Results are

expressed as means ± standard deviation (SD) and were compared using an unpaired Student’s t test. To determine the effectiveness of the sublingual immunization, mice were immunized with 25k-hagA, 25k-hagA-MBP, or PBS. Sublingual immunization with 25k-hagA-MBP induced significant serum IgG and IgA 7 days after the final immunization (Fig. 1a). In contrast, 25k-hagA-immunized and nonimmunized mice induced low or no detectable titers, respectively, after sublingual immunization. In addition, the serum IgG and IgA Ab responses XAV-939 price induced by 25k-hagA-MBP persisted for almost 1 year (Fig. 1b). When the subclasses of antigen-specific IgG antibodies induced by sublingual 25k-hagA or 25k-hagA-MBP

Y 27632 challenge were determined, all IgG subclasses were significantly enhanced in 25k-hagA-MBP group. On the other hand, 25k-hagA-immunized group showed a low level of IgG1 (and sparse IgG2b) (Fig. 1c). Sublingual immunization of 25k-hagA-MBP induced high levels of 25k-hagA-MBP-specific IgA Ab responses in saliva (Fig. 2a). In contrast, essentially no IgA was detected in the saliva of mice sublingually treated with 25k-hagA or PBS. The most 25k-hagA-MBP-specific IgA AFCs were detected in the salivary glands suspensions (Fig. 2b). As sublingual immunization with 25k-hagA-MBP elicited 25k-hagA-MBP-specific Ab responses in both mucosal and systemic compartments, establishing the nature of the T cell help supporting the responses was important. When mononuclear cells from the SMLs of immunized mice were restimulated with 25k-hagA-MBP in vitro, significant levels of proliferative responses were induced (Fig. 3a). In contrast, no significant proliferation or cytokine production was observed in hagA-immunized mice (data not shown). Furthermore, mononuclear cells isolated from SMLs immunized with 25k-hagA-MBP showed higher production

of IL-4, IFN-γ, and TGF-β (Fig. 3b). These data TCL indicate that sublingually immunized 25k-hagA-MBP-specific Th1-type and Th2-type responses are induced in SMLs. Given that sublingual immunization with 25k-hagA-MBP elicited long-term antigen-specific Ab responses in sera, we sought to determine whether these antibodies were capable of suppressing the alveolar bone absorption caused by P. gingivalis infection. Thus, mice given 25k-hagA, 25k-hagA-MBP, and PBS were infected orally with P. gingivalis 7 days after the last immunization. Mice immunized with 25k-hagA-MBP showed a significant protection and reduced bone loss caused by P. gingivalis infection (Fig. 4). In contrast, mice immunized with 25k-hagA alone did not show the reduced level of bone loss by P. gingivalis infection. These findings indicate that sublingual immunization with 25k-hagA-MBP is protective against oral infection by P. gingivalis.

“
“Please cite this paper as: Di Filippo, Monopoli, Ongini, Perretti and D’Amico (2010). The Cardio-Protective Properties of Ncx-6550, a Nitric Oxide Donating Pravastatin, in the Mouse. Microcirculation17(6), 417–426. Objective:  Determine the cardio-protective properties of a nitric oxide-releasing pravastatin (Ncx-6550), in comparison to pravastatin. Methods:  A mouse model of myocardial

infarct was used assessing tissue damage both at 2 and 24 hour post-reperfusion, administering compounds both prophylactically and therapeutically. Results:  Ncx-6550 induced a significant dose-dependent (2.24–22.4 μmol/kg i.p.) cardioprotection in the two hour reperfusion protocol. In vehicle-treated mice, infarct size (expressed as fraction of area at risk; https://www.selleckchem.com/products/ABT-263.html IS/AR) was 41.2 ± 1%, and it was reduced to 22.2 ± 0.9% and 32.6 ± 0.9% following 22.4 and 6.72 μmol/kg Ncx-6550 (p < 0.05). 22.4 μmol/kg Ncx-6550 also increased cardiac levels of the enzyme heme oxygenase-1. Treatment of mice with pravastatin induced significant reduction of myocardial injury only at 22.4 μmol/kg (IS/AR value: 33.7 ± 0.9%). In a 24 hour

