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New aspects of pathogen-host interactions in influenza virus co-infections with bacteria or fungi

Christina Ehrhardt, PhD

Influenza virus infections still pose a serious threat to humans. Severe disease progression is often associated with co-infection with bacteria, such as Staphylococcus aureus, but also with fungi, such as Aspergillus fumigatus. S. aureus often only colonizes the nasopharynx, but also has the potential to induce life-threatening infections that are mediated by multiple virulence factors. A. fumigatus is responsible for influenza-associated aspergillosis that affects immunocompromised as well as immunocompetent patients and is linked to a high mortality rate. The enhanced pathogenicity is due to complex interactions between the different pathogens and the host and its immune system and is mainly governed by altered intracellular signaling processes. However, knowledge about the molecular mechanisms involved in co-infections of influenza viruses and S. aureus or A. fumigatus is incomplete.

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The presentation summarizes the latest findings on excessive immune responses and harmful inflammation during co-infection with influenza virus and S. aureus and presents several signaling pathways involved. Furthermore, the potential of various cellular factors as targets for novel anti-pathogen strategies is discussed. Additionally, recent findings on the complex interaction of influenza viruses and A. fumigatus alone as well as influenza viruses and A. fumigatus with host cells will be presented.

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Genomic insights into multidrug-resistance and host adaptation in Candida spp. isolates from patients with candidiasis

Ana Rita Bezerra, PhD

Carvalho MJ , Sousa G , Guimarães AR , Oliveira C , Correia I , Sousa I , Poim A , Diaz R , Soeiro C , Fortes C , Freitas F , Marques S , Moura G , Pinheiro MM , Bezerra AR

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Department of Medical Sciences, iBiMED – Institute of Biomedicine, University of Aveiro

Serviço de Infeciologia, Centro Hospitalar do Baixo Vouga, Aveiro

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Pathogenic fungi from the Candida genus represent one of the most frequent causes of opportunistic fungal infections, associated with high morbidity and mortality worldwide. Clinical treatment is mainly performed using fungistatic azoles, which increases the likelihood of emergence of resistance in cells repeatedly exposed to them. Studies in clinical isolates have implicated multiple mechanisms in resistance, but have mostly focused on candidate genes, and do not comprehensively chart the genetic basis of adaptation. This work addresses this issue by focusing on the epidemiology of Candida infections at four Portuguese hospitals, and next-generation sequencing as a tool for detection of genetic variation associated with host adaptation and drug resistance in Candida isolates. Such data is crucial to build diagnostic platforms that inform the clinician, in a timely manner, about the infectious agent involved, and the most recommended therapy.

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Acknowledgments: FunResist - PTDC/BIA-MIC/1141/2021 | iBiMED - UIDB/4501/2020 and UIDP/4501/2020

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