July 2009 | Taylor R. T. Dagenais and Nancy P. Keller
The introduction of the article provides a comprehensive overview of *Aspergillus fumigatus*, a human pathogen that causes invasive aspergillosis (IA), a life-threatening disease, particularly in immunocompromised individuals. The article highlights the ubiquitous nature of *Aspergillus* species and their ecological roles, as well as their significance in both beneficial and harmful industrial applications. It emphasizes the importance of understanding the interplay between host immune function and fungal factors in the pathogenesis of IA.
The article then delves into the infectious life cycle of *A. fumigatus*, detailing how conidia are inhaled, deposited in the lungs, and establish infection. It discusses the role of alveolar macrophages in phagocytosing and killing conidia, and the subsequent inflammatory response that recruits neutrophils. The text also explores the risk factors for IA, such as neutropenia and corticosteroid-induced immunosuppression, and the distinct pathological outcomes associated with each.
The article reviews animal models used to study IA, including Drosophila melanogaster and Galleria mellonella, and the importance of genetic mouse models like those with chronic granulomatous disease (CGD) or X-CGD. It highlights the use of specific drug or depletion regimens to induce neutropenia or corticosteroid-induced immunosuppression in these models.
The biology of *A. fumigatus* is discussed, focusing on its ability to grow at 37°C, its interaction with soluble lung components like collectins, and its resistance to complement activation. The article also examines the role of alveolar macrophages in phagocytosing and killing conidia, and the importance of melanin in protecting conidia from macrophage killing.
The article further explores the adaptation of *A. fumigatus* to the mammalian lung environment, including its degradation of host tissues and nutrient acquisition. It discusses the role of proteases in tissue degradation and the importance of iron acquisition through siderophore-mediated uptake and reductive iron assimilation.
Overall, the article provides a detailed and comprehensive overview of the pathogenesis of *A. fumigatus* in invasive aspergillosis, emphasizing the complex interplay between the fungus and the host immune system.The introduction of the article provides a comprehensive overview of *Aspergillus fumigatus*, a human pathogen that causes invasive aspergillosis (IA), a life-threatening disease, particularly in immunocompromised individuals. The article highlights the ubiquitous nature of *Aspergillus* species and their ecological roles, as well as their significance in both beneficial and harmful industrial applications. It emphasizes the importance of understanding the interplay between host immune function and fungal factors in the pathogenesis of IA.
The article then delves into the infectious life cycle of *A. fumigatus*, detailing how conidia are inhaled, deposited in the lungs, and establish infection. It discusses the role of alveolar macrophages in phagocytosing and killing conidia, and the subsequent inflammatory response that recruits neutrophils. The text also explores the risk factors for IA, such as neutropenia and corticosteroid-induced immunosuppression, and the distinct pathological outcomes associated with each.
The article reviews animal models used to study IA, including Drosophila melanogaster and Galleria mellonella, and the importance of genetic mouse models like those with chronic granulomatous disease (CGD) or X-CGD. It highlights the use of specific drug or depletion regimens to induce neutropenia or corticosteroid-induced immunosuppression in these models.
The biology of *A. fumigatus* is discussed, focusing on its ability to grow at 37°C, its interaction with soluble lung components like collectins, and its resistance to complement activation. The article also examines the role of alveolar macrophages in phagocytosing and killing conidia, and the importance of melanin in protecting conidia from macrophage killing.
The article further explores the adaptation of *A. fumigatus* to the mammalian lung environment, including its degradation of host tissues and nutrient acquisition. It discusses the role of proteases in tissue degradation and the importance of iron acquisition through siderophore-mediated uptake and reductive iron assimilation.
Overall, the article provides a detailed and comprehensive overview of the pathogenesis of *A. fumigatus* in invasive aspergillosis, emphasizing the complex interplay between the fungus and the host immune system.