Document 0440 DOCN M9440440 TI A novel in situ model to study Pneumocystis carinii adhesion to lung alveolar epithelial cells. DT 9404 AU Pavia-Ruz N; Ortega-Barria E; Alroy J; Pereira ME; Department of Medicine, New England Medical Center Hospitals,; Boston, MA 02111. SO J Immunol Methods. 1994 Jan 3;167(1-2):161-71. Unique Identifier : AIDSLINE MED/94141191 AB Pneumocystis carinii, an extracellular parasite thriving in the lungs of immunosuppressed mammals, is a major cause of death in AIDS patients in the USA. As a prelude to growth, the parasite adheres mostly to type I pneumocytes lining the alveolar spaces. The mechanism of adherence remains unknown, largely because of difficulties in isolating type I pneumocytes and maintaining them in vitro. As a first step to understand P. carinii adherence to its natural substrate, we developed an in situ method to directly study parasite binding to lung alveolar cells. We used formaldehyde-fixed paraffin-embedded sections of normal rat lung as substrate for adhesion. As in its binding to the lungs in vivo, P. carinii adhered preferentially to type I pneumocytes. Adherence was saturable, time and dose dependent, and selectively blocked by glycoconjugates, in particular bovine submaxillary mucin, fetuin, and asialofetuin, suggesting that it may be mediated by a lectin type of interaction. Further, IgG of rats with P. carinii pneumonia inhibited adherence, suggesting that it may react with parasite ligands involved in the recognition of type I cell receptors. Our results demonstrate the usefulness of the in situ model for studying the mechanisms of P. carinii adherence to alveolar cells. In addition, this method may be valuable for identifying neutralizing antibodies and drugs potentially useful for controlling the infection in vivo. DE Animal Antibodies, Fungal/PHARMACOLOGY Carbohydrates/PHARMACOLOGY Cell Adhesion/DRUG EFFECTS/*PHYSIOLOGY Cell Line Comparative Study Fluorescein-5-isothiocyanate Glycoproteins/PHARMACOLOGY Histocytological Preparation Techniques Human Lectins *Models, Biological Pneumocystis carinii/CYTOLOGY/IMMUNOLOGY/*PHYSIOLOGY Pulmonary Alveoli/CYTOLOGY/*PHYSIOLOGY Rats Stains and Staining Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).