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Mechanisms of fungal dissemination
Ashley B Strickland1, Meiqing Shi2
1Division of Immunology, Virginia-Maryland College of Veterinary Medicine and Maryland Pathogen Research Institute, University of Maryland, College Park, MD, USA. astrick1@umd.edu.
Abstract:
Fungal infections are an increasing threat to global public health. There are more than six million fungal species worldwide, but less than 1% are known to infect humans. Most of these fungal infections are superficial, affecting the hair, skin and nails, but some species are capable of causing life-threatening diseases. The most common of these include Cryptococcus neoformans, Aspergillus fumigatus and Candida albicans. These fungi are typically innocuous and even constitute a part of the human microbiome, but if these pathogens disseminate throughout the body, they can cause fatal infections which account for more than one million deaths worldwide each year. Thus, systemic dissemination of fungi is a critical step in the development of these deadly infections. In this review, we discuss our current understanding of how fungi disseminate from the initial infection sites to the bloodstream, how immune cells eliminate fungi from circulation and how fungi leave the blood and enter distant organs, highlighting some recent advances and offering some perspectives on future directions.
Insights
Fungal infections are a growing global health concern. This review details how fungi spread through the body, how the immune system fights them, and how they reach distant organs.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Immunology
Background:
- Fungal infections pose a significant global health threat, with millions of species existing worldwide.
- While most fungal infections are superficial, some can cause life-threatening systemic diseases, leading to over a million deaths annually.
- Pathogenic fungi like Candida albicans, Cryptococcus neoformans, and Aspergillus fumigatus can disseminate from initial infection sites, causing fatal outcomes.
Purpose of the Study:
- To review the current understanding of fungal dissemination in the human body.
- To explore the mechanisms by which immune cells combat circulating fungi.
- To highlight recent advancements and future research directions in fungal dissemination and host defense.
Main Methods:
- This is a review article, synthesizing existing research on fungal dissemination.
- It discusses mechanisms of fungal spread, immune cell interactions, and organ invasion.
- Focuses on recent advances and future perspectives in the field.
Main Results:
- Fungal dissemination is a critical step in the development of deadly systemic fungal infections.
- Immune cells play a role in eliminating fungi from the bloodstream.
- Fungi can successfully leave the bloodstream to establish infections in distant organs.
Conclusions:
- Understanding fungal dissemination is crucial for combating life-threatening fungal infections.
- Further research is needed to explore fungal spread, immune evasion, and organ colonization.
- This review provides insights into current knowledge and future directions for managing systemic mycoses.
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