Chronic pulmonary aspergillosis (CPA) is a serious disease that occurs secondary to tuberculosis and is estimated to affect 1.2 million persons globally. Pulmonary aspergillosis is found in 2-3% of all AIDS autopsies, but 90% of cases go undiagnosed ante-mortem. Here the sensitivity and specificity of optimal diagnostic thresholds for CPA have been defined in relation to six Aspergillus-specific IgG assays. The prevalence of CPA in an area of high tuberculosis prevalence has been measured. Receiver operating characteristic (ROC) curves were used to compare results of testing with six Aspergillus-specific IgG assays in 241 patients with CPA and 100 healthy controls. ThermoFisher Scientific ImmunoCAP and Siemens Immulite had ROC area under curve (AUC) results of 0.995 and 0.991 respectively. Both were statistically significantly superior to all other assays. Both had a sensitivity of 96% and specificity of 98% using diagnostic cut offs of 20 mg/L and 10 mg/L respectively. Eighty patients with allergic bronchopulmonary aspergillosis (ABPA) were also assessed. ROC AUC results were 0.959 for ImmunoCAP and 0.932 for Immulite. The new thresholds produced specificities of 98% for both assays and sensitivities of 78% and 81% respectively. Levels in ABPA patients were also compared to asthmatic controls.398 patients with treated tuberculosis in Gulu, Uganda were assessed in a cross-sectional survey. CCPA diagnostic criteria were; 1 – Cough or haemoptysis for one month, 2 – Progressive cavitation on serial chest X-ray or either paracavitary fibrosis or aspergilloma on CT scan and 3 – Raised Siemens Immulite Aspergillus-specific IgG. All three were required for diagnosis. CCPA was present in 5.7% of patients and simple aspergilloma in 0.7% of patients. There was a non-significant trend to less frequent CCPA in HIV positive patients (p=0.18). Aspergillus-specific IgG levels were measured in stored sera from two adult in patient groups at Mulago Hospital, Kampala, Uganda. 26% of 39 patients with HIV infection and subacute respiratory illness and no diagnosis after extensive investigation had raised levels. 47% of 57 patients with proven active pulmonary tuberculosis had raised levels. The Immulite and ImmunoCAP assays both have good sensitivity and specificity for the diagnosis of CPA. New diagnostic thresholds improve the performance of all assays. CCPA has been shown to complicate pulmonary tuberculosis in Gulu, Uganda. Subacute invasive pulmonary aspergillosis is likely to affect many patients with AIDS and subacute respiratory illness. CPA may begin during active pulmonary tuberculosis infection. CPA associated with tuberculosis constitutes a significant unrecognized public health problem, which is probably being incorrectly identified as ‘smear-negative tuberculosis’ clinically and in public health data. Prospective studies are now needed to confirm the prevalence of CPA secondary to tuberculosis and define the optimal strategy for routine CPA screening, followed by studies to define optimal treatment regimes for use in research poor-settings, where most cases of CPA are likely to occur.

Septins are a family of GTP-binding proteins, and although highly conserved throughout many eukaryotes, their functions vary across species. In Aspergillus fumigatus, the etiological agent of invasive aspergillosis, septins participate in a variety of roles such as cell wall organization of conidia, septation, and response to anti-cell wall stress. Previous studies determined that the ∆aspB strain had a greater sensitivity to anti-cell wall drugs, especially the echinocandin caspofungin, yet mechanisms behind this augmented sensitivity are unknown. We performed cell viability staining post-caspofungin exposure and found that the ∆aspA, ∆aspB, and ∆aspC strains showed significant reduction in cell viability. Concomitant with the reduced viability, deletion strains are more susceptible to caspofungin on solid media. These results indicate that the septin cytoskeleton is important for A. fumigatus survival in the presence of caspofungin. Due to the potential of improved therapeutic outcome, we followed up using a neutropenic murine model of invasive aspergillosis. Deletion of the aspB gene resulted in improved survival when treated with caspofungin when compared to the akuBKU80 wild-type or untreated ∆aspB strains. Quantitative proteomics analyses were used to find proteins involved in the septin-dependent adaptation to caspofungin. We identified four candidates with roles in cell wall integrity. Deletion of these candidate genes resulted in increase in susceptibility to caspofungin and moderate reduction in viability post drug exposure. Taken together, these data suggest that septin AspB is essential in mediating the fungistatic response to caspofungin.

