Zygomycosis is an emerging frequently fatal opportunistic mycosis whose immunopathogenesis is poorly understood. We developed a zygomycosis model by injecting Drosophila melanogaster flies with a standardized amount of fungal spores from clinical Zygomycetes isolates to study virulence and host defense mechanisms. We found that, as opposed to most other fungi, which are nonpathogenic in D. melanogaster (e.g., Aspergillus fumigatus), Zygomycetes rapidly infect and kill wild-type flies. Toll-deficient flies exhibited increased susceptibility to Zygomycetes, whereas constitutive overexpression of the antifungal peptide Drosomycin in transgenic flies partially restored resistance to zygomycosis. D. melanogaster Schneider 2 phagocytic cells displayed decreased phagocytosis and caused less hyphal damage to Zygomycetes compared with that to A. fumigatus. Furthermore, phagocytosisdefective eater mutant flies displayed increased susceptibility to Zygomycetes infection. Classic enhancers of Zygomycetes virulence in humans, such as corticosteroids, increased iron supply, and iron availability through treatment with deferoxamine dramatically increased Zygomycetes pathogenicity in our model. In contrast, iron starvation induced by treatment with the iron chelator deferasirox significantly protected flies infected with Zygomycetes. Whole-genome expression profiling in wild-type flies after infection with Zygomycetes vs. A. fumigatus identified genes selectively down-regulated by Zygomycetes, which act in pathogen recognition, immune defense, stress response, detoxification, steroid metabolism, or tissue repair or have unknown functions. Our results provide insights into the factors that mediate hostpathogen interactions in zygomycosis and establish D. melanogaster as a promising model to study this important mycosis.animal models Í Rhizopus Í Toll receptor Í zygomycetes Í innate immunity F ungi of the class Zygomycetes, order Mucorales, are significant causes of life-threatening angioinvasive infections in patients with a wide range of immunosuppressive conditions and, occasionally, immunocompetent individuals (1, 2). Rhizopus species cause the majority of Zygomycetes infections, whereas Mucor, Rhizomucor, and Cunninghamella bertholletiae are less frequently encountered pathogens (1, 2). C. bertholletiae is considered the most pathogenic Zygomycetes species in humans (3).Once thought to be an uncommon infection, zygomycosis has recently emerged as the second most common opportunistic invasive mold infection after aspergillosis in patients with hematological malignancies and transplant recipients (2, 4-6). Zygomycosis has a particularly poor prognosis in these patients, with mortality rates ÏŸ90% in disseminated infection (3,5,6).Quantitative and functional defects in immune effector cells associated with poorly controlled diabetes mellitus and receipt of corticosteroids or other immunosuppressive treatments are the principal predisposing factors for zygomycosis (1, 2). In addition, iron metabolism plays a central role in the p...