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Virus-associated fungal infections and lost immune resistance
1Calvin, Phoebe, and Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Abstract:
Invasive fungal infections are an increasing threat to human health. Of recent concern is the emergence of influenza- or SARS-CoV-2-virus-associated invasive fungal infections. Understanding acquired susceptibilities to fungi requires consideration of the collective and newly explored roles of adaptive, innate, and natural immunity. Neutrophils are known to provide host resistance, but new concepts are emerging that implicate innate antibodies, the actions of specialized B1 B cell subsets, and B cell-neutrophil crosstalk in mediating antifungal host resistance. Based on emerging evidence, we propose that virus infections impact on neutrophil and innate B cell resistance against fungi, leading to invasive infections. These concepts provide novel approaches to developing candidate therapeutics with the aim of restoring natural and humoral immunity and boosting neutrophil resistance against fungi.
Insights
Virus infections can weaken the immune system, increasing the risk of invasive fungal infections. This study explores how B cells and neutrophils interact to fight fungi, offering new therapeutic targets.
Area of Science:
- Immunology
- Infectious Diseases
- Mycology
Background:
- Invasive fungal infections (IFIs) pose a growing global health risk.
- Emerging IFIs are associated with influenza and SARS-CoV-2 viral infections.
- Host resistance to fungi involves innate, adaptive, and natural immunity.
Purpose of the Study:
- To investigate the impact of viral infections on host susceptibility to IFIs.
- To explore the roles of innate antibodies, B1 B cells, and B cell-neutrophil interactions in antifungal immunity.
- To propose novel therapeutic strategies for IFIs.
Main Methods:
- Review of emerging evidence on immune responses to fungal infections.
- Analysis of the interplay between viral infections and immune cell functions.
- Conceptual framework development for understanding acquired fungal susceptibilities.
Main Results:
- Viral infections may compromise neutrophil and innate B cell-mediated resistance against fungi.
- B cell-neutrophil crosstalk is identified as a key mechanism in antifungal host defense.
- New insights into the collective roles of adaptive, innate, and natural immunity against fungi.
Conclusions:
- Virus-associated IFIs highlight the need to understand complex immune interactions.
- Restoring natural and humoral immunity, alongside boosting neutrophil function, are potential therapeutic avenues.
- This research provides a foundation for developing novel antifungal therapeutics.
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