Money Nicholas P
Western Program and Department of Biology, Miami University, Oxford, OH, 45056, USA.
Fungal Biol. 2024 Feb;128(1):1638-1641. doi: 10.1016/j.funbio.2024.01.005. Epub 2024 Jan 14.
Thermotolerance has been viewed as an uncommon characteristic among the fungi and one of the reasons that less than 1% of the described species operate as opportunistic pathogens of humans. Growth at 37°C is certainly a requirement for a fungus that invades the body core, but tens of thousands of nonpathogenic species are also able to grow at this temperature. Ergo, body temperature does not serve as a thermal barrier to the development of infections by many harmless fungi. The absence of other virulence factors must be more demanding. This observation raises questions about the hypothetical links between climate change and the increasing number of life-threatening human mycoses. Given the widespread distribution of fungal thermotolerance and the 1°C (2°F) increase in global temperature over the last 140 years it seems unlikely that the warming climate has driven the evolution of more virulent strains of fungi. More compelling explanations for the changes in the behavior of fungi as disease agents include their adaptation to the widening use of azole antifungals in hospitals and the wholesale application of millions of tons of the same class of heterocyclic chemicals in agriculture. On the other hand, climate change is having a significant effect on the spread of human mycoses by extending the geographical range of pathogenic fungi. A related increase in fungal asthma caused by spore inhalation is another likely consequence of planetary change.
耐热性一直被视为真菌中一种不常见的特性,也是不到1%的已知真菌物种成为人类机会性病原体的原因之一。对于侵入人体核心部位的真菌来说,在37°C下生长无疑是一项必要条件,但数以万计的非致病真菌物种也能够在这个温度下生长。因此,体温并不是许多无害真菌引发感染的热屏障。其他毒力因子的缺失肯定更为关键。这一观察结果引发了关于气候变化与危及生命的人类真菌病数量增加之间假设联系的疑问。鉴于真菌耐热性的广泛分布以及过去140年全球气温上升1°C(2°F),气候变暖似乎不太可能推动了毒性更强的真菌菌株的进化。对于真菌作为致病因子行为变化更有说服力的解释包括它们适应了医院中唑类抗真菌药物使用的增加以及农业中数百万吨同类杂环化学品的大规模应用。另一方面,气候变化通过扩大致病真菌的地理范围,对人类真菌病的传播产生了重大影响。因吸入孢子导致的真菌性哮喘相关病例增加是全球变化的另一个可能后果。