Aspergillus fumigatus is a filamentous fungus and the main pathogen responsible for the often fatal respiratory condition, aspergillosis. Airway epithelial cells (AECs) are likely to be the first line of host defence that come into contact with the inhaled conidia of A. fumigatus. Recent evidence strongly suggests that the response of the airway epithelium to inhaled pathogens is pivotal in orchestrating immune responses by inducing phagocytic-like reactions and the secretion of inflammatory cytokines and antimicrobial peptides. However, the majority of previous work investigating A. fumigatus-host interactions has been performed using macrophages and neutrophils, thereby neglecting the epithelium. AECs have been shown to secrete inflammatory cytokines in response to A. fumigatus although these studies predominantly used transformed AEC lines that lack tight junctions and do not fully differentiate. Furthermore, most studies used culture filtrate or extract of A. fumigatus rather than live, whole organism and as a result, the direct interaction of the germinating fungus and the airway epithelium has been overlooked. During the early germination and growth period, the cell wall composition of A. fumigatus is dynamic, with various antigens exposed at different morphological stages. The aim of this thesis was to determine whether AECsare able to alter the germination and growth rate of A. fumigatus, and, conversely, if A. fumigatus affects AECs in terms of the secretion of inflammatory mediators. These studies used live, germinating A. fumigatus, and human primary differentiated AECs to obtain a more realistic in vitro model than those used in previous studies. Data showed that AECs are able to significantly inhibit the germination and growth of A. fumigatus, although this effect was less pronounced in differentiated primary AEC than in transformed AEC lines. A. fumigatus also significantly inducedthe expression and secretion of the inflammatory cytokines, IL-6 and IL-8, probably via the interaction of fungal cell wall β-glucans, and as of yet unidentified AEC receptor. The A1160pyrG+ strain of A. fumigatus secreted factors capable of inducing cytokine secretion whereas Af293 strain did not, highlighting diverse mechanisms of action for different strains. Upregulation of both cytokines was dependent on the stage of A. fumigatus growth with induction synchronous with germination. Despite being associated with fungal sensitisation in asthmatics, AEC-derived cytokines associated with this disease, namely TSLP, IL33 and IL25,did not appear to be upregulated by transformed AECs in response to A. fumigatus. Similarly, A. fumigatus did not seem to induce synthesis and secretion of the acute phase response protein, fibrinogen above baseline levels. The data presented in this thesis confirms the importance of the airway epithelium in directing anti-A. fumigatus immunity and the involvement of complex ligand-receptor interactions.

Aspergillus fumigatus ist die häufigste Ursache für Lungeninfektionen in immunsuppri-mierten Patienten. Virulenzfaktoren sind häufig an Kontrollmechanismen für Entwick-lung gekoppelt, welche im verwandten Modellorganismus Aspergillus nidulans entdeckt wurden. Diese Arbeit präsentiert die Charakterisierung des F-box Proteins Fbx15 in A. fumigatus, welches einen starken Einfluss auf die Entwicklung in A. nidulans hat. Die Deletion von fbx15 resultierte in starken Wachstumsdefekten unter vielen Stress induzie-renden Bedingungen, welche klassische Virulenz Faktoren beinhalten, wie erhöhte Tem-peratur, oxidativer Stress und Aminosäuremangel, während das Wachstum unter Stan-dardbedingungen nicht beeinflusst war. Oxidativer Stress induziert eine transiente Erhöhung der fbx15 Expression, welche nach 40 Minuten zu einer dreifach erhöhten Pro-teinmenge führte. Fbx15 ist ein stabiles F-box Protein mit einer Halbwertszeit von 90 Minuten. Generell funktionieren F-box Proteine als Substratadapter für SCF-E3-Ubiquitin-Ligasen. Fbx15 liegt unter normalen Bedingungen phosphoryliert vor und in-teragiert mit der Skp1/A Untereinheit des SCF-Komplexes, vorzugsweise in kleineren Subpopulationen im Zytoplasma. Phosphoryliertes Fbx15 wird bevorzugt in SCF-Komplexe eingebaut. Oxidativer Stress führt zu einer schnellen