How inhaled fungal spores cause fatal meningitis

Little is known about how inhaled spores from human fungal pathogens cause infections and spread to other parts of the body. The most frequent cause of inhaled fatal fungal disease is Cryptococcus, which causes meningitis. To understand how Cryptococcus causes disease, Hull and her colleagues evaluated two types of cells (spores and yeast) in a mouse model of infection. They compared yeast strains that cannot cause disease to the spore offspring they produced during sexual reproduction.

They discovered that parental yeast that are not virulent produced spores that were fully virulent and caused fatal meningitis in 100% of the mice. This difference was associated with movement of spores to the lymph system; mice infected with spores had Cryptococcus in their lung-draining lymph nodes, but mice infected with yeast did not. Furthermore, when they infected mice that lacked immune cells in their lungs, no spores were found in their lymph nodes. This indicates that instead of protecting mice from the spore infection, the immune cells moved spores out of the lung to the lymph system where spores could then spread to the brain. According to the authors, the findings could open new avenues for the development of novel therapeutics that could be effective in the prevention of fatal cryptococcosis and other diseases caused by the spores of invasive human fungal pathogens.

"Inhaling fungal spores causes serious, and even fatal, infections more often than most people realize," adds Hull. "By understanding how spores move from the lungs to other tissues, we can develop new strategies for preventing spore-mediated fungal diseases and learn how to treat patients more effectively."