Fungal primary and opportunistic pathogens: an ecological perspective

Author:

de Hoog Sybren1234ORCID,Tang Chao13,Zhou Xin15,Jacomel Bruna46,Lustosa Bruno17,Song Yinggai8,Kandemir Hazal9,Ahmed Sarah12,Zhou Shaoqin13,Belmonte Ricardo14,Quan Yu12,Feng Peiying5,Vicente Vania47,Kang Yingqian3

Affiliation:

1. RadboudUMC-CWZ Centre of Expertise for Mycology , Nijmegen , The Netherlands

2. Foundation Atlas of Clinical Fungi , Hilversum , The Netherlands

3. Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education of Guizhou & Key Laboratory of Medical Microbiology and Parasitology, School of Basic Medical Sciences, Guizhou Medical University , Guiyang , China

4. Postgraduate Program in Microbiology, Parasitology and Pathology, Biological Sciences, Department of Basic Pathology, Federal University of Paraná , Curitiba , Brazil

5. Third Affiliated Hospital of Sun-yat Sen University , Guangzhou , China

6. Canisius Wilhelmina Hospital , Nijmegen , The Netherlands

7. Postgraduate Program in Engineering Bioprocess and Biotechnology, Department of Bioprocess Engineering and Biotechnology, Federal University of Paraná , Curitiba , Brazil

8. Department of Dermatology and Venerology, Peking University First Hospital , Beijing , China

9. Westerdijk Fungal Biodiversity Center , Utrecht , The Netherlands

Abstract

Abstract Fungal primary pathogenicity on vertebrates is here described as a deliberate strategy where the host plays a role in increasing the species fitness. Opportunism is defined as coincidental survival of an individual strain in host tissue using properties that are designed for life in an entirely different habitat. In that case the host's infection control is largely based on innate immunity, and the etiologic agent is not transmitted after infection, and thus fungal evolution is not possible. Primary pathogens encompass two types, depending on their mode of transmission. Environmental pathogens have a double life cycle, and tend to become enzootic, adapted to a preferred host in a particular habitat. In contrast, pathogens that have a host-to-host transmission pattern are prone to shift to a neighboring, immunologically naive host, potentially leading to epidemics. Beyond these prototypical life cycles, some environmental fungi are able to make large leaps between dissimilar hosts/habitats, probably due to similarity of key factors enabling survival in an entirely different niche, and thus allowing a change from opportunistic to primary pathogenicity. Mostly, such factors seem to be associated with extremotolerance.

Publisher

Oxford University Press (OUP)

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