Dephosphorylierung von Fbx15. Fbx15 Varianten, welche nicht phosphoryliert werden können, interagieren mit Skp1/A primär im Kern. Fbx15 rekrutiert drei Untereinheiten des COP9-Signalosoms und Proteine welche in Transkription, Translation, Signalübertragung, Morphologie oder Stoffwechsel involviert sind. Fbx15 bindet die Ssn6/F Untereinheit des konservierten Ssn6/SsnF-Tup1/RcoA Co-Repressors und wird für dessen Kernlokalisation benötigt. Dephosphoryliertes Fbx15 interagiert mit Ssn6/F im Kern und eine Fbx15-Ssn6/F be-dingte Genrepression wird für die Reduzierung der Gliotoxin-Biosynthese benötigt. fbx15 Deletionsstämme sind nicht in der Lage immunsupprimierte Mäuse in einem Model für invasive Aspergillose zu infizieren, was eine essentielle Funktion von Fbx15 für die Viru-lenz bestätigt. Diese Arbeit zeigt, dass Fbx15 nicht nur Teil von SCF-E3-Ubiquitin-Ligasen sein kann, sondern eine zweite neue molekulare Funktion aufweist, welche die physische Interaktion mit der Co-Repressor Untereinheit Ssn6/F und dessen Lokalisa-tionskontrolle beinhaltet. Diese duale Funktion resultiert in einer essentiellen Funktion von Fbx15 für die Kontrolle der oxidativen Stressantwort, des Sekundärmetabolismus und der Virulenz im opportunistischen Humanpathogen A. fumigatus.

Due au champignon Aspergillus fumigatus, l’aspergillose pulmonaire invasive représente une grave menace pour les individus souffrant d’immunodépression sévère. En parallèle d’un diagnostic manquant de spécificité, les traitements actuels présentent une forte toxicité. Ces travaux se sont dans un premier temps intéressés au développement d’anticorps thérapeutiques dirigés contre les protéines pariétales Chitin ring formation du champignon. Le ciblage de ces protéines impliquées dans la croissance fongique a permis la mise en évidence d’effets modérés in vitro, et ont induit, in vivo, un recrutement significatif de cellules immunitaires impliquées dans la défense anti-aspergillaire. Dans un second temps, ces travaux se sont intéressés au ciblage du microenvironnement et de la réponse de l’hôte au cours de l’aspergillose, afin de mieux comprendre les processus physiopathologiques induits au cours de la maladie, et de permettre l’identification de nouveaux biomarqueurs et cibles thérapeutiques. L’utilisation de la spectrométrie de masse iTRAQ®, chez des rats et des manchots, a permis la mise en évidence de plusieurs voies de signalisation surreprésentées. Ces travaux se sont également intéressés à la caractérisation immunologique d’un modèle rat d’API. En plus de la mise en évidence des effets du champignon sur le recrutement de certaines populations de cellules immunitaires, l’utilisation de l’iTRAQ® a permis la mise en évidence de la surexpression de l’interleukine-33 et de son récepteur ST2 au cours de la maladie. Ces travaux ouvrent d’intéressantes perspectives dans la mise en place de nouveaux traitements contre l’API. / Caused by the fungus Aspergillus fumigatus, invasive pulmonary aspergillosis is a serious threat for individuals suffering from severe immunosuppression. In parallel of a diagnosis lacking specificity, current treatments present a high toxicity. This work first focused on the development of therapeutic antibodies directed against cell wall proteins Chitin ring formation of the fungus. Targeting of these proteins involved in fungal growth highlighted moderate effects in vitro, and induced, in vivo, a significant recruitment of immune cells involved in anti-aspergillary defense. In a second time, this work focused on targeting the microenvironment and the host response during aspergillosis, in order to better understand pathophysiological processes induced during the disease, and allow the identification of new biomarkers and therapeutic targets. Use of iTRAQ® mass spectrometry in rat and penguins allowed the identification of several overrepresented signaling pathways. This work also focused on the immune characterization of a rat model of IPA. In addition of highlighting the effects of the fungus in the recruitment of some immune cell populations, use of iTRAQ® exhibited an overexpression of interleukin-33 and its receptor ST2 during the disease. Overall, this work is bringing interesting insights in the establishment of new treatments against IPA.

