Summary

En Ex vivo-analys att studera Candida albicans Hyphal Morphogenesis i mag-tarmkanalen

Published: July 01, 2020
doi:

Summary

Ex vivo assay beskrivs i denna studie med gut homogenate extrakt och immunofluorescens färgning representerar en ny metod för att undersöka hyphal morphogenesis av Candida albicans i mag-tarmkanalen. Denna metod kan utnyttjas för att undersöka de miljösignaler som reglerar morfogogenetiska övergången i tarmen.

Abstract

Candida albicans hyfalan morfogenes i mag (GI) tarmkanalen är hårt styrs av olika miljösignaler, och spelar en viktig roll i spridning och patogenesen vid denna opportunistiska svamp patogen. Men metoder för att visualisera svamp hyfera i mag-tarmkanalen in vivo är utmanande som begränsar förståelsen av miljösignaler i att kontrollera denna morfogensprocess. Protokollet som beskrivs här visar en ny ex vivo metod för visualisering av hyphal morphogenesis i gut homogenate extrakt. Med hjälp av en ex vivo analys, denna studie visar att cecal innehåll från antibiotika behandlade möss, men inte från obehandlade kontroll möss, främja C. albicans hyphal morphogenesis i tarmen innehåll. Vidare, lägga tillbaka specifika grupper av gut metaboliter till cecal innehållet från antibiotika-behandlade möss differentially reglerar hyphal morphogenesis ex vivo. Sammantaget representerar detta protokoll en ny metod för att identifiera och undersöka de miljösignaler som styr C. albicans hyfalans morfogenes i mag-tarmkanalen.

Introduction

Candida albicans är en opportunistisk, polymorfa svamp patogen som normalt commensal, men kan genomgå en morfologisk förändring till en virulent form som kan orsaka livshotande infektioner hos immunkomprometteradeindivider 1,2,3,4,5,6,7,8,9,10,11,12,13. C. albicans är en ledande orsak till systemiska nosokomala infektioner, med en 40\u201260% dödlighet även med svampdödande behandling2,14,15. Även C. albicans är bosatt i olika värd nischer inklusive den kvinnliga reproduktiva systemet16,17, munhålan av friska individer18 och mag -tarmkanalen (GI) tarmkanalen19,20, majoriteten av de systemiska infektioner härstammar från mag-tarmkanalen och vidare, källan till systemisk infektion bekräftas ofta vara mag-tarmkanalen21,22,23,24,25,26,27,28,29,30,31,32,33,34. C. albicans patogenicitet i mag-tarmkanalen påverkas av ett brett spektrum av faktorer; emellertid, en ha som huvudämnekännetecken som är nödvändig för virulens, är övergången från en jästcellmorfologi in i en virulent hyphalcellmorfologi35,36,37,38,39,40,41,42,43,44. C. albicans fastsättning och spridning från mag-tarmkanalen under infektion är starkt förknippad med sin kapacitet att övergången från en commensal jäst i virulent hyfa, vilket gör att svamparna att orsaka invasiv sjukdom44,45,46,47,48,49,50,51,52,53.

En mängd olika faktorer i tarmen, inklusive n-acetylglucosamin, reglera hyphal formation av C. albicans. Därför är det avgörande att minska klyftan i kunskap när det gäller hyfalans morphogenesis av denna svamp patogen imag-tarmkanalen 54,55,56. Nya bevis tyder på att olika gut metaboliter differentially kontrollera hyphal morfogens av C. albicans in vitro57,58,59,60. Dock, tekniska begränsningar presentera frågor när man försöker studera C. albicans hyferbildning i in vivo gut prover, särskilt färgning jäst och hyphae celler och kvantitativ analys av hyphal utveckling. För att förstå C. albicans hyfalans morfogenes i mag-tarmkanalen, en ex vivo metod utvecklades med hjälp av lösliga extrakt av homogeniserade gut innehåll från möss att studera effekten av metaboliter på svamp hyphal morphogenesis. Utnyttja gut prover från möss som är resistenta och mottagliga för C. albicans GI infektion, denna metod kommer att bidra till att identifiera och studera effekten av metaboliter, antibiotika och xenobiotika på svamp hyfalan morfogenes i GI-tarmkanalen.

