rid="B47">47</xref>) or vaccine targets for therapy (<xref ref-type="bibr" rid="B48">48</xref>) rather than on their role in the immunopathogenesis of the infection. Far more obscure is the connection between dectin-1/dectin-2 and antibody production; however, it is suggested that &#x3b2;-glucan-driven dectin-1 activation might help in the production of IgG1 antibodies by B cells (<xref ref-type="bibr" rid="B49">49</xref>). Nevertheless, the humoral immunity is a field worth exploring in future works.</p>
<p>In summary, we showed here that dectin-1 and dectin-2 are key determinants of host protection against <italic>S. brasiliensis</italic> infection. However, rather than shaping a classical T<sub>H</sub>17 response, they are involved in counterbalancing the immunosuppressed environment driven by the fungal pathogen. Our work paves the way for the exploration of these receptors and their associated signaling pathways as key targets to uncover new therapeutic strategies.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by the Institutional Animal Care and Use Committee of Chiba University (Approval number: A7-198). The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>FY: Investigation, Conceptualization, Writing &#x2013; original draft. SRA: Conceptualization, Resources, Writing &#x2013; review &amp; editing. SS: Conceptualization, Resources, Writing &#x2013; review &amp; editing, Supervision.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research and/or publication of this article. This work was supported by <italic>JSPS KAKENHI</italic> grant numbers 24K18433 (FSYY) and 25K10398 (SS), <italic>Joint Usage/Research Program of Medical Mycology Research Center, Chiba University</italic> grant number 25-05 (SRA), and <italic>FAPESP</italic> grant number 22/11944-9 (SRA). The funders had no role in study design, data collection and analysis, the decision to publish, or the preparation of the manuscript.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We thank Junko Minakuchi for technical assistance.</p>
</ack>
<sec id="s9" 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>
<p>The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</p>
</sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
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<title>Publisher&#x2019;s note</title>
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</sec>
<sec id="s12" 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/fimmu.2025.1668445/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2025.1668445/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gremi&#xe3;o</surname> <given-names>IDF</given-names>
</name>
<name>
<surname>Miranda</surname> <given-names>LHM</given-names>
</name>
<name>
<surname>Reis</surname> <given-names>EG</given-names>
</name>
<name>
<surname>Rodrigues</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Pereira</surname> <given-names>SA</given-names>
</name>
</person-group>. <article-title>Zoonotic epidemic of Sporotrichosis: cat to human transmission</article-title>. <source>PLoS Pathog</source>. (<year>2017</year>) <volume>13</volume>:<elocation-id>e1006077</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.ppat.1006077</pub-id>, PMID: <pub-id pub-id-type="pmid">28103311</pub-id></citation></ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>L&#xf3;pez-Romero</surname> <given-names>E</given-names>
</name>
<name>
<surname>Reyes-Montes M del</surname> <given-names>R</given-names>
</name>
<name>
<surname>P&#xe9;rez-Torres</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ruiz-Baca</surname> <given-names>E</given-names>
</name>
<name>
<surname>Villag&#xf3;mez-Castro</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Mora-Montes</surname> <given-names>HM</given-names>
</name>
<etal/>
</person-group>. <article-title>Sporothrix schenckii complex and sporotrichosis, an emerging health problem</article-title>. <source>Future Microbiol</source>. (<year>2011</year>) <volume>6</volume>:<fpage>85</fpage>&#x2013;<lpage>102</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.2217/fmb.10.157</pub-id>, PMID: <pub-id pub-id-type="pmid">21162638</pub-id></citation></ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rodrigues</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Gon&#xe7;alves</surname> <given-names>SS</given-names>
</name>
<name>
<surname>de Carvalho</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Borba-Santos</surname> <given-names>LP</given-names>
</name>
<name>
<surname>Rozental</surname> <given-names>S</given-names>
</name>
<name>
<surname>de Camargo</surname> <given-names>ZP</given-names>
</name>
</person-group>. <article-title>Current progress on epidemiology, diagnosis, and treatment of sporotrichosis and their future trends</article-title>. <source>J Fungi (Basel)</source>. (<year>2022</year>) <volume>8</volume>:<elocation-id>776</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jof8080776</pub-id>, PMID: <pub-id pub-id-type="pmid">35893145</pub-id></citation></ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Santos</surname> <given-names>MT</given-names>
