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Deep Dermal Injection As a Model of Candida albicans Skin Infection for Histological Analyses
Published on: June 13, 2018
Dermatomycoses: challenges and human immune responses
Muzna Zahur, Amber Afroz, Umer Rashid
1Department of Biochemistry and Molecular Biology, University of Gujrat, Gujrat, Pakistan. muzna.zahoor@uog.edu.pk.
Abstract:
The most prevalent skin infections are mainly caused by species of dermatophytes of the genera Trichophyton, Microsporum, and Epidermophyton that infect keratinized tissues and stratum corneum of skin and hair. Besides proteases with putative role of kinases and other enzymes, immune modulators are abundantly secreted during infection as well. The molecular mechanism used by the dermatophytes to infect and counteract the host immune response is not well understood. The defense against infections basically depends on the host's immune responses to metabolites of the fungi, virulence of the infecting strain or species and anatomical site of the infection. The two aspects of the immune system, the immediate hypersensitivity and delayed-type hypersensitivity against dermatophytes may be crucial to the progression and severity of skin infection. Management of the infection through species identification and molecular diagnostic techniques as well as use of novel targeted drugs in addition to conventional anti-fungal compounds is of great importance in dealing with disease onsets and outbreaks. Here we reviewed the fungal skin infections elucidating their biologic and immunologic characteristics. Reaction to fungal invasion by the infected epithelial tissue on the host side is also discussed. Moreover, determinants of protective immunity and treatment options are focused that could confer long-lasting resistance to infection.
Insights
This review explores fungal skin infections caused by dermatophytes, detailing their biological mechanisms and the host immune response. Understanding these factors is key for developing effective diagnostics and treatments against common fungal skin diseases.
Area of Science:
- Mycology
- Immunology
- Dermatology
Background:
- Common skin infections are primarily caused by dermatophytes (Trichophyton, Microsporum, Epidermophyton) affecting keratinized tissues.
- Dermatophytes secrete enzymes and immune modulators, but their infection mechanisms and immune evasion strategies are not fully understood.
- Host immune responses, fungal virulence, and infection site influence defense against dermatophyte infections.
Purpose of the Study:
- To review the biological and immunological characteristics of fungal skin infections.
- To discuss host epithelial tissue reactions to fungal invasion.
- To focus on determinants of protective immunity and treatment options for long-lasting resistance.
Main Methods:
- Literature review of fungal skin infections.
- Analysis of dermatophyte biology and secreted factors.
- Discussion of host immune responses, including hypersensitivity reactions.
- Review of diagnostic techniques and therapeutic strategies.
Main Results:
- Dermatophytes infect keratinized tissues, secreting various enzymes and immune modulators.
- Both immediate and delayed-type hypersensitivity responses to dermatophytes are crucial in infection progression.
- Host immune reactions and fungal virulence are key determinants of infection severity.
Conclusions:
- Effective management requires species identification, advanced diagnostics, and novel targeted therapies alongside conventional antifungals.
- Understanding immune determinants is vital for developing strategies conferring long-lasting resistance to fungal skin infections.
- Further research into molecular mechanisms and host-pathogen interactions can improve treatment outcomes for fungal skin diseases.
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