Public Health Research Priorities for Fungal Diseases: A Multidisciplinary Approach to Save Lives
Dallas J Smith1, Jeremy A W Gold1, Kaitlin Benedict1
1Mycotic Diseases Branch, Division of Foodborne, Waterborne and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
Journal of Fungi (Basel, Switzerland)
|August 25, 2023
Summary
Public health research is crucial for combating severe fungal infections. Key priorities include better diagnostics, treatments, vaccines, and understanding the full disease burden to improve prevention and patient outcomes.
Area of Science:
- Public Health
- Infectious Diseases
- Mycology
Background:
- Fungal infections pose significant threats to public health, causing severe illness, death, and substantial economic burdens.
- A multidisciplinary approach to public health research is essential for managing and preventing fungal diseases.
- Current gaps exist in diagnostics, therapeutics, vaccines, and understanding the full scope of fungal disease impact.
Purpose of the Study:
- To outline critical public health research priorities for fungal diseases.
- To emphasize the need for comprehensive strategies in diagnostics, therapeutics, and vaccines.
- To highlight the importance of quantifying the burden of fungal diseases for improved interventions.
Main Methods:
- Review and synthesis of existing public health research on fungal diseases.
- Identification of key areas for future research and investment.
- Focus on multidisciplinary approaches encompassing epidemiology, economics, and clinical practice.
Main Results:
- Priorities include measuring disease burden and distribution, developing rapid and accurate diagnostics, and advancing antifungal prophylaxis and resistance research.
- Vaccine development is a key strategy for potential disease elimination or reduced incidence and mortality.
- Understanding the economic and health system impact is vital for effective prevention and treatment strategies.
Conclusions:
- Addressing fungal disease requires focused public health research priorities, including improved diagnostics, therapeutics, and vaccines.
- Quantifying the multifaceted burden of fungal diseases is essential for informing public health policy and interventions.
- Tailored research approaches for specific fungal pathogens are necessary for effective disease control.
Related Concept Videos
Fungal Phylum Microsporidia
41
Microsporidia are a group of obligate intracellular fungi that were initially classified as protists but were later reclassified based on phylogenetic, molecular, and structural evidence linking them to the Chytridiomycota. These unicellular, non-motile organisms are highly specialized parasites that infect a wide range of animal hosts, including humans. They have evolved extensive genomic and metabolic reductions, making them highly dependent on their hosts for survival.Morphology and Genomic...
41
Overview of Fungi
54
Fungi are a diverse group of eukaryotes more closely related to animals than other eukaryotes. Fungal cell walls comprise chitin, a polysaccharide that provides structural strength, and glucans, which contribute to flexibility and integrity. Other polysaccharides, such as mannans and galactosans, may supplement or replace chitin in some fungi. These adaptations, along with their preference for acidic environments and tolerance for high osmotic pressure, enable fungi to thrive in various...
54
Fungal Group Zygomycota
42
Zygomycota, previously classified as a distinct fungal group, are primarily terrestrial, saprophytic molds that play a crucial role as decomposers. Recent phylogenetic studies have revealed that these fungi are now divided into two major clades — Mucoromycota, which includes many symbiotic species, and Zoopagomycota, which primarily consists of parasitic and pathogenic fungi. These groups exhibit distinct ecological roles and reproductive strategies while sharing key structural and...
42
Microorganisms in Medicine and Therapeutics
54
Microorganisms play a fundamental role in vaccine development, gene therapy, and therapeutic production. Their biological properties are harnessed to advance medicine and public health. Beyond immunization, microorganisms contribute to gut health, antibiotic synthesis, and genetic disease treatment.Live Attenuated and Inactivated VaccinesLive attenuated vaccines, such as the measles, mumps, and rubella (MMR) vaccine, utilize weakened forms of pathogens to closely resemble natural infections.
54
Fungal Phylum Ascomycota
41
Phylum Ascomycota, a major division within the subkingdom Dikarya, comprises a diverse range of fungal species, including both unicellular yeasts and filamentous molds such as Aspergillus and Penicillium. These fungi thrive in a variety of habitats, from aquatic ecosystems to terrestrial environments, playing crucial ecological and economic roles.Morphology and ReproductionThe defining characteristic of Ascomycetes, commonly referred to as sac fungi, is the ascus—a sac-like structure that...
41


