Human Fungal Pathogens: Emerging Threats, Diagnostic and Therapeutic Innovations and Global Impacts

A special issue of Journal of Fungi (ISSN 2309-608X).

Deadline for manuscript submissions: closed (30 April 2025) | Viewed by 1233

Special Issue Editors


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Guest Editor
Department of Clinical Analysis, School of Pharmaceutical Sciences, São Paulo State University (UNESP), Araraquara 14800-903, Brazil
Interests: antifungal agents; biofilms; fungal-host interaction; nanotechonology
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School of Microbiology, Universidad de Antioquia (UdeA), Medellín, Colombia
Interests: fungal-host interactions; diagnostic; immunology; mycology; animal models; stem cells
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Guest Editor
1. School of Medicine, The Federal University of Mato Grosso do Sul, Campo Grande 79070-900, MS, Brazil
2. Mycology Department, Adolfo Lutz Institute Center for Disease Control Secretary of Health, Sao Paulo 01246-000, SP, Brazil
Interests: antifungal agents; fungal infections; yeasts; molds
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Infectious diseases have an important impact on public health. For centuries, they have been identified as the main causes of death and sequelae and therefore still present growing challenges for health security and human progress. Over the past few decades, infectious diseases have been significantly correlated with socioeconomic, environmental, and ecological factors. The risk of the growth of neglected, emerging, and re-emerging fungal pathogens is an even greater threat. Likewise, a close relationship and changes between human, animal, and environmental health ("One Health" concept) significantly influence the transmission and distribution of pathogens. Studies of these infections reveal the evolutionary properties of pathogens and their dynamic relationships, quickly adapting to new hosts due to high rates of multiplication, mutation, and selection. Understanding the processes that lead to the emergence of new pathogens can help manage emerging epidemics. The growing risk of co-infections is a major threat to patient’s lives and impacts the health systems.  The particular combination of virulence factors, including microbial biofilms, may have a species-specific effect that needs to be addressed at the molecular level. Molecular tools help in designing newer therapies based on interferences with biofilm formation and thus countering clinical episodes of resistance. Therefore, as the emergence of an infection is a complex and multifactorial issue, a multidisciplinary approach is required.

This is why the World Health Organization (WHO) recently launched a priority list of fungal pathogens to focus research on these agents. Thus, there is a need for new tools for investigating pathogens, to study the host-parasite relationships, regarding their virulence, resistance development, and identification. For this purpose, new molecular technologies have launched a new era in pathogen surveillance, using new-generation sequencing techniques, implementation of mass spectrometry in microbiology, metagenomic analysis, and determination of antimicrobial resistance. Along the same lines, the introduction of new antisense RNA and CRISPR methodologies has made it possible to know not only the functionality of several molecules that participate in host-pathogen interactions but also to identify new targets to design antimicrobial strategies.

Given recent developments in this field, the purpose of this Topic Board is to highlight aspects related to the novel concepts in diagnostic, molecular, epidemiology, treatment, and pathogenesis using different approaches in fungal pathogens. Then, the nature and scope of emerging and re-emerging microbial threats and consider methods for their control, as well as the dynamic interactions between rapidly evolving infectious agents and changes in the environment and host behavior that provide such agents with new favorable ecological niches will be evaluated in this special issue.

This topic may be published in the form of comprehensive reviews, original studies, and novel perspectives that address aspects of basic, translational, and applied research to develop countermeasures advance, such as surveillance tools, diagnostic tests, vaccines, and therapeutics, as well as omics tools and advances in nanotechnology in diagnostic, therapeutic and microbial research, and rational drug and vaccine projects that can support research in all the above areas.