Protocol

Alla animaliska protokoll godkändes av Midwestern University Institutional Animal Care and Use Committee (IACUC) enligt beskrivningen före57. Den institutionella Animal Care and Use kommittén vid Midwestern University godkänt denna studie enligt MWU IACUC Protocol #2894. MWU:s djurvårdspolitik följer Folkhälsovårds (PHS) policy för human vård och användning av försöksdjur och den politik som fastställs i djurskyddslagen (AWA). 1. Möss studera standardprotok…

Representative Results

Dessa resultat tillsammans med tidigare resultat från Thangamani laboratoriet60 visar att när C. albicans odlas ex vivo i tarmen homogenate extrakt tas från magen, tunntarmen och tjocktarmen av obehandlade kontroll och antibiotika-behandlade möss, C. albicans i allmänhet utvecklas med en jäst morfologi (Figur 1B). Men när odlas i cecalextraktet från antibiotikabehandlade möss, genomgår C. albicans lätt morfogenes, vilket resultera…

Discussion

Den metod som beskrivs här presenterar ett nytt sätt att undersöka effekten av antibiotika, kost, xenobiotiska och terapeutiska effekter på C. albicans hyfalans morphogenesis i mag-tarmkanalen. Eftersom majoriteten av systemiska infektioner härstammar från mag-tarmkanalen21,22,23,24,25,26,<sup class=…

Divulgazioni

The authors have nothing to disclose.

Acknowledgements

Författarna erkänner resurser och stöd från Midwestern University Cellular and Molecular Core Research facility.

Materials

1 – 10 µL Pipet Tips Fisher Scientific 02-707-454 Misc
100 – 1000 µL Pipet Tips Fisher Scientific 02-707-400 Misc
20 – 200 µL Pipet Tips Fisher Scientific 02-707-451 Misc
2-methylbutyric acid Sigma 193070-25G hyphal-inhibitory compound
488 goat anti-rabbit IgG Invitrogen (Fisher) A11008 IF Staining secondary ab
Agar Fisher BP1423-500 YPD agar component
Automated Imaging Microscope Keyence BZX700
Candida Albicans Antibody Invitrogen (Fisher) PA1-27158 IF Staining primary ab
cefoperazone Cayman 16113 antibiotic
deoxycholic acid Sigma 30960 hyphal-inhibitory compound
D-Glucose Fisher D16-500 hyphal-promoting compound
forceps Fisher 08-885
lactic acid Alfa Aesar AAAL13242-06 hyphal-inhibitory compound
lithocholic acid Sigma L6250-10G hyphal-inhibitory compound
palmitic acid Sigma P5585-10G hyphal-inhibitory compound
Paraformaldehyde Alfa Aesar A11313 IF Staining fixative
Phosphate-buffered saline (PBS), 10x Alfa Aesar J62692 PBS component
p-tolylacetic acid SCBT sc-257959 hyphal-inhibitory compound
sebacic acid Sigma 283258-250G hyphal-inhibitory compound
sharp ended scissors Fisher 28301
sterile Milli-Q water N/A N/A Misc
YPD Broth BD Biosciences 242810 YPD agar component

