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复杂与:生物学、毒力因子、免疫反应及多重耐药性

Complex and : Biology, Virulence Factors, Immune Response, and Multidrug Resistance.

作者信息

Gómez-Gaviria Manuela, Martínez-Álvarez José A, Chávez-Santiago Joaquín O, Mora-Montes Héctor M

机构信息

Departamento de Biología, División de Ciencias Naturales y Exactas, Campus Guanajuato, Universidad de Guanajuato, Guanajuato, Gto, México.

出版信息

Infect Drug Resist. 2023 Mar 14;16:1455-1470. doi: 10.2147/IDR.S402754. eCollection 2023.

Abstract

There is worldwide concern about the constant increase in infections caused by species that are multiresistant to antifungal drugs. The most common candidiasis is caused by , however, the species of the complex and are emerging opportunistic pathogens, which isolation from clinical samples has significantly increased in the past years. The special interest in the study of these species lies in their ability to evade the action of antifungal drugs, such as amphotericin B, azoles, and echinocandins. In addition, the phenotypic changes of these species have given them the ability to easily adapt to environmental changes, including the host milieu and immunity. In this paper, a detailed review of the current literature on the complex and is shown, analyzing aspects such as biology, immune response, putative virulence factors, infection, treatment, and the current strategies for diagnosis.

摘要

全球都在关注对抗真菌药物具有多重耐药性的物种所引起的感染持续增加的问题。最常见的念珠菌病是由 引起的,然而, 复合体和 的物种是新兴的机会性病原体,在过去几年中,从临床样本中分离出它们的情况显著增加。对这些物种进行研究的特别兴趣在于它们逃避抗真菌药物(如两性霉素B、唑类和棘白菌素)作用的能力。此外,这些物种的表型变化使它们能够轻松适应环境变化,包括宿主环境和免疫力。本文展示了对关于 复合体和 的当前文献的详细综述,分析了生物学、免疫反应、假定的毒力因子、感染、治疗以及当前诊断策略等方面。

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