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Explain why human‑pathogenic traits have arisen independently in multiple fungal lineages.
Convergent selection for thermotolerance, adhesion, immune evasion, and nutrient acquisition in host environments.
Discuss how fungal morphological diversity (yeast vs. hyphae vs. mushrooms) underpins ecological adaptation
Yeasts favor liquid/nutrient‑rich niches; hyphae invade solid substrates; mushrooms enable spore dispersal
Why do only ~600 of millions of fungal species associate with humans?
Human body temperature, immunity, and specific ecological constraints limit host adaptation
What fraction of fleshy mushrooms are tasty and nutritious?
4
Analyze why so few mushrooms evolved appealing flavors/nutrition
Selection favored spore dispersal traits over palatability; many produce deterrent compounds
Describe endemism of Histoplasma capsulatum and its phylogeographic species concept
Found in US Midwest, southern Ontario, parts of South America/Africa; exhibits region‑specific clades
Explain how arid‑region fungi like Coccidioides immitis have adapted to harsh environments
Tolerate desiccation, produce resistant arthroconidia, and grow at high soil temperatures.
Define “sclerotium” and its survival advantage
Hardened mycelial mass that endures adverse conditions and germinates when favorable
How does fungal multicellularity contrast with protist freeliving forms?
Hyphal networks allow resource translocation; fruiting bodies (reproductive structures of fungi) enable coordinated reproduction
Propose an evolutionary reason for the low proportion of edible mushrooms (~25%) being tasteless
Energy investment in flavor compounds may not benefit spore dispersal; metabolic trade‑offs
What role do mushrooms play in fungal life cycles beyond spore release
Serve as nutrient‐storage and environmental sensing structures that coordinate reproduction
Why might fungal phylogeny reveal unexpected pathogenic relatives
Fungal phylogeny can show that some fungi share a more recent common ancestor with certain pathogens than previously understood, suggesting evolutionary innovations have occurred in distinct lineages that include pathogenic traits.
Summarize the global impact of plant‑pathogenic fungi vs. human‑pathogenic fungi
~19,000 plant pathogens vs. ~300 human pathogens; reflects ecological breadth and host barriers.
List the three main polysaccharides of the fungal cell wall
Cellulose, chitin, and β‑glucan.
Why are fungal cell‑wall components excellent drug targets?
Absent in mammals, essential for integrity, and accessible to extracellular drugs
Compare fungal ergosterol with mammalian cholesterol in membrane fluidity
Ergosterol modulates membrane order differently, affecting drug binding and permeability
Explain the mechanism by which β‑glucan synthase inhibitors (echinocandins) kill fungi
Block β‑1,3‑D‑glucan synthesis, weakening wall and causing osmotic lysis.
How does chitin content vary among fungal morphologies?
Chitin content varies significantly among different fungal morphologies, influencing structural integrity and function of the cell wall in species such as yeasts and filamentous fungi. Higher in septate hyphae for rigidity; lower in yeast for flexibility
Describe how hyphal tip growth is polarized at the molecular level
Actin cables direct vesicles carrying cell‑wall enzymes to the apex; Spitzenkörper organizes tips
What cellular role does the fungal vacuole play beyond storage?
Regulates turgor for hyphal extension, sequesters toxins, and recycles organelles via autophagy
Why is ergosterol biosynthesis a multi‑step drug target?
Multiple enzymes (e.g., lanosterol 14α‑demethylase) allow diverse inhibition points
Propose a fluorescent probe design to stain chitin in live fungi.
Conjugate a chitin‑binding lectin with a cell‑permeable fluorophore resistant to enzymatic degradation.
How do fungal septa regulate cytoplasmic flow?
Septal pores with Woronin bodies plug to isolate damaged hyphal compartments
Explain why fungal mitochondria are therapeutic targets
Unique respiratory proteins differ from humans, enabling specific inhibitors
What is the role of melanin in fungal cell walls?
Protects against UV, oxidative stress, and host defenses
Why are secreted proteases important for both nutrition and virulence?
Degrade host proteins for amino acids and aid tissue invasion
Describe how lipid rafts in fungal membranes influence drug uptake.
Microdomains rich in ergosterol concentrate transporters and may sequester drugs
Compare fungal cytoskeleton organization to that of mammalian cells.
Similar actin/microtubule components, but arranged for tip‐directed growth instead of cell migration
Explain what autophagy is and how it contributes to fungal survival under nutrient stress
Autophagy is a cellular degradation process that recycles cellular components and provides energy during nutrient scarcity, enhancing fungal survival by Recycles cellular components to maintain metabolism during starvation
What distinguishes fungal septin rings at hyphal bases?
