Altered adherence in strains of Candida albicans harbouring null mutations in secreted aspartic proteinase genes

Altered adherence in strains of Candida albicans harbouring null mutations in secreted aspartic proteinase genes

FEMS Microbiology Letters 159 (1998) 129^135 Altered adherence in strains of Candida albicans harbouring null mutations in secreted aspartic proteina...

163KB Sizes 8 Downloads 41 Views

FEMS Microbiology Letters 159 (1998) 129^135

Altered adherence in strains of Candida albicans harbouring null mutations in secreted aspartic proteinase genes H.J. Watts, F.S.H. Cheah, B. Hube, D. Sanglard, N.A.R. Gow * Department of Molecular and Cell Biology, Institute of Medical Sciences, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK Received 23 October 1997; revised 10 December 1997; accepted 10 December 1997

Abstract The aspartate proteinase inhibitor pepstatin A has been shown previously to reduce the adherence of Candida albicans yeast cells to human surfaces. This suggests that in addition to their presumed function facilitating tissue penetration, the secreted aspartate proteinases (Saps) of this fungal pathogen may have auxiliary roles as cellular adhesins. We therefore examined the relative adherence of yeast cells of a parental wild-type strain of C. albicans in relation to yeast cells of strains harbouring specific disruptions in various members of the SAP gene family in an otherwise isogenic background. The adhesiveness of vsap1, vsap2 and vsap3 null mutants and a triple vsap 4^6 disruptant was examined on three surfaces ^ glass coated with polyL-lysine or a commercial cell-free basement membrane preparation (Matrigel) and on human buccal epithelial cells. Pepstatin A reduced adherence to all surfaces. Adherence of the each of the single SAP null mutants to these three substrates was either reduced or not affected significantly compared to that of the parental strain. The adherence of the vsap4^6 mutant was reduced on poly-L-lysine and Matrigel, but increased on buccal cells. The results suggest that in addition to a primary enzymatic role, various SAPs may also act singly or synergistically to enhance the adhesiveness to C. albicans cells to certain human tissues. z 1998 Federation of European Microbiological Societies. Published by Elsevier Science B.V. Keywords : Adherence ; Aspartate proteinase; Candida albicans; Virulence

1. Introduction Candida albicans is a commensal organism commonly found in the oral cavity, gastrointestinal tract, female genital tract and occasionally on the skin. It can cause infections ranging from super¢cial mucosal lesions to life-threatening systemic diseases in immunocompromised patients [1]. Putative virulence fac-

* Corresponding author. Tel.: +44 (1224) 273179; Fax: +44 (1224) 273144; E-mail: [email protected]

tors of C. albicans include cell wall adhesins, phenotypic switching, hypha formation, thigmotropism and the secretion of proteinases and other hydrolytic enzymes [1^4]. Production of extracellular proteinases was ¢rst reported by Staib [5] and has been a major focus for studies of the virulence of Candida species [6]. These secreted aspartate proteinases (Saps) are characterised by an acidic optimum pH [7,8], a wide substrate speci¢city and sensitivity to the inhibitor pepstatin A, a hexapeptide from Streptomyces [9]. To date, eight gene sequences of putative secreted proteinases have been reported [6,10]. These encode a family of isoenzymes whose members are

0378-1097 / 98 / $19.00 ß 1998 Federation of European Microbiological Societies. Published by Elsevier Science B.V. PII S 0 3 7 8 - 1 0 9 7 ( 9 7 ) 0 0 5 5 9 - 4

