PMID- 33514007 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210316 IS - 2075-1729 (Print) IS - 2075-1729 (Electronic) IS - 2075-1729 (Linking) VI - 11 IP - 2 DP - 2021 Jan 27 TI - Cryptococcal Immune Reconstitution Inflammatory Syndrome: From Blood and Cerebrospinal Fluid Biomarkers to Treatment Approaches. LID - 10.3390/life11020095 [doi] LID - 95 AB - Immune reconstitution inflammatory syndrome (IRIS) presents as an exaggerated immune reaction that occurs during dysregulated immune restoration in immunocompromised patients in late-stage human immunodeficiency virus (HIV) infection who have commenced antiretroviral treatments (ART). Virtually any opportunistic pathogen can provoke this type of immune restoration disorder. In this review, we focus on recent developments in the identification of risk factors for Cryptococcal IRIS and on advancements in our understanding of C-IRIS immunopathogenesis. We overview new findings in blood and cerebrospinal fluid which can potentially be useful in the prediction and diagnosis of cryptococcal meningitis IRIS (CM-IRIS). We assess current therapeutic regimens and novel treatment approaches to combat CM-IRIS. We discuss the utility of biomarkers for clinical monitoring and adjusting treatment modalities in acquired immunodeficiency syndrome (AIDS) patients co-infected with Cryptococcus who have initiated ART. FAU - Brienze, Vania Maria Sabadoto AU - Brienze VMS AUID- ORCID: 0000-0002-1727-2710 AD - Department of Neurological Sciences, Faculty of Medicine of Sao Jose do Rio Preto (FAMERP), Sao Paulo 15090000, Brazil. FAU - Andre, Julio Cesar AU - Andre JC AUID- ORCID: 0000-0002-0549-4527 AD - Department of Molecular Biology, Faculty of Medicine of Sao Jose do Rio Preto (FAMERP), Sao Paulo 15090000, Brazil. FAU - Liso, Elisabete AU - Liso E AD - Department of Neurological Sciences, Faculty of Medicine of Sao Jose do Rio Preto (FAMERP), Sao Paulo 15090000, Brazil. FAU - Louis, Irina Vlasova-St AU - Louis IV AD - Department of Medicine, University of Minnesota, Minneapolis, MN 55455, USA. LA - eng GR - U01AI089244/University of Minnesota Foundation/ PT - Journal Article PT - Review DEP - 20210127 PL - Switzerland TA - Life (Basel) JT - Life (Basel, Switzerland) JID - 101580444 PMC - PMC7912256 OTO - NOTNLM OT - AIDS/HIV OT - antiretroviral therapy (ART) OT - blood biomarkers OT - cerebrospinal fluid biomarkers OT - cryptococcal meningitis (CM) OT - immune reconstitution inflammatory syndrome (IRIS) COIS- No potential conflict of interest. EDAT- 2021/01/31 06:00 MHDA- 2021/01/31 06:01 PMCR- 2021/01/27 CRDT- 2021/01/30 01:02 PHST- 2020/12/20 00:00 [received] PHST- 2021/01/20 00:00 [revised] PHST- 2021/01/23 00:00 [accepted] PHST- 2021/01/30 01:02 [entrez] PHST- 2021/01/31 06:00 [pubmed] PHST- 2021/01/31 06:01 [medline] PHST- 2021/01/27 00:00 [pmc-release] AID - life11020095 [pii] AID - life-11-00095 [pii] AID - 10.3390/life11020095 [doi] PST - epublish SO - Life (Basel). 2021 Jan 27;11(2):95. doi: 10.3390/life11020095.