Potential contribution of fungal infection and colonization to the development of allergy
David L Goldman1, Gary B Huffnagle
1Department of Pediatrics, Childrens' Hospital at Montefiore, Albert Einstein College of Medicine, NY 10461, USA. dgoldma@aecom.yu.edu
Abstract:
Fungi have long been recognized as an important source of allergens in patients with atopic disease. In this review, we explore the hypothesis that fungal exposures resulting in colonization or infection directly influence the tendency of an individual to develop allergic disease. According to this hypothesis, fungal exposures especially those early in life may influence the manner in which the immune response handles subsequent responses to antigen exposures. Studies detailing this potential connection between fungi have already provided important insights into the immunology of fungal-human interactions and offer the potential to provide new approaches and targets for the therapy of allergic disease. The first half of this review summarizes the data concerning fungal infections and asthma, including possible connections between fungal infections and urban asthma. The second half explores the potential role of the fungal gastrointestinal microbiota in promoting allergic inflammation.
Insights
Fungal exposures, particularly early in life, may predispose individuals to allergic diseases by influencing immune responses. This review examines the link between fungal infections, asthma, and the gut microbiome in allergy development.
Area of Science:
- Immunology
- Allergology
- Microbiology
Background:
- Fungi are significant allergens in atopic diseases.
- The role of fungal exposure in the development of allergic conditions is under investigation.
Purpose of the Study:
- To explore the hypothesis that fungal colonization or infection influences the development of allergic disease.
- To review the current understanding of fungal-human interactions in the context of allergy.
Main Methods:
- Literature review of studies on fungal infections and asthma.
- Exploration of the potential role of the fungal gastrointestinal microbiota in allergic inflammation.
Main Results:
- Fungal exposures, especially early in life, may shape immune responses to subsequent antigens.
- Evidence suggests a connection between fungal infections and asthma, including urban asthma.
- The fungal gut microbiota may play a role in promoting allergic inflammation.
Conclusions:
- Fungal exposures are implicated in the development and exacerbation of allergic diseases.
- Understanding fungal-human interactions offers potential new therapeutic targets for allergic diseases.
- Further research into fungal infections and the gut microbiome is warranted for allergy management.
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