FEMSLE 7985 23-1-98

130

H.J. Watts et al. / FEMS Microbiology Letters 159 (1998) 129^135

expressed di¡erentially according to the strain, growth medium, temperature, switch phenotype, and cellular morphology [6,11]. Experiments in vitro suggest that yeast cells express at least three genes (SAP1, SAP2 and SAP3) while SAP5 and SAP6 of the highly homologous SAP4^6 genes were co-expressed in hyphal cells cultivated on serum-containing medium [11,12]. Proteinase-de¢cient mutants, created by chemical mutagenesis, were found to have attenuated virulence in mice [13,14] suggesting these enzymes may be involved in the process of host invasion. The role of SAPs as virulence factors was con¢rmed recently by the demonstration that the virulence of null mutants of SAP1, SAP2, SAP3 and a triple mutant of SAP4^6 were all attenuated in systemic mouse and guinea pig model infections [15,16]. Most studies have emphasised the likely role of these proteinases in facilitating penetration via tissue necrosis or in the destruction of immunoglobulins. However, the Sap inhibitor pepstatin A has been reported to block invasion of host tissue by hyphal cells at neutral pH [17] and to reduce the adherence of yeast cells to various cell types [18,19], suggesting a possible non-enzymatic role for the enzymes in adherence. Therefore we used various SAP gene null mutants to investigate the putative role of Saps in the adhesion of C. albicans to three di¡erent substrates: glass coated with poly-L-lysine, or a layer of endothelial cell basement membrane components (Matrigel) and to human buccal epithelial cells (BECs). The results support the view that certain Sap isoenzymes may have auxiliary roles as cellular adhesins.

2. Materials and methods 2.1. Strains The C. albicans clinical isolate SC5314 was supplied by Bill Fonzi [19] and was maintained by weekly sub-culture on Sabouraud dextrose agar (Oxoid) at 30³C. The null mutant strains, vsap1, vsap2, vsap3 [14], and vsap4^6 triple mutant [16], were prepared by gene disruption using the hisG-URA3-hisG `ura-blaster' method [20], in the ura33 , CAI-4 strain that was derived from SC5314 (Table 1).

2.2. Growth conditions Single colonies of C. albicans were inoculated into 10-ml aliquots of medium, either 0.67% (w/v) YNB (yeast nitrogen broth, Difco) containing 50 mM glucose or 0.67% (w/v) YNB with 500 mM galactose and incubated for 24 h with shaking (300 rpm) at 30³C. Cultures were diluted 1:10 into fresh medium and incubated for a further 24 h to obtain stationary phase cultures. Cells were harvested by centrifugation (3600 rpm, 5 min, 4³C), washed twice in 10 ml PBS (phosphate-bu¡ered saline, Sigma, Poole, UK), pH 7.4, and resuspended in 10 ml PBS. Cell densities were then determined by counting using an improved Neubauer haemocytometer and diluted to a ¢nal concentration of 1U108 cells ml31 in PBS [21]. 2.3. Adherence to poly-L-lysine- or Matrigel-coated slides Glass microscope slides were degreased and sterilised by dipping in ethanol and £aming. To prepare poly-L-lysine-coated surfaces the slides were incubated in 0.01% (w/v) ¢lter-sterilised poly-L-lysine (MW 150 000^300 000, Sigma, Poole, UK) for 15 min at room temperature and the slides dried horizontally for 30 min in a sterile air £ow cabinet. To prepare Matrigel-coated surfaces the sterile slides were cooled to 5³C and coated evenly with 50 Wl of Matrigel (Collaborative Research, Lexington, KY, USA) and then allowed to set at room temperature for 30 min. Suspensions of yeast cells, prepared as described above, were added to the slide (0.5 ml for poly-Llysine surfaces, 50 Wl for the Matrigel surface) for 30 min at room temperature. Non-attached and loosely attached cells were washed o¡ with PBS and the number of cells in 10 microscope ¢elds was counted (each ¢eld of view being equivalent to 1.52 mm2 at a magni¢cation of U400). 2.4. Adherence to buccal epithelial cells The method of Kimura and Persall [22] was used with slight modi¢cations [21]. Suspensions of human buccal epithelial cells (1U105 cells ml31 in PBS, 0.1 ml) and yeast cells (1U108 cells ml31 in PBS, 0.1 ml) were mixed and incubated at 37³C for 45 min with

