During the previous funding period, we have received IRB clearance to begin recruiting a cohort of disseminated cryptococcosis in otherwise symptomatically healthy individuals. We have thus far recruited 5 patients and have begun immunological and genetic characterizations. In a second cohort of candidemia patients we have identified several genetic loci associated with poor outcome and have obtained mouse knockout strains of one and are conducting backcrossing experiments to more rigorously test and validate the genetic associations found in the clinical outcomes trial. In addition, we have obtained IRB clearance to begin genetic studies of cryptococcal strains from both HIV and non-HIV associated cryptococcosis.

Project Start
Project End
Budget Start
Budget End
Support Year
1
Fiscal Year
2010
Total Cost
$319,557
Indirect Cost
City
State
Country
Zip Code
Elsegeiny, Waleed; Marr, Kieren A; Williamson, Peter R (2018) Immunology of Cryptococcal Infections: Developing a Rational Approach to Patient Therapy. Front Immunol 9:651
Mehta, Gautam U; Panackal, Anil A; Murayi, Roger et al. (2018) Corticosteroids for shunted previously healthy patients with non-HIV cryptococcal meningoencephalitis. J Neurol Neurosurg Psychiatry 89:219-220
Opintan, Japheth A; Awadzi, Benedict K; Biney, Isaac J K et al. (2017) High rates of cerebral toxoplasmosis in HIV patients presenting with meningitis in Accra, Ghana. Trans R Soc Trop Med Hyg 111:464-471
Neal, Lori M; Xing, Enze; Xu, Jintao et al. (2017) CD4+ T Cells Orchestrate Lethal Immune Pathology despite Fungal Clearance during Cryptococcus neoformans Meningoencephalitis. MBio 8:
Hammoud, Dima A; Mahdi, Eman; Panackal, Anil A et al. (2017) Choroid Plexitis and Ependymitis by Magnetic Resonance Imaging are Biomarkers of Neuronal Damage and Inflammation in HIV-negative Cryptococcal Meningoencephalitis. Sci Rep 7:9184
Williamson, Peter R; Jarvis, Joseph N; Panackal, Anil A et al. (2017) Cryptococcal meningitis: epidemiology, immunology, diagnosis and therapy. Nat Rev Neurol 13:13-24
Kwon-Chung, Kyung J; Bennett, John E; Wickes, Brian L et al. (2017) The Case for Adopting the ""Species Complex"" Nomenclature for the Etiologic Agents of Cryptococcosis. mSphere 2:
Panackal, Anil A; Komori, Mika; Kosa, Peter et al. (2017) Spinal Arachnoiditis as a Complication of Cryptococcal Meningoencephalitis in Non-HIV Previously Healthy Adults. Clin Infect Dis 64:275-283
Panackal, Anil A; Rosen, Lindsey B; Uzel, Gulbu et al. (2017) Susceptibility to Cryptococcal Meningoencephalitis Associated With Idiopathic CD4+ Lymphopenia and Secondary Germline or Acquired Defects. Open Forum Infect Dis 4:ofx082
Williamson, Peter R (2017) The relentless march of cryptococcal meningitis. Lancet Infect Dis 17:790-791

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