Interaction between Paracoccidioides brasiliensis conidia and the coagulation system: involvement of fibrinogen

The infectious process starts with an initial contact between pathogenand host. We have previously demonstrated that Paracoccidioidesbrasiliensis conidia interact with plasma proteins includingfibrinogen, which is considered the major component of the coagulation system.In this study, we evaluated the in vitro capacity of P.brasiliensis conidia to aggregate with plasma proteins andcompounds involved in the coagulation system. We assessed the aggregation ofP. brasiliensis conidia after incubation with human serumor plasma in the presence or absence of anticoagulants, extracellular matrix(ECM) proteins, metabolic and protein inhibitors, monosaccharides and othercompounds. Additionally, prothrombin and partial thromboplastin times weredetermined after the interaction of P. brasiliensis conidiawith human plasma. ECM proteins, monosaccharides and human plasma significantlyinduced P. brasiliensis conidial aggregation; however,anticoagulants and metabolic and protein inhibitors diminished the aggregationprocess. The extrinsic coagulation pathway was not affected by the interactionbetween P. brasiliensis conidia and plasma proteins, while theintrinsic pathway was markedly altered. These results indicate that P.brasiliensis conidia interact with proteins involved in thecoagulation system. This interaction may play an important role in the initialinflammatory response, as well as fungal disease progression caused byP. brasiliensis dissemination.