Host-Pathogen Molecular Factors Contribute to the Pathogenesis of Rhizopus spp. in Diabetes Mellitus
Autor: | Mario Nava-Villalba, Yaír Adonaí Sánchez-Nuño, Edgar Octavio Medina-Guerrero, Claudia Lisette Charles-Niño, Perla Davila-Villa, Elsa Janneth Anaya-Ambriz, Berenice Morales-Franco |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Fungal infection
Fungal protein biology Mucormycosis Disease Fungus biology.organism_classification medicine.disease Microbiology Infectious Diseases Immune system Diabetes mellitus Rhizopus Evasion Spore germination medicine Tropical Mycoses (L Martinez Section Editor) Immunology and Allergy Pathogen |
Zdroj: | Current Tropical Medicine Reports |
ISSN: | 2196-3045 |
Popis: | Purpose of Review Infectious diseases represent up to 12% of all deaths in people with diabetes mellitus (DM). The development and progression of DM generate a chronic inflammatory state with unique characteristics that have been exploited by some pathogens; one of them is Rhizopus spp., a fungus considered the causative agent of mucormycosis. This disease has a poor prognosis with high mortality rates, and the apparition of resistant isolates each year has become a worrying concern. DM is an actual and continuing health problem, and for that reason, it is of foremost importance to study the pathogenesis of mucormycosis to generate new prevention and treatment strategies. Recent Findings The worldwide incidence of mucormycosis has increased in recent years. The pathogenic mechanisms and factors identified in Rhizopus spp. are the cell wall, spore germination, proteins, and enzymes related to iron sequestration, CotH fungal protein, positive regulation of the GRP78 cell receptor, and immune evasion due to survival within phagocytes, among others. The physiopathology of DM offers favorable conditions for the successful replication of Rhizopus spp. Summary The main reason for increase of incidence of mucormycosis caused by Rhizopus spp. has been associated with the rise of worldwide prevalence of DM. Knowing the fungal pathogenic mechanisms as well as the relationships between Rhizopus with the microenvironment found in the human body will undoubtedly help generate better antifungals to enhance treatment outcomes. Nowadays, some strategies to combat the fungus are based on the knowledge of its proteins, cellular interactions, and iron metabolism. |
Databáze: | OpenAIRE |
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