Vomocytosis of Cryptococcus neoformans from Macrophages: from discovery to current understanding

Chinaemerem U Onyishi1

  • 1Molecular Mycology and Immunity Section, Laboratory of Host Immunity and Microbiome, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health, Bethesda, MD, USA.

Biomedical Journal
|July 18, 2025
PubMed

Insights

Vomocytosis is the non-lytic expulsion of pathogens like Cryptococcus neoformans from host cells. This review explores its mechanisms, significance, and future research directions for host-pathogen interactions.

Area of Science:

  • Microbiology
  • Immunology
  • Cell Biology

Background:

  • Pathogen entry into host cells is crucial for infection.
  • Mechanisms of microbial uptake are well-studied, but exit strategies are less understood.
  • Vomocytosis, the non-lytic expulsion of pathogens from host cells, was first observed in 2006.

Purpose of the Study:

  • To provide a historical overview of vomocytosis.
  • To summarize the current understanding of vomocytosis mechanisms.
  • To discuss the biological significance and future research of vomocytosis.

Main Methods:

  • Literature review of studies on vomocytosis.
  • Analysis of host and pathogen factors involved in vomocytosis.
  • Synthesis of current knowledge on vomocytosis signaling and consequences.

Main Results:

  • Vomocytosis involves the expulsion of Cryptococcus neoformans from macrophages.
  • Various host and pathogen factors influence vomocytosis, but triggers and signaling remain unclear.
  • The consequences of vomocytosis on pathogenesis require further investigation.

Conclusions:

  • Vomocytosis is a critical, yet understudied, host-pathogen interaction.
  • Further research is needed to elucidate the triggers, signaling pathways, and pathogenic role of vomocytosis.
  • Understanding vomocytosis can reveal new therapeutic targets for infectious diseases.