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Tissue-Resident Macrophages in Fungal Infections
Shengjie Xu1, Mari L Shinohara1,2
1Department of Immunology, Duke University School of Medicine, Durham, NC, United States.
Abstract:
Invasive fungal infections result in high morbidity and mortality. Host organs targeted by fungal pathogens vary depending on the route of infection and fungal species encountered. Cryptococcus neoformans infects the respiratory tract and disseminates throughout the central nervous system. Candida albicans infects mucosal tissues and the skin, and systemic Candida infection in rodents has a tropism to the kidney. Aspergillus fumigatus reaches distal areas of the lung once inhaled by the host. Across different tissues in naïve hosts, tissue-resident macrophages (TRMs) are one of the most populous cells of the innate immune system. Although they function to maintain homeostasis in a tissue-specific manner during steady state, TRMs may function as the first line of defense against invading pathogens and may regulate host immune responses. Thus, in any organs, TRMs are uniquely positioned and specifically programmed to function. This article reviews the current understanding of the roles of TRMs during major fungal infections.
Insights
Tissue-resident macrophages (TRMs) are crucial first responders against invasive fungal infections. This review explores their vital roles in defending various organs against fungal pathogens like Cryptococcus neoformans.
Area of Science:
- Immunology
- Microbiology
- Pathology
Background:
- Invasive fungal infections cause significant illness and death.
- Fungal pathogens target specific host organs based on infection route and species.
- Tissue-resident macrophages (TRMs) are key innate immune cells in various tissues.
Purpose of the Study:
- To review the current understanding of TRM functions during major fungal infections.
- To highlight the specific roles of TRMs in host defense against fungal pathogens.
Main Methods:
- Literature review of studies on fungal infections and TRM responses.
- Analysis of research on Cryptococcus neoformans, Candida albicans, and Aspergillus fumigatus infections.
- Examination of TRM roles in different organ systems.
Main Results:
- TRMs act as the initial defense against fungal invasion.
- TRMs are strategically positioned and programmed to manage fungal infections.
- Specific fungal pathogens like C. neoformans, C. albicans, and A. fumigatus interact with TRMs in distinct ways.
Conclusions:
- TRMs are essential for controlling fungal infections across different host organs.
- Understanding TRM functions is critical for developing new therapeutic strategies against invasive fungal diseases.
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