Fungi Flashcards

1
Q

Discovery of Pencilin

A

1928 London, UK
by Sir Alexander Fleming
first antibiotic isolated from fungi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Mucormycosis

A

毛霉病
Caused by Rhizopus oryzae.
Highly drug résistent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Good side of fungi

A

1.Pharmacential industry
-Antibiotics
-Other pharmacential (ie. Statins)

  1. Food industry
    -Mushrooms
    -Yeast for baking, fermentation (car, kimchi泡菜)
    -Cheese
    -Enzymes and chemicals (ie. Citric acid for soft drinks)

3.Absorb nuclear radiation

  1. Break down plastic pollution
    -Biodegradation: fungi can decompose all organic material and even plastics but also lumbers木材, building materials, food, us
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Bad side of fungi

A
  1. Infection
    -Invasive and superficial mycoses.
  2. Intoxication
    -Aflatoxicosis, ergot alkaloid , toxic mushrooms
    -Toxic building syndrome 病态建筑综合症,长期在特定建筑内出现与该环境相关的症状
  3. Allergy: Asthma 哮喘,Siusitis鼻炎等
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Fungus is a mostly unknown kingdom

A

Uncertain mumber: 1.5-12 millions, only 150,000 species identified

Discovery rate: 1000 - 2000 species /year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Characteristics of fungi

A

Eukaryotes
Cell wall
Heterotrophy
Unicellular
Asexual and sexual reproduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Eukaryotes

A

-True nucleus
-Protein secretory pathway (ER , Golgi)
-Mitochondrion (like animal)
-Vacuole (like plant)
-Cytoplasmic membrane contain Ergosterol (animals heve cholesterol, plants have mix of sterol)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cell wall of fungi

A

exoskeleton of fungi

Function: structure, protection, exchange

Made of mostly polysaccharides and chitin -polysaccharides differs among species
-all species share same chitn (polymer of beta-1, 4 GlcNAc)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Heterotrophy

A

absorb nutrients from envrionment, no vascular system

Saprotroph
Symbiont
Parasite
Predators

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Unicellular

A

1.Yeast = single cell, 1 nucleus
-reproduction by budding or fission
-environmental signals can initiate yeast transition to hyphae or pseudohyphae

2.Mold: filamentous tubular structure, multiple nuclei hyphae can contain septa
-septated hyphae: separate hyphae into smaller sections
-aseptated hyphae
-Mycelium: ensemble of hyphae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Asexual and sexual reproduction

A

1.No sex
-Asexual form called Anamorph, reproduce by mitosis

2.Sex
-sexual form called Teleomorph, reproduce by meiosis
-2 main type

3.Parasexual
Gene recombination through mitosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Advantages of asexual reproduction

A

don’t t need a partner
maintain valuable genetic combination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

2 main type of sexual reproduction

A

1.Heterothallic
Sex with other mating type

2.Homothallic
sex with same mating type (can be same thallus菌体)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Taxonomy of fungi

A

phylum – mycota
sub phylum – mycotina
class - mycetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

3 main groups of fungi

A

zoosporic fungi: most primitive

zygomycetous fungi

Dikarya subkingdom: most recent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Zoosporic fungi

A

primitive aquatic fungi

parasite / Symbiont / Saprotroph. (most parasite, kill the host)

anchored via rhizoid structure

Spread via zoospores (asexual), swim through their zoospores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Zygomycetous fungi

A

adaptation to life on land. (First fingi)

Saprotroph

Aseptated filamentous fungi

Spread via zygospores (sex) / sporangiospores (asexual)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Dikarya

A

2 groups:
Ascomycota (sac fungì)
Basidiomycota (little pedestal fungi)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Ascomycota

A

filamentous fungi or yeast (septated)

spread via ascospores(sex) and conidia(asexual)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Basidiomycota

A

septated filamentous fungi or yeast
spread via basidiospores (mostly sexual)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Spread strategies of fungi

A

1.wind
2.modify animal behavior & sex life
3.shoot spores as far as possible.
4.call up for some animal help and take a ride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Spread-Attracting animals

