What fungal CNS infections can teach us about neuroimmunology and CNS-specific immunity

Rebecca A Drummond1

  • 1Institute of Immunology & Immunotherapy, Institute of Microbiology and Infection, University of Birmingham, Birmingham B15 2TT, United Kingdom.

Seminars in Immunology
|March 29, 2023
PubMed

Insights

Understanding central nervous system (CNS) fungal infections is critical, as brain-tropic fungi cause most deaths from invasive fungal infections. This review highlights advances in neuroimmunology to improve understanding of fungal CNS infection pathogenesis.

Area of Science:

  • Neuroimmunology
  • Medical Mycology
  • Central Nervous System (CNS) Immunity

Background:

  • Immunity to fungal infections in the CNS is poorly understood.
  • Brain-tropic fungi cause the majority of deaths from invasive fungal infections.
  • Recent advances have illuminated neuroinflammation regulation and immune system roles in CNS homeostasis.

Purpose of the Study:

  • To review five key advances in neuroimmunology over the past decade.
  • To discuss leveraging these discoveries for understanding fungal CNS infection pathogenesis.
  • To summarize current insights into fungal invasion, microglia-astrocyte interactions, and antifungal adaptive immunity within the CNS.

Main Methods:

  • Literature review of recent advancements in neuroimmunology.
  • Synthesis of findings related to CNS-specific immunity.
  • Contextualization of fungal infection mechanisms within neuroimmune understanding.

Main Results:

  • Five significant advances in neuroimmunology have been identified.
  • Insights into fungal invasion tactics, microglia-astrocyte crosstalk, and adaptive immune responses are summarized.
  • The review connects contemporary CNS immunity knowledge with fungal infection pathogenesis.

Conclusions:

  • Capitalizing on neuroimmunology advances is crucial for understanding fungal CNS infections.
  • A deeper understanding of CNS-specific immunity is needed to combat brain-tropic fungal pathogens.
  • Further research integrating neuroimmunology and medical mycology is warranted.