Glowing Infections: Exposing Fungal Infections With Bioluminescence

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Valino, Angelica Faye J.

2014-51507
Bio 198 Gth

Glowing Infections: Exposing Fungal Infections with Bioluminescence


Fungal species are widely distributed in our environment. Some of these species are
invasive and can cause infections that can be lethal to humans. Even the fungal species
commonly present in the environment and are normally fought off by our immune system can
have a significant effect especially on the immunocompromised population. However,
diagnosing these invasive fungal diseases (IFD) can be challenging due to lack sensitivity and
specificity of diagnosing methods. The emerging technology Bioluminescence Imaging (BLI)
uses bioluminescence in visualizing temporal and spatial progression of infections, in vivo. BLI
is highly sensitive, and noninvasive and nontoxic for animals. In this presentation, the presenter
aims to discuss what bioluminescence is and its emerging use in medical studies.

OUTLINE
I. Fungi and its invasive effects - The Kingdom Fungi is a diverse group of unicellular or
multicellular microorganisms, that has a major role in the ecosystems they are found.
They are classified as natural recyclers as they are associated with rot and decay; they
also have significant contribution in traditional and modern medicine. However, not all
fungal species are beneficial. Some also acts as parasites and can cause diseases in plants,
animals, and the human population.

A. Common Fungal Infections


1. Candidiasis (Candida albicans) - Candidiasis is caused by yeasts in the
genus Candida. This genus is commonly found in the GI tract, mucous
membranes, and skin. There are 3 types of candidiasis - oropharyngeal
candidiasis, vaginal candidiasis, and invasive candidiasis.

a. Causes of the fungal infection – Generally, this genus does not


cause infection, however, overgrowth may result to symptoms.
b. Effects of the fungal infection - Oropharyngeal candidiasis can
cause pain while eating or swallowing; vaginal candidiasis can
cause vaginal itching or soreness; in invasive candidiasis,
Candida can enter the bloodstream and cause an infection that can
affect the blood, heart, brain, eyes, bones, or other parts of the
body.

2. Aspergillosis (Aspergillus fumigatus) - Aspergillosis is caused by a mold


in the genus Aspergillus. Aspergillus spores are commonly found in the air we
breathe.
a. Causes of the fungal infection - Generally, inhalation of spores of
this genus does not cause infection. However, immune-
compromised patients are most likely to be infected due to their
weakened immune system.
b. Effects of the fungal infection - Aspergillosis can cause
inflammation in the lungs, and sinuses.

B. Diagnosing Fungal Infections - The primary methods of diagnosing fungal


infections in humans can be through classical phenotypic methods such as direct
microscopic examination of clinical samples, histopathology, and culture, and
serology.

C. Emerging studies on diagnosing Fungal Infections - Emerging studies in


molecular diagnostics like Proteomics Profiling or Fingerprinting. Another way of
diagnosing fungal infection is through Antigen detection using fungal
polysaccharides or proteins. Lastly, the latest emerging study uses
bioluminescence to expose fungal infections, in vivo.

II. Bioluminescence - Bioluminescence is the emission of light by living organisms. It


occurs in different organisms which exhibits different mechanisms of light emission.
These occurrences are because of the bioluminescent photoproteins like luciferin and
aquorin.
A. Species with bioluminescence - Luminous insects such as fireflies, some
crustaceans, hydrozoans, mollusks, annelids, protozoans, tunicates, bacteria, and
fungi are known to have bioluminescent properties.

B. Emerging use in medical studies - Recent studies use Bioluminescence Imaging


(BLI) to expose and pinpoint where fungal infections are located, in vivo. This
mechanism is not invasive, and provides a faster diagnosis for fungal infections.

C. Bioluminescence Imaging (BLI) and its mechanism of action -. An infectious


agent is modified and engineered to express the luciferase gene. The luciferase-
expressing cells are cultured and injected. Subsequently, the substrate luciferin or
coelenterazine were also injected. BLI utilizes an enzymatic reaction of oxidation
(bioluminescence) by detecting visible light using biophotonic imaging
technology.

III. Conclusion - BLI is highly sensitive, noninvasive, and nontoxic technique that can
expose and pinpoint where infections are located, and show temporal and spatial
progression of infections in real time. This emerging technology can provide a better
understanding of the infection processes, important for medical practitioners for the faster
and more accurate prevention and treatment of invasive fungal species.

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