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Published in: Current Fungal Infection Reports 4/2017

01-12-2017 | Fungal Genomics and Pathogenesis (S Shoham, Section Editor))

Pathogenesis of Invasive Pulmonary Aspergillosis in Transplant Recipients

Authors: Palash Samanta, M. Hong Nguyen

Published in: Current Fungal Infection Reports | Issue 4/2017

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Abstract

Purpose of Review

Transplant patients are at high risk for invasive pulmonary aspergillosis, and the associated mortality is high. The purpose of this study is to review the pathogenesis of invasive pulmonary aspergillosis (IPA) in transplant patients.

Recent Findings

The pathogenesis of aspergillosis is multifactorial and results from a complex interplay between the pathogen and host. It is well recognized that Aspergillus causes IPA in immunocompromised patients. Recent studies have shown that Aspergillus might also cause diseases likely attributed to an unmodulated immune response in certain transplant recipients such as bronchopulmonary aspergillosis or bronchiolitis obliterans syndrome in lung transplant recipients.

Summary

This review focuses on two crucial axes of the damage response framework applicable to aspergillosis: (1) Aspergillus virulence attributes that enable it to survive and proliferate in the host (thermotolerance, stress and hypoxic response, secretion of secondary metabolites) and (2) host response with specific focus on innate immunity and angiogenesis.
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Metadata
Title
Pathogenesis of Invasive Pulmonary Aspergillosis in Transplant Recipients
Authors
Palash Samanta
M. Hong Nguyen
Publication date
01-12-2017
Publisher
Springer US
Published in
Current Fungal Infection Reports / Issue 4/2017
Print ISSN: 1936-3761
Electronic ISSN: 1936-377X
DOI
https://doi.org/10.1007/s12281-017-0278-5

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