4 (A) Reactivity of CMH with patients’ antibodies. pathogenicity, such as mannitol (65) and melanin (64). Additional cryptococcal molecules and enzymatic activities, such as sialic acids (45), phospholipase (5), superoxide dismutase (22), and proteinase (4), have been described with suggested, but still unclear, roles in the infectious process. Glycosphingolipids (GSLs) are conspicuous membrane constituents of mammalian cells, protozoa, and fungi. Their hydrophobic ceramide moiety is linked to one or more sugars, with the ceramide monohexosides (CMH) commonly having glucose or galactose in both anomeric SU 5205 configurations. GSLs of various sizes are involved in many processes such as cell-cell interaction (19), mediation of apoptotic signaling (29), immunosuppression in cancer MYO10 patients (28), and adhesion of fungal pathogens to mammalian cells (18, SU 5205 23). GSLs are also implicated in cell growth, since the inhibitor of glucosylceramide synthase, d-threo-1-phenyl-2-decanoylamine-3-morpholino-propanol, abolished neurite outgrowth in the PC12 cell line (36). The ceramide moiety of GSLs has been reported to modulate growth of human (3) and fungal (14) cells. Antibodies are highly relevant in the human protection against cryptococcosis (11). In animal hosts, protective, nonprotective, and disease-enhancing monoclonal antibodies (MAbs) against GXM have been described. Protection by anti-GXM antibodies against the experimental infection by different routes with several strains of was obtained when these antibodies were SU 5205 administered alone or in conjunction with antifungal agents (42). In the SU 5205 present work, we identified a major cryptococcal GSL with a structure similar to CMH described in other fungal pathogens (9, 26, 55, 56, 60). This molecule contains glucopyranose -linked to the ceramide moiety consisting of 9-methyl-4,8-sphingadienine in amidic linkage to 2-hydroxyoctadecanoic acid and is accumulated mainly on the fungal cell wall. Sera from patients with cryptococcosis recognize the cryptococcal CMH. The reactivity of antibodies to CMH against both acapsular and encapsulated strains of SU 5205 was investigated. Results show that these antibodies arrest fungal growth in vitro presumably by interfering with the cell wall synthesis and yeast budding. MATERIALS AND METHODS Chemicals. Culture media were obtained from Difco Laboratories (Detroit, Mich.). Organic solvents and the chromatographic apparatus were purchased from Merck (Rio de Janeiro, Brazil). Polyvinylidene difluoride (PVDF) membranes, enzyme-linked immunosorbent assay (ELISA) plates, secondary antibodies, and other reagents used for immunofluorescence and flow cytometry were obtained from Sigma Chemical Co. (St. Louis, Mo.). Protein G-Sepharose 4 Fast Flow was purchased from Amersham Pharmacia Biotech. Sera from patients with different mycoses were kindly provided by Marcio Nucci, Hospital Universitario Clementino Fraga Filho, Rio de Janeiro, and Rosely Zancope, Laboratorio de Micologia Mdica, Hospital Evandro Chagas, FIOCRUZ, Rio de Janeiro, Brazil. Fungal strains. HEC3393 (serotype A, clinical isolate), CN23/10.993 (serotype B, environmental isolate), and HEC40143 (serotype C, environmental isolate) were obtained from Laboratrio de Micologia Mdica, Hospital Evandro Chagas, FIOCRUZ, Rio de Janeiro, Brazil. The strains ATCC 28597 (serotype D) and cap 67 (acapsular) were obtained from the American Type Culture Collection. Stock cultures were maintained in Sabouraud dextrose agar under mineral oil and kept at 4C. For lipid extraction, immunofluorescence, electron microscopy, and flow cytometry, cells were cultivated in brain heart infusion (BHI) at room temperature for 5 days and then separated by centrifugation and washed twice in 0.01 M phosphate-buffered saline (PBS; pH 7.2). Glycolipid extraction and purification. GSLs from yeast cells of HEC3393 were extracted at room temperature successively with chloroform-methanol 2:1 and 1:2 (vol/vol) (60). The crude lipid extract was partitioned according to the method of Folch et al. (16). The lipids recovered from Folch’s lower phase were.