Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Drug Screening, Jiangsu Key Laboratory of Drug Discovery for Metabolic Diseases, China Pharmaceutical University, Nanjing, China.
Front Immunol. 2023 Jan 26;13:1077335. doi: 10.3389/fimmu.2022.1077335. eCollection 2022.
Fungal infection or proliferation in our body is capable of initiation of strong inflammation and immune responses that result in different consequences, including infection-trigged organ injury and inflammation-related remote organ dysfunction. Fungi associated infectious diseases have been well recognized in the clinic. However, whether fungi play an important role in non-infectious central nervous system disease is still to be elucidated. Recently, a growing amount of evidence point to a non-negligible role of peripheral fungus in triggering unique inflammation, immune response, and exacerbation of a range of non-infectious CNS disorders, including Multiple sclerosis, Neuromyelitis optica, Parkinson's disease, Alzheimer's disease, and Amyotrophic lateral sclerosis et al. In this review, we summarized the recent advances in recognizing patterns and inflammatory signaling of fungi in different subsets of immune cells, with a specific focus on its function in CNS autoimmune and neurodegeneration diseases. In conclusion, the fungus is capable of triggering unique inflammation by multiple mechanisms in the progression of a body of CNS non-infectious diseases, suggesting it serves as a key factor and critical novel target for the development of potential therapeutic strategies.
我们体内的真菌感染或增殖能够引发强烈的炎症和免疫反应,从而导致不同的后果,包括感染引发的器官损伤和炎症相关的远处器官功能障碍。真菌感染相关的传染病在临床上已得到充分认识。然而,真菌在非传染性中枢神经系统疾病中是否起重要作用仍有待阐明。最近,越来越多的证据表明,外周真菌在引发独特的炎症、免疫反应以及加重多种非传染性中枢神经系统疾病方面起着不可忽视的作用,包括多发性硬化症、视神经脊髓炎、帕金森病、阿尔茨海默病和肌萎缩侧索硬化症等。在这篇综述中,我们总结了近年来在识别不同免疫细胞亚群中真菌的模式和炎症信号方面的进展,特别关注其在中枢神经系统自身免疫和神经退行性疾病中的作用。总之,真菌能够通过多种机制在一系列中枢神经系统非传染性疾病的进展中引发独特的炎症,提示其作为一种关键因素和重要的新型治疗靶点,对于开发潜在的治疗策略具有重要意义。