A

Ex. Stinkhorn fungus Phallus impudicus

-Fruiting body emerges with tremendous force
-3 mushrooms can lift 400 kg
-Produce sticky spore mass that smells like rotting meat
-Attract insects who carry away the spores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Spread-Controlling Animal

A

Ex. Massospora cicadina

-colonize the body of cicadas, replace their subdomain where the reprodutive organ locate

-Let the male behave live a female: land on leaf, shakng wings make sounds to attract male, and the attracted male is tend to get infected and spread it out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Spread-Mastering the wind

A

Basidiospore formation
1.Plasmogamy: mycelia form (1n) two mating type (+ /-)
2. + and - fuse, form a dikaryotic mycelium
3. Mitosis: basidiocarp forms, gills of the basidiocarp contain basidia
4.Karyogamy: basidia form diploid nuclei—zygote (2n)
5.Meiosis: 4 haploid nuclei are formed in the basidium (1n)
6.Cell division: 4 basidiospores are formed
7.Dispersal and germination of basidiospores

-Basiodiomycetes can produce of over a billion of spore/day
-Basiodiomycetes form complex fruiting bodies that produce basidiospores. (Increase dispersion by increasing surface area and elevation)
-Gills, Pores, Folds: increase Surface area

Basidiospore release
-apiculus secrete Buller’s drop
-When Buller’s drop contact with the water layer on the top of the spore, they mix together and the surface tension catapults the spores away from the sterigma
-This ensure the spore falling out without smashing the gill
-The water accumulate under the fungi: evaporation cools the air up to 5摄氏度 less the cold air is heavier, when it got warm up, is go up and create an air convection cell taking away the spores cm~ Km away

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Spread-going with wind

A

Ex. Ascomycetes

  1. Plasmogamy: Mycelia—>ascogonium and antheridium fuse
  2. Mitosis and cell division: formation of many dikaryotic hyphae, form a fruit body called ascocarp, ascus(asci) form at the tips of hyphae
  3. Karyogamy: Nuclei in the asci fuse to form a diploid zygote (2n)
  4. Meiosis: an ascus with 4 haploid nuclei is formed
  5. Mitosis and cell division: 8 haploid ascospores are formed
  6. Dispersal and germination

Asexual cycle: mycelia—>mitosis: spores—>germination—>mycelia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

3 different types of ascocarp

A

1.Apothecium
Shotgun
Cup fungi

2.Perithecium
Rifle
Flask fungi

3.Cleistothecium
Grenade
Release all at the same time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Spread-fungi does not need wind

A

Ex. Pilobulus sp.(zygomycetous fungi)

Sexual reproduction:
1.spores germinate to 2 mating types, when grow close enough, extension of mycelia (1n) called gametangia form between them
2.Plasmogamy: fusion between +/- mating types result in a zygosporangium(form a thick protective coat) with multiple haploid nuclei
3.Karyogamy: Nuclei fuse to form a zygote(2n) with multiple nuclei
4.Meiosis and Germination: a sporangium(1n, haploid spores form inside) grows on a short stalk
5.Germination

Asexual reproduction: spores—>mitosis—>mycelia—>germination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Consequence of fungi spread

A

Might wipe out a entire species from earth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Hypothesis: fungi and dinosaur

A

Fungi might contribute to the extinction of the dinosaurs

since they cannot grow under 37 degree, mammal survival

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Mass extinction event targeting amphibians
fungi
How to kill
Situation now

A

Bd & Bsal: Chytrids belongs to zoosporic fungi

Amphibians are killed by disrupting the skin functions, leading to cardiac arrest

Animal trade disseminated(传播) the chytrids on all continents.

Close to 100 species already extinct.
2nd most dangerous species for biodiversity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Dutch elm disease

Fungi (3 main species)
How
Symptom
Situation in Montreal

A

Blue stain fungus carried by a beetle

Beetles make holes on pine trees and infect the fungi in the tree.

