Emerg Infect DiseidEmerging Infectious Diseases1080-60401080-6059Centers for Disease Control94524002627665Research ArticleWhat makes Cryptococcus neoformans a pathogen?BuchananK. L.kent-buchanan@ouhsc.eduMurphyJ. W.University of Oklahoma Health Sciences Center, Oklahoma City, USA.Jan-Mar1998417183

Life-threatening infections caused by the encapsulated fungal pathogen Cryptococcus neoformans have been increasing steadily over the past 10 years because of the onset of AIDS and the expanded use of immunosuppressive drugs. Intricate host-organism interactions make the full understanding of pathogenicity and virulence of C. neoformans difficult. We discuss the current knowledge of the characteristics C. neoformans must possess to enter the host and establish progressive disease: basic growth requirements and virulence factors, such as the polysaccharide capsule; shed products of the organism; melanin production; mannitol secretion; superoxide dismutase; proteases; and phospholipases.