Prof. Dr. Maria José Soares Mendes Giannini
Dr. Ana Marisa Fusco Almeida
Prof. Dr. Angel Gonzalez Marin
Dr. Marcia S.C. Melhem
Guest Editors

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Keywords

  • fungal pathogens
  • newly emerging and newly recognized infections
  • geographical spread of infections
  • drug-resistant fungi
  • microbial adaptation and evolution
  • human susceptibility to infection
  • one health approach to fungal infections
  • changing ecosystems
  • biofilms fungi and their microbial interactions
  • molecular tools to study host-pathogen interactions
  • new or improved diagnostic methods

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Published Papers (2 papers)

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Review

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35 pages, 1520 KiB  
Review
The Hidden Fortress: A Comprehensive Review of Fungal Biofilms with Emphasis on Cryptococcus neoformans
by Hope M. Pruitt, Jinyi C. Zhu, Sean P. Riley and Meiqing Shi
J. Fungi 2025, 11(3), 236; https://doi.org/10.3390/jof11030236 - 19 Mar 2025
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Abstract
Biofilms are structurally organized communities of microorganisms that adhere to a variety of surfaces. These communities produce protective matrices consisting of polymeric polysaccharides, proteins, nucleic acids, and/or lipids that promote shared resistance to various environmental threats, including chemical, antibiotic, and immune insults. While [...] Read more.
Biofilms are structurally organized communities of microorganisms that adhere to a variety of surfaces. These communities produce protective matrices consisting of polymeric polysaccharides, proteins, nucleic acids, and/or lipids that promote shared resistance to various environmental threats, including chemical, antibiotic, and immune insults. While algal and bacterial biofilms are more apparent in the scientific zeitgeist, many fungal pathogens also form biofilms. These surprisingly common biofilms are morphologically distinct from the multicellular molds and mushrooms normally associated with fungi and are instead an assemblage of single-celled organisms. As a collection of yeast and filamentous cells cloaked in an extracellular matrix, fungal biofilms are an extreme threat to public health, especially in conjunction with surgical implants. The encapsulated yeast, Cryptococcus neoformans, is an opportunistic pathogen that causes both pulmonary and disseminated infections, particularly in immunocompromised individuals. However, there is an emerging trend of cryptococcosis among otherwise healthy individuals. C. neoformans forms biofilms in diverse environments, including within human hosts. Notably, biofilm association correlates with increased expression of multiple virulence factors and increased resistance to both host defenses and antifungal treatments. Thus, it is crucial to develop novel strategies to combat fungal biofilms. In this review, we discuss the development and treatment of fungal biofilms, with a particular focus on C. neoformans. Full article
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10 pages, 2191 KiB  
Case Report
Invasive Fungal Infection by Scedosporium apiospermum with Cerebral Involvement in a Pediatric Patient Affected by Chronic Granulomatous Disease After Hematopoietic Cell Transplant
by Chiara Garonzi, Matteo Chinello, Giulia Caddeo, Elisa Bonetti, Maria Pia Esposto, Vincenza Pezzella, Virginia Vitale, Ada Zaccaron, Annarita Sorrentino, Davide Gibellini and Simone Cesaro
J. Fungi 2025, 11(4), 270; https://doi.org/10.3390/jof11040270 - 1 Apr 2025
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Abstract
A 5-year-old boy affected by chronic granulomatous disease (CGD) underwent two allogeneic hematopoietic cell transplants (HCT) from the same unrelated donor. The first HCT was complicated by prolonged fever and primary graft failure. While fully aplastic, the patient developed a disseminated infection by [...] Read more.
A 5-year-old boy affected by chronic granulomatous disease (CGD) underwent two allogeneic hematopoietic cell transplants (HCT) from the same unrelated donor. The first HCT was complicated by prolonged fever and primary graft failure. While fully aplastic, the patient developed a disseminated infection by Scedosporium apiospermum involving the knee and parasternal skin (day +34 and +40 post-HCT). The patient was treated with voriconazole and granulocyte transfusions followed by a second HCT 80 days after the first HCT. At day +105, the patient developed fever, headache, and altered level of consciousness associated with multiple bilateral cerebral abscesses at magnetic resonance imaging. The serum B-D-glucan test was positive. Micafungin was added to voriconazole. Despite an initial clinical improvement, the patient developed hydrocephalus. Scedosporium apiospermum was cultured from cerebrospinal fluid. Liposomal amphotericin B, instead of micafungin, was combined with voriconazole as salvage therapy. Unfortunately, the patient developed uncal herniation and died at day +193 from HCT. This case shows that the prognosis of scedosporiosis remains poor despite adequate antifungal treatment. Noteworthy, the B-D-Glucan test is confirmed useful as a non-invasive marker for early diagnosis and may help the differential diagnosis of mycoses. Full article
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