3 main species of blue stain fungus affect pine trees: (Ascomycota - Sardoriomycetes)
-Grosmannia clavigera
-Ophiostoma montium
-Leptographium longiclavatum

Fungi colonize the tree phloem and feed on the sap, leading to pine tree death

In Montreal Rhytima sp.
• 60,000 trees replanted (Norway maples: faster growing with yellow leaves)
• Norway maples are very susceptible to tar spot.
• Native sugar maples are relatively resistant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

White nose syndrome on bat

A

Pathogen: Pseudogymnoascus destructans (Ascomycota)
-Saprotroph
-Loves cold temperatures

Mortality: 5 million/year
70–100% of bats infected will die because of metabolism shutdown
As temperatures rise, immune system controls the infection, 但是下次冬眠会感染更多,一直循环消耗,直到bats在冬眠结束前死亡

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

white nose syndrome in bat 地域差异

A

In Europe: No mass mortality

A mycovirus uniquely found in North American Pd isolates.

Viruses infect fungi: RNA in fungi encodes virus enzymes:
-Some increase the virulence e.g., Pd
-Some decrease the virulence e.g., Aspergillus fumigatus a human pathogen), it let fungi survive longer.

In the early 2000s, Europeans brought Pd & mycovirus to caves in New York State.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Impact of the white nose syndrome in bat

A
  1. Pollination
    More than 300 fruit trees depend on bats for pollination
  2. Insect population control (bats feed on insects):
    -Saves money spent removing bugs ($4 billion/year)
    -Reduces the abuse of insecticides.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Banana

A

Herbs
-Half of the banana is difficult to obtain through fertilization (seed is too big)
-Selected those that don’t require fertilization and spread them everywhere

36
Q

Big Mike (Gros Michel)

Disease, place, fungi, habitat, how to kill plant

A

Tasty
conquered the world

Fusarium oxysporum TR1
Ascomycota – Sardoriomycete
1874 - Australia: Banana farm decimated大量毁灭 by fungal disease

Fusarium:
-lives in the soil
-their spores sense plant growth (via materials secreted by roots)
-Spores germinate, invade plant roots, grow in xylem, and lead to the plant lose their water supply, fungi will clog the vessels and this cause plant death
-fungi sexual/asexual reproduction
-spore left in soil

37
Q

Cavendish (Vive Cavendish)

A

Less tasty, less long-lasting
History repeats with Fusarium oxysporum TR4

38
Q

The problem of monoculture and fungal infection

A
  1. The only solution is to use anti-fungal, but: Antifungals create resistance, and we use antifungals to treat ourselves
  2. Gene editing is not a complete solution (other strains might infect in the future+Global trade)
39
Q

Wheat Rust

Pathogen, life cycle, and framer’s response

A

Pathogen: Puccinia graminis Basidiomycota
-In the summer, P. graminis reproduces asexually in wheat, growing fast and spreading spores via wind
-In winter, they switch hosts to barberry plants and reproduce sexually
-when temperature rise, switch back to wheat

Farmers’ Response
-Removed barberry plants → Wheat rust disappeared for nearly 60 years
-Later, to protect barberry carpet (moths), black barberry plants were restored → Wheat rust returned

40
Q

Mycorrhizal
What relationship, how long, what fungi

A

Symbiotic relationship between plants and fungi.

Present for 450 million years and found in 80% of plants.

Fungi: mainly Glomeromycotina (Zygomycetes)

41
Q

4 Types of Mycorrhizal Interactions

A
  1. Arbuscular.
  2. Ectomycorrhizae
  3. Orchid → seeds can’t germinate without fungi
  4. Ericoid
42
Q

General advantage of mycorrhizae

A

With mycorrhizal fungi, roots can cover more soil to get nutrients.

43
Q

2 Main Groups of Mycorrhizal Interactions

A
  1. Arbuscular Mycorrhizae Fungi (AMF)
  2. Ectomycorrhizae
44
Q

Benefits of Mycorrhizal Fungi
3 big point
What can fungi improve in soil

A
  1. Zone of exchange between plants and fungi
    -Fungi improve water and nutrient assimilation (e.g., N, P…)
    Ex. Plants can’t take phosphate on their own, they need fungi to take it for them
    -Plants provide carbon (carbohydrates, lipids) to fungi
  2. Improved soil quality
    -Fungi secrete glomalin (hydrophobic glycoprotein), which interact with particles in soil and start to organize it in macroaggregate

