Protection against Candida infection involves bath innate and acquired immu
ne responses, and cytokines produced by monocytes during the innate respons
e may modify the acquired immune response by T cells. We hypothesized that
Candida species which differ in pathogenicity can differentially induce pro
duction of immunoregulatory cytokines by human monocytes, which in turn mod
ify T cells for immune responses to Candida. To test this hypothesis, we ex
amined the effects of Candida albicans and Candida krusei on immunoregulato
ry cytokine production by human monocytes and gamma interferon (IFN-gamma)
production by peripheral blood mononuclear cells (PBMC). Purified monocytes
were incubated with live or heat-killed strains of C. albicans and C. krus
ei at the optimal Candida/monocyte ratio of 0.5. Cytokines in the supernata
nts were measured by enzyme-linked immunosorbent assay. Our data demonstrat
ed that live C. albicans and C. krusei significantly induced interleukin-10
(IL-10), monocyte chemotactic factor 1, IL-1 beta, and tumor necrosis fact
or alpha production by monocytes relative to unstimulated monocytes. In con
trast, unlike C. krusei, pathogenic live strains of C. albicans induced no
or only a minimal level of IL-12. The expression of IL-12 p40 mRNA levels b
y reverse transcription-PCR corroborated the IL-12 protein (p70) findings.
In human PBMC, human blood monocytes were the major source of both IL-10 an
d IL-12 production in response to C. albicans and C. krusei. Upon activatio
n of T cells in the presence of Candida-modified monocytes and antigen-pres
enting cells, IL-12 production by PBMC treated with Candida organisms corre
lated strongly with the level of IFN-gamma production by T cells. These res
ults indicate that the virulence of C. albicans may. be related to its abil
ity to induce the monocytic type II cytokine IL-10, with a selective inhibi
tion of IL-12 production, which may be responsible for the observed lack of
T-cell IFN-gamma and may restrain an effective type I immune response to C
andida.