Reveglia Pierluigi, Paolillo Carmela, Corso Gaetano
Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
Int J Mol Sci. 2025 Mar 28;26(7):3120. doi: 10.3390/ijms26073120.
Among the emerging threats in global health, fungal pathogens stand out as some of the most important, causing over 1.6 million deaths annually and destroying a third of all food crops each year, exacerbating food insecurity and economic losses. Climate change further amplifies the threat by enabling pathogenic fungi to survive at mammalian temperatures, increasing risks of zoonotic transmission and antifungal resistance. In this context, interdisciplinary research, particularly the One Health approach, is crucial for understanding the evolution of fungal resistance and improving diagnostic and therapeutic tools. Drawing lessons from agriculture, where integrated pest management strategies successfully mitigate fungal threats, could offer new ways to tackle fungal infections in humans. Advanced metabolomics and diagnostics, including fungal metabolites as biomarkers, hold promise for early detection and personalized treatment. Collaborative efforts between medicine, veterinary science, and plant pathology are essential to develop new antifungal drugs and improve clinical management of fungal diseases, fostering a more resilient global health system.
在全球健康领域新出现的威胁中,真菌病原体是最重要的一些威胁之一,每年导致超过160万人死亡,每年毁掉所有粮食作物的三分之一,加剧了粮食不安全和经济损失。气候变化使致病真菌能够在哺乳动物体温下存活,增加了人畜共患病传播和抗真菌耐药性的风险,从而进一步加剧了这一威胁。在这种背景下,跨学科研究,尤其是“同一健康”方法,对于了解真菌耐药性的演变以及改进诊断和治疗工具至关重要。借鉴农业领域成功减轻真菌威胁的综合虫害管理策略,可能会为应对人类真菌感染提供新方法。先进的代谢组学和诊断方法,包括将真菌代谢物作为生物标志物,有望实现早期检测和个性化治疗。医学、兽医学和植物病理学之间的合作努力对于开发新的抗真菌药物和改善真菌疾病的临床管理至关重要,有助于建立一个更具韧性的全球卫生系统。