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Mechanisms of immune evasion in fungal pathogens
John R Collette1, Michael C Lorenz
1Department of Microbiology and Molecular Genetics, University of Texas Health Science Center, 6431 Fannin St., Houston, TX 77030, United States.
Abstract:
The incidence of life-threatening fungal infections has continued to increase in recent years, predominantly in patients debilitated by iatrogenic interventions or immunological dysfunctions. While the picture of the immunology of fungal infections grows increasingly complex, it is clear that the phagocyte-pathogen interaction is a critical determinant of establishing an infection. About 10 years ago, genome-scale approaches began to elucidate the intricate and extensive fungal response to phagocytosis and in the last few years it has become clear that some of this response actively modulates immune cell function. Fungal pathogens avoid detection by masking pathogen-associated molecular patterns, such as cell wall carbohydrates, and by downregulating the complement cascade. Once detected, various species interfere with phagocytosis and intracellular trafficking, and can repress production of antimicrobials like nitric oxide (NO). For the most part, the molecular mechanisms behind these behaviors are not yet known. This review discusses recent discoveries and insights into how fungi manipulate the host-pathogen interaction.
Insights
Fungal infections are rising, especially in immunocompromised patients. This review explores how fungi actively manipulate host immune cells and interactions to evade detection and establish infections.
Area of Science:
- Mycology
- Immunology
- Pathogen-Host Interactions
Background:
- Life-threatening fungal infections are increasing, particularly in immunocompromised individuals.
- Phagocyte-pathogen interaction is crucial in fungal infection establishment.
- Fungal responses to phagocytosis can actively modulate host immune cell function.
Purpose of the Study:
- To review recent discoveries on how fungi manipulate host-pathogen interactions.
- To elucidate the complex mechanisms fungi employ to evade immune responses.
Main Methods:
- Review of genome-scale approaches and recent literature.
- Analysis of fungal strategies for immune evasion and manipulation.
Main Results:
- Fungal pathogens mask pathogen-associated molecular patterns (PAMPs) and downregulate complement.
- Fungi interfere with phagocytosis, intracellular trafficking, and nitric oxide (NO) production.
- Molecular mechanisms behind these fungal manipulation strategies are largely unknown.
Conclusions:
- Fungi possess sophisticated mechanisms to manipulate host immune responses.
- Understanding these fungal strategies is critical for combating invasive fungal infections.
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