reperfusion protocol, Ncx-6550 and pravastatin were tested only at 22.4 μmol/kg i.p. being given either one hour prior to ischemia (prophylactic protocol) Protein Tyrosine Kinase inhibitor or one hour into reperfusion (therapeutic protocol). With either treatment scheme, Ncx-6550 produced higher cardioprotection compared to pravastatin, as reflected also by a reduction in the incidence of lethality as well as in circulating troponin I and interleukin-1β levels. Conclusions:  These results indicate Ncx-6550 as a novel therapeutic agent with a potential for the treatment of

myocardial infarct. “
“Three‐dimensional images of microvascular trees, within their surrounding tissue, are obtainable by micro‐computed tomography (micro‐CT) imaging of intact small animals or tissue specimens. With a resolution down to a few micrometers, these images can be used to measure the interbranch segment diameters, branching angles, volume of tissue perfused, and study the vascular anatomic relationships Protein kinase N1 to organ microstructures such as glomeruli in kidney, hepatic lobules in liver, and so on. Such data can be used to model intravascular flow, endothelial shear stress, and altered branching geometry such as that which may occur in localized angiogenesis and around tissue infarction and tumors. Endothelial permeability can also be evaluated using cryostatic micro‐CT methods, and special contrast agents can be used to convey permeability and vascular lumen volumes. In this chapter, we provide background information of micro‐CT image systems, sample preparation methods such as ex vivo casting methods, in situ contrast agent injection techniques, special considerations pertaining to in vivo studies, and the use of probes (such as microspheres in “simulated embolization” experiments).

This implies that thymically derived natural Treg cells may also play a role in controlling the overall size of the GC response, or upon systemic TGF-β neutralization, other factors or cytokines may partially compensate leading to nominal induction of iTreg cells. The potential role of IL-10 was also examined by repeated administration of a blocking anti-IL-10R mAb. Mice were injected i.p. on day 0 with 1 mg of anti-IL-10R (1B1.3a) mAb or control rat IgG. Starting www.selleckchem.com/products/Tigecycline.html in the second week, 500 μg of anti-IL-10R mAb

or rat IgG was injected twice weekly and continued until the mice were killed. The SRBC were given i.p. on day 0. Similar to anti-TGF-β-treated mice, blockade of the IL-10R resulted in an inability to control the balance of IgM+ to switched GC B cells in the spleen. Although not evident at days 8 and 12, this imbalance became marked at days 18 and 24 and reflected a significant increase in both the frequency and JAK inhibitor review total number of IgM− GC B cells (Fig. 9b). Examination of the frequency and number of total B220+ PNAhi B cells showed little difference between anti-IL-10R mAb and control-treated mice, except at day 24 (Fig. 9a). This is again similar to the result observed after TGF-β neutralization, and may likewise reflect the activity of natural Treg cells or the ability of other cytokines to partially compensate.

Finally, to ensure that anti-IL-10R mAb treatment did not directly modulate responding B cells, the GC population was tested for expression of IL-10R. As shown in the Supplementary material, Fig. S3, no expression above background was detected. A large number of studies have documented the role of Treg cells in controlling antibody responses.16–46 Using either in vivo disruption (anti-GITR mAb) or depletion (anti-CD25 mAb) protocols, investigators have shown that loss of Treg-cell activity results in enhanced humoral

responses to experimental antigens,16–22 pathogens23,24 and auto-antigens.17,25–29 In all of these reports, antibody levels directed against the specific Interleukin-2 receptor antigen or infectious agent were significantly elevated, including IgG,16–27,29 IgA18,25 and even IgE.19,26 Additional studies examined whether adoptive transfer of polyclonal21,30–32,35,37–40 or TCR transgenic33,34,36,41 Treg cells could dampen antibody responses to defined allo-antigens or auto-antigens. In all cases, the transfer of Treg cells significantly lowered or even eliminated serum antibodies directed against these antigens. As GCs serve as the basis for T-cell-driven humoral responses, the current study examined the behaviour of primary splenic GC reactions induced to a number of antigens in mice treated with an anti-GITR mAb (Figs 1–4). After disruption of Treg-cell activity, total SRBC-induced GC B-cell numbers were increased at all time-points examined (days 8–24). A higher proportion of IgM− switched B cells within the GC compartment largely accounted for this increase.

