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Cold Spring Harb Perspect Med. 2014 Nov 03;5(1):a019273. doi: 10.1101/cshperspect.a019273.

The spectrum of fungi that infects humans.

Cold Spring Harbor perspectives in medicine

Julia R Köhler, Arturo Casadevall, John Perfect

Affiliations

  1. Division of Infectious Diseases, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115.
  2. Departments of Microbiology and Immunology and Medicine, Division of Infectious Diseases, Albert Einstein College of Medicine, New York, New York 10461.
  3. Division of Infectious Diseases, Duke Medical Center, Durham, North Carolina 27710.

PMID: 25367975 PMCID: PMC4292074 DOI: 10.1101/cshperspect.a019273

Abstract

Few among the millions of fungal species fulfill four basic conditions necessary to infect humans: high temperature tolerance, ability to invade the human host, lysis and absorption of human tissue, and resistance to the human immune system. In previously healthy individuals, invasive fungal disease is rare because animals' sophisticated immune systems evolved in constant response to fungal challenges. In contrast, fungal diseases occur frequently in immunocompromised patients. Paradoxically, successes of modern medicine have put increasing numbers of patients at risk for invasive fungal infections. Uncontrolled HIV infection additionally makes millions vulnerable to lethal fungal diseases. A concerted scientific and social effort is needed to meet these challenges.

Copyright © 2015 Cold Spring Harbor Laboratory Press; all rights reserved.