Descrição: A rinossinusite fúngica (RSF) é uma infecção oportunística, caracterizada pela inflamação da mucosa nasal e dos seios paranasais. É considerada um problema emergente na clínica médica diária, com prevalência aumentada nas últimas décadas, com etiologia nos mais diversos fungos ubíquos. Objetivos: Este trabalho objetivou analisar todos os casos de RSF pertencentes ao banco de dados do Laboratório de Micologia da Irmandade da Santa Casa de Misericórdia de Porto Alegre, no período de 28 anos (1986-2014), relacionando-os com as características clínicas e epidemiológicas. Materiais e métodos: O estudo foi retrospectivo observacional, resultando em uma série de 82 casos, confirmados histopatologicamente e pelos exames micológicos para identificação de fungos, comparados-os com os achados nas imagens radiológicas. Resultados: Foram identificados 54 casos de RSF por aspergilose, com predominância do agente etiológico Aspergillus fumigatus (14/54), e 27 casos de RSF por fungos diferentes do gênero Aspergillus, com superioridade de isolamento de agentes responsáveis por hialohifomicoses (12/27). Configurado, nestes achados, o ineditismo de três casos em nosso meio, com destaque para o primeiro caso de RSF e infecção humana por Trichoderma asperellum. Conclusões: Estes achados representam a maior casuística brasileira identificada, podendo contribuir para uma melhor compreensão epidemiológica, melhorando os critérios de suspeição médica, refletindo na efetividade dos tratamentos, principalmente, no diagnóstico dos casos de RSF invasiva, com altas taxas de mortalidade. / Description: The fungal rhinosinusitis (FRS) is an opportunistic infection characterized by inflammation of the nasal mucosa and sinuses. It is considered an emerging problem in daily medical practice, with prevalence increased in recent decades, with etiology in diverse ubiquitous fungi. Objectives: This study aimed to analyze all cases of RSF belonging to the Mycology Laboratory of the database of the Brotherhood of the Santa Casa of Misericordia Porto Alegre during the period of 28 years (1986-2014), relating them with the clinical and epidemiological characteristics. Methods: The study was observational retrospective, resulting in a series of 82 cases confirmed by histopathological and mycological examinations for identification of fungi, compared them with the findings on radiographs. Results: We identified 54 cases of aspergillosis by RSF, especially the etiologic agent Aspergillus fumigatus (14/54), and 27 cases of RSF different fungi Aspergillus, with insulation superiority of agents responsible for hyalohyphomycosis (12/27). Configured, these findings, the three cases unprecedented in our country, especially the first case of human infection with RSF and Trichoderma asperellum. Conclusions: These findings represent the largest identified Brazilian series and can contribute to a better epidemiological understanding, improving clinical suspicion criteria, reflecting the effectiveness of treatments, mainly in diagnosing cases of invasive RSF, with high mortality rates.

O Platelia® Aspergillus EIA é um teste de ELISA sanduíche para diagnóstico precoce de aspergilose em pacientes neutropênicos que se baseia na detecção de um antígeno (galactomanana) da parede celular de Aspergillus spp. O trabalho objetivou avaliar a eficácia deste teste em outros hospedeiros suscetíveis à aspergilose e ainda, avaliar a interferência de potenciais falso-positivos no Platelia® Aspergillus EIA, como outras micoses sistêmicas e um antimicrobiano produzido a partir de fungos (piperacilina-tazobactam). Quatro experimentos foram realizados para contemplar os objetivos propostos. Amostras de lavado broncoalveolar de 60 pacientes transplantados de pulmão provenientes da Santa-Casa Complexo Hospitalar de Porto Alegre foram colhidas durante um período de aproximadamente 2 anos e testadas para detecção de galactomanana. Os pacientes foram classificados em aspergilose comprovada, provável e possível, colonização ou exame de vigilância de acordo com critérios do EORTC. Utilizando os casos comprovados (5) e prováveis (6) como positivos, foi calculada a curva ROC que demonstrou valores de sensibilidade de 90,9% e especificidade de 90,6% em um ponto de corte de 1,5. A eficácia do Platelia® Aspergillus EIA foi avaliada também em pingüins em cativeiro. Soros de 35 animais foram incluídos no estudo, 9 com aspergilose, 3 com malária, 2 com caquexia e 21 saudáveis. Os soros foram testados por imunodifusão dupla e ELISA sanduíche, resultando em valores de sensibilidade de 33% e 100% e especificidade de 96% e 0, respectivamente. A reação cruzada de outras micoses sistêmicas no