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编号:11254139
Synthesis of Melanin Pigment by Candida albicans In Vitro and during Infection
     Dermatology Department, St. John's Institute of Dermatology, Guy's Hospital, Guy's, Kings, and St. Thomas' Medical Schools, London, United Kingdom

    Corporacion para Investigaciones Biologicas, Medellin, Colombia

    Department of Microbiology,University College Hospital, London, United Kingdom

    Department of Microbiology & Immunology

    Department of Medicine, Albert Einstein College of Medicine, Bronx, New York

    ABSTRACT

    Melanins are implicated in the pathogenesis of several important human diseases. This study confirmed the presence of melanin particles in Candida albicans in vitro and during infection. Dark particles were isolated from the digestion of C. albicans cultures and from infected tissue, as established by electron microscopy and immunofluorescence techniques.

    TEXT

    The polymorphic fungus Candida albicans is the causative agent of candidiasis, which is the most commonly encountered human fungal disease (3). Despite its global importance, there is limited information relating to the factors that play a role in the pathogenesis of candidiasis; however, there is mounting evidence to suggest that virulence in this organism is multifactorial (11). Melanins make up a heterogeneous class of natural pigments that have a myriad of biological functions (7). Melanization has gained increasing importance as a putative virulence factor in several fungal pathogens and may therefore be a virulence trait conserved across many fungal species (7). In this study, we aimed to determine whether C. albicans could synthesize melanin in yeast cells, utilizing techniques developed to study and isolate melanin from other fungal pathogens. C. albicans strains used were as follows: F28370, F14985, W90572, W91405, T31119, F10646, and M9958 (University College Hospital, London, United Kingdom); 3179 (National Collection of Pathogenic Fungi [NCPF], Bristol, United Kingdom); and CIB 1276 and ATCC 24433 (Corporacion para Investigaciones Biologicas [CIB], Medellin, Colombia). Cryptococcus neoformans JEC21 (Mel+) and its albino mutant HMC6 (Mel–) were used as positive and negative controls. Melanin particles were isolated from yeast cells of all strains of C. albicans and from infected murine kidney and human skin tissue, as previously described (4), by sequential digestion steps and boiling in hot concentrated acid. The resultant particles were a quarter of the size of the yeast cells, as demonstrated by scanning electron microscopy (Fig. 1A and B). No particles were isolated from the C. neoformans albino mutant. Transmission electron microscopy of the melanin particles from C. albicans revealed small thin layers of electron-dense material surrounding a void (Fig. 1C and D). Electron spin resonance spectroscopy of the dark particles isolated was performed at Albert Einstein College of Medicine, Bronx, N.Y., by documented methodology (8, 13). The spectra were identical to the signals generated from C. neoformans-derived melanin (reference 14 and data not shown).

    Enzyme-linked immunosorbent assay plates coated with melanin (from C. albicans, Sporothrix schenckii, and C. neoformans) were prepared as previously described (6) and incubated with anti-melanin monoclonal antibodies (MAbs) 8B5 generated against S. schenckii yeast melanin (6), 6D2 generated against melanin from C. neoformans (10), and 8F5 generated against melanin from Aspergillus fumigatus (15). Negative controls included wells with no melanin and peroxidase-conjugated goat anti-mouse (GAM) alone. The anti-melanin MAbs reacted against the melanin particles derived from C. albicans (Fig. 2), and the reactivities were equal in intensity to those observed with melanin particles from the positive controls.

    C. albicans 3179 yeast cells were embedded in optimal cutting temperature compound (BDH), and the frozen blocks were sectioned (cryostat Figocut 2700) and stored at –20°C. Fungal sections were fixed in cold acetone and air dried. Slides were blocked with Superblock (Roche, Sussex, United Kingdom) overnight at 4°C and incubated for 2 h at 37°C either with 10 μg of MAb 8B5, 8F5, or 6D2 with a 1:100 dilution of fluorescein isothyiocyanate (FITC) GAM immunoglobulin M (IgM) for 2 h at 37°C. Negative controls consisted of 5C11 with FITC-labeled antibody or FITC-labeled antibody alone. Microscopy showed anti-melanin MAb bound to small structures within the cryosectioned C. albicans yeast cells (Fig. 3A to C). Uncut yeast did not bind to the anti-melanin MAbs. Melanin extracted from C. albicans yeast was also reactive; these particles typically formed aggregates (Fig. 3D and E). Melanin particles were unreactive with the negative control, MAb 5C11.

