Related Experiment Video
Updated: May 28, 2026

Live-cell Video Microscopy of Fungal Pathogen Phagocytosis
Published on: January 9, 2013
Immunomodulatory properties of antifungal agents on phagocytic cells
Maria Simitsopoulou1, Emmanuel Roilides, Thomas J Walsh
1Laboratory of Infectious Diseases, 3rd Department of Paediatrics, School of Medicine, Aristotle University, Hippokration Hospital, Thessaloniki, Greece.
Abstract:
Phagocytic cells, particularly neutrophils and monocytes/macrophages, are the first line and the most effective form of innate host defence against pathogenic fungi. During antifungal therapy these phagocytic cells are also exposed to antifungal agents. In the phagocyte-fungus-antifungal agent interplay, drugs may directly interact with phagocytes through specific pattern recognition receptors, leading to altered antifungal activities. Antifungal agents, through modulation of fungal virulence, may initiate different immune response programs in the phagocytes, leading to antifungal synergism/antagonism or up-regulation of gene expression for a pro-inflammatory response. Additionally, indirect modulation of phagocyte behavior by pretreatment of neutrophils, monocytes, and macrophages with cytokines and exposure to antifungal agents have shown promising findings for combined drug-cytokine therapy that may improve treatment of life-threatening fungal diseases. In this review, we discuss the main in vitro and in vivo immunomodulatory effects of antifungal agents on phagocytes in response to pathogenic fungi, as well as we address underlying immunopharmacologic mechanisms and their potential impact on clinical outcome.
Insights
Phagocytic cells are crucial for fighting fungal infections. Antifungal drugs can alter their function, impacting treatment effectiveness and immune responses against fungi.
Area of Science:
- Immunology
- Pharmacology
- Mycology
Background:
- Phagocytic cells, including neutrophils and monocytes/macrophages, are vital for innate immunity against fungal pathogens.
- Antifungal therapies expose these immune cells to drugs, creating a complex interplay.
- Understanding this interaction is key to improving treatments for fungal diseases.
Purpose of the Study:
- To review the immunomodulatory effects of antifungal agents on phagocytes.
- To explore the underlying immunopharmacologic mechanisms of these interactions.
- To assess the potential clinical impact of these drug-host-pathogen interactions.
Main Methods:
- Review of in vitro and in vivo studies.
- Analysis of direct drug-phagocyte interactions via pattern recognition receptors.
- Investigation of fungal virulence modulation by antifungal agents.
- Examination of cytokine-mediated pretreatment of phagocytes.
Main Results:
- Antifungal agents can directly modulate phagocyte activity and gene expression.
- Drug-induced changes in fungal virulence can alter immune responses, leading to synergism or antagonism.
- Combined drug-cytokine therapy shows promise for enhancing treatment outcomes.
Conclusions:
- Antifungal agents exert significant immunomodulatory effects on phagocytes.
- These effects are mediated by direct drug-receptor interactions and indirect modulation of fungal virulence.
- Further research into these mechanisms could lead to improved therapeutic strategies for invasive fungal infections.
Related Concept Videos
Antifungal Agents
Immune Surveillance by NK Cells and Phagocytes
Natural Killer Cells: The Fast Responders
NK cells are large granular lymphocytes found in the blood and lymphatic system. These...
Cells of the Innate Immune Response
Phagocytes
Phagocytes police the peripheral tissues by removing cellular debris and responding to the invasion of foreign substances or pathogens. Many phagocytes attack and remove microorganisms even before lymphocytes detect them. The human body has two general...
Phagocytosis of Apoptotic Cells
Normal cells contain receptors that prevent them from being recognized by phagocytes.
Cell-mediated Immune Responses
Immune Response Against Viral Pathogens
NK Cells
NK cells are a crucial part of our innate immune system, acting as the first line of defense against viral infections. These cells can recognize and kill infected cells without prior exposure to the virus, effectively slowing down the spread of infection. Additionally, NK cells produce proinflammatory...