Platelia® Aspergillus EIA foi avaliada a partir de 120 amostras de soro de pacientes com paracoccidioidomicose, histoplasmose, criptococose por Cryptococcus neoformans e criptococose por C. gattii. Todas as micoses foram responsáveis por resultados falso-positivos no ELISA sanduíche, sendo de 50%, 67%, 66% e 36,6% a taxa de positividade de cada micose, respectivamente. Em adição, 5 lotes de piperacilina-tazobactam foram testados em concentração de uso clínico (45mg/ml) para avaliação de interferência no Platelia® Aspergillus EIA. Destas, apenas uma resultou em valores maiores do que o ponto de corte (0,5), sendo submetida a sucessivas diluições até mimetizar concentrações plasmáticas do fármaco alcançáveis no soro humano, as quais resultaram em valores menores que 0,5, sendo consideradas negativas. Concluindo, utilizando um ponto de corte maior do que indicado pelo fabricante para uso em neutropênicos, a eficácia do teste foi comprovada para utilização em amostras de lavado broncoalveolar de pacientes transplantados de pulmão. Por outro lado, no hospedeiro animal testado, pingüins, o teste apresentou especificidade nula, não possuindo aplicabilidade como ferramenta diagnóstica para aspergilose neste grupo. Quanto aos fatores de interferência no Platelia® Aspergillus EIA avaliados, a alta taxa de resultados falso-positivos referentes à infecção por outras micoses sistêmicas reflete na necessidade de interpretar um teste positivo dentro do contexto epidemiológico do paciente. Por outro lado, as piperacilinas-tazobactam disponíveis no mercado brasileiro não interferiram no resultado do Platelia® Aspergillus EIA. No entanto como a variabilidade de galactomanana existe entre lotes, ainda é aconselhável que as amostras para realização do ELISA sanduíche sejam colhidas antes da próxima administração do fármaco. / Platelia® Aspergillus EIA is a sandwich ELISA to the diagnostic of aspergillosis in neutropenic patients. It detects an antigen (galactomannan) from Aspergillus cell wall. Here it was evaluated the performance of this test in other susceptible hosts and the interference of potentials false-positives factors in Platelia® Aspergillus EIA. Systemic mycosis and an antimicrobial produced from molds (piperacillin-tazobactam) were tested. Four experiments were executed to study conduce. Bronchoalveolar samples from 60 lung transplant recipients from Santa Casa-Complexo Hospitalar de Porto Alegre were collected during almost two years and tested for galactomannan detection. Patients were classified in proven, probable or possible aspergillosis according to EORTC criteria, or in colonization or surveillance. Considering proven (5) and probable (6) as true positive cases, ROC curve was calculated and showed 90.9% of sensitivity and 90.6% of specificity with 1.5 as optimal cutoff. Platelia® Aspergillus EIA efficacy was also tested in captive penguins. Sera from 35 animals were included in the study, 9 with aspergillosis, 3 with malaria, 2 with cachexia and 21 healthy. Samples were tested by double immunodiffusion and sandwich ELISA, resulting in sensitivity values of 33% and 100% and specificity of 96% and 0, respectively. Cross reaction in Platelia® Aspergillus EIA was evaluated with 120 serum samples of patients with paracocciddioidomicosis, histoplasmosis, criptococosis due to Cryptococcus neoformans and criptococosis due to C. gattii. False-positive results were observed in all mycosis, with rates of 50%, 67%, 66% and 36,6%, respectively. In addition, 5 piperacillin-tazobactam batches were tested, in a concentration of clinical use (45mg/ml), to evaluate it interference in Platelia® Aspergillus EIA. Those, only one showed positive value, and had been retest after serial dilutions until plasmatic concentration, resulting in value lower than 0.5, negative. In conclusion, with a higher cut-off than the indicated from the manufacturer, the efficacy of bronchoalveolar samples tested in Platelia® Aspergillus EIA for the diagnostic of aspergillosis in lung transplant recipients was proved. Controversially, in penguins, the test specificity was zero, showing non applicability as a diagnostic method for aspergillosis in this group of risk. Interference in Platelia® Aspergillus EIA due to other systemic mycoses shows the necessity to interpret a positive result after the evaluation of patient epidemiologic context. Finally, piperacillin-tazobactam available in the Brazilian market did not correspond to false-positive results in Platelia® Aspergillus EIA. However, given that variability occurs between distinct batches, still is indicating to collect samples for galactomannan detection before the next administration of the drug.