Riferimenti

  1. Huffnagle, G. B., Noverr, M. C. The emerging world of the fungal microbiome. Trends in Microbiology. 21 (7), 334-341 (2013).
  2. Wisplinghoff, H., et al. Nosocomial bloodstream infections in US hospitals: analysis of 24,179 cases from a prospective nationwide surveillance study. Clinical Infectious Diseases. 39 (3), 309-317 (2004).
  3. Hajjeh, R. A., et al. Incidence of Bloodstream Infections Due to Candida Species and In Vitro Susceptibilities of Isolates Collected from 1998 to 2000 in a Population-based Active Surveillance Program. Journal of Clinical Microbiology. 42 (4), 1519-1527 (2004).
  4. Lockhart, S. R., et al. Species Identification and Antifungal Susceptibility Testing of Candida Bloodstream Isolates from Population-Based Surveillance Studies in Two U.S. Cities from 2008 to 2011. Journal of Clinical Microbiology. 50 (11), 3435-3442 (2012).
  5. Pfaller, M., et al. Epidemiology and outcomes of candidemia in 3648 patients: data from the Prospective Antifungal Therapy (PATH Alliance(R)) registry, 2004-2008. Diagnostic Microbiology and Infectious Disease. 74 (4), 323-331 (2012).
  6. Angarone, M. Fungal infections in cancer patients. Cancer Treatment and Research. 161, 129-155 (2014).
  7. Brown, G. D., et al. Hidden killers: human fungal infections. Science Translational Medicine. 4 (165), 113 (2012).
  8. Calton, E. A., et al. Invasive bacterial and fungal infections in paediatric patients with cancer: incidence, risk factors, aetiology and outcomes in a UK regional cohort 2009-2011. Pediatric Blood & Cancer. 61 (7), 1239-1245 (2014).
  9. Carter, J. H., et al. Medical management of invasive fungal infections of the central nervous system in pediatric cancer patients. Pediatric Blood & Cancer. 62 (6), 1095-1098 (2015).
  10. Low, C. Y., Rotstein, C. Emerging fungal infections in immunocompromised patients. F1000 Medicine Reports. 3, 14 (2011).
  11. Mousset, S., et al. Treatment of invasive fungal infections in cancer patients-updated recommendations of the Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Oncology (DGHO). Annals of Hematology. 93 (1), 13-32 (2014).
  12. Perfect, J. R., Hachem, R., Wingard, J. R. Update on epidemiology of and preventive strategies for invasive fungal infections in cancer patients. Clinical Infectious Diseases. 59, 352-355 (2014).
  13. Sipsas, N. V., Kontoyiannis, D. P. Invasive fungal infections in patients with cancer in the Intensive Care Unit. International Journal of Antimicrobial Agents. 39 (6), 464-471 (2012).
  14. Falagas, M. E., Apostolou, K. E., Pappas, V. D. Attributable mortality of candidemia: a systematic review of matched cohort and case-control studies. European Journal of Clinical Microbiology and Infectious Diseases. 25 (7), 419-425 (2006).
  15. Chi, H. W., et al. Candida albicans versus non-albicans bloodstream infections: the comparison of risk factors and outcome. Journal of Microbiology, Immunology and Infection. 44 (5), 369-375 (2011).
  16. Drell, T., et al. Characterization of the vaginal micro- and mycobiome in asymptomatic reproductive-age Estonian women. PLoS One. 8 (1), 54379 (2013).
  17. Merenstein, D., et al. Colonization by Candida species of the oral and vaginal mucosa in HIV-infected and noninfected women. AIDS Research and Human Retroviruses. 29 (1), 30-34 (2013).
  18. Ghannoum, M. A., et al. Characterization of the oral fungal microbiome (mycobiome) in healthy individuals. PLoS Pathogens. 6 (1), 1000713 (2010).
  19. Hoffmann, C., et al. Archaea and fungi of the human gut microbiome: correlations with diet and bacterial residents. PLoS One. 8 (6), 66019 (2013).
  20. Noble, S. M., Gianetti, B. A., Witchley, J. N. Candida albicans cell-type switching and functional plasticity in the mammalian host. Nature Reviews Microbiology. 15 (2), 96-108 (2017).
  21. Samonis, G., et al. Prospective evaluation of effects of broad-spectrum antibiotics on gastrointestinal yeast colonization of humans. Antimicrobial Agents and Chemotherapy. 37 (1), 51-53 (1993).
  22. Sahni, V., et al. Candidemia–an under-recognized nosocomial infection in Indian hospitals. The Journal of the Association of Physicians of India. 53, 607-611 (2005).
  23. Meijer-Severs, G. J., Joshi, J. H. The effect of new broad-spectrum antibiotics on faecal flora of cancer patients. Journal of Antimicrobial Chemotherapy. 24 (4), 605-613 (1989).
