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Challenges and Opportunities in Understanding Genetics of Fungal Diseases: Towards a Functional Genomics Approach
Mariolina Bruno1, Vasiliki Matzaraki1,2, Frank L van de Veerdonk1
1Department of Internal Medicine, Radboudumc Center for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, The Netherlands.
Abstract:
Infectious diseases are a leading cause of morbidity and mortality worldwide, and human pathogens have long been recognized as one of the main sources of evolutionary pressure, resulting in a high variable genetic background in immune-related genes. The study of the genetic contribution to infectious diseases has undergone tremendous advances over the last decades. Here, focusing on genetic predisposition to fungal diseases, we provide an overview of the available approaches for studying human genetic susceptibility to infections, reviewing current methodological and practical limitations. We describe how the classical methods available, such as family-based studies and candidate gene studies, have contributed to the discovery of crucial susceptibility factors for fungal infections. We will also discuss the contribution of novel unbiased approaches to the field, highlighting their success but also their limitations for the fungal immunology field. Finally, we show how a systems genomics approach can overcome those limitations and can lead to efficient prioritization and identification of genes and pathways with a critical role in susceptibility to fungal diseases. This knowledge will help to stratify at-risk patient groups and, subsequently, develop early appropriate prophylactic and treatment strategies.
Insights
Understanding genetic susceptibility to fungal infections is crucial. This study reviews methods for identifying genetic factors, highlighting systems genomics as a powerful approach for discovering new fungal disease susceptibility genes.
Area of Science:
- Immunology
- Genetics
- Infectious Diseases
Background:
- Infectious diseases are a major global health concern, with pathogens driving genetic evolution in immune-related genes.
- Genetic predisposition significantly influences susceptibility to infections, particularly fungal diseases.
- Advances in genetic studies have improved our understanding of host-pathogen interactions.
Purpose of the Study:
- To provide an overview of methods for studying human genetic susceptibility to fungal infections.
- To review the limitations of current genetic approaches in fungal immunology.
- To highlight the potential of systems genomics for identifying fungal disease susceptibility genes.
Main Methods:
- Review of classical genetic studies (family-based, candidate gene).
- Discussion of novel unbiased genetic approaches.
- Application of systems genomics for gene and pathway prioritization.
Main Results:
- Classical methods have identified key susceptibility factors for fungal infections.
- Novel approaches offer broader insights but have limitations in fungal immunology.
- Systems genomics effectively overcomes limitations, enabling efficient identification of critical genes and pathways.
Conclusions:
- Genetic factors play a vital role in susceptibility to fungal infections.
- Systems genomics offers a powerful strategy to identify novel genetic determinants of fungal disease.
- This knowledge can improve risk stratification and inform prophylactic and treatment strategies for fungal diseases.
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