The immune mechanisms that recognize inhaled Aspergillus fumigatus conidia to promote their elimination from the lungs are incompletely understood. FleA is a
lectin expressed by Aspergillus fumigatus that has twelve binding sites for fucosylated structures that are abundant in the
glycan coats of multiple plant and animal
proteins. The role of FleA is unknown: it could bind
fucose in decomposed plant matter to allow Aspergillus fumigatus to thrive in soil, or it may be a
virulence factor that binds
fucose in lung
glycoproteins to cause Aspergillus fumigatus
pneumonia. Our studies show that FleA
protein and Aspergillus fumigatus conidia bind avidly to purified lung
mucin glycoproteins in a
fucose-dependent manner. In addition, FleA binds strongly to macrophage
cell surface proteins, and macrophages bind and phagocytose fleA-deficient (∆fleA) conidia much less efficiently than wild type (WT) conidia. Furthermore, a potent fucopyranoside glycomimetic inhibitor of FleA inhibits binding and phagocytosis of WT conidia by macrophages, confirming the specific role of
fucose binding in macrophage recognition of WT conidia. Finally, mice infected with ΔfleA conidia had more severe
pneumonia and invasive
aspergillosis than mice infected with WT conidia. These findings demonstrate that FleA is not a
virulence factor for Aspergillus fumigatus. Instead, host recognition of FleA is a critical step in mechanisms of
mucin binding, mucociliary clearance, and macrophage killing that prevent Aspergillus fumigatus
pneumonia.