</name>
<name>
<surname>Nascimento LF de</surname> <given-names>J</given-names>
</name>
<name>
<surname>Barbosa</surname> <given-names>AAT</given-names>
</name>
<name>
<surname>Martins</surname> <given-names>MP</given-names>
</name>
<name>
<surname>Tunon</surname> <given-names>GIL</given-names>
</name>
<name>
<surname>Santos</surname> <given-names>POM</given-names>
</name>
<etal/>
</person-group>. <article-title>The rising incidence of feline and cat-transmitted sporotrichosis in Latin America</article-title>. <source>Zoonoses Public Health</source>. (<year>2024</year>) <volume>71</volume>:<page-range>609&#x2013;19</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/zph.13169</pub-id>, PMID: <pub-id pub-id-type="pmid">39044549</pub-id></citation></ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xavier</surname> <given-names>MO</given-names>
</name>
<name>
<surname>Poester</surname> <given-names>VR</given-names>
</name>
<name>
<surname>Tr&#xe1;paga</surname> <given-names>MR</given-names>
</name>
<name>
<surname>Stevens</surname> <given-names>DA</given-names>
</name>
</person-group>. <article-title>Sporothrix brasiliensis: epidemiology, therapy, and recent developments</article-title>. <source>J Fungi (Basel)</source>. (<year>2023</year>) <volume>9</volume>:<elocation-id>921</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jof9090921</pub-id>, PMID: <pub-id pub-id-type="pmid">37755029</pub-id></citation></ref>
<ref id="B6">
<label>6</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Queiroz-Telles</surname> <given-names>F</given-names>
</name>
<name>
<surname>Bonifaz</surname> <given-names>A</given-names>
</name>
<name>
<surname>Rossow</surname> <given-names>J</given-names>
</name>
<name>
<surname>Chindamporn</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>
<italic>Sporothrix</italic> and sporotrichosis</article-title>. In: <person-group person-group-type="editor">
<name>
<surname>Rezaei</surname> <given-names>N</given-names>
</name>
</person-group>, editor. <source>Encyclopedia of Infection and Immunity</source>. <publisher-name>Elsevier</publisher-name>, <publisher-loc>Oxford</publisher-loc> (<year>2022</year>). p. <page-range>376&#x2013;96</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/B978-0-12-818731-9.00046-X</pub-id>
</citation></ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rossow</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Queiroz-Telles</surname> <given-names>F</given-names>
</name>
<name>
<surname>Caceres</surname> <given-names>DH</given-names>
</name>
<name>
<surname>Beer</surname> <given-names>KD</given-names>
</name>
<name>
<surname>Jackson</surname> <given-names>BR</given-names>
</name>
<name>
<surname>Pereira</surname> <given-names>JG</given-names>
</name>
<etal/>
</person-group>. <article-title>A one health approach to combatting Sporothrix brasiliensis: narrative review of an emerging zoonotic fungal pathogen in South America</article-title>. <source>J Fungi (Basel)</source>. (<year>2020</year>) <volume>6</volume>:<elocation-id>247</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jof6040247</pub-id>, PMID: <pub-id pub-id-type="pmid">33114609</pub-id></citation></ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Poester</surname> <given-names>VR</given-names>
</name>
<name>
<surname>Xavier</surname> <given-names>MO</given-names>
</name>
<name>
<surname>Munhoz</surname> <given-names>LS</given-names>
</name>
<name>
<surname>Basso</surname> <given-names>RP</given-names>
</name>
<name>
<surname>Zancop&#xe9;-Oliveira</surname> <given-names>RM</given-names>
</name>
<name>
<surname>Freitas</surname> <given-names>DFS</given-names>
</name>
<etal/>
</person-group>. <article-title>Sporothrix brasiliensis causing atypical Sporotrichosis in Brazil: A systematic review</article-title>. <source>J Fungi (Basel)</source>. (<year>2024</year>) <volume>10</volume>:<elocation-id>287</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jof10040287</pub-id>, PMID: <pub-id pub-id-type="pmid">38667958</pub-id></citation></ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dos Santos</surname> <given-names>GMP</given-names>
</name>
<name>
<surname>Borba-Santos</surname> <given-names>LP</given-names>
</name>
<name>
<surname>Vila</surname> <given-names>T</given-names>
</name>
<name>
<surname>Ferreira Gremi&#xe3;o</surname> <given-names>ID</given-names>
</name>
<name>
<surname>Pereira</surname> <given-names>SA</given-names>
</name>
<name>
<surname>De Souza</surname> <given-names>W</given-names>
</name>
<etal/>
</person-group>. <article-title>Sporothrix spp. Biofilms impact in the zoonotic transmission route: feline claws associated biofilms, itraconazole tolerance, and potential repurposing for miltefosine</article-title>. <source>Pathogens</source>. (<year>2022</year>) <volume>11</volume>:<elocation-id>206</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/pathogens11020206</pub-id>, PMID: <pub-id pub-id-type="pmid">35215149</pub-id></citation></ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>G&#xf3;mez-Gaviria</surname> <given-names>M</given-names>