  24. Kennedy, M. J., Volz, P. A., Edwards, C. A., Yancey, R. J. Mechanisms of association of Candida albicans with intestinal mucosa. Journal of Medical Microbiology. 24 (4), 333-341 (1987).
  25. Miranda, L. N., et al. Candida colonisation as a source for candidaemia. Journal of Hospital Infections. 72 (1), 9-16 (2009).
  26. Nucci, M., Anaissie, E. Revisiting the source of candidemia: skin or gut. Clinical Infectious Diseases. 33 (12), 1959-1967 (2001).
  27. Raponi, G., Visconti, V., Brunetti, G., Ghezzi, M. C. Clostridium difficile infection and Candida colonization of the gut: is there a correlation. Clinical Infectious Diseases. 59 (11), 1648-1649 (2014).
  28. Guastalegname, M., Russo, A., Falcone, M., Giuliano, S., Venditti, M. Candidemia subsequent to severe infection due to Clostridium difficile: is there a link. Clinical Infectious Diseases. 57 (5), 772-774 (2013).
  29. Nerandzic, M. M., Mullane, K., Miller, M. A., Babakhani, F., Donskey, C. J. Reduced acquisition and overgrowth of vancomycin-resistant enterococci and Candida species in patients treated with fidaxomicin versus vancomycin for Clostridium difficile infection. Clinical Infectious Diseases. 55, 121-126 (2012).
  30. Krause, R., Krejs, G. J., Wenisch, C., Reisinger, E. C. Elevated fecal Candida counts in patients with antibiotic-associated diarrhea: role of soluble fecal substances. Clinical and Diagnostic Laboratory Immunology. 10 (1), 167-168 (2003).
  31. Krause, R., et al. Role of Candida in antibiotic-associated diarrhea. The Journal of Infectious Diseases. 184 (8), 1065-1069 (2001).
  32. Zuo, T., et al. Gut fungal dysbiosis correlates with reduced efficacy of fecal microbiota transplantation in Clostridium difficile infection. Nature Communications. 9 (1), 3663 (2018).
  33. Delaloye, J., Calandra, T. Invasive candidiasis as a cause of sepsis in the critically ill patient. Virulence. 5 (1), 161-169 (2014).
  34. Cole, G. T., Halawa, A. A., Anaissie, E. J. The role of the gastrointestinal tract in hematogenous candidiasis: from the laboratory to the bedside. Clinical Infectious Diseases. 22, 73-88 (1996).
  35. Lo, H. J., et al. Nonfilamentous C. albicans mutants are avirulent. Cell. 90 (5), 939-949 (1997).
  36. Gale, C. A., et al. Linkage of adhesion, filamentous growth, and virulence in Candida albicans to a single gene, INT1. Science. 279 (5355), 1355-1358 (1998).
  37. Bendel, C. M., et al. Systemic infection following intravenous inoculation of mice with Candida albicans int1 mutant strains. Molecular genetics and metabolism. 67 (4), 343-351 (1999).
  38. Toenjes, K. A., et al. Small-molecule inhibitors of the budded-to-hyphal-form transition in the pathogenic yeast Candida albicans. Antimicrobial agents and chemotherapy. 49 (3), 963-972 (2005).
  39. Carlisle, P. L., et al. Expression levels of a filament-specific transcriptional regulator are sufficient to determine Candida albicans morphology and virulence. Proceedings of the National Academy of Sciences. 106 (2), 599-604 (2009).
  40. Fazly, A., et al. Chemical screening identifies filastatin, a small molecule inhibitor of Candida albicans adhesion, morphogenesis, and pathogenesis. Proceedings of the National Academy of Sciences. 110 (33), 13594-13599 (2013).
  41. Pande, K., Chen, C., Noble, S. M. Passage through the mammalian gut triggers a phenotypic switch that promotes Candida albicans commensalism. Nature genetics. 45 (9), 1088 (2013).
  42. Bar-Yosef, H., Gonzalez, N. V., Ben-Aroya, S., Kron, S. J., Kornitzer, D. Chemical inhibitors of Candida albicans hyphal morphogenesis target endocytosis. Scientific reports. 7 (1), 5692 (2017).
  43. Mendelsohn, S., Pinsky, M., Weissman, Z., Kornitzer, D. Regulation of the Candida albicans hypha-inducing transcription factor Ume6 by the CDK1 cyclins Cln3 and Hgc1. mSphere. 2 (2), 00248 (2017).
  44. Vila, T., et al. Targeting Candida albicans filamentation for antifungal drug development. Virulence. 8 (2), 150-158 (2017).
  45. Pande, K., Chen, C., Noble, S. M. Passage through the mammalian gut triggers a phenotypic switch that promotes Candida albicans commensalism. Nature Genetics. 45 (9), 1088-1091 (2013).
  46. Lo, H. J., et al. Nonfilamentous C. albicans mutants are avirulent. Cell. 90 (5), 939-949 (1997).
  47. Bar-Yosef, H., Vivanco Gonzalez, N., Ben-Aroya, S., Kron, S. J., Kornitzer, D. Chemical inhibitors of Candida albicans hyphal morphogenesis target endocytosis. Scientific Reports. 7 (1), 5692 (2017).