References

  1. Science. 1999 Mar 5;283(5407):1535-8 - PubMed
  2. Trends Microbiol. 2004 Jul;12(7):317-24 - PubMed
  3. Proc Natl Acad Sci U S A. 2008 Mar 25;105(12):4880-5 - PubMed
  4. BMC Infect Dis. 2010 Jul 09;10:199 - PubMed
  5. Science. 2000 Jul 14;289(5477):310-3 - PubMed
  6. Evolution. 2014 Jun;68(6):1576-93 - PubMed
  7. Med Mycol. 2008 Feb;46(1):1-15 - PubMed
  8. J Clin Invest. 1993 May;91(5):1979-86 - PubMed
  9. Cell Host Microbe. 2011 Mar 17;9(3):243-51 - PubMed
  10. Med Mycol. 2009;47(6):625-39 - PubMed
  11. Med Mycol. 1998 Jun;36(3):165-8 - PubMed
  12. Clin Infect Dis. 1999 Jun;28(6):1244-8 - PubMed
  13. PLoS Pathog. 2012;8(6):e1002777 - PubMed
  14. G3 (Bethesda). 2013 Mar;3(3):527-39 - PubMed
  15. Nature. 2005 Mar 31;434(7033):636-40 - PubMed
  16. Infect Dis Clin North Am. 2003 Mar;17(1):21-40, vii - PubMed
  17. PLoS Pathog. 2012 Feb;8(2):e1002495 - PubMed
  18. Cell. 2008 Oct 3;135(1):174-88 - PubMed
  19. BMC Microbiol. 2009 Aug 24;9:177 - PubMed
  20. Infect Immun. 2003 Sep;71(9):4862-72 - PubMed
  21. Clin Microbiol Rev. 2007 Oct;20(4):695-704 - PubMed
  22. Clin Microbiol Infect. 2004 Mar;10 Suppl 1:31-47 - PubMed
  23. MBio. 2010 Nov 09;1(5):null - PubMed
  24. BMC Microbiol. 2009 Nov 17;9:236 - PubMed
  25. Mycologia. 2004 Jul-Aug;96(4):812-21 - PubMed
  26. Jpn J Infect Dis. 2009 Mar;62(2):146-8 - PubMed
  27. Nature. 2009 Aug 27;460(7259):1117-21 - PubMed
  28. Mykosen. 1987 Sep;30(9):404-7 - PubMed
  29. PLoS Pathog. 2010 Jun 17;6(6):e1000953 - PubMed
  30. Science. 2001 Aug 10;293(5532):1129-33 - PubMed
  31. Proc Natl Acad Sci U S A. 2008 Dec 30;105(52):20918-23 - PubMed
  32. Curr Fungal Infect Rep. 2012 Dec;6(4):245-256 - PubMed
  33. J Hosp Infect. 2002 Apr;50(4):243-60 - PubMed
  34. J Comp Pathol. 2001 Aug-Oct;125(2-3):219-23 - PubMed
  35. Eukaryot Cell. 2008 Jan;7(1):58-67 - PubMed
  36. Braz J Med Biol Res. 1999 May;32(5):645-9 - PubMed
  37. J Pathol Bacteriol. 1952 Jul;64(3):497-502 - PubMed
  38. FEMS Yeast Res. 2010 Sep;10(6):769-78 - PubMed
  39. Eukaryot Cell. 2007 Jan;6(1):48-59 - PubMed
  40. Emerg Infect Dis. 2008 May;14(5):755-62 - PubMed
  41. Eur J Epidemiol. 1992 May;8(3):391-6 - PubMed
  42. J Clin Invest. 2014 Jan;124(1):237-50 - PubMed
  43. Proc Natl Acad Sci U S A. 2009 Jan 13;106(2):351-2 - PubMed
  44. Avian Pathol. 2011 Apr;40(2):207-11 - PubMed
  45. Lancet. 2013 Nov 2;382(9903):1515-24 - PubMed
  46. BMC Genomics. 2009 May 21;10:238 - PubMed
  47. Proc Natl Acad Sci U S A. 2001 Apr 10;98(8):4558-62 - PubMed
  48. AIDS. 2009 Feb 20;23(4):525-30 - PubMed
  49. Proc Am Thorac Soc. 2010 May;7(3):210-5 - PubMed
  50. Infect Immun. 1994 Oct;62(10):4380-8 - PubMed
  51. J Immunol. 2009 Apr 15;182(8):4938-46 - PubMed
  52. Eukaryot Cell. 2011 Mar;10(3):343-51 - PubMed
  53. Occup Med (Lond). 2013 Oct;63(7):517-9 - PubMed
  54. Cell Cycle. 2012 Dec 1;11(23):4294-5 - PubMed
  55. J Clin Microbiol. 1990 Jul;28(7):1642-4 - PubMed
  56. J Biol Chem. 2006 Jan 13;281(2):688-94 - PubMed
  57. Curr Opin Plant Biol. 2010 Aug;13(4):420-6 - PubMed
  58. Nature. 2005 Oct 27;437(7063):1360-4 - PubMed
  59. Clin Microbiol Rev. 2000 Apr;13(2):236-301 - PubMed