</name>
<name>
<surname>Mart&#xed;nez-&#xc1;lvarez</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Mora-Montes</surname> <given-names>HM</given-names>
</name>
</person-group>. <article-title>Current progress in Sporothrix brasiliensis basic aspects</article-title>. <source>J Fungi (Basel)</source>. (<year>2023</year>) <volume>9</volume>:<elocation-id>533</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jof9050533</pub-id>, PMID: <pub-id pub-id-type="pmid">37233242</pub-id></citation></ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brubaker</surname> <given-names>SW</given-names>
</name>
<name>
<surname>Bonham</surname> <given-names>KS</given-names>
</name>
<name>
<surname>Zanoni</surname> <given-names>I</given-names>
</name>
<name>
<surname>Kagan</surname> <given-names>JC</given-names>
</name>
</person-group>. <article-title>Innate immune pattern recognition: a cell biological perspective</article-title>. <source>Annu Rev Immunol</source>. (<year>2015</year>) <volume>33</volume>:<page-range>257&#x2013;90</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev-immunol-032414-112240</pub-id>, PMID: <pub-id pub-id-type="pmid">25581309</pub-id></citation></ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rossato</surname> <given-names>L</given-names>
</name>
<name>
<surname>Silvana Dos Santos</surname> <given-names>S</given-names>
</name>
<name>
<surname>Ferreira</surname> <given-names>LG</given-names>
</name>
<name>
<surname>Rog&#xe9;rio de Almeida</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>The impact of the absence of Toll-like receptor-2 during Sporothrix brasiliensis infection</article-title>. <source>J Med Microbiol</source>. (<year>2019</year>) <volume>68</volume>:<fpage>87</fpage>&#x2013;<lpage>94</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1099/jmm.0.000876</pub-id>, PMID: <pub-id pub-id-type="pmid">30451650</pub-id></citation></ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rossato</surname> <given-names>L</given-names>
</name>
<name>
<surname>Santos</surname> <given-names>SSD</given-names>
</name>
<name>
<surname>Ferreira</surname> <given-names>LG</given-names>
</name>
<name>
<surname>de Almeida</surname> <given-names>SR</given-names>
</name>
</person-group>. <article-title>The importance of Toll-like receptor 4 during experimental Sporothrix brasiliensis infection</article-title>. <source>Med Mycol</source>. (<year>2019</year>) <volume>57</volume>:<page-range>489&#x2013;95</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/mmy/myy048</pub-id>, PMID: <pub-id pub-id-type="pmid">30085101</pub-id></citation></ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Neves</surname> <given-names>GWP</given-names>
</name>
<name>
<surname>Wong</surname> <given-names>SSW</given-names>
</name>
<name>
<surname>Aimanianda</surname> <given-names>V</given-names>
</name>
<name>
<surname>Simenel</surname> <given-names>C</given-names>
</name>
<name>
<surname>Guijarro</surname> <given-names>JI</given-names>
</name>
<name>
<surname>Walls</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Complement-mediated differential immune response of human macrophages to Sporothrix species through interaction with their cell wall peptidorhamnomannans</article-title>. <source>Front Immunol</source>. (<year>2021</year>) <volume>12</volume>:<elocation-id>749074</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2021.749074</pub-id>, PMID: <pub-id pub-id-type="pmid">34867977</pub-id></citation></ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yoshikawa</surname> <given-names>FS</given-names>
</name>
<name>
<surname>Yabe</surname> <given-names>R</given-names>
</name>
<name>
<surname>Iwakura</surname> <given-names>Y</given-names>
</name>
<name>
<surname>de Almeida</surname> <given-names>SR</given-names>
</name>
<name>
<surname>Saijo</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Dectin-1 and Dectin-2 promote control of the fungal pathogen Trichophyton rubrum independently of IL-17 and adaptive immunity in experimental deep dermatophytosis</article-title>. <source>Innate Immun</source>. (<year>2016</year>) <volume>22</volume>:<page-range>316&#x2013;24</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/1753425916645392</pub-id>, PMID: <pub-id pub-id-type="pmid">27189427</pub-id></citation></ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yoshikawa</surname> <given-names>FSY</given-names>
</name>
<name>
<surname>Wakatsuki</surname> <given-names>M</given-names>
</name>
<name>
<surname>Yoshida</surname> <given-names>K</given-names>
</name>
<name>
<surname>Yabe</surname> <given-names>R</given-names>
</name>
<name>
<surname>Torigoe</surname> <given-names>S</given-names>
</name>
<name>
