Impact of Aspergillus fumigatus in allergic airway diseases
Neelkamal Chaudhary1, Kieren A Marr
1School of Medicine, Johns Hopkins University, Baltimore, MD, USA. kmarr4@jhmi.edu.
Abstract:
For decades, fungi have been recognized as associated with asthma and other reactive airway diseases. In contrast to type I-mediated allergies caused by pollen, fungi cause a large number of allergic diseases such as allergic bronchopulmonary mycoses, rhinitis, allergic sinusitis and hypersensitivity pneumonitis. Amongst the fungi, Aspergillus fumigatus is the most prevalent cause of severe pulmonary allergic disease, including allergic bronchopulmonary aspergillosis (ABPA), known to be associated with chronic lung injury and deterioration in pulmonary function in people with chronic asthma and cystic fibrosis (CF). The goal of this review is to discuss new understandings of host-pathogen interactions in the genesis of allergic airway diseases caused by A. fumigatus. Host and pathogen related factors that participate in triggering the inflammatory cycle leading to pulmonary exacerbations in ABPA are discussed.
Insights
Fungi, particularly Aspergillus fumigatus, are linked to severe allergic lung diseases like allergic bronchopulmonary aspergillosis (ABPA). This review explores host-pathogen interactions driving ABPA and asthma exacerbations.
Area of Science:
- Pulmonary Medicine
- Allergology
- Mycology
Background:
- Fungi are significant triggers of allergic airway diseases, distinct from pollen allergies.
- Aspergillus fumigatus is a primary cause of severe allergic lung conditions, including allergic bronchopulmonary aspergillosis (ABPA).
- ABPA is associated with chronic lung damage and worsening lung function in asthma and cystic fibrosis (CF) patients.
Purpose of the Study:
- To review current knowledge on host-pathogen interactions in allergic airway diseases caused by Aspergillus fumigatus.
- To elucidate factors contributing to the inflammatory cycle in ABPA.
Main Methods:
- Literature review of host-pathogen interactions in allergic airway diseases.
- Analysis of factors triggering inflammation in ABPA.
Main Results:
- Fungal exposure leads to diverse allergic conditions like rhinitis, sinusitis, and hypersensitivity pneumonitis.
- Aspergillus fumigatus plays a key role in severe pulmonary allergic responses.
- Understanding host and pathogen factors is crucial for managing ABPA exacerbations.
Conclusions:
- New insights into host-pathogen interactions are vital for understanding allergic airway diseases.
- Identifying key factors can help manage inflammatory cycles and improve patient outcomes in ABPA.
Related Concept Videos
Fungal Phylum Ascomycota
Asthma I: Introduction
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma III: Clinical Manifestations
Asthma-I: Introduction

