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Immunity to Commensal Fungi: Detente and Disease
Matthew L Wheeler1, Jose J Limon1, David M Underhill1,2
1F. Widjaja Foundation Inflammatory Bowel and Immunobiology Research Institute, and Division of Immunology, Department of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California 90048; email: David.Underhill@csmc.edu , Matthew.Wheeler@cshs.org , Jose.Limon-Tello@cshs.org.
Abstract:
Fungi are ubiquitous in our environment, and a healthy immune system is essential to maintain adequate protection from fungal infections. When this protection breaks down, superficial and invasive fungal infections cause diseases that range from irritating to life-threatening. Millions of people worldwide develop invasive infections during their lives, and mortality for these infections often exceeds 50%. Nevertheless, we are normally colonized with many of the same disease-causing fungi (e.g., on the skin or in the gut). Recent research is dramatically expanding our understanding of the mechanisms by which our immune systems interact with these organisms in health and disease. In this review, we discuss what is currently known about where and how the immune system interacts with common fungi.
Insights
Our immune system protects us from dangerous fungi, even though we host many fungi daily. This review explores how the immune system interacts with common fungi in health and disease.
Area of Science:
- Mycology
- Immunology
- Infectious Diseases
Background:
- Fungi are widespread environmental organisms.
- A robust immune system is crucial for defense against fungal infections.
- Fungal infections range from superficial to life-threatening invasive diseases, with high mortality rates.
Purpose of the Study:
- To review current knowledge on host-fungus interactions.
- To elucidate the mechanisms of immune system engagement with common fungi.
- To understand fungal colonization and immune response in health and disease.
Main Methods:
- Literature review of recent research on fungal immunology.
- Synthesis of information on immune system interactions with fungi.
- Analysis of mechanisms in health and disease contexts.
Main Results:
- The immune system actively interacts with fungi in both health and disease states.
- Understanding these interactions is rapidly advancing.
- Common fungi can colonize hosts without causing disease due to immune surveillance.
Conclusions:
- The immune system plays a critical role in managing ubiquitous fungi.
- Further research is expanding our knowledge of immune responses to fungal pathogens.
- Effective immune interaction is key to preventing severe fungal diseases.
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