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Updated: Sep 14, 2025

Macrophage Cholesterol Depletion and Its Effect on the Phagocytosis of Cryptococcus neoformans
Published on: December 19, 2014
Vomocytosis of Cryptococcus neoformans from Macrophages: from discovery to current understanding
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.
Abstract:
The entry of pathogens into host cells is a critical and widely appreciated step in host-pathogen interactions. While significant progress has been made in understanding the various mechanisms by which microbes are taken up by host cells, an appreciation of exit strategies remains limited. Nearly two decades ago, in 2006, two independent groups observed the non-lytic expulsion of the opportunistic fungal pathogen C. neoformans from macrophages, a process also termed vomocytosis. Over the years, various host and pathogen factors have been implicated in modulating vomocytosis; however, a clear understanding of the triggers, the downstream signaling cascades driving expulsion, and the consequences of vomocytosis on pathogenesis remain elusive. In this review, I provide a historical account of vomocytosis in macrophages, summarize our current understanding of its mechanism, discuss its biological significance, and offer suggestions for future research directions.
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.
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