Host albumin redirects Candida albicans metabolism to engage an alternative pathogenicity pathway

Abstract Pathogenicity mechanisms of the yeast Candida albicans involve filamentous growth, adhesion, invasion, and toxin production. Interestingly, clinical isolates, and other Candida spp., can cause infection independent of filamentation or toxin production. These strains and species often are ch...

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Main Authors: Sophia U. J. Hitzler, Candela Fernández-Fernández, Kerstin Günther, Axel Dietschmann, Hrant Hovhannisyan, Anna Möslinger, Sophie Austermeier, Beatriz Cristóvão, Gianluca Vascelli, Teresa Zelante, Marina Pekmezović, Bernardo Ramírez-Zavala, Joachim Morschhäuser, Oliver Werz, Toni Gabaldón, Paul M. Jordan, Slavena Vylkova, Mark S. Gresnigt
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-61701-5
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author Sophia U. J. Hitzler
Candela Fernández-Fernández
Kerstin Günther
Axel Dietschmann
Hrant Hovhannisyan
Anna Möslinger
Sophie Austermeier
Beatriz Cristóvão
Gianluca Vascelli
Teresa Zelante
Marina Pekmezović
Bernardo Ramírez-Zavala
Joachim Morschhäuser
Oliver Werz
Toni Gabaldón
Paul M. Jordan
Slavena Vylkova
Mark S. Gresnigt
author_facet Sophia U. J. Hitzler
Candela Fernández-Fernández
Kerstin Günther
Axel Dietschmann
Hrant Hovhannisyan
Anna Möslinger
Sophie Austermeier
Beatriz Cristóvão
Gianluca Vascelli
Teresa Zelante
Marina Pekmezović
Bernardo Ramírez-Zavala
Joachim Morschhäuser
Oliver Werz
Toni Gabaldón
Paul M. Jordan
Slavena Vylkova
Mark S. Gresnigt
author_sort Sophia U. J. Hitzler
collection DOAJ
description Abstract Pathogenicity mechanisms of the yeast Candida albicans involve filamentous growth, adhesion, invasion, and toxin production. Interestingly, clinical isolates, and other Candida spp., can cause infection independent of filamentation or toxin production. These strains and species often are characterized as avirulent ex vivo, yet this does not correlate with their potential to cause infection. We hypothesized that specific host factors, which trigger pathogenicity in vivo, are absent in in vitro infection models and thereby clinical isolates can seem avirulent ex vivo. We investigated how albumin, the most abundant protein in humans, impacts infection and cytotoxic potential of C. albicans in vitro. The presence of albumin induces otherwise non-damaging and non-filamentous clinical isolates to cause host cell cytotoxicity. Moreover, avirulent deletion mutants deficient in filamentation, adhesion, or toxin production are restored in their cytotoxicity by albumin. This involves transcriptional and metabolic reprogramming of C. albicans, increasing biofilm formation and production of the oxylipin 13-hydroxyoctadecadienoic acid, driving host cell cytotoxicity. Collectively, our study uncoveres a pathogenicity mechanism by which C. albicans causes epithelial cytotoxicity independent of its conventional virulence mechanisms. This alternative pathogenicity strategy helps to explain the avirulence of clinical isolates ex vivo, when they are separated from the host environment.
