Emergence, function, and therapeutic strategies to target the PD-1/PD-L1 immune checkpoint during pathogenic fungal

Xiaofang Zheng1,2, Xuemei He1, Zhangyong Song1,2,3

  • 1School of Basic Medical Sciences, Southwest Medical University, LuZhou, China.

Virulence
|December 4, 2025
PubMed

Insights

Pathogenic fungi evade immune responses by exploiting the PD-1/PD-L1 pathway. Blocking this immune checkpoint may enhance antifungal immunity and improve treatment outcomes for fungal infections.

Area of Science:

  • Immunology
  • Mycology
  • Pathogen-host interactions

Background:

  • Human pathogenic fungi cause widespread, severe diseases globally.
  • Fungi employ immune evasion strategies, including the manipulation of immune checkpoints.
  • The programmed death receptor-1 (PD-1) and its ligand PD-L1 pathway are key immunosuppressive mechanisms.

Purpose of the Study:

  • To review the role of the PD-1/PD-L1 pathway in fungal infections.
  • To describe the molecular aspects and functions of PD-1 and PD-L1.
  • To discuss therapeutic strategies targeting PD-1/PD-L1 for antifungal immunity.

Main Methods:

  • Literature review summarizing current research on PD-1/PD-L1 in fungal infections.
  • Analysis of molecular structures and functions of PD-1 and PD-L1.
  • Discussion of expression patterns, regulation, and therapeutic potential.

Main Results:

  • Aberrant activation of the PD-1/PD-L1 pathway aids pathogen immune evasion during infection.
  • Dynamic expression and regulation of PD-1/PD-L1 are observed during fungal invasion.
  • PD-1/PD-L1-blocking strategies show potential for enhancing antifungal immunity.

Conclusions:

  • The PD-1/PD-L1 pathway is a critical target for fungal immune evasion.
  • Targeting PD-1/PD-L1 offers a promising therapeutic avenue for fungal infections.
  • Further research into PD-1/PD-L1 and immune checkpoint inhibitors is warranted for antifungal therapies.

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