FEMSLE 7985 23-1-98

H.J. Watts et al. / FEMS Microbiology Letters 159 (1998) 129^135

131

Table 1 Genotypes of strains used in this study Strain name

Genotype

Reference

SC5314 BH24-15-1-3 BH52-1-17-1 BH1-1-1 DSY459

Clinical isolate vura3: :imm434/vura3: :imm434 vsap1: :hisG/vsap1: :hisG-URA3-hisG vura3: :imm434/vura3: :imm434 vsap2: :hisG/vsap2: :hisG-URA- :hisG vura3: :imm434/vura3: :imm434 vsap3: :hisG/vsap3: :hisG-URA3-hisG vura3: :imm434/vura3: :imm434 vsap6: :hisG/vsap6: :hisG vsap4: :hisG/vsap4: :hisG vsap5: :hisG/vsap5: :hisG-URA3-hisG

[20] [15] [15] [15] [16]

gentle shaking. After adding 2 ml of PBS per sample the mixture was ¢ltered through Nuclepore polycarbonate ¢lters (12 Wm pore size, 25 mm diameter, Costar, High Wycombe, UK) and the ¢lter washed with 30 ml PBS to remove any unattached yeast cells. The ¢lters were air-dried and stained by the Gram procedure. The number of adherent yeasts per 100 epithelial cells was counted for each ¢lter. Triplicate ¢lters were prepared for each assay, and the assay repeated on subsequent days to test for day-to-day variation in the epithelial cells. Control slides were incubated with PBS only to verify the absence of natural carriage of Candida cells on donor BECs. In experiments in which aspartate proteinase activities were inhibited with pepstatin A stock solutions of 10 mg ml31 pepstatin A (Sigma, Poole, UK) were prepared in 0.005 N NaOH and ¢lter sterilised. This was diluted by a factor of 1/1000 into the yeast suspension and incubated at 37³C for 30 min before proceeding with the adhesion assays as described previously.

2.5. Statistical analyses The mean numbers of adherent yeast cells to various substrates were compared by Student's t-test. The human buccal epithelial cell assay was performed on two consecutive days, therefore a twoway analysis of variance was used to determine whether signi¢cant variations in adherent cell populations occurred (at the 5% level of signi¢cance) between days and for di¡erent strains.

3. Results 3.1. Inhibition of adherence of wild-type C. albicans by pepstatin A The e¡ect of the aspartate proteinase inhibitor pepstatin A on the adhesion of the parental C. albicans strain SC5314 to poly-L-lysine- and Matrigelcoated microscope slides and to human BECs was

Table 2 Adherence of yeast cells of wild-type and various Sap mutants of C. albicans to three substrates Poly-L-lysine

Strain

Matrigel

Adhering cells/10 F.O.V d

SC3514 vsap1 vsap2 vsap3 vsap4^6

a

Buccal epithelial cells a

Adhering cells/10 F.O.V

Adhering cells/100 BECsb

glucosec

galactosec

glucosec

galactosec

glucosec

galactosec

1323 þ 27 1024 þ 32* 1102 þ 53 881 þ 49* 776 þ 23*

1041 þ 2 1116 þ 57 1169 þ 32 1079 þ 21 1116 þ 44

373 þ 1 389 þ 79 328 þ 12 315 þ 1* 336 þ 12

543 þ 31 581 þ 1 452 þ 35 534 þ 30 579 þ 15

146 þ 18 93 þ 6 127 þ 11 107 þ 2* 541 þ 13*

1323 þ 16 1137 þ 20* 1204 þ 13* 1160 þ 12* 3075 þ 22*

a

Field of view at 400U magni¢cation; one F.O.V. is equivalent to 1.52 mm2 . Human buccal epithelial cell assay as described in [20]; assays were performed in triplicate on consecutive days, data are average values from both days from a total of six replicates. c Yeast cells grown as the inoculum were grown to stationary phase in YNB+glucose or galactose as the source of carbon. d Parental strain and progenitor of all vsap mutant strains. All values are means þ S.D. *Values di¡ering signi¢cantly (P90.05) from adherence values to the parental strains grown on the same carbon source. b

FEMSLE 7985 23-1-98

132

H.J. Watts et al. / FEMS Microbiology Letters 159 (1998) 129^135

strates, suggesting that Saps may play a role in C. albicans adhesion to some, but not all surfaces. 3.2. Adhesion of Sap null mutants