Fungi can improve:
-Soil structure
-Carbon sequestration.
-Water flow and availability
-Biodiversity
-Heavy metal absorption
A richer soil can support more life

  1. Stimulate plant immune defense
    -sometimes plant consider fungi as a “pathogen attack,” triggering immune responses
    -Benefits:
  2. Pathogen presence prevention
  3. Stimulation of the plant general health/metabolic activity (defense)—ISR (induced systemic resistance)

Harnessing利用 mycorrhizal fungi enables more sustainable agriculture

45
Q

Botrytis cinerea

What
Good/bad side

A

gray mold
Ascomycota, leotiomycets

Bad Side
-Causes ~$10 billion/year crop losses.

Good Side
-“Noble Rot” → Sauternes
-Ideal growth conditions in France plant farm: Cool, moist in the morning; warm in the afternoon

46
Q

3 grape varieties

A
  1. Semillon → main grapes used with thin skin grapes
  2. Sauvignon Blanc → bring acidity to the wine
  3. Muscadelle → Grapes with floral note easily infected by fungi
47
Q

Infection process of Botrytis cinerea

A
  1. Fungi land on the top of grapes and grow germ tubes (Appressorium) destroy the first layer of cells in epidermis
  2. Hyphae grow, penetrates the grape, starting infection
  3. Grape skin bursts as fungi grow, creating holes, water evaporates, give a sweet flavor
  4. Hand pick harvest of the grape with noble rot with correct maturation degree
48
Q

fungi for cheese production

A

Penicillium roqueforti (Ascomycota - Eurotiomycetes)

Recent fungi with long tubes septated
Proteolysis of dairy protein and lipids, secretion of flavorful secondary metabolites

49
Q

Blue cheese–What is the blue
What reproduction method
How to make better cheese

A

Blue comes from the spores of the fungi
Spore is made through asexual reproduction

To make better cheese: force penicillin do sexual reproduction to recombine DNA

50
Q

The angel death

A

Fungi: Amanita phalloide (Basidiomycota)

-Produces amatoxins: cyclopeptide toxins, which is heat stable and unaffected by drying
-Lethal dose: 0.1 mg/kg (up to 15 mg/ a mushroom cap)
-Inhibits RNA polymerase II
-Responsible for most mushroom poisoning deaths

51
Q

Magic mushroom

Related hypothesis
Clinical use of

A

Fungi: Psilocybin & Psilocin

-Alters the way of the perceive of reality
-Used in ancient civilizations (e.g., Aztecs).

“Stone Age Theory”: Brain size increases linked to mushroom use.
Highly criticized

Psilocybin agonist at cortical serotonin 5-HT2A receptor, they are used in clinical for depression and PTSD

52
Q

Ergot fungi

A

Claviceps purpurea - Ascomycota, Sordariomycete

-Host: rye
-Reaction: lysergic acid(psychoactive drug) +diethylamine=LSD

Injection with Rye with fungal infection—> the witches trial in middle age

53
Q

Fungi: Scopulariopsis brevicaulis

A

Ascomycota - Sordoriomycete

-Scheele’s green + growth of S. brevicaulis → releases As (arsenic) to the air
-product of this reaction is trimethylarsine which cause Gosio’s disease

54
Q

health benefits of secondary metabolites of fungi

A

Many fungi secondary metabolites exploited for commercial and medical applications, only a minority remain major health or economic concerns (ex. Aflatoxin)

Tomes fomentarius: Burnt on joints to treat arthritis (药膏).

Echionodontium tinctorium: Mixed with grease to make sunscreen.

Haploporus odorus: Smoke used to relieve headaches.

Bovista pila: Spore used to prevent/stop nosebleeds.

Amanita muscaria: Concoction used to make eye-drop solutions.

55
Q

Fungi infection overview

A

80% of the population will be affected once across their life by fungi.

Some infections cause severe diseases.

56
Q

Superficial infection

A

Most common infection and often benign

Frequent in immunocompetent 正常免疫者

Provoked by dermatophytes (Tinea) 皮肤真菌, feed on keratin

57
Q

Invasive infections

A

Rare but fatal if untreated.

Mostly in immunocompromising patients (免疫障碍病人).

