Comparison of methods to evaluate the fungal biomass in heating, ventilation, and air-conditioning (HVAC) dust.

Heating, ventilation, and air-conditioning (HVAC) systems contain dust that can be contaminated with fungal spores (molds), which may have harmful effects on the respiratory health of the occupants of a building. HVAC cleaning is often based on visual inspection of the quantity of dust, without taking the mold content into account. The purpose of this study is to propose a method to estimate fungal contamination of dust in HVAC systems. Comparisons of different analytical methods were carried out on dust deposited in a controlled-atmosphere exposure chamber. Sixty samples were analyzed using four methods: culture, direct microscopic spore count (DMSC), ß-N-acetylhexosaminidase (NAHA) dosing and qPCR. For each method, the limit of detection, replicability, and repeatability were assessed. The Pearson correlation coefficients between the methods were also evaluated. Depending on the analytical method, mean spore concentrations per 100 cm2 of dust ranged from 10,000 to 682,000. Limits of detection varied from 120 to 217,000 spores/100 cm2. Replicability and repeatability were between 1 and 15%. Pearson correlation coefficients varied from -0.217 to 0.83. The 18S qPCR showed the best sensitivity and precision, as well as the best correlation with the culture method. PCR targets only molds, and a total count of fungal DNA is obtained. Among the methods, mold DNA amplification by qPCR is the method suggested for estimating the fungal content found in dust of HVAC systems.

Bile salts control the antimicrobial peptide cathelicidin through nuclear receptors in the human biliary epithelium.

BACKGROUNDS & AIMS: Under normal conditions, the biliary tract is a microbial-free environment. The absence of microorganisms has been attributed to various defense mechanisms that include the physicochemical and signaling actions of bile salts. Here, we hypothesized that bile salts may stimulate the expression of a major antimicrobial peptide, cathelicidin, through nuclear receptors in the biliary epithelium. METHODS: The expression of cathelicidin was analyzed in human liver samples by immunostaining and reverse-transcription quantitative polymerase chain reaction. The regulation of cathelicidin expression by the endogenous bile salt, chenodeoxycholic acid, and by the therapeutic bile salt, ursodeoxycholic acid (UDCA), was assessed in human biliary epithelial cells in which endogenous nuclear receptor expression was blunted by siRNA or dominant-negative strategies. RESULTS: In the human liver, biliary epithelial cells show intense immunoreactivity for cathelicidin and for the vitamin D receptor. In cultured biliary epithelial cells, chenodeoxycholic acid and UDCA induce cathelicidin expression through 2 different nuclear receptors: the farnesoid X receptor and the vitamin D receptor, respectively. Importantly, vitamin D further increases the induction of cathelicidin expression by both bile salts. In a prototypical inflammatory biliary disease (ie, primary biliary cirrhosis), we document that hepatic expressions of the vitamin D receptor and of cathelicidin significantly increased with UDCA therapy. CONCLUSIONS: Our results indicate that bile salts may contribute to biliary tract sterility by controlling epithelial cell innate immunity. They further suggest that in inflammatory biliary diseases, which involve bacterial factors, a strategy systematically combining UDCA with vitamin D would increase therapeutic efficacy.