Immunotherapy for fungal infections

被引:67
作者
Segal, BH
Kwon-Chung, J
Walsh, TJ
Klein, BS
Battiwalla, M
Almyroudis, NG
Holland, SM
Romani, L
机构
[1] Roswell Pk Canc Inst, Div Infect Dis, Dept Med, Buffalo, NY 14263 USA
[2] Roswell Pk Canc Inst, Dept Immunol, Buffalo, NY 14263 USA
[3] NIAID, Mol Microbiol Sect, Clin Invest Lab, NIH, Bethesda, MD 20892 USA
[4] NIAID, Lab Clin Infect Dis, NIH, Bethesda, MD 20892 USA
[5] NCI, Immunocompromised Host Sect, Pediat Oncol Branch, NIH, Bethesda, MD 20892 USA
[6] Univ Wisconsin Hosp & Clin, Univ Wisconsin Sch Med, Dept Pediat, Madison, WI 53792 USA
[7] Univ Perugia, Sch Med, Dept Expt Med & Biochem Sci, I-06100 Perugia, Italy
关键词
D O I
10.1086/499811
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Opportunistic fungal infections are major causes of morbidity and mortality among immunocompromised individuals. Fungi have evolved complex and coordinated mechanisms to survive in the environment and in the mammalian host. Fungi must adapt to "stressors" in the host ( including scarcity of nutrients, pH, and reactive oxygen and nitrogen intermediates) in addition to evading host immunity. Knowledge of the immunopathogenesis of fungal infections has paved the way to promising strategies for immunotherapy. These include strategies that increase phagocyte number, activate innate host defense pathways in phagocytes and dendritic cells, and stimulate antigen-specific immunity ( e. g., vaccines). Immunotherapy must be tailored to specific immunocompromised states. Challenges exist in bringing promising immunotherapies from the laboratory to clinical trials.
引用
收藏
页码:507 / 515
页数:9
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