  60. Nature. 2009 Aug 13;460(7257):890-3 - PubMed
  61. Mol Ecol. 2003 Dec;12(12):3383-401 - PubMed
  62. PLoS Pathog. 2010 Apr 22;6(4):e1000850 - PubMed
  63. J Clin Invest. 2010 Jun;120(6):1914-24 - PubMed
  64. Am J Trop Med Hyg. 2006 Nov;75(5):936-8 - PubMed
  65. Trends Microbiol. 2013 Sep;21(9):457-65 - PubMed
  66. Nat Rev Microbiol. 2011 Mar;9(3):193-203 - PubMed
  67. J Am Acad Dermatol. 1993 May;28(5 Pt 1):S19-S23 - PubMed
  68. PLoS Pathog. 2013;9(12):e1003743 - PubMed
  69. Proc Natl Acad Sci U S A. 2004 Dec 7;101(49):17258-63 - PubMed
  70. Med Mycol. 2000 Jun;38(3):249-53 - PubMed
  71. Mycopathologia. 1982 Dec 27;80(3):171-7 - PubMed
  72. Appl Environ Microbiol. 2005 Sep;71(9):5544-50 - PubMed
  73. J Infect Dis. 1985 Jul;152(1):33-42 - PubMed
  74. Eukaryot Cell. 2011 Jan;10(1):87-97 - PubMed
  75. Eukaryot Cell. 2007 Jun;6(6):949-59 - PubMed
  76. Rev Iberoam Micol. 2008 Sep 30;25(3):193-5 - PubMed
  77. Mem Inst Oswaldo Cruz. 2009 Jul;104(4):636-43 - PubMed
  78. Appl Environ Microbiol. 2003 Mar;69(3):1581-8 - PubMed
  79. Nature. 2010 Mar 18;464(7287):367-73 - PubMed
  80. Virulence. 2013 Oct 1;4(7):597-603 - PubMed
  81. Emerg Infect Dis. 2003 Feb;9(2):189-95 - PubMed
  82. PLoS Pathog. 2006 Apr;2(4):e35 - PubMed
  83. Bacteriol Rev. 1960 Dec;24(4):397-416 - PubMed
  84. Am J Trop Med Hyg. 1999 Dec;61(6):914-9 - PubMed
  85. Mol Microbiol. 2008 Jul;69(1):201-17 - PubMed
  86. Nat Genet. 2010 Jul;42(7):590-8 - PubMed
  87. Clin Microbiol Rev. 1995 Apr;8(2):240-59 - PubMed
  88. J Infect Dis. 2009 Nov 15;200(10):1623-6 - PubMed
  89. Med Cutan Ibero Lat Am. 1988;16(2):93-100 - PubMed
  90. BMC Genomics. 2013 Oct 10;14:695 - PubMed
  91. J Clin Microbiol. 2009 Apr;47(4):1244-8 - PubMed
  92. Curr Opin Microbiol. 2011 Dec;14(6):682-6 - PubMed
  93. Clin Infect Dis. 2012 Feb;54 Suppl 1:S8-S15 - PubMed
  94. Lancet. 1954 Feb 20;266(6808):393-5 - PubMed
  95. J Clin Microbiol. 2002 Feb;40(2):721-4 - PubMed
  96. J Antimicrob Chemother. 2006 Nov;58(5):1070-3 - PubMed
  97. An Bras Dermatol. 2013 Sep-Oct;88(5):700-11 - PubMed
  98. Nat Rev Microbiol. 2008 Sep;6(9):667-73 - PubMed
  99. Proc Natl Acad Sci U S A. 2002 Mar 5;99(5):3165-70 - PubMed
  100. Emerg Infect Dis. 2007 Jan;13(1):51-7 - PubMed
  101. Genetics. 2012 Feb;190(2):511-21 - PubMed
  102. Eukaryot Cell. 2011 Feb;10(2):272-5 - PubMed
  103. J Med Vet Mycol. 1997 Jul-Aug;35(4):289-93 - PubMed
  104. J Proteome Res. 2012 Mar 2;11(3):1676-85 - PubMed
  105. Clin Microbiol Rev. 1995 Oct;8(4):515-48 - PubMed
  106. Antimicrob Agents Chemother. 1998 Jun;42(6):1437-46 - PubMed
  107. Mycoses. 1994 Jul-Aug;37(7-8):265-9 - PubMed
  108. Diagn Microbiol Infect Dis. 2003 May;46(1):25-8 - PubMed
  109. Proc Natl Acad Sci U S A. 2001 Dec 18;98(26):15245-50 - PubMed
  110. PLoS Pathog. 2012;8(8):e1002808 - PubMed
  111. PLoS Pathog. 2011 Apr;7(4):e1001343 - PubMed
  112. Mycoses. 1990 Feb;33(2):81-5 - PubMed
  113. Expert Opin Pharmacother. 2008 Mar;9(4):551-60 - PubMed
  114. Science. 2004 Mar 5;303(5663):1532-5 - PubMed
  115. J Med Microbiol. 2006 Sep;55(Pt 9):1175-85 - PubMed
  116. Science. 2006 Apr 28;312(5773):583-8 - PubMed
  117. Genetics. 2005 Apr;169(4):1883-90 - PubMed
