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Pathogen and host genetics underpinning cryptococcal disease
Carolina Coelho1, Rhys A Farrer1
1Medical Research Council Centre for Medical Mycology at the University of Exeter, Exeter, United Kingdom.
Abstract:
Cryptococcosis is a severe fungal disease causing 220,000 cases of cryptococcal meningitis yearly. The etiological agents of cryptococcosis are taxonomically grouped into at least two species complexes belonging to the genus Cryptococcus. All of these yeasts are environmentally ubiquitous fungi (often found in soil, leaves and decaying wood, tree hollows, and associated with bird feces especially pigeon guano). Infection in a range of animals including humans begins following inhalation of spores or aerosolized yeasts. Recent advances provide fundamental insights into the factors from both the pathogen and its hosts which influence pathogenesis and disease. The complex interactions leading to disease in mammalian hosts have also updated from the availability of better genomic tools and datasets. In this review, we discuss recent genetic research on Cryptococcus, covering the epidemiology, ecology, and evolution of Cryptococcus pathogenic species. We also discuss the insights into the host immune response obtained from the latest genetic modified host models as well as insights from monogenic disorders in humans. Finally we highlight outstanding questions that can be answered in the near future using bioinformatics and genomic tools.
Insights
Cryptococcosis, a severe fungal infection, causes over 220,000 cryptococcal meningitis cases annually. Recent genetic research enhances understanding of Cryptococcus pathogen, host immunity, and disease evolution.
Area of Science:
- Mycology
- Infectious Diseases
- Genetics
Background:
- Cryptococcosis is a significant fungal disease, with Cryptococcus species causing approximately 220,000 cases of cryptococcal meningitis each year.
- These ubiquitous fungi are found globally in soil, decaying wood, and bird droppings, leading to infection through inhalation of spores or yeasts.
- Pathogenesis involves complex interactions between the pathogen and mammalian hosts.
Purpose of the Study:
- To review recent genetic research on pathogenic Cryptococcus species.
- To explore epidemiological, ecological, and evolutionary aspects of Cryptococcus.
- To discuss host immune responses and insights from genetic models and human disorders.
Main Methods:
- Review of recent genetic research on Cryptococcus.
- Analysis of genomic tools and datasets for understanding host-pathogen interactions.
- Examination of data from genetically modified host models and human monogenic disorders.
Main Results:
- Recent advances offer fundamental insights into factors influencing Cryptococcus pathogenesis and disease.
- Genomic tools have improved understanding of complex host-pathogen interactions.
- Insights into host immune responses are being gained from advanced genetic models.
Conclusions:
- Continued genetic research is crucial for understanding Cryptococcosis.
- Bioinformatics and genomic tools hold promise for answering outstanding questions in the field.
- Further investigation into host-pathogen dynamics will aid in disease management.
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