Fig. 1. Adherence of C. albicans SC5314 yeast cells in the presence of pepstatin A to either poly-L-lysine, Matrigel or BECs, expressed as a percentage of the control without pepstatin A. The C. albicans cells were grown either in YNB+50 mM glucose (unshaded bars) or in YNB+500 mM galactose (shaded bars). Data are presented as the mean of triplicates þ standard deviations.

determined (Fig. 1). Poly-L-lysine-coated slides represent a homogeneous, positively charged surface. Matrigel is a solubilised extract of basement membrane from Engel-Horm Swarm (EHS) transplantable mouse tumour and therefore contains a variety of important components of endothelial cell layers. Human buccal epithelial cells are colonised readily by C. albicans in pathological and sub-clinical conditions. Strain SC5314 is known to have a full complement of at least eight SAP genes [11]. Yeast cells that had been grown in YNB with 50 mM glucose or galactose as the carbon source were used as an inoculum. Cells were pre-incubated in 10 Wg ml31 pepstatin A for 30 min prior to exposing the yeast cells to the surfaces. The results con¢rmed previous observations that galactose-grown yeast cells were signi¢cantly more adherent to BECs [21]. Galactose-grown cells were however only marginally more adherent to Matrigel and not signi¢cantly more adherent to poly-L-lysine (Fig. 1 and Table 2). Pre-treatment of cells with pepstatin A led to a signi¢cant decrease in the numbers of cells adhering to poly-L-lysine and Matrigel, but did not a¡ect adherence to BECs (Fig. 1). The largest percentage decrease was observed on poly-L-lysine surfaces where adherence of galactose- and glucose-grown cells was reduced to 18.5 and 38% of the control values. Therefore pepstatin A reduced the number of yeast cells which adhered to two of the three sub-

The contribution of individual Sap isoenzymes to adhesion was investigated with a panel of SAP null mutant strains ^ vsap1, vsap2, vsap3, and vsap4^6. The adherence of each strain to poly-L-lysine, Matrigel and BECs was determined for yeast cells grown either in 50 mM glucose or 500 mM galactose (Table 2). Galactose-grown cells were either equally adherent or more adherent than glucose-grown cells. Increased adherence of galactose-grown cells relative to glucose-grown cells was greatest for adherence to BECs. On Matrigel, galactose-grown cells were approximately 50% more adherent than glucose-grown cells for all strains and there was no signi¢cant difference in the relative adherence of the parental strain and any of the mutants grown on either carbon source, with the exception of glucose-grown vsap3, which was less adherent. On poly-L-lysine the parental galactose-grown strain was marginally less adherent than glucose-grown cells and vsap1, sap3 and sap4^6 mutants were marginally less adherent than the parent when grown on glucose (Table 2). There was no signi¢cant di¡erence in the adherence of the various vsap mutants to poly-L-lysinecoated microscope slides when cells were grown on galactose (Table 2). Adhesion assays to human BECs were repeated on two subsequent days to accommodate variations in the donor cell status. However, two-way analysis of variance showed no signi¢cant di¡erences in adhesion on di¡erent days for all strains. Donor epithelial cells did not show any natural Candida colonisation. Fewer cells of the vsap1, vsap2 and vsap3 strains adhered to BECs compared to the parental strain (60 þ 22%, 86 þ 55% and 65 þ 8% respectively) when grown in YNB+glucose. However, the vsap4^6 mutant was signi¢cantly more adherent (316 þ 68%) (Table 2). This trend was also observed for galactose-grown cells where the adherence relative to the parental strain for vsap1, vsap2 and vsap3 was 86 þ 29%, 91 þ 23% and 88 þ 15% respectively while the relative adherence of vsap4^6 was 232 þ 36% (Table 2).

