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Fungal Biofilms: Relevance in the Setting of Human Disease
Luis R Martinez1, Bettina C Fries
1Albert Einstein College of Medicine, 1300 Morris Park Avenue Bronx, Morris Park, NY 10461, USA.
Abstract:
The use of indwelling medical devices is rapidly growing and is often complicated by infections with biofilm-forming microbes that are resistant to antimicrobial agents and host defense mechanisms. Fungal biofilms have emerged as a clinical problem associated with these medical device infections, causing significant morbidity and mortality. This review discusses the recent advances in the understanding of fungal biofilms, including the role of fungal surface components in adherence, gene expression, and quorum sensing in biofilm formation. We propose novel strategies for the prevention or eradication of microbial colonization of medical prosthetic devices.
Insights
Fungal biofilms on medical devices are a growing problem due to antimicrobial resistance. This review explores fungal biofilm formation and proposes new strategies for prevention and eradication.
Area of Science:
- Microbiology
- Biomedical Engineering
- Infectious Diseases
Background:
- Indwelling medical devices are increasingly used, leading to a rise in associated infections.
- Biofilm-forming microbes, particularly fungi, pose significant challenges due to antimicrobial resistance and host defense evasion.
- Fungal biofilms on medical devices cause substantial morbidity and mortality.
Purpose of the Study:
- To review recent advances in understanding fungal biofilm formation.
- To explore the molecular mechanisms underlying fungal biofilm development, including adherence, gene expression, and quorum sensing.
- To propose novel strategies for preventing and eradicating microbial colonization on medical prosthetic devices.
Main Methods:
- Literature review of recent research on fungal biofilms.
- Analysis of studies focusing on fungal surface components, gene regulation, and cell-to-cell communication in biofilm development.
- Synthesis of findings to identify potential therapeutic targets and preventative measures.
Main Results:
- Fungal surface components play a crucial role in microbial adherence and biofilm establishment.
- Gene expression patterns and quorum sensing mechanisms are critical regulators of fungal biofilm formation.
- Understanding these mechanisms provides insights into developing effective anti-biofilm strategies.
Conclusions:
- Fungal biofilms represent a significant clinical threat associated with medical devices.
- Targeting fungal adherence, gene expression, and quorum sensing offers promising avenues for intervention.
- Novel strategies are needed for the prevention and eradication of fungal colonization on medical devices.
Related Concept Videos
Biofilms
Candidiasis
Colonisation of Pathogens
Overview of Fungi
Fungal Group Zygomycota
Fungal Phylum Microsporidia