<surname>Yamasaki</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>Dectin-1/IL-15 Pathway Affords Protection against Extrapulmonary Aspergillus fumigatus Infection by Regulating Natural Killer Cell Survival</article-title>. <source>J Innate Immun</source>. (<year>2023</year>) <volume>15</volume>:<fpage>397</fpage>&#x2013;<lpage>411</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1159/000527188</pub-id>, PMID: <pub-id pub-id-type="pmid">36657412</pub-id></citation></ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Shen</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>T</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>XQ</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>SY</given-names>
</name>
<etal/>
</person-group>. <article-title>Dectin-1 plays an important role in host defense against systemic Candida glabrata infection</article-title>. <source>Virulence</source>. (<year>2017</year>) <volume>8</volume>:<page-range>1643&#x2013;56</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/21505594.2017.1346756</pub-id>, PMID: <pub-id pub-id-type="pmid">28658592</pub-id></citation></ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Saijo</surname> <given-names>S</given-names>
</name>
<name>
<surname>Ikeda</surname> <given-names>S</given-names>
</name>
<name>
<surname>Yamabe</surname> <given-names>K</given-names>
</name>
<name>
<surname>Kakuta</surname> <given-names>S</given-names>
</name>
<name>
<surname>Ishigame</surname> <given-names>H</given-names>
</name>
<name>
<surname>Akitsu</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Dectin-2 Recognition of &#x3b1;-Mannans and Induction of Th17 Cell Differentiation Is Essential for Host Defense against Candida albicans</article-title>. <source>Immunity</source>. (<year>2010</year>) <volume>32</volume>:<page-range>681&#x2013;91</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2010.05.001</pub-id>, PMID: <pub-id pub-id-type="pmid">20493731</pub-id></citation></ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dutta</surname> <given-names>O</given-names>
</name>
<name>
<surname>Espinosa</surname> <given-names>V</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>K</given-names>
</name>
<name>
<surname>Avina</surname> <given-names>S</given-names>
</name>
<name>
<surname>Rivera</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Dectin-1 promotes type I and III interferon expression to support optimal antifungal immunity in the lung</article-title>. <source>Front Cell Infect Microbiol</source>. (<year>2020</year>) <volume>10</volume>:<elocation-id>321</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fcimb.2020.00321</pub-id>, PMID: <pub-id pub-id-type="pmid">32733815</pub-id></citation></ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ishikawa</surname> <given-names>T</given-names>
</name>
<name>
<surname>Itoh</surname> <given-names>F</given-names>
</name>
<name>
<surname>Yoshida</surname> <given-names>S</given-names>
</name>
<name>
<surname>Saijo</surname> <given-names>S</given-names>
</name>
<name>
<surname>Matsuzawa</surname> <given-names>T</given-names>
</name>
<name>
<surname>Gonoi</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>Identification of distinct ligands for the C-type lectin receptors mincle and dectin-2 in the pathogenic fungus malassezia</article-title>. <source>Cell Host Microbe</source>. (<year>2013</year>) <volume>13</volume>:<page-range>477&#x2013;88</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.chom.2013.03.008</pub-id>, PMID: <pub-id pub-id-type="pmid">23601109</pub-id></citation></ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Saijo</surname> <given-names>S</given-names>
</name>
<name>
<surname>Iwakura</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>Dectin-1 and Dectin-2 in innate immunity against fungi</article-title>. <source>Int Immunol</source>. (<year>2011</year>) <volume>23</volume>:<page-range>467&#x2013;72</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/intimm/dxr046</pub-id>, PMID: <pub-id pub-id-type="pmid">21677049</pub-id></citation></ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Galv&#xe1;n-Hern&#xe1;ndez</surname> <given-names>AK</given-names>
</name>
<name>
<surname>G&#xf3;mez-Gaviria</surname> <given-names>M</given-names>
</name>
<name>
<surname>Mart&#xed;nez-Duncker</surname> <given-names>I</given-names>
</name>
<name>
<surname>Mart&#xed;nez-&#xc1;lvarez</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Mora-Montes</surname> <given-names>HM</given-names>
</name>
</person-group>. <article-title>Differential recognition of clinically relevant sporothrix species by human granulocytes</article-title>. <source>J Fungi (Basel)</source>. (<year>2023</year>) <volume>9</volume>:<elocation-id>986</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jof9100986</pub-id>, PMID: <pub-id pub-id-type="pmid">37888242</pub-id></citation></ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>G&#xf3;mez-Gaviria</surname> <given-names>M</given-names>
</name>
<name>
<surname>Mart&#xed;nez-Duncker</surname> <given-names>I</given-names>
</name>
<name>
<surname>Garc&#xed;a-Carnero</surname> <given-names>LC</given-names>
