Microhemorrhage-associated tissue iron enhances the risk for Aspergillus fumigatus invasion in a mouse model of airway transplantation
Open accessAbstract
Increased ferric iron in allografts triggers a switch in the growth of the mold Aspergillus fumigatus from a colonizing to an invasive phenotype.
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Iron availability and fungal iron uptake determine the virulence of many fungal pathogens.
“A. fumigatus grows substantially better in the presence of NTBI in the plasma or in an iron-rich microenvironment in the lung, supporting the concept that iron availability and fungal iron uptake determines the virulence of many fungal pathogens (Haas, 2012;Hsu et al., 2018;Petzer et al., 2019).”
From Iron in infection and immunity (2020) · cites this paper as Hsu et al., 2018
The Discussion (page unavailable) reports that increased iron uptake was associated with increased virulence in A. fumigatus, and the Results link tissue iron to invasion in a mouse airway-transplant model. The paper also mentions an association between excess iron and virulence in Rhizopus oryzae, but it does not establish that iron availability and fungal iron uptake determine virulence across many fungal pathogens. (LLM, conf=0.86)
Experimental — accuracy not yet measuredA. fumigatus grows substantially better in the presence of NTBI in plasma or in an iron-rich microenvironment in the lung.
“A. fumigatus grows substantially better in the presence of NTBI in the plasma or in an iron-rich microenvironment in the lung, supporting the concept that iron availability and fungal iron uptake determines the virulence of many fungal pathogens (Haas, 2012;Hsu et al., 2018;Petzer et al., 2019).”
From Iron in infection and immunity (2020) · cites this paper as Hsu et al., 2018
The Results section on tissue iron and the Discussion report that iron-rich airway grafts promoted A. fumigatus invasion in mice. But the paper does not establish better growth in plasma containing NTBI; its culture experiments used iron dextran or hemoglobin, and the Results state that iron supplementation did not alter wild-type growth rate. The lung finding is therefore supported as increased invasion in a transplant model, not as a general increase in growth. (LLM, conf=0.89)
Experimental — accuracy not yet measuredThe predominant role of iron deregulation in the development of IA has been demonstrated recently in a nonneutropenic model of lung transplantation and in the Aspergillus keratitis model.
“The predominant role of iron deregulation in the development of IA has been demonstrated recently in a nonneutropenic model of lung transplantation (596) and in the Aspergillus keratitis model (279).”
From Aspergillus fumigatus and Aspergillosis in 2019 (2019) · cites this paper as [596]
Nutritional immunity, an ancient host defense strategy of iron limitation to pathogens, becomes essential once other immune effector mechanisms are compromised.
“intracellular and extracellular pathways of nutritional immunity, an ancient host defense strategy of iron limitation to pathogens, becomes essential once other immune effector mechanisms are compromised (239, 279, 596).”
From Aspergillus fumigatus and Aspergillosis in 2019 (2019) · cites this paper as [596]
The predominant role of iron deregulation in the development of IA has been demonstrated in a nonneutropenic model of lung transplantation and in the Aspergillus keratitis model.
“The predominant role of iron deregulation in the development of IA has been demonstrated recently in a nonneutropenic model of lung transplantation (596) and in the Aspergillus keratitis model (279).”
From Aspergillus fumigatus and Aspergillosis in 2019 (2019) · cites this paper as [596]
Intracellular and extracellular pathways of nutritional immunity become essential once other immune effector mechanisms are compromised.
“intracellular and extracellular pathways of nutritional immunity, an ancient host defense strategy of iron limitation to pathogens, becomes essential once other immune effector mechanisms are compromised (239, 279, 596).”
From Aspergillus fumigatus and Aspergillosis in 2019 (2019) · cites this paper as [596]
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Self-citationMichels, K. R., Solomon, A. L., Scindia, Y. M., Vieira, L. S., Goddard, Y., Whitten, S., Vaulont, S., Burdick, M. D., Atkinson, C., Laubenbacher, R., et al. (2022) · The Journal of Infectious Diseases · doi:10.1093/infdis/jiac079 · Cited by 18 · see citing works
Pagani, N., Armstrong-James, D. P. H., & Reed, A. K. (2020) · The Journal of Heart and Lung Transplantation · doi:10.1016/j.healun.2020.09.015 · Cited by 19 · see citing works
Zhao, L., Jin, X., Xiong, Z., Tang, H., Guo, H., Ye, G., Chen, D., Yang, S., Yin, Z., Fu, H., et al. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms231911119 · Cited by 18 · see citing works
How metals fuel fungal virulence, yet promote anti-fungal immunity
Alselami, A., & Drummond, R. A. (2023) · Disease Models & Mechanisms · doi:10.1242/dmm.050393 · Cited by 17 · see citing works
Quo vadis? Central Rules of Pathogen and Disease Tropism
McCall, L. (2021) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2021.640987 · Cited by 16 · see citing works