Organize polarity sites and compartmentalize growth regions
Discuss the significance of fungal glycosphingolipids in pathogenesis
Modulate host immunity and facilitate adhesion/invasion
Propose an experiment to quantify ergosterol levels in drug‑treated vs. control fungi
An experiment could involve isolating fungal cells from both drug-treated and control groups, followed by using high-performance liquid chromatography (HPLC) or mass spectrometry to measure ergosterol concentrations. Comparing the ergosterol levels would determine the impact of the drug Azole on fungal membrane integrity.
Why might targeting fungal heat‑shock proteins be less specific?
Heat-shock proteins are conserved across many organisms, including humans, which can lead to off-target effects in fungal treatments. This lack of specificity may result in unintended consequences for host cells during antifungal therapy.
Outline the four stages of fungal infection (mycosis).
Entry → growth/colonization → penetration/toxin release → transmission.
Why is growth at ≥ 37 °C critical for human pathogenicity?
Enables survival in host core temperature
List three major fungal adhesins and their functions
HWP1 (hyphal attachment), ALS (agglutinin binding), INT1 (integrin mimic).
Explain how yeast‑to‑hypha morphogenesis aids tissue invasion in Candida albicans
Hyphae penetrate deeper tissues; yeast forms disseminate via bloodstream
Discuss the role of biofilms in device‑associated fungal infections
Biofilms resist drugs/immune clearance and seed persistent infections on catheters
Why does melanin enhance Cryptococcus virulence
Scavenges reactive oxygen species and shields from phagocytosis.
How do fungal capsules modulate host immune responses?
Inhibit phagocytosis, alter cytokine profiles, and mask PAMPs
Describe how secreted phospholipases contribute to pathogenesis
Disrupt host membranes to facilitate nutrient access and spread
Propose a genetic screen to identify new Candida virulence factors.
Create a transposon mutant library, assess mutants in murine infection model for attenuation.
Compare opportunistic vs. primary fungal pathogens in immunocompetent hosts.
Opportunistic infect only immunocompromised; primary can infect healthy individuals (e.g., Coccidioides).
What immune evasion mechanism does Aspergillus fumigatus use in lungs?
Masking β‑glucan with hydrophobin coat to avoid Dectin‑1 recognition
Explain the concept of “latent” fungal infections, using histoplasmosis as an example
Latent fungal infections occur when a pathogen remains in a dormant state within the host, often after an initial infection. In the case of histoplasmosis, the fungus can reside in macrophages without causing symptoms, reactivating under conditions of immunosuppression.
Describe how siderophore production aids fungal virulence
Scavenges iron from host, essential for fungal growth.
Evaluate targeting fungal iron uptake as an antivirulence strategy
May limit growth without killing, reducing selective pressure for resistance
How do fungal hydrolases facilitate deep tissue invasion?
Degrade extracellular matrix components, easing hyphal penetration
Propose a vaccine antigen based on fungal virulence factors
Recombinant HWP1 or β-glucan epitopes to block adhesion/trigger immunity
Discuss the trade‑offs of hyphal vs. yeast growth for Candida in bloodstream vs. mucosa
Yeast form resists shear in blood; hyphae better adhere to mucosal surfaces
Which innate receptor recognizes fungal β‑glucan?
Dectin‑1 on macrophages and dendritic cells.
Describe how Th17 responses contribute to mucosal fungal defense
IL‑17 drives neutrophil recruitment and antimicrobial peptide production
Explain antibody roles in controlling fungal infections
Lack neutrophils needed to clear inhaled conidia
How does the complement system aid in fungal clearance?
The complement system enhances opsonization of fungi, facilitating their recognition and clearance by phagocytes. It also leads to the formation of the membrane attack complex, which damages fungal cell membranes.
Why can excessive inflammation be harmful in fungal lung infections?
Tissue damage from neutrophil degranulation may worsen pulmonary function
Describe the role of macrophage polarization (M1 vs. M2) in fungal defense
M1 macrophages kill fungi via ROS; M2 promote tissue repair but may allow persistence
How do fungal PAMPs vs. DAMPs differ in immune activation?
PAMPs (β‑glucan, chitin) trigger PRRs; DAMPs (host‑derived) amplify inflammation
Evaluate risks of cytokine therapy (e.g., IFN‑γ) in fungal infections
Can boost clearance but also provoke immunopathology (cytokine storms) if uncontrolled
What factors drive the rising global antifungal market?
Aging populations and more immunocompromised hosts
Propose surveillance strategies for emerging pathogens like Candida auris
Routine hospital screening, molecular typing, and environmental sampling.