</name>
<name>
<surname>Mora-Montes</surname> <given-names>HM</given-names>
</name>
</person-group>. <article-title>Differential Recognition of Sporothrix schenckii, Sporothrix brasiliensis, and Sporothrix globosa by Human Monocyte-Derived Macrophages and Dendritic Cells</article-title>. <source>Infect Drug Resist</source>. (<year>2023</year>) <volume>16</volume>:<page-range>4817&#x2013;34</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2147/IDR.S419629</pub-id>, PMID: <pub-id pub-id-type="pmid">37520448</pub-id></citation></ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Prosser</surname> <given-names>A</given-names>
</name>
<name>
<surname>Dart</surname> <given-names>S</given-names>
</name>
<name>
<surname>Larma-Cornwall</surname> <given-names>I</given-names>
</name>
<name>
<surname>Lucas</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Flow cytometric characterization of tissue-resident lymphocytes after murine liver and heart transplantation</article-title>. <source>STAR Protoc</source>. (<year>2021</year>) <volume>2</volume>:<elocation-id>100810</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.xpro.2021.100810</pub-id>, PMID: <pub-id pub-id-type="pmid">34568841</pub-id></citation></ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vargas-Mac&#xed;as</surname> <given-names>AP</given-names>
</name>
<name>
<surname>G&#xf3;mez-Gaviria</surname> <given-names>M</given-names>
</name>
<name>
<surname>Garc&#xed;a-Carnero</surname> <given-names>LC</given-names>
</name>
<name>
<surname>Mora-Montes</surname> <given-names>HM</given-names>
</name>
</person-group>. <article-title>Current models to study the sporothrix-host interaction</article-title>. <source>Front Fungal Biol</source>. (<year>2022</year>) <volume>3</volume>:<elocation-id>833111</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/ffunb.2022.833111</pub-id>, PMID: <pub-id pub-id-type="pmid">37746241</pub-id></citation></ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vinh</surname> <given-names>DC</given-names>
</name>
</person-group>. <article-title>Human immunity to fungal infections</article-title>. <source>J Exp Med</source>. (<year>2025</year>) <volume>222</volume>:<elocation-id>e20241215</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20241215</pub-id>, PMID: <pub-id pub-id-type="pmid">40232283</pub-id></citation></ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Conti</surname> <given-names>HR</given-names>
</name>
<name>
<surname>Gaffen</surname> <given-names>SL</given-names>
</name>
</person-group>. <article-title>IL-17-mediated immunity to the opportunistic fungal pathogen Candida albicans</article-title>. <source>J Immunol</source>. (<year>2015</year>) <volume>195</volume>:<page-range>780&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4049/jimmunol.1500909</pub-id>, PMID: <pub-id pub-id-type="pmid">26188072</pub-id></citation></ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Geijtenbeek</surname> <given-names>TBH</given-names>
</name>
<name>
<surname>Gringhuis</surname> <given-names>SI</given-names>
</name>
</person-group>. <article-title>C-type lectin receptors in the control of T helper cell differentiation</article-title>. <source>Nat Rev Immunol</source>. (<year>2016</year>) <volume>16</volume>:<page-range>433&#x2013;48</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri.2016.55</pub-id>, PMID: <pub-id pub-id-type="pmid">27291962</pub-id></citation></ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hasegawa</surname> <given-names>H</given-names>
</name>
<name>
<surname>Matsumoto</surname> <given-names>T</given-names>
</name>
</person-group>. <article-title>Mechanisms of tolerance induction by dendritic cells <italic>in vivo</italic>
</article-title>. <source>Front Immunol</source>. (<year>2018</year>) <volume>9</volume>:<elocation-id>350</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2018.00350</pub-id>, PMID: <pub-id pub-id-type="pmid">29535726</pub-id></citation></ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Coste</surname> <given-names>AT</given-names>
</name>
<name>
<surname>Imbert</surname> <given-names>C</given-names>
</name>
<name>
<surname>Hennequin</surname> <given-names>C</given-names>
</name>
</person-group>. <article-title>Candida auris, an emerging and disturbing yeast</article-title>. <source>J Mycol Med</source>. (<year>2019</year>) <volume>29</volume>:<page-range>105&#x2013;6</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.mycmed.2019.05.002</pub-id>, PMID: <pub-id pub-id-type="pmid">31178041</pub-id></citation></ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Uhrla&#xdf;</surname> <given-names>S</given-names>
</name>
<name>
<surname>Verma</surname> <given-names>SB</given-names>
</name>
<name>
<surname>Gr&#xe4;ser</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Rezaei-Matehkolaei</surname> <given-names>A</given-names>
</name>
<name>
<surname>Hatami</surname> <given-names>M</given-names>
</name>
<name>