Host defense mechanisms against Aspergillus fumigatus lung colonization and invasion
Mackel, J. J., & Steele, C. H. (2019) · Current Opinion in Microbiology · doi:10.1016/j.mib.2019.04.003 · Cited by 17 · see citing works
Jiang, C., Cheng, Y., Cao, H., Zhang, B., Li, J., Zhu, L., Li, Z., Zeng, W., Li, C., & He, Q. (2020) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2020.00019 · Cited by 14 · see citing works
Preservation of Microvascular Integrity in Murine Orthotopic Tracheal Allografts by Clopidogrel
Heim, C., Khan, M. A., von Silva-Tarouca, B., Kuckhahn, A. V., Stamminger, T., Ramsperger-Gleixner, M., Nicolls, M. R., Weyand, M., & Ensminger, S. M. (2019) · Transplantation · doi:10.1097/tp.0000000000002571 · Cited by 12 · see citing works
Self-citationBaliga, S., Yadav, S., Sagdeo, P., & Balakrishnan, C. (2023) · Clinical Rheumatology · doi:10.1007/s10067-023-06785-4 · Cited by 11 · see citing works
Ribeiro, H. A., Scindia, Y. M., Mehrad, B., & Laubenbacher, R. (2023) · Journal of Mathematical Biology · doi:10.1007/s00285-023-01940-6 · Cited by 6 · see citing works
Matthaiou, E. I., Chiu, W., Conrad, C., & Hsu, J. L. (2022) · Journal of Fungi · doi:10.3390/jof8070751 · Cited by 3 · see citing works
Self-citationLamberink, H., Heijmans, J., Wagemakers, A., & van Dijk, K. (2025) · Mycopathologia · doi:10.1007/s11046-025-00934-w · Cited by 2 · see citing works
Iron induces Aspergillus proteases in cystic fibrosis allergic bronchopulmonary aspergillosis
Chatterjee, P., Ahmad, A., Dhillon, E., Matthaiou, E. I., El‐Hafeez, A. A. A., Chiu, W., Illek, B., Stevens, D. A., Milla, C. E., & Hsu, J. L. (2025) · American Journal of Respiratory Cell and Molecular Biology · doi:10.1165/rcmb.2025-0077oc · Cited by 2 · see citing works
Self-citationLiu, H., Wang, C., Huang, W., Hu, S., & Huang, C. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1788786 · Cited by 2 · see citing works
Iron in respiratory immunity and infection
Martinelli, A. W., Jordan, R., Wugk, S., Nathan, J. A., & Cloonan, S. M. (2026) · QJM · doi:10.1093/qjmed/hcag090 · Cited by 2 · see citing works
Wong, S. S. W., Dellière, S., Lafont, E., & Aimanianda, V. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818731-9.00045-8 · Cited by 2 · see citing works
Ferreira, J. A. G., & Stevens, D. A. (2025) · Springer series on biofilms · doi:10.1007/978-3-031-93315-8_13 · Cited by 1 · see citing works
Self-citationGrau, M. S., Jackson, B. P., Ringelberg, C. S., Kolling, F., Deepe, G. S., Cramer, R. A., & Obar, J. J. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.04.22.720189 · Cited by 1 · see citing works
Aspergilosis invasiva secundaria a corticoterapia
Álvarez, S. M., González, M. C., Somarriba, J. P., & Pérez, V. E. (2025) · Enfermedades Infecciosas y Microbiología Clínica · doi:10.1016/j.eimc.2024.12.015
Invasive aspergillosis secondary to corticosteroid therapy
Álvarez, S. M., González, M. C., Somarriba, J. P., & Pérez, V. E. (2025) · Enfermedades infecciosas y microbiologia clinica (English ed ) · doi:10.1016/j.eimce.2025.02.010
Macrophage ferroptosis inhibits Aspergillus conidial killing in lung transplantationPreprint
Matthaiou, E. I., El‐Hafeez, A. A. A., Sharifi, H., Chatterjee, P., Zinter, M. S., Johansson, P. K., Dhillon, E., Chiu, W., Qian, J., Shaller, B. D., et al. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.03.13.643092
Self-citationNutritional Support Strategies in Lung Transplant Recipients: A Narrative Review
Vasistha, P., & Venegas, C. (2025) · Current Surgery Reports · doi:10.1007/s40137-025-00453-z
- Authors
- Hsu, J. L., Manouvakhova, O. V., Clemons, K. V., Inayathullah, M., Tu, A. B., Sobel, R. A., Tian, A., Nazik, H., Pothineni, V. R., Pasupneti, S., Jiang, X., Dhillon, G. S., Bedi, H., Rajadas, J., Haas, H., Aurelian, L., Stevens, D. A., & Nicolls, M. R.
- Affiliations
- VA Palo Alto Health Care System (US)
- California Institute for Medical Research (US)
- Stanford Cardiovascular Institute (US)
- Veterans Affairs Palo Alto Health Care System, Medical Service, Palo Alto, CA 94304, USA.
- Stanford Medicine (US)
- Innsbruck Medical University (AT)
- University of Maryland, Baltimore (US)
- Corresponding author
- Nicolls, Mark R.
- ORCID
- Venue
- Science Translational Medicine
- Published
- 2018-02-21
- Volume
- 10
- Issue
- 429
- ISSN
- 1946-6234 (ISSN-L)
- 1946-6242
- PMC
- PMC5841257
- OpenAlex
- W2788429536
- Cited by
- 38
- References
- 66
- Citations by year
- 2026: 3 · 2025: 8 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 4 · 2019: 9 · 2018: 2
- FWCI
- 3.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science Translational Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (1K08HL122528-01A1, R01 HL095686, P01HL108797, 1T32HL12997001)
- The Parker Foundation
- Austrian Science Foundation (FWF I-1346)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- Aspergillus fumigatus, tissue iron, microhemorrhages, invasive aspergillosis, fungal colonization, mouse model
- MeSH terms
- Animals, Aspergillosis, Aspergillus fumigatus, Disease Models, Animal, Iron, Lung, Male, Mice, Inbred BALB C, Mice, Inbred C57BL, Lung Transplantation, Mice
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