  118. Mem Inst Oswaldo Cruz. 2008 Dec;103(8):813-8 - PubMed
  119. Zentralbl Bakteriol Mikrobiol Hyg A. 1984 Jul;257(2):207-12 - PubMed
  120. Mycol Res. 2009 Aug;113(Pt 8):851-7 - PubMed
  121. Mol Microbiol. 2004 Jul;53(1):153-65 - PubMed
  122. Toxicon. 2011 Sep 15;58(4):369-79 - PubMed
  123. J Invest Dermatol. 1991 May;96(5):657-61 - PubMed
  124. Clin Microbiol Rev. 2000 Jan;13(1):122-43, table of contents - PubMed
  125. Clin Dermatol. 2012 Nov-Dec;30(6):610-5 - PubMed
  126. Front Microbiol. 2011 Dec 20;2:257 - PubMed
  127. An Bras Dermatol. 2011 May-Jun;86(3):516-24 - PubMed
  128. Infect Genet Evol. 2006 Sep;6(5):344-51 - PubMed
  129. PLoS One. 2013 Aug 07;8(8):e71148 - PubMed
  130. J Clin Microbiol. 2004 Nov;42(11):5109-20 - PubMed
  131. Front Microbiol. 2012 Dec 03;3:413 - PubMed
  132. Am J Trop Med Hyg. 1998 Mar;58(3):273-6 - PubMed
  133. Ann Intern Med. 1987 Nov;107(5):678-80 - PubMed
  134. Clin Microbiol Rev. 2007 Jan;20(1):115-32 - PubMed
  135. Eukaryot Cell. 2008 Sep;7(9):1475-86 - PubMed
  136. Science. 2000 Nov 17;290(5495):1368-72 - PubMed
  137. Proc Natl Acad Sci U S A. 2000 May 23;97(11):6102-7 - PubMed
  138. J Clin Invest. 2010 May;120(5):1683-93 - PubMed
  139. PLoS Biol. 2013 Jul;11(7):e1001614 - PubMed
  140. Clin Allergy. 1976 May;6(3):209-17 - PubMed
  141. Mol Microbiol. 2010 Aug;77(3):587-604 - PubMed
  142. J Infect Dis. 2003 Jul 15;188(2):320-6 - PubMed
  143. Antimicrob Agents Chemother. 2009 Jul;53(7):3122-5 - PubMed
  144. Int J Med Microbiol. 2011 Jun;301(5):390-4 - PubMed
  145. Science. 2000 Sep 15;289(5486):1920-1 - PubMed
  146. Am J Trop Med Hyg. 1979 Nov;28(6):1036-9 - PubMed
  147. Curr Opin Microbiol. 2013 Dec;16(6):708-15 - PubMed
  148. Trends Microbiol. 2001 Jul;9(7):327-35 - PubMed
  149. Cell. 2002 Aug 9;110(3):293-302 - PubMed
  150. Mol Microbiol. 2007 Jun;64(6):1587-604 - PubMed
  151. Mycoses. 2005 Nov;48(6):365-77 - PubMed
  152. PLoS Pathog. 2010 Jun 17;6(6):e1000945 - PubMed
  153. J Infect Dis. 2001 Aug 1;184(3):337-44 - PubMed
  154. Mycologia. 2009 Nov-Dec;101(6):810-22 - PubMed
  155. Rev Iberoam Micol. 2010 Oct-Dec;27(4):155-82 - PubMed
  156. Mycopathologia. 2011 Sep;172(3):169-78 - PubMed
  157. PLoS One. 2010 Jun 14;5(6):e11113 - PubMed
  158. Nat Commun. 2010 Nov 02;1:103 - PubMed
  159. Clin Microbiol Rev. 2007 Jan;20(1):133-63 - PubMed
  160. Proc Natl Acad Sci U S A. 2008 Sep 23;105(38):14573-8 - PubMed
  161. Diagn Microbiol Infect Dis. 2002 May;43(1):19-28 - PubMed
  162. Clin Dermatol. 2012 Jul-Aug;30(4):409-12 - PubMed
  163. Clin Microbiol Rev. 2005 Jul;18(3):556-69 - PubMed
  164. Eur J Immunol. 2007 Feb;37(2):467-78 - PubMed
  165. Science. 1999 Aug 20;285(5431):1271-5 - PubMed
  166. Infect Immun. 2004 Jun;72(6):3478-88 - PubMed
  167. Microbes Infect. 2010 Nov;12(12-13):928-36 - PubMed
  168. Fungal Genet Biol. 2005 Feb;42(2):98-106 - PubMed
  169. Acta Trop. 2002 Feb;81(2):101-10 - PubMed
  170. Curr Opin Microbiol. 2011 Aug;14(4):406-11 - PubMed
  171. Cold Spring Harb Perspect Med. 2014 Nov 03;4(12):a019828 - PubMed
  172. Eukaryot Cell. 2011 Feb;10(2):168-73 - PubMed
  173. Cochrane Database Syst Rev. 2011 Jul 06;(7):CD003510 - PubMed