Aspergilose é uma das principais causas de mortalidade em aves imunocompetentes e imunodeprimidas. A manifestação clínica aguda da doença é geralmente observada em aves jovens, com episódios de surtos em aviários, enquanto a forma crônica é mais frequentemente observada em aves adultas. A inspeção das carcaças é fundamental para a detecção e monitoramento da prevalência de doenças. Os objetivos do trabalho foram avaliar a ocorrência de aspergilose causada por Aspergillus fumigatus em aves comerciais através do diagnóstico micológico e histopatológico e verificar a possibilidade de associação causal entre os critérios de diagnóstico de aspergilose e condenação por aerossaculite em frangos de corte através de um estudo de casocontrole. O estudo foi realizado com 380 amostras pulmonares. Foram coletados pulmões de frangos condenados (95) por aerossaculite e não condenados (285), diretamente na linha de abate de um frigorífico. Quarenta e seis (12%) amostras de pulmão foram positivas na cultura micológica. Do total de amostras, 177 (46,6%) apresentaram alterações histopatológicas, sendo as mais frequentes pneumonia fibrinoheterofílica necrótica, pneumonia heterofílica e hiperplasia linfóide. Do total de 380 pulmões analisados, 30 (65,2%) apresentaram concomitantemente alterações histopatológicas e isolamento fúngico. A relação entre a presença de lesões histopatológicas e isolamento de A. fumigatus testada por McNemar indicou que houve associação significativa entre a presença de alterações histopatológicas e o isolamento de A. fumigatus. A identificação molecular foi realizada em 44 isolados, sendo todos confirmados como sendo A. fumigatus através dos genes b-tub e rodA. O cultivo micológico e o exame histopatológico aumentam as chances de se detectar alterações pulmonares em aves condenadas pelo Sistema de Inspeção Final do que nas aves normais, sugerindo que tais critérios de diagnóstico são eficazes para aprimorar a avaliação e condenação de aves por aerossaculite. O perfil genético entre os isolados foi variado, mostrando que isolados de aves normais podem ser potencialmente causadores de aspergilose em aves suceptíveis. / Aspergillosis is one of the main causes of mortality in both immunocompetent and immunodepressed birds. The clinical manifestation of acute aspergillosis is usually observed in young birds, often with episodes of outbreaks in poultry farms, whereas chronic aspergillosis is more frequently observed in adult birds. The inspection of carcasses is fundamental for the detection of diseases and for monitoring their prevalence. The objectives of this study were to evaluate the occurrence of aspergillosis caused by Aspergillus fumigatus in poultry through mycological and histopathological diagnosis and to verify the possibility of a causal association between the criteria for aspergillosis diagnosis and carcass condemnation due to airsacculitis in broilers through a case-control study. The study was made with 380 lung samples. Lungs were collected from condemned (95) and not condemned (285) broilers due to airsacculitis, directly from the slaughter line of a slaughterhouse. Forty-six (12%) lung samples were positives in mycological culture. From the total samples, 177 (46.6%) showed histopathological alterations, the most frequent being necrotic, fibrinous, heterophilic pneumonia, heterophilic pneumonia and lymphoid hyperplasia. Of the 380 lungs analyzed, 30 (65.2%) showed histopathological alterations and isolation of fungi. The relation between the presence of histopathological lesions and the isolation of A. fumigatus, as observed with the McNemar test, indicated the significant association between the presence of histopathological alterations and the isolation of A. fumigatus.The molecular identification was made in 44 isolates, and all of them were confirmed to be A. fumigatus through analysis of the b-tub and rodA. The mycological cultivation and the histopathological test increase the chances of detecting pulmonary alterations in birds condemned by the Final Inspection System than in normal birds, suggesting that such diagnostic criteria are efficient to improve the assessment and condemnation of birds affected by airsacculitis. There were different genetic profiles among the isolates, which shows that isolates obtained from normal birds can potentially cause aspergillosis in those susceptible.

