Harrington, who has a Ph.D. in ecology and evolutionary biology, explains that “cordyceps” and relatives of cordyceps are fungi that can take over their host. “A lot of the species in this group infect insect hosts during parts of their lifecycle,” she says. “Once the insect is killed or mummified, the fungus erupts out of it with a fruiting body that produces spores. Some of the species cause really interesting behavioral changes in the insect host before that happens, causing their behavior to have a zombie-like quality that helps the fungus have a better chance of spreading the infection to other insect hosts.”
As for whether the fungus could infect humans, this is where the real Dr. Harrington disagrees with the fictional Dr. Neuman: She says it’s extremely unlikely. “Sure, there have been some studies suggesting that one factor that limits fungus’s ability to infect mammalian hosts is just the fact that mammals have higher body temperatures,” she says. “One idea carries that forward by suggesting that if the temperature is increasing in the ambient environment, maybe there’s a greater likelihood of some fungi tolerating higher temperatures generally and infecting mammals. I think that’s pretty far-fetched.
“The ability to infect a host doesn’t only depend on the characteristics of the fungus—the other big piece of this story is that human and more generally mammalian immune systems are really good at picking up on when a fungal infection is happening, ” she says. That’s partly because the surface of most fungus cells are covered in complex polysaccharide structures that produce a strong immune response in their host.
“The cases where we have exceptions are usually in groups of fungi that have life cycles that include single-celled (yeast-like) stages. When they’re in the single-celled form, they’re much better at evading the immune response in humans or other hosts,” she says. Additionally, people who have compromised immune systems can be very vulnerable to fungal infections that wouldn’t usually cause problems for humans.
Very few fungi of any variety spread from person to person—another reason that a Last of Us pandemic is highly unlikely, Harrington says. “There are definitely more immediate things to worry about,” she says, “than a cordyceps epidemic among humans.”