FEMSLE 7985 23-1-98

H.J. Watts et al. / FEMS Microbiology Letters 159 (1998) 129^135

4. Discussion Our data, based on examination of the adherence of Sap null mutant strains of C. albicans and the e¡ects of the Sap inhibitor pepstatin A, suggest that secreted Sap proteins may have an auxiliary role to their function in proteolysis in serving as adhesins to certain surfaces. Adhesion of C. albicans is known to be a complex, multifactorial property dependent on a multiplicity of recognition systems and surface receptors such as surface integrin-like molecules [23,24]. In addition, general biophysical properties of the cell such as cell surface hydrophobicity [25] and electrostatic charge [26,27] can a¡ect adhesion. Therefore it is not surprising that pepstatin A treatment and the disruption of individual SAP genes had only a partial e¡ect on yeast cell adherence. Adhesion is also known to vary signi¢cantly between di¡erent strains and to be dependent on growth state, growth form, and the carbon source for growth [21,28]. These factors presumably a¡ect the expression of these various surface adhesins [29]. We used an established protocol for testing cellular adherence to BECs and modi¢ed this to examine adherence to the basement membrane preparation Matrigel, and to the positively charged polymer poly-L-lysine. Our analysis was also limited to uniform inocula of stationary phase yeasts cells. Sap production in stationary phase yeast cells is likely to occur at a basal level [11,29] and other aspects of the prevailing conditions in the adhesion assays are likely to suboptimal for the expression of the various Sap isoenzymes. Several previous reports have demonstrated pepstatin A inhibition of adherence for cells grown in media that would not be expected to be proteinase-inducing [17,19,30] again suggesting that some degree of proteinase secretion occurs even in non-protein-containing media. In the present study the changes in relative adherence measured for the various Sap isoenzymes also provides indirect evidence that SAP gene expression does occur under the conditions examined. In yeast cells SAP2 mRNA is normally the major SAP transcript and activity while SAP1 and SAP3 are expressed to lesser levels. In contrast, SAP5 and SAP6 genes are expressed preferentially in hyphal cells grown in the presence of exogenous protein [11,12]. The vsap4^6 deletions were found to a¡ect

133

yeast growth on bovine serum albumin suggesting that SAP4^6 may play a role in the induction of SAP2 expression in yeast cells [16]. Therefore, all of the SAP1^6 genes are possible candidate adhesins for the yeast form. It is not known if all Sap isoenzymes are equally sensitive to pepstatin A. We showed that pepstatin A antagonises adherence of C. albicans to each of the surfaces examined and demonstrated that no one isoenzyme has a dominant role in mediating adhesion. It is possible that various Sap isoenzymes act synergistically in mediating adhesion. The di¡erential adhesion e¡ects observed on the three surfaces examined also suggest that the isoenzymes do not contribute equally and that the signi¢cance of proteinase-mediated cell attachment varies according to the underlying surface. Pepstatin A has been shown elsewhere to reduce the number of cells adhering to mucosal surfaces and various cell types [11,18,19,30]. Pepstatin A is thought to be an inhibitor of the transition state aspartate proteinases [31] suggesting that enzymatic activity of the Saps is important in the formation of adhesive bonds under the conditions tested. In our analysis the largest reduction in numbers was observed with the positively charged poly-L-lysine surface. It is possible that adhesion to this material is normally promoted by proteolytic modi¢cation of the mannoproteins on the fungal cell surface. This could result in the unmasking of charged moieties such as phosphomannan leading to an increase in adherence via non-speci¢c ionic interactions. A somewhat smaller reduction in adherence in the presence of pepstatin A was observed for cells attaching to Matrigel and human BECs. It is likely that interactions between C. albicans yeast cells and these surfaces involves speci¢c receptor-ligand interactions such as those mediated via speci¢c mannan residues, RGD peptides and integrin interactions [24] as well as hydrophobic interactions [25], all of which are likely to be una¡ected by pepstatin A. We attempted to examine the role of individual Sap isoenzymes of C. albicans using strains harbouring speci¢c SAP gene disruptions [15,16]. Similar trends were observed on the poly-L-lysine- and Matrigel-coated surfaces. For these surfaces there was no signi¢cant di¡erence between adherence of any of the galactose-grown null mutants and the parental strain. Growth on galactose enhances adherence by

