Mycology Department, Instituto de Medicina Regional, Universidad Nacional del Nordeste, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Resistencia, Argentina.
Front Cell Infect Microbiol. 2021 Feb 11;10:605679. doi: 10.3389/fcimb.2020.605679. eCollection 2020.
Paracoccidioidomycosis (PCM) is the most relevant systemic endemic mycosis limited to Latin American countries. The etiological agents are thermally dimorphic species of the genus . Infection occurs respiratory tract by inhalation of propagules from the environmental (saprophytic) phase. In the lung alveoli the fungus converts to the characteristic yeast phase (parasitic) where interact with extracellular matrix proteins, epithelial cells, and the host cellular immunity. The response involves phagocytic cells recognition but intracellular have demonstrated the ability to survive and also multiply inside the neutrophils, macrophages, giant cells, and dendritic cells. Persistence of as facultative intracellular pathogen is important in terms of the fungal load but also regarding to the possibility to disseminate penetrating other tissues even protected by the phagocytes. This strategy to invade other organs transmigration of infected phagocytes is called Trojan horse mechanism and it was also described for other fungi and considered a factor of pathogenicity. This mini review comprises a literature revision of the spectrum of tools and mechanisms displayed by to overcame phagocytosis, discusses the Trojan horse model and the immunological context in proven models or the possibility that apply this tool for dissemination to other tissues.
球孢子菌病(PCM)是最相关的系统性地方性真菌病,仅限于拉丁美洲国家。病原体是属于 的热双相种。感染通过吸入来自环境(腐生)阶段的繁殖体而发生在呼吸道中。在肺肺泡中,真菌转化为特征性酵母相(寄生相),在那里与细胞外基质蛋白、上皮细胞和宿主细胞免疫相互作用。反应涉及吞噬细胞的识别,但已证明细胞内 有能力在中性粒细胞、巨噬细胞、巨细胞和树突状细胞内存活和增殖。 作为兼性细胞内病原体的持续存在不仅与真菌负荷有关,而且与穿透其他组织传播的可能性有关,即使被吞噬细胞所保护。这种入侵其他器官的策略称为“木马机制”,它也被描述为其他真菌的一种致病因素。这篇迷你综述包括对 克服吞噬作用所表现出的工具和机制的文献综述,讨论了木马模型和已证实模型中的免疫学背景,以及 是否将此工具用于向其他组织传播的可能性。