Methods: From 1997 to 2010, a total of 1605 women with bothersome LUTS received video-urodynamic study in our unit. We reviewed the charts of 212 women diagnosed with BOO based on video-urodynamic criteria and 264 women without abnormal findings. LUTS and urodynamic parameters were compared see more between obstructed and unobstructed cases and among the BOO subgroups. Results: The mean ages of the BOO (58.2 years) and control groups (58.8 years) were

similar. The mean values of detrusor pressure at maximum urinary flow rate (PdetQmax)/maximum flow rate (Qmax) of the BOO and control groups were 51.83 cm H2O/10.22 mL/s versus 18.81 cm H2O/20.52 mL/s. In the BOO group, cinefluoroscopy revealed dysfunctional voiding in 168 patients (79.2%), urethral stricture in 17 (8.0%), and bladder neck dysfunction in 27 (12.7%). Patients with dysfunctional voiding had significantly lower urethral resistance compared with the other two BOO subgroups. Combined lower urinary tract symptoms were present most often in all BOO patients (69.3%), followed by isolated storage symptoms (30.2%) and isolated voiding symptoms (0.5%). Seventy-seven patients (37.3%) had learn more dysuria and 79 patients (36.3%) had frequency as their main symptom. Conclusion: Women with BOO usually

have nonspecific LUTS. Dysfunctional voiding was the most common form among women with clinically unsuspected BOO, but the degree of obstruction was less severe than with primary bladder neck obstruction and urethral stricture. “
“Objectives: We evaluated the association of lower urinary tract symptoms (LUTS) and sleep disorders (SD) in patients with benign prostatic hyperplasia (BPH). We also examined improvement selleck of SD following the α1-blocker

therapy for LUTS. Methods: Sixty-eight male patients were enrolled in the study, consisting of 38 cases with LUTS and BPH (BPH group), and 30 men without significant LUTS or BPH (non-BPH group). The degree of LUTS and SD was evaluated by the International Prostate Symptom Score and the Pittsburg Sleep Quality Index (PSQI), respectively. The patients of BPH group then were treated with α1-blocker for 4 weeks, and were re-examined by all the questionnaires to evaluate the therapeutic efficacies. Results: The correlation analyses showed a significant association of LUTS with SD in BPH group (r = 0.4995, P = 0.0068). Twenty cases (52.6%) in BPH group showed 5.5 or more PSQI scores. Following 4 weeks of α1-blocker administration, the average PSQI decreased significantly from 6.3 to 4.8 points (P < 0.001). Significant improvement was observed in domains of “sleep quality” and “sleep disturbances” among PSQI (P = 0.0215 and 0.0391, respectively). Moreover, significant association between α1-blocker induced improvements of nocturia and SD was identified in patients with 5.5 or more PSQI score at baseline (r = 0.445, P = 0.0334).

In the liver parenchyma of all groups, mature and immature granulomas were seen, and they mostly appeared in the 8 weeks post-infection (Figure 4b). Also, portal granuloma formation appeared at 8th week in control groups (G3 and G4), while in the vaccinated FK506 groups (G1 and G2), it was seen as late as 14th week. The number of mature granulomas increased in all groups at 14th week after challenge. Parasites in the parenchyma of control groups were easily observed at 4th week, and they appeared in G1 at 8 weeks post-infection, but they were not seen in G2. Parasites in portals of control groups were more frequently seen (vs. in vaccinated G1 at 14th week after challenge), and they were observed as late as 8 weeks

and remained up to 14th week. Spleen lymphoid follicle formation was significantly decreased in control groups (G3 and G4) at 4 and 8 weeks post-infection (Figure 4c). Also, the splenic cords were thin and nonprominent in these control groups, whereas

they were more presented and prominent in G1 and G2 at 4th week. Therefore, these changes deteriorated splenic microarchitecture in the nonvaccinated group (Figure 4c). Prominent lymphoid follicles with blastic transformation in parafollicular zone were seen only in G2 at 4th week. Clear cells were seen in the spleen at 4th week only in the vaccinated groups (G1 and G2). Parasites were not microscopically seen in G1 and G2, but they could be detected PCI32765 in nearly all control groups at 4th week (Figure 4d). There were no granulomas and parasites in bone marrow biopsies and aspirated samples (data not shown). DNA-based immunization is utilized for priming specific humoral and

cellular immune responses to protein antigens. However, after injection of naked DNA plasmid, its distribution and expression would be inefficient due to rapid degradation [31]. Hence, the development of optimized pDNA delivery systems is necessary for increasing the immunogenicity of antigens expressed from the plasmids [32]. Currently, two basic policies have been applied for increasing DNA vaccine energy including physical delivery to achieve Epothilone B (EPO906, Patupilone) higher levels of antigen production and formulation with microparticles to target antigen-presenting cells (APCs) [33]. Among various physical delivery applications, electroporation technology has remained a reliable method for the delivery of naked DNA plasmid into target cells by increasing permeability of target cells. Also electroporation may enhance immune responses [34]. However, preventing cell damage or degradation of the plasmid DNA during electroporation performance should be considered via optimizing the conditions of this method [15]. In addition, there is inconvenience in transportation of electroporation equipment especially in deprived districts. Microparticle-based technology is another advance to DNA vaccine delivery to target APCs [33].