<surname>Schaller</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Trichophyton indotineae-an emerging pathogen causing recalcitrant dermatophytoses in India and worldwide-A multidimensional perspective</article-title>. <source>J Fungi (Basel)</source>. (<year>2022</year>) <volume>8</volume>:<elocation-id>757</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jof8070757</pub-id>, PMID: <pub-id pub-id-type="pmid">35887512</pub-id></citation></ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ikeda</surname> <given-names>MAK</given-names>
</name>
<name>
<surname>de Almeida</surname> <given-names>JRF</given-names>
</name>
<name>
<surname>Jannuzzi</surname> <given-names>GP</given-names>
</name>
<name>
<surname>Cronemberger-Andrade</surname> <given-names>A</given-names>
</name>
<name>
<surname>Torrecilhas</surname> <given-names>ACT</given-names>
</name>
<name>
<surname>Moretti</surname> <given-names>NS</given-names>
</name>
<etal/>
</person-group>. <article-title>Extracellular vesicles from Sporothrix brasiliensis are an important virulence factor that induce an increase in fungal burden in experimental sporotrichosis</article-title>. <source>Front Microbiol</source>. (<year>2018</year>) <volume>9</volume>:<elocation-id>2286</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmicb.2018.02286</pub-id>, PMID: <pub-id pub-id-type="pmid">30333803</pub-id></citation></ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Campos</surname> <given-names>RMS</given-names>
</name>
<name>
<surname>Jannuzzi</surname> <given-names>GP</given-names>
</name>
<name>
<surname>Ikeda</surname> <given-names>MAK</given-names>
</name>
<name>
<surname>de Almeida</surname> <given-names>SR</given-names>
</name>
<name>
<surname>Ferreira</surname> <given-names>KS</given-names>
</name>
</person-group>. <article-title>Extracellular vesicles from Sporothrix brasiliensis yeast cells increases fungicidal activity in macrophages</article-title>. <source>Mycopathologia</source>. (<year>2021</year>) <volume>186</volume>:<page-range>807&#x2013;18</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s11046-021-00585-7</pub-id>, PMID: <pub-id pub-id-type="pmid">34498138</pub-id></citation></ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Castro</surname> <given-names>RA</given-names>
</name>
<name>
<surname>Kubitschek-Barreira</surname> <given-names>PH</given-names>
</name>
<name>
<surname>Teixeira</surname> <given-names>PAC</given-names>
</name>
<name>
<surname>Sanches</surname> <given-names>GF</given-names>
</name>
<name>
<surname>Teixeira</surname> <given-names>MM</given-names>
</name>
<name>
<surname>Quintella</surname> <given-names>LP</given-names>
</name>
<etal/>
</person-group>. <article-title>Differences in cell morphometry, cell wall topography and gp70 expression correlate with the virulence of Sporothrix brasiliensis clinical isolates</article-title>. <source>PLoS One</source>. (<year>2013</year>) <volume>8</volume>:<elocation-id>e75656</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0075656</pub-id>, PMID: <pub-id pub-id-type="pmid">24116065</pub-id></citation></ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lopes-Bezerra</surname> <given-names>LM</given-names>
</name>
<name>
<surname>Walker</surname> <given-names>LA</given-names>
</name>
<name>
<surname>Ni&#xf1;o-Vega</surname> <given-names>G</given-names>
</name>
<name>
<surname>Mora-Montes</surname> <given-names>HM</given-names>
</name>
<name>
<surname>Neves</surname> <given-names>GWP</given-names>
</name>
<name>
<surname>Villalobos-Duno</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>Cell walls of the dimorphic fungal pathogens Sporothrix schenckii and Sporothrix brasiliensis exhibit bilaminate structures and sloughing of extensive and intact layers</article-title>. <source>PLoS Negl Trop Dis</source>. (<year>2018</year>) <volume>12</volume>:<elocation-id>e0006169</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pntd.0006169</pub-id>, PMID: <pub-id pub-id-type="pmid">29522522</pub-id></citation></ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garc&#xed;a-Carnero</surname> <given-names>LC</given-names>
</name>
<name>
<surname>Mart&#xed;nez-Duncker</surname> <given-names>I</given-names>
</name>
<name>
<surname>G&#xf3;mez-Gaviria</surname> <given-names>M</given-names>
</name>
<name>
<surname>Mora-Montes</surname> <given-names>HM</given-names>
</name>
</person-group>. <article-title>Differential recognition of clinically relevant sporothrix species by human mononuclear cells</article-title>. <source>J Fungi (Basel)</source>. (<year>2023</year>) <volume>9</volume>:<elocation-id>448</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jof9040448</pub-id>, PMID: <pub-id pub-id-type="pmid">37108903</pub-id></citation></ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kischkel</surname> <given-names>B</given-names>
</name>
<name>
<surname>Lopes-Bezerra</surname> <given-names>L</given-names>
</name>
<name>
<surname>Taborda</surname> <given-names>CP</given-names>
</name>
<name>
<surname>Joosten</surname> <given-names>LAB</given-names>
