Direct interactions of human lymphocytes with the yeast-like organism, Cryptococcus neoformans

Lymphocytes, especially CD4+ T cells, are essential for clear-ance of the yeast-like organism Cryptococcus neoformans from the infected host. The mechanism(s) by which the lymphocytes facilitate elimination of cryptococci has not been elucidated. It is generally thought, however, that lymphocytes reactive with C. neoformans indirectly function by production of lympho-kines to enhance clearance of the organism by natural effector cells such as macrophages. In the present study, we assessed the ability of freshly isolated human lymphocytes to interact directly with C. neoformans and to limit the growth ofthe organ-ism in vitro. We found that large granular lymphocytes (LGL) as well as T cells bound to cryptococcal cells when the lympho-cytes were mixed with the cryptococcal cells at a 2:1 ratio. The physical binding interactions of the two lymphocyte popula-tions were different. LGL attached to the cryptococcal cells by many microvilli; T lymphocytes associated with the yeast through broad areas of membrane attached to the cryptococcal cell surface. The two types of lymphocyte interactions did not result in phagocytosis but resulted in direct inhibition of cryp-tococcal growth, making these lymphocyte interactions with cryptococci distinctly different from interactions of monocytes with cryptococci. With the human natural killer (NK) cell line, NK 3.3, we confirmed that NK cells that were present in the LGL population were capable of limiting the growth of C. neo-formans. Through immunoelectron microscopy, human CD3+ lymphocytes were seen attached to cryptococcal cells and by mass cytolysis, human CD3+ lymphocytes were shown to be responsible for inhibition of C. neoformans growth. The direct inhibitory interactions of NK cells and T lymphocytes with cryptococcal cells may be important means of host defense against this ubiquitous organism that frequently causes life-threatening disease in AIDS patients. (J. Clin. Invest. 1993. 91:1553-1566.) Key words: natural killer cells * T cells * large granular lymphocytes * monocyte