Narayanan Aswathy, Ambily Shaji Amrutha, Pullepu Dileep, Bhattacharya Joyee, Sanyal Kaustuv
Molecular Mycology Laboratory, Molecular Biology and Genetics Unit, Jawaharlal Nehru Centre for Advanced Scientific Research, Bangalore 560064, India.
Department of Biological Sciences, Bose Institute, Unified Academic Campus, EN-80, Sector V, Bidhannagar, Kolkata 700064, India.
ACS Infect Dis. 2025 Jul 11;11(7):1816-1843. doi: 10.1021/acsinfecdis.5c00081. Epub 2025 Jun 22.
With the prevalence of immunocompromising infections, the emergence of new pathogenic species, rising multidrug resistance, hospital outbreaks, and high mortality rates, once neglected fungal pathogens are now taking over the global healthcare arena, necessitating breakthroughs in diagnostics and therapeutics. The World Health Organization (WHO) recently published a list of critical and high-priority fungal pathogens, underlining the need and significance of broadening the focus to include fungal infections, among other life-threatening infectious diseases. This is also a wake-up call to the scientific community to facilitate a better understanding of the emergence, life cycle, spread, virulence, and drug resistance mechanisms in fungal pathogens. The strategies that fungal pathogens adopt to escape the immune system, establish an infection, and combat antifungal drugs are diverse. In this review, we focus on the pathogenic lifestyles of WHO critical and high priority fungal pathogens, with a brief introduction to the epidemiology and infection statistics.
随着免疫功能低下感染的流行、新致病物种的出现、多重耐药性的上升、医院感染暴发以及高死亡率,曾经被忽视的真菌病原体如今正在主导全球医疗领域,这就需要在诊断和治疗方面取得突破。世界卫生组织(WHO)最近公布了一份关键和高度优先的真菌病原体清单,强调了将关注点扩大到包括真菌感染以及其他危及生命的传染病的必要性和重要性。这也是对科学界的一个警钟,以促进对真菌病原体的出现、生命周期、传播、毒力和耐药机制有更好的理解。真菌病原体用来逃避免疫系统、建立感染以及对抗抗真菌药物的策略多种多样。在这篇综述中,我们聚焦于世界卫生组织关键和高度优先真菌病原体的致病生活方式,并简要介绍其流行病学和感染统计情况。