Coral diseases have become more prevalent and destructive over the past 20 years, possibly due to an increase in stressful environmental factors that may weaken corals defenses against disease. Aspergillosis is a disease caused by the fungus Aspergillus sydowii, which apparently infects only two species of gorgonian corals in the Caribbean Ocean (Gorgonia ventalina and G. flabellum). We hypothesized that the differential resistance to infection is caused by differences in chemical defenses among gorgonians. Freeze-dried gorgonian powders and extracts deterred fungal growth, but potencies varied among gorgonian species and among fungi. Extracts and powders generated from G. ventalina all strongly inhibited fungal growth. Since G. ventalina was predicted to have weak antifungal chemical defenses compared to gorgonians not known to suffer from aspergillosis, we concluded that gorgonian susceptibility to fungal infection is determined by factors other than, or in addition to, chemical defenses. In order to investigate specific gorgonian antifungal strategies, we attempted to use bioassay-guided fractionation to isolate antifungal compounds from four gorgonians: Gorgonia ventalina, Briareum asbestinum, Eunicea succinea, and Pseudopterogorgia americana. We succeeded in isolating two antifungal compounds, diastereomers of 9,11-seco-24-hydroxydinosterol, from the gorgonian Pseudopterogorgia americana. This compound was previously identified by other groups, but this study is the first to establish its antifungal activity. At natural concentration, one diastereomer of 9,11-seco-24-hydroxydinosterol inhibited the growth of three different fungi, suggesting that at least this diastereomer may possess broad-spectrum antifungal activity. The results from our survey of gorgonian chemical defenses indicate that susceptibility to aspergillosis cannot be explained by chemical growth inhibition alone. Further areas of investigation include induction of gorgonian chemical defenses, examination of growth-inhibiting mechanisms of antifungal metabolites, and identification of non-chemical factors affecting gorgonians vulnerability to fungal infection.

Die vorliegende Arbeit beschäftigte sich mit zwei Methoden zur Diagnostik der Aspergillose bei Greifvögeln, um neue Erkenntnisse über die Aussagekraft dieser nicht invasiven Diagnostika zu gewinnen. In der ersten Studie wurden bei ausschließlich Aspergillose-positiven Falken (Falco spp.) (n = 110) spezifische Röntgenzeichen an digital erstellten Röntgenbildern systematisch ermittelt und mit den typischen Röntgenzeichen von Papageien mit Erkrankungen des unteren Respirationstrakts verglichen. In der zweiten Studie wurden gesunde (n = 73) und an Aspergillose erkrankte (n = 32) Jagdfalken (Falco spp.) mittels Serumelektrophorese untersucht, Referenzwerte für die gesunden Falken erstellt und mit den Werten der erkrankten Falken verglichen. In beiden Studien stammten die Tiere aus dem Patientengut derselben Klinik. Bei der Auswertung von Röntgenbildern Aspergillose-positiver Falken wurden hauptsächlich subtile Röntgenzeichen beschrieben. Von den 110 Tieren waren 29 (26,4 %) radiologisch vollkommen unauffällig. Die am häufigsten beschriebenen Befunde waren inhomogene Verschattungen des Lungenfeldes (38,2 % laterolateral [ll]) und strichförmige Verschattungen der kaudalen Lungengrenze (30,0 % ll) sowie inhomogene (34,5 % ll; 29,1 % ventrodorsal [vd]) und streifige (26,4 % ll) Verschattungen der Luftsäcke, aber auch eine schlechte Abgrenzbarkeit des Herzschattens in der laterolateralen Projektion (42,7 %). Im Vergleich zu an Papageien mittels konventioneller Projektionsradiographie durchgeführten Studien war der Anteil an subtilen Röntgenzeichen geringer und der Anteil an massiven Röntgenzeichen größer. Verglichen mit Referenzwerten diverser Greifvogelspezies aus der Literatur zeigten die Referenzwerte der gesunden Falken dieser Studie unter Verwendung des hochauflösenden Elektrophoresesystems SAS 1 unit (Helena, Saint Leu La Forest, Frankreich) relativ niedrige Gesamtproteinwerte und relativ hohe Präalbuminwerte auf. Bei den 32 Serumproben der an Aspergillose erkrankten Falken ließ sich im Gegensatz zu den 73 Serumproben der gesunden Falken ein signifikant erniedrigter Totalalbuminwert (Albumin + Präalbumin) sowie ein hoch signifikant erniedrigter Präalbuminwert mittels Serumelektrophorese feststellen. Obwohl die Falken meist schon in frühen Krankheitsstadien vorgestellt wurden und die Diagnostik in diesen Stadien besonders schwierig ist, konnten mit beiden