Evidence map›Paper›PMID 40528008›Full record

ReviewEMBO molecular medicine2025

Interplay between fungal infections and autoimmunity: mechanisms and therapeutic perspectives.

Devon T DiPalma, Miranda K Lumbreras, Mari L Shinohara

Abstract readReview
In one paragraph

Review in EMBO molecular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. The Safety ofViruses · 2026
    Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Devon T DiPalmaDepartment of Integrative Immunobiology, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-0603-3084
Miranda K LumbrerasDepartment of Integrative Immunobiology, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-7200-5826
Mari L ShinoharaDepartment of Integrative Immunobiology, Duke University School of Medicine, Durham, NC, USA. mari.shinohara@duke.edu.ORCID 0000-0002-6808-9844

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Role of osteopontin in innate immunity during infections and inflammationR01AI088100 · NIAID · DUKE UNIVERSITY · PI SHINOHARA, MARI L. · 2011 to 2021
$4.3M
Basic Immunology Training ProgramT32AI052077 · NIAID · DUKE UNIVERSITY · PI KRANGEL, MICHAEL S · 2002 to 2024
$4.2M
Heterogeneous immune responses of the alveolar macrophage population during pulmonary fungal infectionsR01AI160737 · NIAID · DUKE UNIVERSITY · PI SHINOHARA, MARI L. · 2021 to 2025
$2.7M
Protective role of Clec7a/dectin-1 in CNS autoimmunityR01NS120417 · NINDS · DUKE UNIVERSITY · PI SHINOHARA, MARI L. · 2021 to 2025
$2.0M
HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R01-AI088100HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R01-AI160737HHS | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01-NS120417NIAID NIH HHS R01 AI088100NIAID NIH HHS R01 AI160737NIAID NIH HHS T32 AI052077NIGMS NIH HHS T32 GM145449NINDS NIH HHS R01 NS120417NSF | National Science Foundation Graduate Research Fellowship Program (GRFP) DGE-2139754
6 · The paper itself

Abstract

Fungal infections and autoimmunity share a complex, bidirectional relationship that significantly impacts patient outcomes. Emerging evidence highlights how fungal pathogens contribute to autoimmune processes by triggering immune dysregulation. Conversely, autoimmunity and its immunomodulatory treatments increase susceptibility to fungal infections. These interactions manifest through altered immune responses, including changes in inflammatory signaling, antigen recognition, and mycobiome composition. The resulting interplay complicates disease management, necessitating careful balancing of antifungal defenses with immune modulation. This review synthesizes current knowledge on the role of fungal infections in the progression of autoimmune conditions and explores how autoimmune diseases predispose individuals to fungal infections. Key insights emphasize the need for integrative treatment approaches, addressing both infection risks and immune system imbalances.

Indexed as

Autoimmune DiseasesAutoimmunityMycosesAnimalsHumansAntifungal TherapeuticsAutoimmunityFungal InfectionsMycobiome

Identifiers

PMID40528008
PMCPMC12254399

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.