</name>
<name>
<surname>Dos Santos</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Netea</surname> <given-names>MG</given-names>
</name>
</person-group>. <article-title>Differential recognition and cytokine induction by the peptidorhamnomannan from Sporothrix brasiliensis and S. Schenckii</article-title>. <source>Cell Immunol</source>. (<year>2022</year>) <volume>378</volume>:<elocation-id>104555</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cellimm.2022.104555</pub-id>, PMID: <pub-id pub-id-type="pmid">35696852</pub-id></citation></ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gow</surname> <given-names>NAR</given-names>
</name>
<name>
<surname>Netea</surname> <given-names>MG</given-names>
</name>
<name>
<surname>Munro</surname> <given-names>CA</given-names>
</name>
<name>
<surname>Ferwerda</surname> <given-names>G</given-names>
</name>
<name>
<surname>Bates</surname> <given-names>S</given-names>
</name>
<name>
<surname>Mora-Montes</surname> <given-names>HM</given-names>
</name>
<etal/>
</person-group>. <article-title>Immune recognition of Candida albicans beta-glucan by dectin-1</article-title>. <source>J Infect Dis</source>. (<year>2007</year>) <volume>196</volume>:<page-range>1565&#x2013;71</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1086/523110</pub-id>, PMID: <pub-id pub-id-type="pmid">18008237</pub-id></citation></ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Adamopoulos</surname> <given-names>IE</given-names>
</name>
<name>
<surname>Kuchroo</surname> <given-names>V</given-names>
</name>
</person-group>. <article-title>IL-17A and IL-17F in tissue homeostasis, inflammation and regeneration</article-title>. <source>Nat Rev Rheumatol</source>. (<year>2023</year>) <volume>19</volume>:<page-range>535&#x2013;6</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41584-023-01004-5</pub-id>, PMID: <pub-id pub-id-type="pmid">37488297</pub-id></citation></ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ramani</surname> <given-names>K</given-names>
</name>
<name>
<surname>Biswas</surname> <given-names>PS</given-names>
</name>
</person-group>. <article-title>Interleukin-17: Friend or foe in organ fibrosis</article-title>. <source>Cytokine</source>. (<year>2019</year>) <volume>120</volume>:<page-range>282&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cyto.2018.11.003</pub-id>, PMID: <pub-id pub-id-type="pmid">30772195</pub-id></citation></ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>W</given-names>
</name>
<name>
<surname>Hou</surname> <given-names>X</given-names>
</name>
<name>
<surname>Gu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Gui</surname> <given-names>L</given-names>
</name>
<etal/>
</person-group>. <article-title>IL-17 neutralization significantly ameliorates hepatic granulomatous inflammation and liver damage in Schistosoma japonicum infected mice</article-title>. <source>Eur J Immunol</source>. (<year>2012</year>) <volume>42</volume>:<page-range>1523&#x2013;35</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/eji.201141933</pub-id>, PMID: <pub-id pub-id-type="pmid">22678906</pub-id></citation></ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cua</surname> <given-names>DJ</given-names>
</name>
<name>
<surname>Tato</surname> <given-names>CM</given-names>
</name>
</person-group>. <article-title>Innate IL-17-producing cells: the sentinels of the immune system</article-title>. <source>Nat Rev Immunol</source>. (<year>2010</year>) <volume>10</volume>:<page-range>479&#x2013;89</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri2800</pub-id>, PMID: <pub-id pub-id-type="pmid">20559326</pub-id></citation></ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Batista-Duharte</surname> <given-names>A</given-names>
</name>
<name>
<surname>T&#xe9;llez-Mart&#xed;nez</surname> <given-names>D</given-names>
</name>
<name>
<surname>Roberto de Andrade</surname> <given-names>C</given-names>
</name>
<name>
<surname>Portuondo</surname> <given-names>DL</given-names>
</name>
<name>
<surname>Jellmayer</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Polesi</surname> <given-names>MC</given-names>
</name>
<etal/>
</person-group>. <article-title>Sporothrix brasiliensis induces a more severe disease associated with sustained Th17 and regulatory T cells responses than Sporothrix schenckii sensu stricto in mice</article-title>. <source>Fungal Biol</source>. (<year>2018</year>) <volume>122</volume>:<page-range>1163&#x2013;70</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.funbio.2018.08.004</pub-id>, PMID: <pub-id pub-id-type="pmid">30449354</pub-id></citation></ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Batista-Duharte</surname> <given-names>A</given-names>
</name>
<name>
<surname>T&#xe9;llez-Mart&#xed;nez</surname> <given-names>D</given-names>
</name>
<name>
<surname>de Andrade</surname> <given-names>CR</given-names>
</name>
<name>
<surname>Polesi</surname> <given-names>MC</given-names>
</name>
<name>
