Molecular & Biomedical Sciences, University of Maine, Orono, ME, USA; Current address: BioMEMS Resource Center, Division of Surgery, Innovation and Bioengineering, Department of Surgery, Massachusetts General Hospital, Shriners Burns Hospital, Harvard Medical School, Charlestown, MA, USA.
MRC Centre for Medical Mycology, Institute of Medical Sciences, University of Aberdeen, Foresterhill, Aberdeen, UK.
Trends Microbiol. 2018 Apr;26(4):284-295. doi: 10.1016/j.tim.2018.01.007. Epub 2018 Feb 13.
Deadly infections from opportunistic fungi have risen in frequency, largely because of the at-risk immunocompromised population created by advances in modern medicine and the HIV/AIDS pandemic. This review focuses on dynamics of the fungal polysaccharide cell wall, which plays an outsized role in fungal pathogenesis and therapy because it acts as both an environmental barrier and as the major interface with the host immune system. Human fungal pathogens use architectural strategies to mask epitopes from the host and prevent immune surveillance, and recent work elucidates how biotic and abiotic stresses present during infection can either block or enhance masking. The signaling components implicated in regulating fungal immune recognition can teach us how cell wall dynamics are controlled, and represent potential targets for interventions designed to boost or dampen immunity.
机会性真菌引起的致命感染频率增加,主要是因为现代医学的进步和 HIV/AIDS 大流行导致免疫功能受损的高危人群增加。这篇综述重点介绍了真菌多糖细胞壁的动态变化,它在真菌发病机制和治疗中起着重要作用,因为它既是环境屏障,也是与宿主免疫系统的主要接口。人类真菌病原体利用结构策略来掩盖宿主的抗原决定簇并防止免疫监视,最近的研究阐明了感染过程中生物和非生物应激如何阻断或增强掩蔽。参与调节真菌免疫识别的信号成分可以告诉我们细胞壁动力学是如何被控制的,并为旨在增强或抑制免疫的干预措施提供潜在的靶点。