2017
DOI: 10.3390/jof3010010
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The Crucial Role of Biofilms in Cryptococcus neoformans Survival within Macrophages and Colonization of the Central Nervous System

Abstract: Cryptococcus neoformans is an encapsulated yeast-like fungus capable of causing life threatening meningoencephalitis in patients with impaired immunity. This microbe primarily infects the host via inhalation but has the ability to disseminate to the central nervous system (CNS) either as a single cell or inside of macrophages. Upon traversing the blood brain barrier, C. neoformans has the capacity to form biofilm-like structures known as cryptococcomas. Hence, we will discuss the C. neoformans elements contrib… Show more

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Cited by 43 publications
(28 citation statements)
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“…The self-produced polysaccharide rich extracellular polymeric matrix (EPM) of biofilm makes the sessile cryptococcal cells resistant to standard antimicrobial therapy resulting in fungal resistance. These biofilm-associated cryptococcal cells are also protected from macrophage phagocytosis in tissues thereby enhancing its quorum sensing and survival (Aslanyan et al, 2017 ). Some cases of C. neoformans and C. laurentii forming biofilm have been associated with the ventriculoatrial shunt, indwelling intravascular catheters, cardiac valve and peritoneal dialysis fistula (Ajesh and Sreejith, 2012 ; Martinez and Casadevall, 2015 ).…”
Section: Introductionmentioning
confidence: 99%
“…The self-produced polysaccharide rich extracellular polymeric matrix (EPM) of biofilm makes the sessile cryptococcal cells resistant to standard antimicrobial therapy resulting in fungal resistance. These biofilm-associated cryptococcal cells are also protected from macrophage phagocytosis in tissues thereby enhancing its quorum sensing and survival (Aslanyan et al, 2017 ). Some cases of C. neoformans and C. laurentii forming biofilm have been associated with the ventriculoatrial shunt, indwelling intravascular catheters, cardiac valve and peritoneal dialysis fistula (Ajesh and Sreejith, 2012 ; Martinez and Casadevall, 2015 ).…”
Section: Introductionmentioning
confidence: 99%
“…Biofilm associated cells have been associated with increased tolerance against antifungal drugs and phagocytic cells, as they upregulate proteins associated with host defense (3234). In-vivo, C. neoformans form biofilm-like structures called cryptococcomas that could play a role in its neurotropism (35). The surface property of cells may affect the aggregation of microbial communities in biofilms.…”
Section: Discussionmentioning
confidence: 99%
“…C. neoformans biofilm-like structures known as cryptococcomas play a crucial role for the successful colonization of the host central nervous system (CNS) (reviewed by [ 120 ]). Following invasion of the brain parenchyma, the biofilm-like adaptation is favored by slowed proliferation due to cell cycle regulation (G2-arrest) [ 121 ], reduced protein synthesis and energy acquisition from a fermentation pathway rather than the tricarboxylic acid cycle [ 54 ], which allows fungal survival under oxygen-limited conditions.…”
Section: Cryptococcal Adhesion Toolsmentioning
confidence: 99%