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Updated: Feb 6, 2026

Live-cell Video Microscopy of Fungal Pathogen Phagocytosis
Published on: January 9, 2013
Human CARD9: A Critical Molecule of Fungal Immune Surveillance
Rebecca A Drummond1, Luis M Franco2, Michail S Lionakis1
1Fungal Pathogenesis Section, Laboratory of Clinical Immunology and Microbiology (LCIM), National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, United States.
Insights
Card9 (caspase recruitment domain-containing protein 9) is crucial for innate immunity against pathogens. CARD9 deficiency specifically impairs antifungal responses and influences autoimmune and inflammatory diseases.
Area of Science:
- Immunology
- Molecular Biology
- Genetics
Background:
- Card9 (caspase recruitment domain-containing protein 9) is a key signaling adaptor protein.
- It mediates signals from pattern recognition receptors, including C-type lectin receptors, NOD receptors, and nucleic acid sensors.
- Card9 plays a vital role in innate immunity against bacteria, fungi, and viruses.
Purpose of the Study:
- To review recent findings on novel functions of Card9 in various disease contexts.
- To summarize current knowledge on the genetics and immunology of human Card9 deficiency.
Main Methods:
- Literature review of recent studies on Card9.
- Analysis of human genetic and immunological data related to Card9 deficiency.
Main Results:
- Animal models show Card9 regulates immunity to diverse pathogens.
- Human studies reveal Card9's specific role in antifungal immunity in the central nervous system, oral mucosa, and skin.
- Emerging evidence links Card9 to autoimmunity, inflammatory bowel diseases, and cancer.
Conclusions:
- Card9 is a critical regulator of innate immunity with diverse roles in host defense.
- Card9 deficiency has specific implications for antifungal immunity and susceptibility to other diseases.
- Further research into Card9's functions is essential for understanding and treating associated conditions.
Abstract:
CARD9 is a signaling adaptor protein that is involved in the transduction of signals from a variety of innate pattern recognition receptors, including the C-type lectin receptors and intracellular NOD receptors and nucleic acid sensors. As a result, CARD9 has been shown in animal models to be an important regulator of immunity to bacteria, fungi, and viruses. Studies in humans with autosomal recessive CARD9 deficiency have indicated a highly specific role for this molecule in the activation of antifungal immune responses in the central nervous system, the oral mucosa, and the skin. Moreover, CARD9-dependent functions have recently been indicated to modulate the development of autoimmunity, inflammatory bowel diseases, and cancer. In this mini-review, we highlight the recent studies that have identified several novel functions of CARD9 in various disease contexts, and we summarize the contemporary understanding of the genetics and immunology of human CARD9 deficiency.
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