Abstract:Objective To study the effects of Mycophenolate mofetil and Cyclosporin A on Zymosan A-induced expressions of Dectin-1, Toll-like receptor 2 (TLR2) and tumor necrosis factor alpha (TNF-α) in RAW264.7 macrophages. Methods During in vitro culture, RAW264.7 macrophages were pre-treated with different dosages of Mycophenolate mofetil and Cyclosporine A for 24 h, and then stimulated with 100 μg/ml of Zymosan A alone. RT-PCR was used to detect the expressions of Dectin-1 and TLR2 mRNAs in RAW264.7 macrophages and flow cytometry was used to detect the average fluorescence intensity of Dectin-1 and TLR2 proteins. TNF-α level was measured by enzyme-linked immunosorbent assay. Results The expressions of Dectin-1 and TLR2 mRNAs and proteins, as well as the concentration of TNF-α increased significantly in the Zymosan A+ macrophage group (P < 0.05). Mycophenolate mofetil and Cyclosporin A inhibited the expressions of Zymosan A-induced Dectin-1 and TLR2 mRNAs and proteins in various degrees and reduced the secretion of cytokine TNF-α (P < 0.05). Conclusions Mycophenolate mofetil and Cyclosporin A reduce the transcription and translation of Dectin-1 and TLR2 and the secretion of the inflammatory cytokine TNF-α induced by Zymosan A, aggravating infection by inhibiting the body's ability to recognize and remove the fungal pathogens. It is probably one of the key mechanisms that Mycophenolate mofetil and Cyclosporin A cause refractory fungal infection.