  174. J Wildl Dis. 1981 Apr;17(2):191-6 - PubMed
  175. Med Mycol. 2002 Jun;40(3):263-72 - PubMed
  176. Med Mycol. 2004 Aug;42(4):355-62 - PubMed
  177. Int J Med Microbiol. 2011 Jun;301(5):378-83 - PubMed
  178. MBio. 2010 May 18;1(1):null - PubMed
  179. FEMS Microbiol Lett. 2004 Jun 1;235(1):169-76 - PubMed
  180. J Immunol. 2007 Apr 15;178(8):4711-6 - PubMed
  181. Proc Natl Acad Sci U S A. 2007 Jan 23;104(4):1366-70 - PubMed
  182. Curr Opin Microbiol. 2008 Aug;11(4):318-24 - PubMed
  183. Clin Infect Dis. 2012 Jun;54(12):1685-91 - PubMed
  184. J Leukoc Biol. 2010 Jul;88(1):95-106 - PubMed
  185. Clin Investig (Lond). 2013 Mar;3(3):null - PubMed
  186. Semin Respir Crit Care Med. 2011 Dec;32(6):764-74 - PubMed
  187. Clin Microbiol Rev. 2013 Jul;26(3):505-25 - PubMed
  188. PLoS Biol. 2008 May 6;6(5):e110 - PubMed
  189. J Cell Sci. 2003 Apr 15;116(Pt 8):1579-87 - PubMed
  190. Cell Microbiol. 2002 Aug;4(8):461-9 - PubMed
  191. MBio. 2014 Mar 18;5(2):e00912-14 - PubMed
  192. PLoS Pathog. 2013;9(9):e1003625 - PubMed
  193. Clin Microbiol Rev. 2011 Apr;24(2):296-313 - PubMed
  194. Endocr Rev. 2008 Jun;29(4):381-402 - PubMed
  195. Clin Dermatol. 2010 Mar 4;28(2):197-201 - PubMed
  196. Am J Clin Pathol. 1955 Jan;25(1):46-65 - PubMed
  197. J Clin Invest. 2010 May;120(5):1389-92 - PubMed
  198. Clin Infect Dis. 2005 Sep 1;41(5):634-53 - PubMed
  199. Infect Immun. 1978 Apr;20(1):262-6 - PubMed
  200. Fungal Genet Biol. 2005 May;42(5):444-51 - PubMed
  201. Mycopathologia. 2008 Apr-May;165(4-5):197-207 - PubMed
  202. PLoS One. 2012;7(5):e37694 - PubMed
  203. N Engl J Med. 2013 Oct 24;369(17):1598-609 - PubMed
  204. Curr Top Microbiol Immunol. 2004;279:53-72 - PubMed
  205. Clin Tech Small Anim Pract. 2005 Nov;20(4):227-32 - PubMed
  206. Infect Immun. 2014 May;82(5):1766-77 - PubMed
  207. PLoS One. 2012;7(1):e29561 - PubMed
  208. Proc Natl Acad Sci U S A. 2008 Nov 25;105(47):18419-23 - PubMed
  209. Blood. 2005 Oct 1;106(7):2543-50 - PubMed
  210. Fungal Genet Biol. 2007 Jun;44(6):484-91 - PubMed
  211. Eukaryot Cell. 2008 Jul;7(7):1085-97 - PubMed
  212. Eukaryot Cell. 2007 Apr;6(4):609-15 - PubMed
  213. Curr Opin Infect Dis. 2008 Dec;21(6):620-5 - PubMed
  214. Infect Genet Evol. 2013 Dec;20:336-51 - PubMed
  215. Appl Environ Microbiol. 2005 Jul;71(7):3420-6 - PubMed
  216. Clin Infect Dis. 1995 Jul;21(1):28-34; discussion 35-6 - PubMed
  217. Mycoses. 2001;44(5):137-40 - PubMed
  218. Fungal Genet Biol. 2008 Mar;45(3):221-31 - PubMed
  219. Mycopathologia. 2008 Apr-May;165(4-5):275-87 - PubMed
  220. Fungal Genet Biol. 2004 Sep;41(9):872-6 - PubMed
  221. J Clin Microbiol. 1999 Mar;37(3):653-63 - PubMed
  222. Infect Immun. 1995 Aug;63(8):3131-6 - PubMed
  223. Persoonia. 2013 Jun;30:57-76 - PubMed
  224. Mycoses. 1990 Nov-Dec;33(11-12):539-41 - PubMed
  225. J Am Anim Hosp Assoc. 2012 May-Jun;48(3):182-7 - PubMed
  226. Clin Microbiol Rev. 1999 Apr;12(2):310-50 - PubMed
  227. Eukaryot Cell. 2009 Mar;8(3):353-61 - PubMed
  228. Infect Immun. 1984 Jan;43(1):320-5 - PubMed
  229. Eukaryot Cell. 2007 Dec;6(12):2169-74 - PubMed
  230. J Clin Microbiol. 1991 Aug;29(8):1702-10 - PubMed

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