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Seif, Michelle; Häder, Antje; Löffler, Jürgen; Kurzai, Oliver
Current opinion in microbiology, December 2020, 2020-12-00, 20201201, Volume: 58Journal Article
•Understanding antifungal immunity can be translated into clinical practice.•Promising approaches include adjunctive cytokine therapy.•Development of clinical scale fungus-specific T cells is in progress.•We lack randomized controlled trials for host-directed therapy of fungal infections. Invasive fungal infections mainly occur in patients suffering from impaired immunity. Their associated mortality is high despite antifungal treatment. Thus, several efforts have been made to translate our knowledge on protective antifungal immunity into clinical application. Since the first attempts with transfusion of neutrophilic granulocytes, these approaches have become more refined and include administration of cytokines to booster antifungal immune responses or selective stimulation of pattern recognition receptors. Recently, novel tools that have proven effective in the treatment of cancer have offered new options for enhancing antifungal immunity. These approaches include checkpoint inhibitors as well as T-cell based therapies, including chimeric antigen receptor T-cells.
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