“
“To assess whether interleukin (IL)-1beta, IL-18 and interleukin-1 converting enzyme (ICE) are involved in the pathogenesis of endometriosis. Peritoneal fluid (PF) was obtained from 85 women with and without endometriosis.

Peritoneal macrophages were cultured and the culture media collected. IL-1beta, IL-18 and ICE levels were measured by the enzyme-linked immunosorbent assay (ELISA). Levels of IL-1beta and ICE in PF of women with endometriosis were higher than those in the control group. However, PF level of IL-18 was significantly lower in the study group than in the controls. Higher secretion of IL-1beta by peritoneal macrophages and lower IL-18 and ICE in endometriosis patients than in control this website were observed. Following lipopolysaccharide (LPS) stimulation, the macrophages secreted more IL-1beta, IL-18 and ICE in all groups. The results pointed to impairment

of the secretion of the IL-1 cytokine family in endometriosis. Invalid IL-1beta and IL-18 maturation by ICE may be an important pathogenic factor Selleck DMXAA in endometriosis. “
“Neutrophils potently kill tumour cells in the presence of anti-tumour antibodies in vitro. However, for in vivo targeting, the neutrophils need to extravasate from the circulation by passing through endothelial barriers. To study neutrophil migration in the presence of endothelial cells in vitro, we established a three-dimensional collagen culture in which SK-BR-3 tumour colonies were grown in the presence or absence of an endothelial barrier. We demonstrated that — in contrast to targeting FcγR on neutrophils with mAbs — targeting the immunoglobulin A Fc receptor (FcαRI) instead triggered (-)-p-Bromotetramisole Oxalate neutrophil migration and degranulation leading to tumour destruction, which coincided with release of the pro-inflammatory cytokines interleukin (IL)-1β and tumour necrosis factor (TNF)-α. Interestingly, neutrophil migration was enhanced in the presence of endothelial cells, which coincided with production of significant levels of the neutrophil chemokine IL-8. This supports the idea that stimulation of neutrophil FcαRI, but not

FcγR, initiates cross-talk between neutrophils and endothelial cells, leading to enhanced neutrophil migration towards tumour colonies and subsequent tumour killing. Neutrophils represent the most populous type of cytotoxic effector cells within the blood and their numbers can easily be increased by treatment with granulocyte colony-stimulating factor (G-CSF) [1]. Because depletion of these cells resulted in increased tumour outgrowth in animal models, neutrophils may play a role in tumour rejection in vivo [2-4]. It is also becoming increasingly clear that neutrophils secrete a plethora of cytokines and chemokines that can attract other immune cells, such as monocytes, dendritic cells and T cells [5], which may result in more generalised anti-tumour immune responses.

This cell line is intended for in vitro studies of cellular transport in lymphatic endothelium and for in vivo experiments in rat animal models. We created a novel rat lymphatic PLX3397 in vitro immortalized cell line, SV40-LEC, using retroviral gene transfer of SV40 large T antigen. We confirmed expression

of characteristic markers and then examined its growth and transport properties. SV40-LECs demonstrated improved proliferative capacity, but retained morphological characteristics of lymphatic cells and expression of established lymphatic markers. The cells form capillary-like network in vitro. SV40-LEC monolayer has similar permeability to that of the primary initial lymphatics. Paracellular transport in SV40-LECs is limited for substances >70 kDa. Barrier properties of the SV40-LECs can be modulated by cyclic adenosine monophosphate and histamine, which are known to affect microvascular permeability. The SV40-LECs provide an excellent tool for in vitro studies of properties of lymphatic endothelium, and may be suitable for in vivo transplantation studies. “
“Please cite this paper as: Kowalewska, Burrows and Fox-Robichaud (2011). Intravital Microscopy of the Murine Urinary Bladder Microcirculation. Microcirculation18(8), 613–622. Objective:  To establish an in vivo

