Candidalysin is a fungal peptide toxin critical for mucosal infection

Nature. 2016 Apr 7;532(7597):64-8. doi: 10.1038/nature17625. Epub 2016 Mar 30.

Abstract

Cytolytic proteins and peptide toxins are classical virulence factors of several bacterial pathogens which disrupt epithelial barrier function, damage cells and activate or modulate host immune responses. Such toxins have not been identified previously in human pathogenic fungi. Here we identify the first, to our knowledge, fungal cytolytic peptide toxin in the opportunistic pathogen Candida albicans. This secreted toxin directly damages epithelial membranes, triggers a danger response signalling pathway and activates epithelial immunity. Membrane permeabilization is enhanced by a positive charge at the carboxy terminus of the peptide, which triggers an inward current concomitant with calcium influx. C. albicans strains lacking this toxin do not activate or damage epithelial cells and are avirulent in animal models of mucosal infection. We propose the name 'Candidalysin' for this cytolytic peptide toxin; a newly identified, critical molecular determinant of epithelial damage and host recognition of the clinically important fungus, C. albicans.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Calcium / metabolism
  • Candida albicans / immunology
  • Candida albicans / metabolism*
  • Candida albicans / pathogenicity*
  • Candidiasis / metabolism
  • Candidiasis / microbiology
  • Candidiasis / pathology
  • Cell Membrane Permeability / drug effects
  • Cytotoxins / genetics
  • Cytotoxins / metabolism*
  • Cytotoxins / toxicity
  • Epithelial Cells / drug effects
  • Epithelial Cells / immunology
  • Epithelial Cells / pathology
  • Fungal Proteins / genetics
  • Fungal Proteins / metabolism
  • Fungal Proteins / toxicity*
  • Host-Pathogen Interactions / immunology
  • Humans
  • Mucous Membrane / microbiology
  • Mucous Membrane / pathology
  • Mycotoxins / genetics
  • Mycotoxins / metabolism
  • Mycotoxins / toxicity*
  • Signal Transduction / drug effects
  • Virulence / drug effects
  • Virulence Factors / genetics
  • Virulence Factors / metabolism*
  • Virulence Factors / toxicity

Substances

  • Cytotoxins
  • ECE1 protein, Candida albicans
  • Fungal Proteins
  • Mycotoxins
  • Virulence Factors
  • Calcium