Division of Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Cell Host Microbe. 2012 May 17;11(5):425-35. doi: 10.1016/j.chom.2012.04.008.
Our understanding of immunity to fungal pathogens has advanced considerably in recent years. Particularly significant have been the parallel discoveries in the C-type lectin receptor family and the Th effector arms of immunity, especially Th17 cells and their signature cytokine, IL-17. Many of these studies have focused on the most common human fungal pathogen, Candida albicans, which is typically a commensal microbe in healthy individuals but causes various disease manifestations in immunocompromised hosts, ranging from mild mucosal infections to lethal disseminated disease. Here, we discuss emerging fundamental discoveries with C. albicans that have informed our overall molecular understanding of fungal immunity. In particular, we focus on the importance of pattern recognition receptor-mediated fungal recognition and subsequent IL-17 responses in host defense against mucosal candidiasis. In light of these recent advances, we also discuss the implications for anticytokine biologic therapy and vaccine development.
近年来,我们对真菌病原体免疫的理解有了很大的提高。特别是在 C 型凝集素受体家族和 Th 效应免疫臂方面的平行发现,尤其是 Th17 细胞及其特征细胞因子 IL-17。这些研究中的许多都集中在最常见的人类真菌病原体白色念珠菌上,它通常是健康个体中的共生微生物,但在免疫功能低下的宿主中会引起各种疾病表现,从轻度黏膜感染到致命的播散性疾病不等。在这里,我们讨论了与白色念珠菌相关的新兴基础发现,这些发现为我们对真菌免疫的整体分子理解提供了信息。特别是,我们重点介绍了模式识别受体介导的真菌识别以及随后的 IL-17 反应在宿主防御黏膜念珠菌病中的重要性。鉴于这些最新进展,我们还讨论了对抗细胞因子生物治疗和疫苗开发的影响。