FEMSLE 7985 23-1-98

134

H.J. Watts et al. / FEMS Microbiology Letters 159 (1998) 129^135

increasing the ¢brillar wall mannoprotein content and consequently hydrophobicity [32]. It is possible that the substantial increase in adhesiveness of cells grown on galactose masked any changes in adhesion due to the deletion of SAP genes. A decrease in adherence was, however, noted when the mutant strains were grown in YNB-glucose. The vsap1, vsap3 and vsap4^6 null mutant strains had signi¢cantly reduced adherence to the poly-L-lysine surface while the vsap3 strain had decreased adherence on Matrigel. On human buccal epithelial cells vsap1, vsap2 and vsap3 mutants were all less adherent. However, adherence of the vsap4^6 strain was increased substantially for both glucose- and galactose-grown cells compared to the parental strain. This marked phenotype reinforces the observation made previously that expression of these genes is not restricted to hyphal cells [16]. The enhanced adherence of the vsap4^6 mutant may relate to the absence of a proteolytic activity that normally removes or degrades cell surface components on the yeast or epithelial cells that are inhibitory to the host-fungus recognition and adhesion mechanism. Alternatively the SAP4^6 gene products may bind to proteins that would otherwise promote adhesion. What ever the mechanism, this e¡ect was only found for interaction with buccal cells. Overall the results suggest that Sap isoenzymes are one component of a multiplicity of factors that in£uence the adhesion of C. albicans to surfaces.

Acknowledgments We thank the BBSRC (ROPA Grant 1/CEL 04556) and the Wellcome Trust (039643/Z/93/Z/ 1.27) for ¢nancial support. N.A.R.G. acknowledges gratefully the support of a Royal Society/Leverhulme Senior Research Fellowship.

References [1] Odds, F.C. (1994) Candida species and virulence. ASM News 60, 313^318. [2] Cutler, J.E. (1991) Putative virulence factors of Candida albicans. Annu. Rev. Microbiol. 45, 187^218.

[3] Gow, N.A.R. (1996) Candida albicans: morphogenesis and pathogenesis. Jpn. J. Med. Mycol. 37, 49^58. [4] Lo, H.-J., Koëhler, J.R., DiDomenico, B., Loebenberg, D., Cacciapuoti, A., and Fink, G.R. (1997) Non¢lamentous C. albicans mutants are avirulent. Cell 90, 9399^949. [5] Staib, F. (1969) Proteolysis and pathogenicity of Candida albicans strains. Mycopathol. Mycol. Appl. 37, 345^348. [6] Hube, B. (1996) Candida albicans secreted aspartyl proteinases. Curr. Top. Med. Mycol. 7, 55^69. [7] Ruëchel, R. (1981) Properties of a puri¢ed proteinase from the yeast, Candida albicans. Biochem. Biophys. Acta 659, 99^113. [8] Smolenski, G., Sullivan, A., Cut¢eld, S.M. and Cut¢eld, J.F. (1997) Analysis of secreted aspartic proteinases from Candida albicans: puri¢cation and characterization of individual Sap1, Sap2 and Sap3 isoenzymes. Microbiology 143, 349^356. [9] Davies, D.R. (1990) The structure and function of aspartic proteinases. Annu. Rev. Biophys. Chem. 19, 189^215. [10] Monod, M., Tongi, G., Hube, B. and Sanglard, D. (1994) Multiplicity of genes encoding secreted aspartyl proteinases in Candida species. Mol. Microbiol. 13, 357^368. [11] Hube, B., Monod, M., Scho¢eld, D.A., Brown, A.J.P. and Gow, N.A.R. (1994) Expression of seven members of the gene family encoding aspartyl proteinases in Candida albicans. Mol. Microbiol. 14, 87^99. [12] White, T.C. and Agabian, N. (1995) Candida albicans secreted aspartic proteinases: isoenzyme pattern is determined by cell type, levels are determined by environmental factors. J. Bacteriol. 177, 5215^5221. [13] MacDonald, F. and Odds, F.C. (1983) Virulence for mice of a proteinase-secreting strain of Candida albicans and a proteinase de¢cient mutant. J. Gen. Microbiol. 129, 431^438. [14] Kwon-Chung, K.J., Lehman, D., Good, C. and Magee, P.T. (1985) Genetic evidence for role of extracellular proteinase in virulence of Candida albicans. Infect. Immun. 49, 571^575. [15] Hube, B. Sanglard, D., Odds, F.C., Hess, D., Monod, M., Schaëfer, W., Brown, A.P.J. and Gow, N.A.R. (1997) Disruption of each of the secreted aspartyl proteinase genes, SAP1, SAP2, and SAP3 of Candida albicans attenuates virulence. Infect. Immun. 65, 3529^3538. [16] Sanglard, D., Hube, D., Monod, M., Odds, F.C. and Gow, N.A.R. (1997) Deletion of the secretory aspartyl protease genes SAP4, SAP5 and SAP6 of Candida albicans causes attenuated virulence. Infect. Immun. 65, 3539^3546. [17] Borg, M. and Ruëchel, R. (1988) Expression of extracellular acid proteinase by proteolytic Candida spp. during experimental infection of oral mucosa. Infect. Immun. 56, 626^631. [18] El-Magharabi, E.A., Dixon, D.M. and Burnett, J.W. (1990) Characterisation of Candida albicans epidermolytic proteases and their role in yeast-cell adherence to keratinocytes. Clin. Exp. Dermatol. 15, 183^191. [19] Ollert, M.W., Sohnchen, R., Korting, H.C., Ollert, U., Brautigam, S. and Brautigam, W. (1993) Mechanisms of adherence of Candida albicans to cultured human epidermal keratinocytes. Infect. Immun. 61, 4560^4568. [20] Fonzi, W.A. and Irwin, M.Y. (1993) Isogenic strain construction and gene mapping in Candida albicans. Genetics 134, 717^728.

