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Complement and fungal pathogens: an update
Cornelia Speth1, Günter Rambach, Reinhard Würzner
1Department of Hygiene, Microbiology and Social Medicine, Division of Hygiene and Medical Microbiology, Innsbruck Medical University, Innsbruck, Austria. cornelia.speth@i-med.ac.at
Abstract:
Fungal infections are a serious complication in immunocompromised patients such as human immunodeficiency virus-infected individuals, patients with organ transplantations or with haematological neoplasia. The lethality of opportunistic fungal infection is high despite a growing arsenal of antimycotic drugs, implying the urgent need for supportive immunological therapies to strengthen the current inefficient antimicrobial defences of the immunocompromised host. Therefore, increasing effort has been directed to investigating the interplay between fungi and the host immunity and thus to find starting points for additional therapeutic approaches. In this article, we review the actual state of the art concerning the role of complement in the pathogenesis of fungal infections. Important aspects include the activation of the complement system by the fungal pathogen, the efficiency of the complement-associated antimicrobial functions and the arsenal of immune evasion strategies applied by the fungi. The twin functions of complement as an interactive player of the innate immunity and at the same time as a modulator of the adaptive immunity make this defence weapon a particularly interesting therapeutic candidate to mobilise a more effective immune response and to strengthen in one fell swoop a broad spectrum of different immune reactions. However, we also mention the 'Yin-Yang' nature of the complement system in fungal infections, as growing evidence assigns to complement a contributory part in the pathogenesis of fungus-induced allergic manifestations.
Insights
The complement system is crucial for fighting fungal infections in immunocompromised patients. Understanding its role can lead to new therapies to boost immune defenses against dangerous fungi.
Area of Science:
- Immunology
- Mycology
- Infectious Diseases
Background:
- Fungal infections pose a significant threat to immunocompromised individuals, often leading to high mortality despite available antifungal drugs.
- There is an urgent need for immunotherapies to enhance the weakened immune systems of these patients.
- Investigating the interaction between fungal pathogens and host immunity is key to developing novel therapeutic strategies.
Purpose of the Study:
- To review the current understanding of the complement system's role in the pathogenesis of fungal infections.
- To explore how fungi activate complement, how complement combats fungi, and the evasion mechanisms employed by fungi.
- To discuss the potential of the complement system as a therapeutic target for fungal infections.
Main Methods:
- Literature review of studies on complement activation by fungi.
- Analysis of complement's antimicrobial functions against fungal pathogens.
- Examination of fungal immune evasion strategies targeting the complement system.
Main Results:
- The complement system is activated by fungal pathogens, contributing to both innate and adaptive immunity.
- Fungi employ sophisticated strategies to evade complement-mediated destruction.
- Complement plays a dual role, aiding in defense but also potentially contributing to fungal-induced allergies.
Conclusions:
- The complement system is a critical component in host defense against fungal infections.
- Targeting the complement system offers a promising avenue for developing supportive immunotherapies.
- The complex 'Yin-Yang' nature of complement in fungal infections, including its role in allergic responses, requires further investigation.
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