mouse model of the urinary bladder microcirculation, and characterize the molecular mechanisms of endotoxin-induced leukocyte Ipilimumab in vivo recruitment. Methods:  The murine model was adapted from a technique previously reported for the rat. Mouse bladder microcirculation was observed using intravital microscopy, four hours after intravesical challenge with lipopolysaccharide (LPS) and leukocyte–endothelial interactions were examined. Molecular

mechanisms of leukocyte recruitment were identified using antibodies to adhesion molecules and chemokines. Results:  LPS from Escherichia coli administered intravesically resulted in a significant increase in leukocyte adhesion and rolling at four hours post stimulation. LPS from Pseudomonas aeruginosa administered at similar doses resulted in a significant, but lower increase in leukocyte adhesion after four hours compared with E. coli LPS. Leukocyte adhesion within the bladder microcirculation was dependent on α4-integrins and ICAM-1, whereas leukocyte rolling was P-selectin dependent, O-methylated flavonoid but α4-integrin independent. Blockade of MIP-2 and KC did not alter leukocyte–endothelial interactions. The bladder endothelium expressed P-selectin, ICAM-1, VCAM-1, MIP-2, and MCP-1. Only VCAM-1 endothelial expression was significantly increased after LPS stimulation. Conclusion:  The mouse model of the urinary bladder microcirculation is suitable for the study of inflammatory responses during urinary tract infection (UTI) in vivo. “
“We hypothesized that trajectories of adiposity across childhood would be associated with retinal microcirculatory diameters at age 12 years, independent of BP. The ALSPAC followed a cohort of children born in 1991–1992.

Candida species are the most common fungi isolated from catheter, denture and voice prosthesis-associated

infections, and also are commonly isolated from contact lens-related infections (e.g. fungal keratitis). These biofilms exhibit decreased susceptibility to most antimicrobial agents, which contributes to the persistence of infection. Drug resistance in fungal biofilms is multifactorial and phase-dependent, e.g. efflux pumps mediate resistance in biofilms during early phase whereas altered membrane sterol composition contributes to resistance in mature phase. Both substrate type and surface coatings play an important role in the pathogenesis check details of device-related fungal biofilms. Microarray and proteomic analyses have identified the differentially expressed genes and proteins in Candida biofilms, and recent studies demonstrate that microbial biofilms interact with host immune cells. In this review, we will summarise recent advances in research on fungal biofilms and their relevance to device-associated infections. “
“The current study was conducted to know the incidence, predisposing factors, spectrum, clinical profile and antifungal susceptibility (AFS) of fungal wound infection (FWI) in burn patients. Of a total of 71 patients, 20 (28.2%) emerged with the diagnosis of FWI. Fungal pathogens

in this study were Candida tropicalis (14%), Candida parapsilosis (5.6%), Aspergillus niger (2.8%) and one each of Candida albicans (1.4%), Candida glabrata (1.4%), Syncephalestrum (1.4%) and Fusarium solani (1.4%). All patients with mould infections expired before the mycological culture results could be RGFP966 cost conveyed to clinicians. Of the yeasts isolated in the study, one each of C. tropicalis and C. albicans showed cross-resistance to azoles. All the moulds were susceptible to amphotericin B. This study depicted

that fungal invasion is associated with a high mortality, burn size 30–60% and high incidence of inhalational injury. Fungal invasion was detected on an average of 14 days after injury. Association of use of four classes of drugs – aminoglycosides, imipenem, vancomycin and third generation cephalosporins and use of total parenteral nutrition was observed. Expedient laboratory diagnosis Neratinib price of FWI and appropriate systemic antifungal therapy guided by AFS may improve outcome for severely injured burn victims. “
“Onychomycosis is a common fungal infection most often affecting the toenails. If untreated, it can cause discomfort sufficient to reduce quality of life. To evaluate efficacy and safety of bifonazole cream vs. placebo in onychomycosis treatment after non-surgical nail ablation with urea paste. Fifty-one study centres randomized 692 subjects with mild-to-moderate onychomycosis to receive bifonazole 1% cream or placebo for 4 weeks following non-surgical nail ablation with urea 40% paste over 2–4 weeks.

