Chin Voon Kin, Lee Tze Yan, Rusliza Basir, Chong Pei Pei
Department of Medical Microbiology and Parasitology, University Putra Malaysia, Serdang 43400, Selangor, Malaysia.
Department of Pathology, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang 43400, Selangor, Malaysia.
Int J Mol Sci. 2016 Oct 18;17(10):1643. doi: 10.3390/ijms17101643.
bloodstream infections remain the most frequent life-threatening fungal disease, with accounting for 70% to 80% of the isolates recovered from infected patients. In nature, species are part of the normal commensal flora in mammalian hosts. However, they can transform into pathogens once the host immune system is weakened or breached. More recently, mortality attributed to infections has continued to increase due to both inherent and acquired drug resistance in , the inefficacy of the available antifungal drugs, tedious diagnostic procedures, and a rising number of immunocompromised patients. Adoption of animal models, viz. minihosts, mice, and zebrafish, has brought us closer to unraveling the pathogenesis and complexity of infection in human hosts, leading towards the discovery of biomarkers and identification of potential therapeutic agents. In addition, the advancement of technologies offers a holistic view of the -host interaction in a non-targeted and non-biased manner. Hence, in this review, we seek to summarize past and present milestone findings on virulence, adoption of animal models in the study of infection, and the application of technologies in the study of -host interaction. A profound understanding of the interaction between host defense and pathogenesis is imperative for better design of novel immunotherapeutic strategies in future.
血流感染仍然是最常见的危及生命的真菌疾病,占从感染患者中分离出的菌株的70%至80%。在自然界中,该菌种是哺乳动物宿主正常共生菌群的一部分。然而,一旦宿主免疫系统减弱或遭到破坏,它们就会转变为病原体。最近,由于该菌种固有的和获得性耐药性、现有抗真菌药物的无效性、繁琐的诊断程序以及免疫功能低下患者数量的增加,由该菌种感染导致的死亡率持续上升。采用动物模型,即微型宿主、小鼠和斑马鱼,使我们更接近于揭示人类宿主中该菌种感染的发病机制和复杂性,从而有助于发现生物标志物并确定潜在的治疗药物。此外,该技术的进步以非靶向和无偏见的方式提供了对该菌种与宿主相互作用的整体看法。因此,在本综述中,我们试图总结过去和现在关于该菌种毒力、在该菌种感染研究中采用动物模型以及该技术在该菌种与宿主相互作用研究中的应用的里程碑式发现。深入了解宿主防御与发病机制之间的相互作用对于未来更好地设计新型免疫治疗策略至关重要。