daliaashour1@gmail.com Learning objectives • What is the general structure of a fungal cell? • What are the major differences between fungi and bacteria? • What is the difference between yeast and molds? • Why do fungi sporulate? • How are human mycoses classified? Structure of a fungal cell Differences between fungi and bacteria • Fungi are eukaryotic microorganisms, whereas bacteria are prokaryotes. • Generally, fungi are 10- to 100-fold larger than bacteria. • In contrast to bacteria, the cellular structure of fungi is more complex. • Fungi are distinguished by a rigid cell wall composed of chitin and glucan. • Fungi contain a well-defined nucleus as well as cytoplasmic organelles such as mitochondria, Golgi, and endoplasmic reticulum. • Most fungi exhibit aerobic respiration, although some are facultative anaerobic and others are strictly anaerobic. • Relative to bacteria, fungi are slow growing. • In contrast to other eukaryotic cells, the cell membrane (plasma membranes) of fungi contain ergosterol rather than cholesterol as the principal membrane sterol. Difference between yeast and molds • Most fungi exist as either yeasts or molds. • Yeasts are usually unicellular • Reproduce asexually by budding or fission, where a progenitor or “mother” cell pinches off a portion of itself to produce a progeny or “daughter” cell. • The daughter cells may elongate to form sausage-like pseudohyphae. • Yeasts produce round, pasty, or mucoid colonies on agar. • Molds are multicellular organisms consisting of threadlike tubular structures called hyphae that elongate at their tips by a process known as apical extension. • Hyphae are either coenocytic (hollow and multinucleate) or septate (divided by partitions or crosswalls). • When growing on agar, molds produce hyphae, termed vegetative hyphae, that grow on or beneath the surface of the culture medium. The hyphae form together to produce a mat-like structure called a mycelium. Hyphae that project above the surface of the medium, so-called aerial hyphae. • The colonies formed by molds are often described as filamentous, hairy, or woolly. • The aerial hyphae may produce specialized structures known as conidia (asexual reproductive elements). The conidia are easily airborne and serve to disseminate the fungus. • The size, shape, and certain developmental features of conidia are used as a means of identifying fungi to genus and species. • Some fungi can assume either morphology (yeast or mold). These are known as dimorphic fungi and include such organisms as Histoplasma, Blastomyces, and Coccidioides. Why do fungi sporulate? • Fungi reproduce by formation of spores that may be: 1) sexual (involving meiosis, preceded by fusion of the protoplasm and nuclei of two compatible mating types) and the form of the fungus producing sexual spores is termed the teleomorph
2) asexual (involving mitosis only) and the form
producing asexual spores is termed the anamorph. • Asexual spores consist of two general types: 1) Sporangiospores are produced in a containing structure or sporangia and are characteristic of genera belonging to the Mucorales, such as Rhizopus and Mucor spp. 2) Conidia are borne naked on specialized structures as seen in Aspergillus spp., Penicillium spp., and the dermatophytes. • The fungi in the Ascomycota, Basidiomycota, Glomeromycota, and Microspora produce both sexual and asexual spores
• The same fungus have different names (e.g., Ajellomyces capsulatum
[teleomorph] and Histoplasma capsulatum [anamorph]) is a source of confusion. • So we refer to a fungus by its asexual designation if that is the form usually obtained in culture.
• For example, Histoplasma capsulatum is the anamorph of the
ascomycete Ajellomyces capsulatum. The anamorph is the stage that is most often encountered in culture, and only under special conditions is the sexual stage formed. Thus the clinical isolate is known as Histoplasma capsulatum. Taxonomic classification of medically important fungi Clinical classification of human mycoses • Fungal infections may be classified according to the tissues infected as well as by specific characteristics of organism groups. • These classifications include the superficial, cutaneous, and subcutaneous mycoses, the endemic mycoses, and the opportunistic mycoses. • Superficial mycoses are those infections that are limited to the very superficial surfaces of the skin and hair. They are non-destructive and of cosmetic importance only. Pityriasis versicolor is characterized by discoloration or depigmentation and scaling of the skin produced by Malassezia furfur Tinea nigra refers to brown- or black- pigmented macular patches localized primarily to the palms produced by Hortae werneckii Black and white piedra involve the hair and are characterized by nodules composed of hyphae that encompass the hair shaft produced by Piedraia hortae and Trichosporon spp., respectively. • Cutaneous mycoses are infections of the keratinized layer of skin, hair, and nails. • These infections may elicit a host response and become symptomatic e.g. itching, scaling, broken hairs, ringlike patches of the skin, and thickened discolored nails. • The Dermatophytes are fungi classified in the genera Trichophyton, Epidermophyton, and Microsporum. Dermatophytoses: infections of the skin caused by the dermatophytes. Tinea unguium: infections of the toes caused by the dermatophytes Onychomycosis includes infections of the nails caused by the dermatophytes as well as non-dermatophytic fungi (e.g., Candida and Aspergillus spp.). • Subcutaneous mycoses involve the deeper layers of the skin, including the cornea, muscle, and connective tissue. • The fungi gain access to the deeper tissues usually by traumatic inoculation and remain localized, causing abscess formation, non healing ulcers, and draining sinus tracts and rarely disseminate systemically. • Infections may be caused by hyaline molds, such as Acremonium spp. and Fusarium spp., and by pigmented fungi, such as Alternaria spp., Cladosporium spp., and Exophiala spp. (phaeohyphomycoses, chromoblastomycoses). • Endemic Mycoses or systemic mycoses because these organisms are true pathogens and can cause infection in healthy individuals. • They are caused by the classic dimorphic fungal pathogens Histoplasma capsulatum, Blastomyces dermatitidis, Coccidioides immitis, Paracoccidioides brasiliensis, and Penicillium marneffei. • These fungi exhibit thermal dimorphism (exist as yeasts at 37° C and molds at 25° C). • All of these agents produce a primary infection in the lung, with subsequent dissemination to other organs and tissues.
Acute pulmonary histoplasmosis
Candida pneumonia
• Opportunistic Mycoses are infections attributable to
fungi that are normally found as human commensals or in the environment. C. Neoformans pneumonia • These organisms exhibit inherently low or limited virulence and cause infection in individuals who are debilitated, immunosuppressed, or who carry implanted prosthetic devices or vascular catheters. Aspergillus pneumonia
• The most common opportunistic fungal pathogens are
the yeasts Candida spp. and Cryptococcus neoformans, the mold Aspergillus spp., and Pneumocystis jirovecii. Pneumocystis pneumonia Candidiasis is the most common fungal infection accounts for >400,000 new cases per year and 46-75% mortality Human mycoses • Pityriasis versicolor, Tinea nigra, Black Superficial piedra, White piedra