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spelling doaj-art-3664821fe0804d51b3ab4f042a576ef52025-08-20T03:46:20ZengNature PortfolioNature Communications2041-17232025-07-0116112010.1038/s41467-025-61701-5Host albumin redirects Candida albicans metabolism to engage an alternative pathogenicity pathwaySophia U. J. Hitzler0Candela Fernández-Fernández1Kerstin Günther2Axel Dietschmann3Hrant Hovhannisyan4Anna Möslinger5Sophie Austermeier6Beatriz Cristóvão7Gianluca Vascelli8Teresa Zelante9Marina Pekmezović10Bernardo Ramírez-Zavala11Joachim Morschhäuser12Oliver Werz13Toni Gabaldón14Paul M. Jordan15Slavena Vylkova16Mark S. Gresnigt17Junior Research Group Adaptive Pathogenicity Strategies, Leibniz Institute for Natural Product Research and Infection Biology—Hans-Knöll-Institute (Leibniz-HKI)Junior Research Group Adaptive Pathogenicity Strategies, Leibniz Institute for Natural Product Research and Infection Biology—Hans-Knöll-Institute (Leibniz-HKI)Department of Pharmaceutical/Medicinal Chemistry, Institute of Pharmacy, Friedrich Schiller UniversityJunior Research Group Adaptive Pathogenicity Strategies, Leibniz Institute for Natural Product Research and Infection Biology—Hans-Knöll-Institute (Leibniz-HKI)Life Sciences Department, Barcelona Supercomputing Center (BSC-CNS)Department of Microbial Pathogenicity Mechanisms, Leibniz-HKIDepartment of Microbial Pathogenicity Mechanisms, Leibniz-HKIJunior Research Group Adaptive Pathogenicity Strategies, Leibniz Institute for Natural Product Research and Infection Biology—Hans-Knöll-Institute (Leibniz-HKI)Department of Medicine and Surgery, University of PerugiaDepartment of Medicine and Surgery, University of PerugiaJunior Research Group Adaptive Pathogenicity Strategies, Leibniz Institute for Natural Product Research and Infection Biology—Hans-Knöll-Institute (Leibniz-HKI)Institute of Molecular Infection Biology, University of WürzburgInstitute of Molecular Infection Biology, University of WürzburgDepartment of Pharmaceutical/Medicinal Chemistry, Institute of Pharmacy, Friedrich Schiller UniversityLife Sciences Department, Barcelona Supercomputing Center (BSC-CNS)Department of Pharmaceutical/Medicinal Chemistry, Institute of Pharmacy, Friedrich Schiller UniversitySeptomics Research Center, Friedrich Schiller University, and Leibniz Institute for Natural Product Research and Infection Biology, Hans Knöll InstituteJunior Research Group Adaptive Pathogenicity Strategies, Leibniz Institute for Natural Product Research and Infection Biology—Hans-Knöll-Institute (Leibniz-HKI)Abstract Pathogenicity mechanisms of the yeast Candida albicans involve filamentous growth, adhesion, invasion, and toxin production. Interestingly, clinical isolates, and other Candida spp., can cause infection independent of filamentation or toxin production. These strains and species often are characterized as avirulent ex vivo, yet this does not correlate with their potential to cause infection. We hypothesized that specific host factors, which trigger pathogenicity in vivo, are absent in in vitro infection models and thereby clinical isolates can seem avirulent ex vivo. We investigated how albumin, the most abundant protein in humans, impacts infection and cytotoxic potential of C. albicans in vitro. The presence of albumin induces otherwise non-damaging and non-filamentous clinical isolates to cause host cell cytotoxicity. Moreover, avirulent deletion mutants deficient in filamentation, adhesion, or toxin production are restored in their cytotoxicity by albumin. This involves transcriptional and metabolic reprogramming of C. albicans, increasing biofilm formation and production of the oxylipin 13-hydroxyoctadecadienoic acid, driving host cell cytotoxicity. Collectively, our study uncoveres a pathogenicity mechanism by which C. albicans causes epithelial cytotoxicity independent of its conventional virulence mechanisms. This alternative pathogenicity strategy helps to explain the avirulence of clinical isolates ex vivo, when they are separated from the host environment.https://doi.org/10.1038/s41467-025-61701-5
spellingShingle Sophia U. J. Hitzler
Candela Fernández-Fernández
Kerstin Günther
Axel Dietschmann
Hrant Hovhannisyan
Anna Möslinger
Sophie Austermeier
Beatriz Cristóvão
Gianluca Vascelli
Teresa Zelante
Marina Pekmezović
Bernardo Ramírez-Zavala
Joachim Morschhäuser
Oliver Werz
Toni Gabaldón
Paul M. Jordan
Slavena Vylkova
Mark S. Gresnigt
Host albumin redirects Candida albicans metabolism to engage an alternative pathogenicity pathway
Nature Communications
title Host albumin redirects Candida albicans metabolism to engage an alternative pathogenicity pathway
title_full Host albumin redirects Candida albicans metabolism to engage an alternative pathogenicity pathway
title_fullStr Host albumin redirects Candida albicans metabolism to engage an alternative pathogenicity pathway
title_full_unstemmed Host albumin redirects Candida albicans metabolism to engage an alternative pathogenicity pathway
title_short Host albumin redirects Candida albicans metabolism to engage an alternative pathogenicity pathway
title_sort host albumin redirects candida albicans metabolism to engage an alternative pathogenicity pathway
url https://doi.org/10.1038/s41467-025-61701-5
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