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Infection and Immunity, December 1999, p. 6637-6642, Vol. 67, No. 12
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Germ Tubes and Proteinase Activity Contribute to
Virulence of Candida albicans in Murine
Peritonitis
Marianne
Kretschmar,1
Bernhard
Hube,2
Thomas
Bertsch,3
Dominique
Sanglard,4
Renate
Merker,5
Meike
Schröder,1
Herbert
Hof,1 and
Thomas
Nichterlein1,*
Institute of Medical Microbiology and
Hygiene1 and Institute of Clinical
Chemistry,3 Faculty of Clinical Medicine
Mannheim, University of Heidelberg, 68167 Mannheim, Institute
for General Botany, Applied Molecular Biology III, University of
Hamburg, 22609 Hamburg,2 and Department
of Electrical Engineering IEE, University of Technology, 01062 Dresden,5 Germany, and Institut de
Microbiologie, Centre Hospitalier Universitaire Vaudois, CH-1011
Lausanne, Switzerland4
Received 7 June 1999/Returned for modification 6 July 1999/Accepted 27 August 1999
Peritonitis with Candida albicans is an important
complication of bowel perforation and continuous ambulatory peritoneal
dialysis. To define potential virulence factors, we investigated 50 strains of C. albicans in a murine peritonitis model. There
was considerable variation in their virulence in this model when
virulence was measured as release of organ-specific enzymes into the
plasma of infected mice. Alanine aminotransferase (ALT) and
-amylase (AM) were used as parameters for damage of the liver and pancreas, respectively. The activities of ALT and AM in the plasma correlated with invasion into the organs measured in histologic sections and the
median germ tube length induced with serum in vitro. When the activity
of proteinases was inhibited in vivo with pepstatin A, there was a
significant reduction of ALT and AM activities. This indicates that
proteinases contributed to virulence in this model. Using strains of
C. albicans with disruption of secreted aspartyl proteinase
gene SAP1, SAP2, SAP3, or
SAP4 through SAP6 (collectively referred to as
SAP4-6), we showed that only a
sap4-6 triple
mutant induced a significantly reduced activity of ALT in comparison to
the reference strain. In contrast to the
sap1,
sap2, and
sap3 mutants, the ALT induced
by the
sap4-6 mutant could not be further reduced by
pepstatin A treatment, which indicates that Sap4-6 may contribute to
virulence in this model.
*
Corresponding author. Mailing address: Institute of
Medical Microbiology and Hygiene Mannheim, Faculty of Clinical
Medicine, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany. Phone: (49) 0621/383 2695. Fax: (49) 0621/383 3816. E-mail: thomas.nichterlein{at}imh.ma.uni-heidelberg.de.
Infection and Immunity, December 1999, p. 6637-6642, Vol. 67, No. 12
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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