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                  <mods:namePart>Zaragoza, Oscar</mods:namePart>
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                  <mods:namePart>Alspaugh, J Andrew</mods:namePart>
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                  <mods:namePart>Pirofski, Liise-Anne</mods:namePart>
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               <mods:identifier type="citation">Trevijano-Contador N, Pianalto KMNichols CBZaragoza O, Alspaugh JA, Pirofski L 2020. Human IgM Inhibits the Formation of Titan-Like Cells in Cryptococcus neoformans. Infect Immun 88:10.1128/iai.00046-20. https://doi.org/10.1128/iai.00046-20</mods:identifier>
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               <mods:identifier type="journal">Infection and Immunity</mods:identifier>
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               <mods:identifier type="uri">https://hdl.handle.net/20.500.12105/27133</mods:identifier>
               <mods:abstract>Human studies have shown associations between cryptococcal meningitis and reduced IgM memory B cell levels, and studies in IgM- and/or B cell-deficient mice have demonstrated increased  dissemination from lungs to brain. Since immunoglobulins are part of the immune milieu that  confronts in a human host, and its ability to form titan cells is an important virulence mechanism, we determined the effect of human immunoglobulins on  titan cell formation  (i) Fluorescence microscopy showed normal human IgG and IgM bind  (ii)  grown in titan cell-inducing medium with IgM, not IgG, inhibited titan-like cell formation. (iii) Absorption of IgM with laminarin or curdlan (branched and linear 1-3-beta-d-glucans, respectively) decreased this effect. (iv) Transmission electron microscopy revealed that cells grown with IgM had small capsules and unique features not seen with cells grown with IgG. (v) Comparative transcriptional analysis of cell wall, capsule, and stress response genes showed that  grown with IgM, not IgG or phosphate-buffered saline (PBS), had decreased expression of chitin synthetase, , , and , and genes encoding cell wall carbohydrate synthetases α-1-3-glucan () and β-1,3-glucan (). IgM also decreased expression of  and , genes encoding central regulators of  stress response pathways and cell morphogenesis. Our data show human IgM affects  morphology  and suggest that the hypothesis that human immunoglobulins may affect  virulence  warrants further investigation.</mods:abstract>
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                  <mods:topic>Cryptococcus neoformans</mods:topic>
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                  <mods:topic>IgG</mods:topic>
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               <mods:subject>
                  <mods:topic>IgM</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>IgM memory B cells</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Beta glucans</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Capsule</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Cell wall</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Cryptococcosis</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Natural antibodies</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Titan cells</mods:topic>
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                  <mods:title>Human IgM Inhibits the Formation of Titan-Like Cells in Cryptococcus neoformans.</mods:title>
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