Example: Mucormycosis (严重致命性菌病)

58
Q

Tinea corporis

A

ring worm
easy to treat, only need topical antifungal therapy

59
Q

Tinea unguium

A

-5-10% population
-Difficult to eradicate (难以根除)
-3-6 months oral antifungal
-Also called onychomycosis (甲真菌病)

60
Q

Tinea pedis

A

Commonest fungal infection of humans
Up to 70% of all Tinea
Topical antifungal therapy for 10-14 days
Recurrence common
Feed on skin

61
Q

Candida albicans infection

Type of infection
Relationship with human
What disease

A

Superficial infection

3 different forms
Yeast form → pseudohyphae → true hyphae (causes disease)

Commensal with humans (GI tract, mouth, vaginal flora)

Morphological switch is required for virulence (not completely understood)

Examples of disease:
Oral thrush, diaper dermatitis, vaginal candidiasis, balanitis

62
Q

Clinical classification of fungi infection

A
  1. Yeasts
    -Systematic disease, pulmonary disease, absent or subclinical
    -Have little or no clinical symptoms.
  2. Molds
    -Primary pulmonary disease with dissemination (传播)
    -rarely spreads to the whole body
  3. Dimorphic fungi
    -Primary pulmonary disease with dissemination as the prominent part of disease
    -Can convert to hyphae forme, spread in the body
63
Q

Candidemia albicans (白色念珠菌)

Type of fungi, type of infection
Infect who, where

A

Yeast
Invasive infection

-从缺口go into blood, and go to different organs
-Affects immunocompromised patients.

-Fatal if untreated; even if treated, mortality is 20–50%
-Average stay at hospital: 2–8 weeks.

64
Q

Cryptococcus sp.

Type of infection
Structure

A

Yeast
Invasive infection

Basidiomycota

Encapsulated
an rigid & dense outer layer of sugar
protects cell wall, a massive virulence factor

65
Q

2 main species of Cryptococcus sp.

Living environment

A

C. neoformans & C. gattii.

Living environment:
soil
Eucalyptus trees
bird droppings

66
Q

Infection way & disease & treatment of Crytococcus sp.

A

Acquired by breathing yeast or spores

Pulmonary infections
-often misdiagnosed as cancer
-Asymptomatic in 25-50% of cases.
-Patients with diagnosis need to do a CSF puncture because Cryptococcus loves to go into your brain and cause cryptococcal meningitis
(macrophage engulfs yeast; macrophage goes through the BBB; yeast can be released into the brain)

HIV+ patients: 80% CSF culture are positive for Cryptococcus

Treatment: 3 phases:
-Induction: 1 week under amphotericin B
-Consolidation: high dose of fluconazole
-Maintenance: low dose of fluconazole for a year

Example:
Cryptococcus gattii (appeared in1999)
-homothallic reproduction
-cause pneumonia, and meningitis in immunocompetent patients
-infecting native trees and soil

67
Q

Mold invasive infection

Feature, infection place
Most common fungi

A

Infection in lungs, rarely disseminating.
Majority are opportunistic, very aggressive, and destructive.

Aspergillus most common (>80%):
-Aspergillus fumigatus most common species (Ascomycota)
-Cause invasive pulmonary aspergillosis

Other species:
-Zygomycetes: Rhizopus, Absidia, Mucor
-Penicillium
-Pseudallescheria boydii

68
Q

Aspergillus fumigatus

Structure, infection, type of disease

A

Conidiophores → Conidia (asexual spores)

Healthy individuals: eliminated by the innate immune system and the mucociliary elevator.

For immunocompromised patients: pathogen goes to alveolar and then blood vessel → lung

Cause:
1. Invasive Pulmonary Aspergillosis
2. Chronic Aspergillosis: If you have impaired lung function, stays at the impaired place and grows.

69
Q

Dimorphic Fungi infection

A

Endemic mycoses: 地方性真菌病
Infection type switch in the middle

Infect immunocompetent individuals
Geographically restricted in range

Environmental mycelium form vs. infecting yeast form

70
Q

Blastomyces dermatitidis

A

Dimorphic fungi infection

Environment (25°C):
-saprophytic mycelium forming microconidia found in wood; a major dog pathogen
-Endemic region: Great Lakes and Mississippi Valley.

