Role of Iron and Iron Overload in the Pathogenesis of Invasive Fungal Infections in Patients with Hematological Malignancies

Iron is an essential trace metal necessary for the reproduction and survival of fungal pathogens. The latter have developed various mechanisms to acquire iron from their mammalian hosts, with whom they participate in a continuous struggle for dominance over iron. Invasive fungal infections are an im...

Full description

Bibliographic Details
Main Authors: Toni Valković, Marija Stanić Damić
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/15/4457
_version_ 1797413471045812224
author Toni Valković
Marija Stanić Damić
author_facet Toni Valković
Marija Stanić Damić
author_sort Toni Valković
collection DOAJ
description Iron is an essential trace metal necessary for the reproduction and survival of fungal pathogens. The latter have developed various mechanisms to acquire iron from their mammalian hosts, with whom they participate in a continuous struggle for dominance over iron. Invasive fungal infections are an important problem in the treatment of patients with hematological malignancies, and they are associated with significant morbidity and mortality. The diagnosis of invasive clinical infections in these patients is complex, and the treatment, which must occur as early as possible, is difficult. There are several studies that have shown a possible link between iron overload and an increased susceptibility to infections. This link is also relevant for patients with hematological malignancies and for those treated with allogeneic hematopoietic stem cell transplantation. The role of iron and its metabolism in the virulence and pathogenesis of various invasive fungal infections is intriguing, and so far, there is some evidence linking invasive fungal infections to iron or iron overload. Clarifying the possible association of iron and iron overload with susceptibility to invasive fungal infections could be important for a better prevention and treatment of these infections in patients with hematological malignancies.
first_indexed 2024-03-09T05:18:24Z
format Article
id doaj.art-ae038b72ad1747deb7b0a95f5431b398
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-09T05:18:24Z
publishDate 2022-07-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-ae038b72ad1747deb7b0a95f5431b3982023-12-03T12:43:19ZengMDPI AGJournal of Clinical Medicine2077-03832022-07-011115445710.3390/jcm11154457Role of Iron and Iron Overload in the Pathogenesis of Invasive Fungal Infections in Patients with Hematological MalignanciesToni Valković0Marija Stanić Damić1Department of Hematology, University Hospital Rijeka, Krešimirova 42, 51000 Rijeka, CroatiaDepartment of Hematology, University Hospital Rijeka, Krešimirova 42, 51000 Rijeka, CroatiaIron is an essential trace metal necessary for the reproduction and survival of fungal pathogens. The latter have developed various mechanisms to acquire iron from their mammalian hosts, with whom they participate in a continuous struggle for dominance over iron. Invasive fungal infections are an important problem in the treatment of patients with hematological malignancies, and they are associated with significant morbidity and mortality. The diagnosis of invasive clinical infections in these patients is complex, and the treatment, which must occur as early as possible, is difficult. There are several studies that have shown a possible link between iron overload and an increased susceptibility to infections. This link is also relevant for patients with hematological malignancies and for those treated with allogeneic hematopoietic stem cell transplantation. The role of iron and its metabolism in the virulence and pathogenesis of various invasive fungal infections is intriguing, and so far, there is some evidence linking invasive fungal infections to iron or iron overload. Clarifying the possible association of iron and iron overload with susceptibility to invasive fungal infections could be important for a better prevention and treatment of these infections in patients with hematological malignancies.https://www.mdpi.com/2077-0383/11/15/4457ironiron overloadfungal infectionhematological malignanciesiron chelation therapy
spellingShingle Toni Valković
Marija Stanić Damić
Role of Iron and Iron Overload in the Pathogenesis of Invasive Fungal Infections in Patients with Hematological Malignancies
Journal of Clinical Medicine
iron
iron overload
fungal infection
hematological malignancies
iron chelation therapy
title Role of Iron and Iron Overload in the Pathogenesis of Invasive Fungal Infections in Patients with Hematological Malignancies
title_full Role of Iron and Iron Overload in the Pathogenesis of Invasive Fungal Infections in Patients with Hematological Malignancies
title_fullStr Role of Iron and Iron Overload in the Pathogenesis of Invasive Fungal Infections in Patients with Hematological Malignancies
title_full_unstemmed Role of Iron and Iron Overload in the Pathogenesis of Invasive Fungal Infections in Patients with Hematological Malignancies
title_short Role of Iron and Iron Overload in the Pathogenesis of Invasive Fungal Infections in Patients with Hematological Malignancies
title_sort role of iron and iron overload in the pathogenesis of invasive fungal infections in patients with hematological malignancies
topic iron
iron overload
fungal infection
hematological malignancies
iron chelation therapy
url https://www.mdpi.com/2077-0383/11/15/4457
work_keys_str_mv AT tonivalkovic roleofironandironoverloadinthepathogenesisofinvasivefungalinfectionsinpatientswithhematologicalmalignancies
AT marijastanicdamic roleofironandironoverloadinthepathogenesisofinvasivefungalinfectionsinpatientswithhematologicalmalignancies