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.

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.

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