Compare incidence of superficial vs. invasive fungal infections globally
Superficial (1 billion cases) far exceeds invasive (> 1 million), but invasive carry higher mortality
Explain why fungal allergy (e.g., farmer’s lung) is occupationally significant
Chronic exposure to airborne spores leads to hypersensitivity pneumonitis
What is the gold‑standard for diagnosing invasive fungal infections?
The gold standard for diagnosing invasive fungal infections is obtaining cultures from normally sterile sites, such as blood or tissue samples.
What histological stain highlights fungal elements in tissue?
Gomori methenamine silver (GMS) and periodic acid‑Schiff (PAS).
Explain how MLST differs from ITS sequencing for fungal typing.
MLST uses multiple housekeeping genes for population structure; ITS is single‑locus barcode
Name the four major antifungal classes and their primary targets
Azoles (ergosterol synthesis), polyenes (ergosterol binding), echinocandins (β‑glucan synthase), 5‑FC (DNA/RNA synthesis).
Which enzyme is inhibited by azole antifungals?
Lanosterol 14α‑demethylase (Erg11), blocking ergosterol biosynthesis
List three commonly used azoles.
Fluconazole, Itraconazole, Voriconazole
How do polyene antifungals (e.g., Amphotericin B) kill fungal cells?
They bind ergosterol in the fungal membrane, form pores, and cause ion leakage
Name two polyene drugs.
Amphotericin B, Nystatin
What is the mechanism of action of echinocandins?
Non‑competitive inhibition of β‑1,3‑D‑glucan synthase, weakening the cell wall
Give two examples of echinocandin antifungals
Caspofungin, Micafungin
Describe how 5‑Fluorocytosine (5‑FC) inhibits fungal growth
Converted by fungal cytosine deaminase to 5‑FU, which blocks DNA/RNA synthesis
Why is ergosterol an ideal antifungal target?
It’s unique to fungal membranes (absent in human cells), allowing selective toxicity
What fungal‑specific cell‑wall component do echinocandins exploit?
β‑1,3‑D‑glucan, which mammals lack
What major toxicity limits conventional Amphotericin B use, and how is it mitigated?
Nephrotoxicity—mitigated by lipid formulations (e.g., liposomal Amphotericin B)
Which antifungal is first‑line for fluconazole‑resistant candidemia?
An echinocandin (most often Caspofungin)
Describe the 4 main fungal body forms and give an example of each
Yeast (unicellular, e.g. Cryptococcus neoformans), hyphae (filamentous strands, e.g. Aspergillus fumigatus), mycelium (network of hyphae, as in mushrooms), sclerotium (hardened mycelial mass for overwintering).
What structural differences between fungal and mammalian cells are exploited by most antifungals?
Fungal cells have a rigid cell wall of cellulose, chitin, β‑glucan and use ergosterol in their membranes, whereas mammalian cells lack a cell wall and use cholesterol.
Explain heterotrophic absorption in fungi
Hyphal tips secrete extracellular enzymes that break down substrates; the resulting small molecules diffuse back into hyphae for nutrition
List four occupational fungal allergens and their etiological agents
Cheese washer’s lung (Penicillium casei); Malter’s lung (Aspergillus clavus); Maple‑bark stripper’s lung (Cryptostroma corticale); Wood‑pulp worker’s lung (Alternaria spp.).
Name two mycotoxins, their fungal sources, and primary clinical effects.
Amatoxins from Amanita phalloides → severe GI upset; Aflatoxin from Aspergillus flavus → liver damage and mutagenesis
Give two examples of endemic fungal pathogens, their diseases, and regions
Histoplasma capsulatum → histoplasmosis in the US Midwest/southern Ontario; Blastomyces dermatitidis → blastomycosis in the US Midwest/Ontario
What are three key fungal virulence factors?
Thermotolerance (growth ≥ 37 °C), adhesins (HWP1, ALS, INT1), and mechanisms to evade host defenses (melanin, capsule, biofilm).
Which four genes (and lengths) are used for Histoplasma MLST?
ARF (470 bp), ANTI (412 bp), OLE (425 bp), TUB (278 bp).
How do the physical properties of A. fumigatus conidia aid infection?
Small, hydrophobic conidia disperse easily in air, resist high temperatures, and reach lower airways on inhalation
Describe Candida susceptibility to fluconazole
C. albicans usually susceptible; C. tropicalis and C. glabrata less susceptible; C. auris mostly resistant.
What is the global burden and fatality of aspergillosis?
~4 million ABPA cases/year; ~400,000 develop chronic pulmonary aspergillosis; invasive aspergillosis can have up to 90% mortality