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Published on: March 19, 2019
Addressing Microbial Resistance Worldwide: Challenges over Controlling Life-Threatening Fungal Infections
Leonardo Martins-Santana1, Caroline Patini Rezende2, Antonio Rossi1
1Department of Genetics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14040-900, Brazil.
Abstract:
Fungal infections are a serious global concern because of their ability to spread and colonize host tissues in immunocompromised individuals. Such infections have been frequently reported worldwide and are currently gaining clinical research relevance owing to their resistant character, representing a bottleneck in treating affected people. Resistant fungi are an emergent public health threat. The upsurge of such pathogens has led to new research toward unraveling the destructive potential evoked by these species. Some fungi-grouped into Candida, Aspergillus, and Cryptococcus-are causative agents of severe and systemic infections. They are associated with high mortality rates and have recently been described as sources of coinfection in COVID-hospitalized patients. Despite the efforts to elucidate the challenges of colonization, dissemination, and infection severity, the immunopathogenesis of fungal diseases remains a pivotal characteristic in fungal burden elimination. The struggle between the host immune system and the physiological strategies of the fungi to maintain cellular viability is complex. In this brief review, we highlight the relevance of drug resistance phenotypes in fungi of clinical significance, taking into consideration their physiopathology and how the scientific community could orchestrate their efforts to avoid fungal infection dissemination and deaths.
Insights
Drug-resistant fungi pose a global health threat, causing severe infections in vulnerable populations. Understanding fungal drug resistance and host immunity is crucial for effective treatment and preventing spread.
Area of Science:
- Mycology
- Infectious Diseases
- Immunology
Background:
- Fungal infections are a significant global health concern, particularly in immunocompromised individuals.
- Emerging drug-resistant fungal pathogens, including Candida, Aspergillus, and Cryptococcus, present a growing clinical challenge.
- These fungi cause severe, systemic infections with high mortality rates and are implicated in coinfections, such as with COVID-19.
Purpose of the Study:
- To review the clinical relevance of drug resistance in significant fungal pathogens.
- To discuss the physiopathology of fungal infections and host-pathogen interactions.
- To highlight the need for coordinated scientific efforts to combat fungal infections and reduce mortality.
Main Methods:
- This study is a brief review of existing scientific literature.
- It synthesizes information on fungal drug resistance, clinical significance, and immunopathogenesis.
- The review focuses on key fungal genera: Candida, Aspergillus, and Cryptococcus.
Main Results:
- Drug resistance in fungi is a major bottleneck in treating infections.
- Fungal infections are associated with high mortality rates, especially systemic ones.
- The complex interplay between host immunity and fungal survival strategies influences infection outcomes.
Conclusions:
- Drug resistance phenotypes in clinically significant fungi require urgent attention.
- Further research into fungal immunopathogenesis is essential for developing effective treatments.
- A unified scientific approach is necessary to mitigate the spread and lethality of fungal diseases.
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