Untersuchungsmethoden von gesunden Tieren differierende Befunde erhoben werden. Diese in Zusammenhang mit Aspergillose erhobenen Befunde wichen jedoch teilweise deutlich von den in der Literatur beschriebenen „typischen“ Befunden bei an Aspergillose erkrankten Vögeln ab. Dies kann damit erklärt werden, dass die meisten vergleichbaren Studien an als Heimtiere gehaltenen Papageien oder gefangen gehaltenen Zoovögeln (von Falken abweichende Haltungsform, Anatomie und Physiologie sowie Leistungsniveau) und mit unterschiedlicher Technik (digitale versus konventionelle Projektionsradiographie, unterschiedliche Elektrophoresesysteme und Verwendung von Serum anstelle von Plasma) durchgeführt wurden. Die digitale Projektionsradiographie kann aufgrund ihrer schonenden, einfachen und schnellen Durchführbarkeit sowohl den Vogelmedizin spezialisierten Institutionen als auch den Kleintierpraktikern uneingeschränkt empfohlen werden. Die Proteinelektrophorese kann bis zum heutigen Zeitpunkt nur bedingt für den Praktiker, wohl aber für spezialisierte Institutionen bei Beachtung aller Besonderheiten als zusätzliches Diagnostikum empfohlen werden. / The present study concentrates on two methods for diagnosing birds of prey with aspergillosis with the intent to increase the knowledge of the validity of these non-invasive diagnostic methods. In the first study, specific radiographic signs of digitally created radiographs of falcons (Falco spp.) which were exclusively positive for aspergillosis (n = 110) were systematically analyzed and compared to the typical radiographic signs of parrots with diseases of the lower respiratory tract. In the second study, healthy falcons (n = 73) and falcons affected with aspergillosis (n = 32) (Falco spp.) were examined by using serum protein electrophoresis in order to create reference values for healthy falcons and compare them with the values of the affected falcons. In both studies, the animals were patients of the same clinic. While evaluating the radiographs of the falcons with aspergillosis, mainly subtle radiographic signs were described. Radiographically within normal limits were 29 (26.4%) of the 110 animals. The most commonly reported findings were inhomogeneous increased radiodensity of the lung area (38.2% laterolateral [ll]), line-shaped shadowings of the caudal lung border (II 30.0%) as well as an inhomogeneous (34.5% ll, 29.1% ventrodorsal [vd]) and streaky (26.4% II) radiodensity of the air sacs, but also a poor delineation of the cardiac silhouette in the laterolateral projection (42.7%). Compared to studies performed on parrots by conventional radiography, the portion of subtle radiographic signs was lower and the portion of severe signs was higher. Compared to reference values of various raptor species from the literature, this study, which made use of the high-resolution electrophoresis SAS 1 unit (Helena, Saint Leu La Forest, France), revealed relatively low values for total proteins and relatively high values for prealbumin in the reference values of the healthy falcons. The 32 serum samples of the falcons suffering from aspergillosis showed a significantly reduced total albumin (albumin + prealbumin) level and a highly significantly reduced prealbumin level compared to the 73 serum samples of healthy falcons. Although the falcons were for the most part already brought to the clinic in one of the early stages of the disease, when diagnosing aspergillosis is particularly difficult, both examination methods revealed different results for the healthy and diseased animals. However, the findings related to aspergillosis were in some cases significantly different from those described in the literature as the \"typical\" findings in birds suffering from aspergillosis. This can be explained by the fact that most of the comparable studies were conducted with parrots held as pets or with captive zoo birds (when husbandry, anatomy and physiology, as well as performance level are different from falcons) and with a different technique (digital versus conventional radiography, different electrophoresis systems and the use of serum instead of plasma). The digital radiography can be fully recommended for specialized medical institutions for avian medicine as well as for small animal practitioners because of its easy, rapid and gentle feasibility. To date, the protein electrophoresis can only be recommended with restrictions for practitioners, however for specialized institutions, it can be useful as additional diagnostic tool if all its specific features are taken into account.