Human body (37°C):
-parasitic yeast
-Lung infection → dissemination to blood and other organs
-Cutaneous 皮肤的 secondary infections are frequent —>grow into mold

Low Mortality

71
Q

Problem of antifungal

A

limited because we are both eukaryotes, maybe toxic to us

72
Q

Targets of fungi

A
  1. Cytoplasmic membrane → ergosterol
  2. Cell wall
73
Q

Target Cell wall

What, why not chitin
What drug

A

β-1,3-glucan

Chitin: Will also affect insects and shellfish

Echinocandins: cell wall inhibitors
-Newest family of molecules approved by the FDA (2001)
-Fungicidal to yeast: kill
-Fungistatic to mold: stop growth

Example: caspofungin

74
Q

Target ergosterol Overview

A

Ergosterol: ensures fungal plasma membrane fluidity

Two families of antifungal drugs targeting ergosterol:
-Polyenes
-Azoles

75
Q

Polyenes

A

1950s
Ergosterol binder

Makes holes in the membrane.

Only used in severe cases of invasive infection
Important toxicity:
Maximum dose: 1 mg/kg/day over 2-4 hours.
Cholesterol & ergosterol (structural similarity)

Example: Amphotericin B

76
Q

Azoles

A

1960s
Inhibitor of ergosterol synthesis

2 types of structures:
-Contain imidazole group (2 N)
-Contain triazole group (3 N)

Fungicidal: mold infection (invasive)
Fungistatic: yeast

77
Q

Antifungal resistance

A

For all drugs, the resistance relate is increasing

Agricultural use of azoles:
- A driving source of resistance.
- 14% of environmental Aspergillus strains resistant to azoles in the UK
- 7% of spores found in Eastern Himalayas are resistant to at least 1 medical azole

78
Q

Biofilms

A

Can increase resistance to a drug by 1,000-fold.

Self-made matrix constituted of polysaccharides and proteins

Functions:
-Protect fungi from the environment
-Blocks immune cells: can’t reach the fungi with the sugar outside their hyphae

79
Q

New antifungal and situation now

A

New molecules are in preclinical and clinical stages

Repeats of same mistakes are in perspective

Ipflufenoquin
-Approved by US EPA 2023
-Able to select for resistant strains in the field, even though we haven’t actually started to use it in clinical settings

80
Q

Main concerns about fungi

A
  1. Losing antifungals
  2. More people at risk (more immunosuppressed people)
  3. Temperature rising:
    -Now only 6% of fungi can grow at 37°C today, but what about tomorrow?
  4. Having to deal with new conditions helping fungal dispersion and disease.
81
Q

WHO Fungal Priority Pathogens List

A

• Critical Group
• High Group
• Medium Group

82
Q

Candida auris

Which group

A

Critical group

-90% resistant to at least 1 antifungal.
-30% resistant to at least 2 antifungals.
-4% resistant to everything (pan-resistance).

-Fast spread all around the world.
-Mysterious origin: 4 clades suddenly appeared around the world in 5 years. They are not from the same ancestor

83
Q

Hypothesis of the spread of candida auris

A
  1. Global warming:
    Allows strain to resist temperatures up to 42°C.
  2. Ecological niche:
    -Rich in salt (resistance up to 10% NaCl)
    -Rich in antibiotics
    -Persistence facilitated on plastic pollutants.
  3. Intermediate animal reservoir remains to be established
    -also climate change might lead to habitat shift, transmit the fungi pathogen in more regions
84
Q

More superbugs are coming

A

Ex. Trichophyton indotineae
全球扩散

85
Q

Coccidioides spp.

A

Medium group

Dimorphic fungi:
Coccidioides immitis and Coccidioides posadasii.

Cause Valley Fever
-Pulmonary: pneumonia-like symptoms
-Dissemination to the skin, lymph nodes, bones, joints, and CNS
-40% of people inhaling spores become symptomatic, 1–5% experience dissemination.

Spread to region with low humidity and high temp.
-climate change increase its range

86
Q

Result of climate change

A

More unexpected pathogen appear to affect human