<surname>Portuondo</surname> <given-names>DL</given-names>
</name>
<name>
<surname>Carlos</surname> <given-names>IZ</given-names>
</name>
</person-group>. <article-title>Transient Foxp3(+) regulatory T-cell depletion enhances protective Th1/Th17 immune response in murine sporotrichosis caused by Sporothrix schenckii</article-title>. <source>Immunobiology</source>. (<year>2020</year>) <volume>225</volume>:<elocation-id>151993</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.imbio.2020.151993</pub-id>, PMID: <pub-id pub-id-type="pmid">32962813</pub-id></citation></ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Padr&#xf3;-Villegas</surname> <given-names>L</given-names>
</name>
<name>
<surname>G&#xf3;mez-Gaviria</surname> <given-names>M</given-names>
</name>
<name>
<surname>Mart&#xed;nez-Duncker</surname> <given-names>I</given-names>
</name>
<name>
<surname>L&#xf3;pez-Ram&#xed;rez</surname> <given-names>LA</given-names>
</name>
<name>
<surname>Mart&#xed;nez-&#xc1;lvarez</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Ni&#xf1;o-Vega</surname> <given-names>GA</given-names>
</name>
<etal/>
</person-group>. <article-title>Sporothrix brasiliensis Gp70 is a cell wall protein required for adhesion, proper interaction with innate immune cells, and virulence</article-title>. <source>Cell Surf</source>. (<year>2025</year>) <volume>13</volume>:<elocation-id>100139</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.tcsw.2024.100139</pub-id>, PMID: <pub-id pub-id-type="pmid">39866864</pub-id></citation></ref>
<ref id="B46">
<label>46</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>de Almeida</surname> <given-names>JRF</given-names>
</name>
<name>
<surname>Kaihami</surname> <given-names>GH</given-names>
</name>
<name>
<surname>Jannuzzi</surname> <given-names>GP</given-names>
</name>
<name>
<surname>de Almeida</surname> <given-names>SR</given-names>
</name>
</person-group>. <article-title>Therapeutic vaccine using a monoclonal antibody against a 70-kDa glycoprotein in mice infected with highly virulent Sporothrix schenckii and Sporothrix brasiliensis</article-title>. <source>Med Mycol</source>. (<year>2015</year>) <volume>53</volume>:<fpage>42</fpage>&#x2013;<lpage>50</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/mmy/myu049</pub-id>, PMID: <pub-id pub-id-type="pmid">25533623</pub-id></citation></ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rodrigues</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Fernandes</surname> <given-names>GF</given-names>
</name>
<name>
<surname>Araujo</surname> <given-names>LM</given-names>
</name>
<name>
<surname>Della Terra</surname> <given-names>PP</given-names>
</name>
<name>
<surname>dos Santos</surname> <given-names>PO</given-names>
</name>
<name>
<surname>Pereira</surname> <given-names>SA</given-names>
</name>
<etal/>
</person-group>. <article-title>Proteomics-based characterization of the humoral immune response in sporotrichosis: toward discovery of potential diagnostic and vaccine antigens</article-title>. <source>PLoS Negl Trop Dis</source>. (<year>2015</year>) <volume>9</volume>:<elocation-id>e0004016</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pntd.0004016</pub-id>, PMID: <pub-id pub-id-type="pmid">26305691</pub-id></citation></ref>
<ref id="B48">
<label>48</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>de Almeida</surname> <given-names>JRF</given-names>
</name>
<name>
<surname>Jannuzzi</surname> <given-names>GP</given-names>
</name>
<name>
<surname>Kaihami</surname> <given-names>GH</given-names>
</name>
<name>
<surname>Breda</surname> <given-names>LCD</given-names>
</name>
<name>
<surname>Ferreira</surname> <given-names>KS</given-names>
</name>
<name>
<surname>de Almeida</surname> <given-names>SR</given-names>
</name>
</person-group>. <article-title>An immunoproteomic approach revealing peptides from Sporothrix brasiliensis that induce a cellular immune response in subcutaneous sporotrichosis</article-title>. <source>Sci Rep</source>. (<year>2018</year>) <volume>8</volume>:<fpage>4192</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-018-22709-8</pub-id>, PMID: <pub-id pub-id-type="pmid">29520092</pub-id></citation></ref>
<ref id="B49">
<label>49</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Seo</surname> <given-names>B-S</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>S-H</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>J-E</given-names>
</name>
<name>
<surname>Yoo</surname> <given-names>Y-C</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>J</given-names>
</name>
<name>
<surname>Park</surname> <given-names>S-R</given-names>
</name>
</person-group>. <article-title>Dectin-1 stimulation selectively reinforces LPS-driven IgG1 production by mouse B cells</article-title>. <source>Immune Netw</source>. (<year>2013</year>) <volume>13</volume>:<page-range>205&#x2013;12</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4110/in.2013.13.5.205</pub-id>, PMID: <pub-id pub-id-type="pmid">24198746</pub-id></citation></ref>
</ref-list>
</back>
</article>