Reciprocal regulation of TLR4, TLR3 and Macrophage Scavenger Receptor 1 regulates nonopsonic phagocytosis of the fungal pathogen Cryptococcus neoformans

The opportunistic fungal pathogen Cryptococcus neoformans causes lethal infections in immunocompromised patients. Macrophages are central to the host response to cryptococci; however, it is unclear how C. neoformans is recognized and phagocytosed by macrophages. Here we investigate the role of TLR4 in the nonopsonic phagocytosis of C. neoformans . We find that loss of TLR4 function unexpectedly increases phagocytosis of nonopsonized cryptococci. The increased phagocytosis observed in Tlr4 -/- cells was dampened by pre-treatment of macrophages with either a TLR3 inhibitor or oxidised-LDL, a known ligand of scavenger receptors. The scavenger receptor, macrophage scavenger receptor 1 (MSR1) (also known as SR-A1 or CD204) was upregulated in Tlr4 -/- macrophages and there was a 75% decrease in phagocytosis of nonopsonized cryptococci by Msr1 -/- macrophages. Furthermore, immunofluorescence imaging revealed colocalization of MSR1 and internalised cryptococci. Together, these results identify MSR1 as a key receptor for the phagocytosis of nonopsonized C. neoformans and demonstrate TLR4/MSR1 crosstalk in the phagocytosis of C. neoformans . ### Competing Interest Statement The authors have declared no competing interest.