Department of Microbial Pathogenicity Mechanisms, Hans Knoell Institute, Jena, Germany.
MRC Centre for Medical Mycology, University of Exeter, Exeter, United Kingdom.
Microbiol Mol Biol Rev. 2024 Jun 27;88(2):e0002123. doi: 10.1128/mmbr.00021-23. Epub 2024 Jun 4.
SUMMARYA significant increase in the incidence of -mediated infections has been observed in the last decade, mainly due to rising numbers of susceptible individuals. Recently, the World Health Organization published its first fungal pathogen priority list, with species listed in medium, high, and critical priority categories. This review is a synthesis of information and recent advances in our understanding of two of these species and . Of these, is the most common cause of candidemia around the world and is categorized as a critical priority pathogen. is considered a high-priority pathogen and has become an increasingly important cause of candidemia in recent years. It is now the second most common causative agent of candidemia in many geographical regions. Despite their differences and phylogenetic divergence, they are successful as pathogens and commensals of humans. Both species can cause a broad variety of infections, ranging from superficial to potentially lethal systemic infections. While they share similarities in certain infection strategies, including tissue adhesion and invasion, they differ significantly in key aspects of their biology, interaction with immune cells, host damage strategies, and metabolic adaptations. Here we provide insights on key aspects of their biology, epidemiology, commensal and pathogenic lifestyles, interactions with the immune system, and antifungal resistance.
在过去的十年中,-介导的感染发病率显著增加,主要归因于易感个体数量的增加。最近,世界卫生组织发布了其首个真菌病原体优先清单,其中列出了中等、高和关键优先类别中的 种。本综述综合了有关其中两种病原体- 和 -的信息和最新研究进展。在这些病原体中,- 是全球范围内导致念珠菌血症的最常见原因,被归类为关键优先病原体。- 被认为是一种高优先级病原体,近年来已成为念珠菌血症的重要原因。它现在是许多地理区域中导致念珠菌血症的第二大常见病原体。尽管它们存在差异和系统发育分歧,但它们作为人类病原体和共生菌都很成功。这两个物种都可以引起广泛的感染,从浅表感染到潜在致命的全身性感染。尽管它们在某些感染策略(包括组织黏附和侵袭)上具有相似性,但在生物学、与免疫细胞的相互作用、宿主损伤策略和代谢适应等关键方面存在显著差异。在这里,我们提供了有关它们的生物学、流行病学、共生和致病生活方式、与免疫系统的相互作用以及抗真菌耐药性等方面的关键方面的见解。