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Updated: Jun 3, 2026

Whole Blood Assay with Dual Co-Stimulation for Antigen-Specific Analysis of Host Immunity to Fungal and Viral Pathogens
Published on: September 20, 2024
War-Fe-re: iron at the core of fungal virulence and host immunity
1Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USA. tracy.nevitt@duke.edu
Abstract:
Iron acquisition is a bona fide virulence determinant. The successful colonization of the mammalian host requires that microorganisms overcome the Fe aridity of this milieu in which the levels of circulating Fe are maintained exceedingly low both through the compartmentalization of this nutrient within cells as well as the tight binding of Fe to host circulating proteins and ligands. Microbes notoriously employ multiple strategies for high affinity Fe acquisition from the host that rely either on the expression of receptors for host Fe-binding proteins and ligands, its reduction by cell surface reductases or the utilization of siderophores, small organic molecules with very high affinity for Fe(3+). This review will discuss the multiple mechanisms deployed by fungal pathogens in Fe acquisition focusing on the role of siderophore utilization in virulence as well as host immune strategies of iron withholding and emerging clinical evidence that human disorders of Fe homeostasis can act as modifiers of infectious disease.
Insights
Fungal pathogens use iron acquisition strategies like siderophores to infect hosts. Understanding these mechanisms and host defenses is crucial for combating infections and managing iron homeostasis disorders.
Area of Science:
- Microbiology
- Pathogenesis
- Immunology
Background:
- Microbial colonization depends on iron acquisition due to low host iron availability.
- Pathogens employ high-affinity iron uptake systems to scavenge iron from the host.
- Host strategies include iron sequestration and binding proteins to limit microbial access.
Purpose of the Study:
- To review fungal pathogen iron acquisition mechanisms.
- To highlight the role of siderophores in fungal virulence.
- To discuss host iron withholding and iron homeostasis disorders in infectious diseases.
Main Methods:
- Literature review of fungal iron acquisition.
- Analysis of siderophore utilization in pathogenesis.
- Examination of host immune responses and iron regulation.
Main Results:
- Fungal pathogens utilize diverse high-affinity iron uptake systems.
- Siderophores are critical for fungal virulence and iron acquisition.
- Host iron withholding is a key immune defense.
Conclusions:
- Iron acquisition is essential for fungal pathogen virulence.
- Siderophore utilization is a significant virulence factor.
- Host iron status influences infectious disease outcomes.
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