  48. Carlisle, P. L., et al. Expression levels of a filament-specific transcriptional regulator are sufficient to determine Candida albicans morphology and virulence. Proceedings of the National Academy of Sciences of the United States of America. 106 (2), 599-604 (2009).
  49. Mendelsohn, S., Pinsky, M., Weissman, Z., Kornitzer, D. Regulation of the Candida albicans Hypha-Inducing Transcription Factor Ume6 by the CDK1 Cyclins Cln3 and Hgc1. mSphere. 2 (2), (2017).
  50. Bendel, C. M., et al. Effects of Alteration of the Candida albicans Gene INT1 on Cecal Colonization in Orally Innoculated Mice. Pediatric Research. 45, 156 (1999).
  51. Gale, C. A., et al. Linkage of adhesion, filamentous growth, and virulence in Candida albicans to a single gene, INT1. Science. 279 (5355), 1355-1358 (1998).
  52. Toenjes, K. A., et al. Small-molecule inhibitors of the budded-to-hyphal-form transition in the pathogenic yeast Candida albicans. Antimicrobial Agents and Chemotherapy. 49 (3), 963-972 (2005).
  53. Fazly, A., et al. Chemical screening identifies filastatin, a small molecule inhibitor of Candida albicans adhesion, morphogenesis, and pathogenesis. Proceedings of the National Academy of Sciences of the United States of America. 110 (33), 13594-13599 (2013).
  54. Naseem, S., Gunasekera, A., Araya, E., Konopka, J. B. N-acetylglucosamine (GlcNAc) induction of hyphal morphogenesis and transcriptional responses in Candida albicans are not dependent on its metabolism. Journal of Biological Chemistry. 286 (33), 28671-28680 (2011).
  55. Piispanen, A. E., Hogan, D. A. PEPped up: induction of Candida albicans virulence by bacterial cell wall fragments. Cell Host & Microbe. 4 (1), 1-2 (2008).
  56. Xu, X. L., et al. Bacterial peptidoglycan triggers Candida albicans hyphal growth by directly activating the adenylyl cyclase Cyr1p. Cell Host & Microbe. 4 (1), 28-39 (2008).
  57. Guinan, J., Thangamani, S. Antibiotic-induced alterations in taurocholic acid levels promote gastrointestinal colonization of Candida albicans. FEMS microbiology letters. 365 (18), (2018).
  58. Guinan, J., Villa, P., Thangamani, S. Secondary bile acids inhibit Candida albicans growth and morphogenesis. Pathogens and disease. 76 (3), (2018).
  59. Guinan, J., Wang, S., Hazbun, T. R., Yadav, H., Thangamani, S. Antibiotic-induced decreases in the levels of microbial-derived short-chain fatty acids correlate with increased gastrointestinal colonization of Candida albicans. Scientific Reports. 9 (1), 1-11 (2019).
  60. Gutierrez, D., et al. Antibiotic-induced gut metabolome and microbiome alterations increase the susceptibility to Candida albicans colonization in the gastrointestinal tract. FEMS microbiology ecology. 96 (1), 187 (2020).
  61. Witchley, J. N., et al. Candida albicans morphogenesis programs control the balance between gut commensalism and invasive infection. Cell Host & Microbe. 25 (3), 432-443 (2019).
  62. Witchley, J. N., Penumetcha, P. M., Noble, S. M. Visualization of Candida albicans in the Murine Gastrointestinal Tract Using Fluorescent In Situ Hybridization. JoVE (Journal of Visualized Experiments). (153), e60283 (2019).
  63. Johansson, M. E., Hansson, G. C. Preservation of mucus in histological sections, immunostaining of mucins in fixed tissue, and localization of bacteria with FISH. Mucins. , 229-235 (2012).
  64. Lossinsky, A. S., et al. The histopathology of Candida albicans invasion in neonatal rat tissues and in the human blood-brain barrier in culture revealed by light, scanning, transmission and immunoelectron microscopy scanning. Histology and histopathology. , (2006).
  65. Rosenbach, A., Dignard, D., Pierce, J. V., Whiteway, M., Kumamoto, C. A. Adaptations of Candida albicans for growth in the mammalian intestinal tract. Eukaryotic Cell. 9, 1075-1086 (2010).
  66. Vautier, S., et al. C andida albicans colonization and dissemination from the murine gastrointestinal tract: the influence of morphology and T h17 immunity. Cellular Microbiology. 17, 445-450 (2015).
  67. Lyman, C., Navarro, E., Garrett, K., Roberts, D., Pizzo, P., Walsh, T. Adherence of Candida albicans to bladder mucosa: development and application of a tissue explant assay. Mycoses. 42, 255-259 (1999).
check_url/it/61488?article_type=t

Play Video

Citazione di questo articolo
Monasky, R., Villa, S., Thangamani, S. An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract. J. Vis. Exp. (161), e61488, doi:10.3791/61488 (2020).

View Video