FEMSLE 7985 23-1-98

H.J. Watts et al. / FEMS Microbiology Letters 159 (1998) 129^135 [21] Douglas, L.J., Houston, J.G. and McCourtie, J. (1981) Adherence of Candida albicans to human buccal epithelial cells after growth on di¡erent carbon sources. FEMS Microbiol. Lett. 12, 241^243. [22] Kimura, L.H. and Pearsall, N.N. (1978) Adherence of Candida albicans to human buccal epithelial cells. Infect. Immun. 21, 64^68. [23] Calderone, R.A. (1993) Recognition between Candida albicans and host cells. Trends Microbiol. 1, 55^58. [24] Hostetter, M.K. (1994) Interactions of Candida albicans with eukaryotic cells. ASM News 60, 370^374. [25] Hazen, K.C., Brawner, D.L., Riesselman, M.H., Jutila, M.A. and Cutler, J.E. (1991) Di¡erential adherence of hydrophobic and hydrophilic Candida albicans yeast cells to mouse tumors. Infect. Immun. 59, 907^912. [26] Jones, L. and O'Shea, P. (1994) The electrostatic nature of the cell surface of Candida albicans : a role in adhesion. Exp. Mycol. 18, 11^120. [27] Klotz, S.A. (1994) The contribution of electrostatic forces to

[28]

[29]

[30]

[31]

[32]

135

the process of adherence of Candida albicans yeast cells to substrates. FEMS Microbiol. Lett. 257^262. McCourtie, J. and Douglas, L. (1985) Unequal distribution of adhesins within populations of Candida albicans. FEMS Microbiol. Lett. 27, 111^115. Lerner, C.G. and Goldman, R.C. (1993) Stimuli that induce production of Candida albicans extracellular aspartyl proteinase. J. Gen. Microbiol. 139, 1643^1651. Ray, T.L. and Payne, C.D. (1988) Scanning electron microscopy of epidermal adherence and cavitation in murine candidiasis: A role for Candida acid proteinase. Infect. Immun. 56, 1942- 1949. Marciniszyn, J., Hartsuck, J.A. and Tang, J. (1976) Mode of inhibition of acid proteases by pepstatin. J. Biol. Chem. 251, 7088^7094. Hobden, C., Teevon, C., Jones, L. and O'Shea, P. (1995) Hydrophobic properties of the cell surface of Candida albicans: a role in aggregation. Microbiology 141, 1875^1881.

FEMSLE 7985 23-1-98