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Published on: July 30, 2012
Local antifungal immunity in the kidney in disseminated candidiasis
Chetan V Jawale1, Partha S Biswas1
1Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Abstract:
Disseminated candidiasis is a hospital-acquired infection that results in high degree of mortality despite antifungal treatment. Autopsy studies revealed that kidneys are the major target organs in disseminated candidiasis and death due to kidney damage is a frequent outcome in these patients. Thus, the need for effective therapeutic strategies to mitigate kidney damage in disseminated candidiasis is compelling. Recent studies have highlighted the essential contribution of kidney-specific immune response in host defense against systemic infection. Crosstalk between kidney-resident and infiltrating immune cells aid in the clearance of fungi and prevent tissue damage in disseminated candidiasis. In this review, we provide our recent understanding on antifungal immunity in the kidney with an emphasis on IL-17-mediated renal defense in disseminated candidiasis.
Insights
Disseminated candidiasis frequently targets the kidneys, leading to high mortality. This review highlights the crucial role of kidney immune responses, particularly IL-17, in combating fungal infections and preventing organ damage.
Area of Science:
- Immunology
- Infectious Diseases
- Nephrology
Background:
- Disseminated candidiasis is a severe hospital-acquired infection with high mortality, often leading to kidney damage.
- The kidneys are primary target organs in disseminated candidiasis, and damage contributes significantly to patient mortality.
- Effective therapeutic strategies are urgently needed to mitigate kidney damage during systemic fungal infections.
Purpose of the Study:
- To review current understanding of antifungal immunity within the kidney.
- To emphasize the role of interleukin-17 (IL-17) in renal defense against disseminated candidiasis.
- To explore the crosstalk between kidney-resident and infiltrating immune cells in host defense.
Main Methods:
- Review of recent scientific literature on disseminated candidiasis and renal immunology.
- Analysis of studies focusing on immune cell interactions in the kidney during fungal infection.
- Examination of the mechanisms underlying IL-17-mediated antifungal defense in the renal environment.
Main Results:
- Kidney-specific immune responses are essential for host defense against systemic fungal infections.
- Immune cell crosstalk within the kidney aids in fungal clearance and prevents tissue damage.
- Interleukin-17 (IL-17) plays a significant role in mediating antifungal immunity in the kidneys.
Conclusions:
- Understanding kidney-specific immunity is crucial for developing new treatments for disseminated candidiasis.
- Targeting IL-17-mediated pathways may offer a promising therapeutic strategy to protect kidneys from fungal damage.
- Further research into immune cell interactions in the kidney is vital for improving outcomes in disseminated candidiasis.
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