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Trinity of Environment, Animals, and Humans: A Résumé in the Case of the Fungal Order Mucorales

  • Jaime David Acosta-España,
  • Rida Ali,
  • Dolly Montaño,
  • Phoebe Chin Xiu Yin,
  • Jana-Sophie Niegisch,
  • Kerstin Voigt

摘要

The MucoralesMucorales are fungal microorganisms found in the environment, mostly in soil and organic decaying material. Humans have used these fungi for industrial production purposes, such as the fermentation of food or beveragesfermentation of food or beverages. Nonetheless, these fungi can become opportunistic pathogensopportunistic pathogens when encountering individuals with immunodeficiency. Environmental Mucorales can infect humans and animals through various pathways; once they have invaded the host, Mucorales display a set of virulence factors that enhance further dissemination from the infected tissue. In that regard, the host immune response plays an essential role in the resolution of the infection, especially for individuals with a higher risk of infection due to pre-existing medical conditionspre-existing medical conditions, such as diabetesdiabetes, hematological malignances, and organ transplantation. Current diagnosis of mucormycosis is based on the identification of the fungi in infected tissues, and actual treatments include administration of liposomal amphotericin B and itraconazole. However, as many other pathogenic fungi, Mucorales present resistance to antifungal agents. Owing to the worldwide relevance of Mucorales, we will resume in this chapter the trinity of environment, animals, and humans, along with beneficial and deleterious factors affecting human life.