None. “
“CD4+ T (helper) cells migrate in huge numbers through lymphoid organs. However, little is known about traffic routes and kinetics of CD4+ T-cell subsets within different organ compartments. Such information is important because there are indications that CD4+ T cells may influence the function of microenvironments depending on their developmental stage. Therefore, we investigated the migration of resting (naïve), activated, and recently activated (memory) CD4+ T cells through the different compartments of the spleen. Resting and recently activated CD4+ T cells were separated from thoracic duct lymph and activated CD4+ T

cells were generated in vitro by cross-linking the T-cell receptor and CD28. The present study shows that Selleck Stem Cell Compound Library all three CD4+ T-cell subsets selectively accumulate in the T-cell zone of the spleen. However, only activated T cells induce the Protease Inhibitor Library datasheet formation of germinal centers (GCs) and autoantibodies in rats and mice. Our results suggest that in a two-step process they first activate B cells independent of the T-cell receptor repertoire and CD40 ligand (CD154) expression. The activated B cells

then form GCs whereby CD154-dependend T-cell help is needed. Thus, activated T cells may contribute to the development of autoimmune diseases by activating autoreactive B cells in an Ag-independent manner. “
“Mutations in the Nlrp3 (CIAS1, cryopyrin) gene are associated with cryopyrin-associated periodic syndrome, autoinflammatory diseases characterized by excessive IL-1 production and neutrophilia in blood and tissues. Recent studies with gene-targeted mice expressing mutations homologous to those found in cryopyrin-associated periodic syndrome patients have advanced the understanding of NLRP3-associated autoinflammation. In this Viewpoint, we will discuss the mechanisms of NLRP3 inflammasome activation and its induction of Th17-cell-dominant immunologic responses. The understanding Amisulpride of various inflammasomes,

particularly the NLRP3 inflammasome, has been greatly enhanced by the investigation of gene-targeted mice in which inflammasome components have been knocked out 1–5. Such knock-out mice, however, provide only limited insight into the function of the inflammasome in humans with autoinflammatory syndromes (i.e. patients with cryopyrin-associated periodic syndromes (CAPS)), as the latter are characterized by Nlrp3 mutations causing inflammasome hyperactivation rather than decreased function 6–8. Recently, gene-targeted mice with such mutations of the Nlrp3 gene have been developed, and these mice do in fact express abnormalities associated with human autoinflammatory syndromes 9, 10.

BDG test results led to discontinuation of AF therapy in 13 patients, and initiation of AF therapy in seven patients. In 46 patients the clinical decision was confirmed by BDG. The majority of suspected, probable find more and proven IFI cases (10/13, 77%) was predicted by the test. BDG testing turned out positive in 9/25 (36%)

of patients that had undergone recent surgery and levels correlated with clinical findings. Serum BDG evaluation seems to be a promising tool to guide AF therapy in ICU patients even after recent surgical procedures. “
“Die pathobiologische Grundsituation beim Candidämie-Patienten wird diskutiert. Dazu wurde die im Blutkreislauf zirkulierende Zahl der Pilzzellen geschätzt und zirkulierende Candida-Mannoprotein- und Candida-Mannan-Antigen-Konzentrationen berechnet. Die kalkulierten Werte werden zu labordiagnostischen Befunden und zur Auslösung des Candidämie-Fiebers in Beziehung gesetzt. The basic pathobiological situation in the patient suffering from candidemia is discussed. selleck The number of yeast cells present in the blood circulation was estimated and the concentrations of Candida mannoprotein as well as

of Candida mannan antigen were calculated. The resulting data were correlated with observations in laboratory diagnostics and with triggering of candidemic fever. “
“As there are four major molecular types of Cryptococcus neoformans (VNI, VNII, VNIII and VNIV) and four molecular types of Cryptococcus gattii (VGI, VGII, VGIII and VGIV), it is important to identify the specific groups causing cryptococcosis in different geographical regions. Here, we investigated the molecular

types of 57 cryptococcal isolates from patients in a tertiary care hospital in the state of Amazonas, Brazil, between 2006 and 2010. The Rebamipide isolates were characterised by PCR fingerprinting using the M13 minisatellite and confirmed by URA5-RFLP analysis, and the presence of specific genes from the mating type locus (MATα and MATa) of these species was analysed by PCR. Most of the patients were male (66.7%), between 16 and 30 years of age (51.7%), and HIV-positive (75.0%). Most isolates were collected from cerebrospinal fluid samples (71.7%). Most of the C. neoformans isolates (n = 40) were characterised as members of the VNI molecular group (n = 39), a unique isolate was characterised as VNII whereas all isolates of C. gattii (n = 17) were members of the VGII molecular group. With regard to mating types, 55 isolates were type ‘α’, and only two were type ‘a’. This study revealed the prevalence of the VNI molecular group and provides the first reported observation of the VNII molecular group in the northern region of Brazil.