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Updated: Jun 28, 2025

Visualization of Candida albicans in the Murine Gastrointestinal Tract Using Fluorescent In Situ Hybridization
Published on: November 5, 2019
Controlling Candida: immune regulation of commensal fungi in the gut
Owen Jensen1, Emma Trujillo1, Luke Hanson1
1Department of Immunology and Microbiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Abstract:
The intestinal microbiome harbors fungi that pose a significant risk to human health as opportunistic pathogens and drivers of inflammation. Inflammatory and autoimmune diseases are associated with dysbiotic fungal communities and the expansion of potentially pathogenic fungi. The gut is also the main reservoir for disseminated fungal infections. Immune interactions are critical for preventing commensal fungi from becoming pathogenic. Significant strides have been made in defining innate and adaptive immune pathways that regulate intestinal fungi, and these discoveries have coincided with advancements in our understanding of the fungal molecular pathways and effectors involved in both commensal colonization and pathogenesis within the gut. In this review, we will discuss immune interactions important for regulating commensal fungi, with a focus on how specific cell types and effectors interact with fungi to limit their colonization or pathogenic potential. This will include how innate and adaptive immune pathways target fungi and orchestrate antifungal immune responses, in addition to how secreted immune effectors, such as mucus and antimicrobial peptides, regulate fungal colonization and inhibit pathogenic potential. These immune interactions will be framed around our current understanding of the fungal effectors and pathways regulating colonization and pathogenesis within this niche. Finally, we highlight important unexplored mechanisms by which the immune system regulates commensal fungi in the gut.
Insights
The gut microbiome contains fungi that can cause disease. This review explores how the immune system controls these fungi to prevent inflammation and infection.
Area of Science:
- * Gastroenterology and Immunology
- * Microbiology and Mycology
Background:
- * The intestinal microbiome includes fungi that can act as opportunistic pathogens, driving inflammation and contributing to autoimmune diseases.
- * The gut serves as a primary reservoir for systemic fungal infections, highlighting the importance of host-fungal interactions.
- * Dysbiosis in fungal communities is linked to inflammatory conditions and the proliferation of pathogenic fungi.
Purpose of the Study:
- * To review the critical immune interactions that regulate commensal fungi within the intestinal environment.
- * To elucidate how specific immune cells and molecules control fungal colonization and pathogenic potential.
- * To connect immune responses with fungal molecular mechanisms in the gut.
Main Methods:
- * Literature review synthesizing current research on host-fungal interactions in the gut.
- * Analysis of innate and adaptive immune pathways involved in antifungal defense.
- * Examination of fungal effectors and molecular pathways influencing colonization and pathogenesis.
Main Results:
- * Innate and adaptive immunity play crucial roles in targeting intestinal fungi and mounting antifungal responses.
- * Secreted immune factors like mucus and antimicrobial peptides are key in regulating fungal load and pathogenicity.
- * Understanding fungal pathways is essential for comprehending immune system control.
Conclusions:
- * Immune system components effectively manage commensal fungi, preventing them from becoming pathogenic.
- * Specific immune cell types and secreted effectors are vital for controlling fungal colonization and virulence.
- * Further research is needed to uncover novel immune mechanisms regulating gut fungi.
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