Aspergillosis and stem cell transplantation: An overview of experimental pathogenesis studies

Invasive aspergillosis is a life-threatening infection caused by the opportunistic filamentous fungus Aspergillus fumigatus. Patients undergoing haematopoietic stem cell transplant (HSCT) for the treatment of hematological malignancy are at particularly high risk of developing this fatal infection....

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Veröffentlicht in:Virulence 2016-11, Vol.7 (8), p.950-966
Hauptverfasser: Al-Bader, Nadia, Sheppard, Donald C.
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description Invasive aspergillosis is a life-threatening infection caused by the opportunistic filamentous fungus Aspergillus fumigatus. Patients undergoing haematopoietic stem cell transplant (HSCT) for the treatment of hematological malignancy are at particularly high risk of developing this fatal infection. The susceptibility of HSCT patients to infection with A. fumigatus is a consequence of a complex interplay of both fungal and host factors. Here we review our understanding of the host-pathogen interactions underlying the susceptibility of the immunocompromised host to infection with A. fumigatus with a focus on the experimental validation of fungal and host factors relevant to HSCT patients. These include fungal factors such as secondary metabolites, cell wall constituents, and metabolic adaptations that facilitate immune evasion and survival within the host microenvironment, as well as the innate and adaptive immune responses involved in host defense against A. fumigatus.
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subjects aspergillosis
aspergillus
Aspergillus fumigatus - chemistry
Aspergillus fumigatus - immunology
Aspergillus fumigatus - pathogenicity
Aspergillus fumigatus - physiology
Hematologic Neoplasms - immunology
Hematologic Neoplasms - microbiology
Hematologic Neoplasms - therapy
Host-Pathogen Interactions
Humans
Immune Evasion
immunity
Immunity, Innate
Immunocompromised Host
Invasive Pulmonary Aspergillosis - immunology
Invasive Pulmonary Aspergillosis - microbiology
Invasive Pulmonary Aspergillosis - physiopathology
pathogenesis
Review
stem cell transplant
Stem Cell Transplantation - adverse effects
Virulence
title Aspergillosis and stem cell transplantation: An overview of experimental pathogenesis studies
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