    Immunocompetent mice were immunized with C. albicans F28370. The infection protocol was a modified version of that previously described (2). At the CIB in Colombia, isogeneic 6-week-old male BALB/c mice were immunized intravenously via the lateral tail vein with 100 μl of C. albicans (4 x 106 CFU/mouse) in sterile phosphate-buffered saline and sacrificed at 21 days. Target organs (heart, lungs, liver, spleen, and kidneys) were fixed and embedded in paraffin, and sera were stored at –70°C. Paraffin-embedded human skin samples from patients infected with cutaneous C. albicans (a gift from A. Restrepo, CIB) were also used. Tissue was sectioned and stained with periodic acid-Schiff stain and methenamine silver (Grocott modification); blocks positive for fungi were processed for immunohistochemical staining with MAbs, as previously described (6). Briefly, tissue was incubated with melanin-binding MAbs at a dilution of 1:100 at 37°C and then with 1:100 FITC-conjugated GAM IgM. Negative controls were described above. C. albicans melanin particles were isolated from the tissues and from cultures and air dried onto 3-aminopropyltriethoxysilane slides. Tissues were then probed with anti-melanin MAbs and FITC GAM IgM, as described above. C. albicans yeast and hyphae were seen in significant numbers in the kidneys alone. Reactivity with anti-melanin MAb 8B5 was observed as small fluorescent particles within yeast cells (Fig. 3F and G) but not in the hyphal forms. Digestion of infected murine kidneys resulted in isolation of melanin particles, which reacted with anti-melanin MAb (Fig. 3H and I). Sera (diluted 1:100) from C. albicans-infected mice showed positive recognition of the melanin from cultures and tissue compared to normal mice sera (data not shown). Melanin particles were also isolated from infected human skin tissue and reacted with the anti-melanin MAbs (data not shown).

    Laccase enzymes are utilized in the synthesis of melanin; hence, their activity was anticipated in C. albicans cytoplasmic yeast extracts (CYEs). These were harvested as previously described (13), and protease inhibitor cocktail was added (Sigma). The suspension was frozen using liquid nitrogen and smashed until >90% of the cells were broken. The CYE was concentrated using Amicon tubes (molecular mass cutoff, 1 kDa), and the protein content was determined by Coomassie blue methodology. Commercially prepared laccase (Rhus vernificera) (Sigma) and CYEs from C. albicans strains were separated by 10% polyacrylamide gel electrophoresis (30 mA overnight) under nondenaturing conditions. Duplicate samples were loaded onto the gels, one of which had been boiled for 5 min. Gels were incubated with 1 mM L-3,4-dihydroxyphenylalanine (L-DOPA) buffer overnight. Positive laccase activity was revealed by C. albicans CYEs, as shown by dark bands (Fig. 4), which confirmed L-DOPA had polymerized to form melanin. Boiling of the samples prior to loading into the gel eliminated the laccase activity.

    This study provides the first definitive evidence that melanization occurs in C. albicans and may represent a new virulence factor. The biosynthesis of melanin in most fungal pathogens leads to the accumulation of pigment beneath the cell wall, resulting in so-called melanin ghosts which retain the shape and size of the original propagules (9). However, the small spheres of melanin derived from C. albicans are more akin to the sclerotic bodies (comparable to melanosomes) found in Fonsecaea pedrosoi, which causes chromoblastomycosis (1). C. albicans yeast cells secrete complex polymers into biofilm structures (5) whose composition is not fully understood; one hypothesis therefore might be that melanin particles are secreted into these resistant extracellular structures. Melanization may be an attractive target for novel antimicrobial drugs; therefore, the investigation of melanin-inhibiting compounds should be pursued in the future. The genome of C. albicans has recently been unraveled (12), so evidence from genetic studies is likely to shed further light on these findings.

    ACKNOWLEDGMENTS

    We thank the Wellcome Trust (United Kingdom) for supporting R.M.-J. J.D.N. and A.C. are supported by National Institutes of Health grant NIH AI52733

    We thank A. Restrepo (Corporacion para Investigaciones Biologicas, Medellin, Colombia) for supplying human skin tissue infected with candidiasis and Luz Elena Cano for supplying tissue from murine candidiasis infection models. We thank A. Robson and G. Orchard (St John's Institute of Dermatology, London, United Kingdom) for dermatopathological support, and P. Aisen (Department of Physiology and Biophysics, Albert Einstein College of Medicine, Bronx, N.Y.) for help with TEM and SEM studies.

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