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Infection and Immunity, February 2004, p. 667-677, Vol. 72, No. 2
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.2.667-677.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
W. M. Keck Dynamic Image Analysis Facility, Department of Biological Sciences, The University of Iowa, Iowa City, IA 52242
Received 10 September 2003/ Returned for modification 20 October 2003/ Accepted 7 November 2003
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The process of PMN chemotaxis may play a role in controlling the levels of Candida spp. carriage in the commensal state, as well as in clearing yeast from sites of infection (10, 34). The attraction of PMNs to sites of infection may also contribute to the inflammatory response associated with vaginitis and other forms of mucosal candidiasis. Immunocompromised individuals are far more prone to mucosal candidiasis and candidemias (3), supporting the suggestion that the cellular immune response plays a role in suppressing such infections. The attraction of PMNs to sites of fungal infection may be mediated by an attractant either released by the colonizing yeast cells or released by human cells activated by the yeast. Interestingly, however, in animal models of vaginitis and in human cases of vaginitis the frequent absence of PMNs has been noted (10). The absence of PMNs at the site of a fungal infection may be due either to unresponsive PMNs or to the failure by the colonizing yeast to release a chemoattractant. The release of PMN chemoattractants by colonizing yeast and the responsiveness of PMNs to such chemoattractants, therefore, warrant careful scrutiny as they relate to yeast infections.
It has been demonstrated, by using a transmembrane assay to assess chemotaxis, that Candida albicans and related species release a chemotactic or chemokinetic signal that functions through the fMLP receptor (5, 7, 8). In the transmembrane, or "Boyden Chamber," assay (4, 57), cells are placed on one side of a filter separating two reservoirs. The reservoir on the side of the membrane supporting the PMNs contains buffer lacking chemoattractant, whereas the reservoir on the other side of the membrane contains buffer with chemoattractant. Presumably, the spatial gradient of attractant generated across the membrane stimulates orientation and directed movement, leading to an increase in PMNs on the reverse surface of the membrane facing the reservoir with attractant. However, attractants can stimulate random movement (chemokinesis), which also results in an increase in the number of cells on the surface of the membrane facing the reservoir with attractant. Although "checkerboard" assays have been developed to help distinguish between chemotaxis and chemokinesis (57), they do not definitively achieve this goal (32, 50, 55, 57). In particular, transmembrane assays measure the final number of cells that penetrate or traverse the membrane rather than the oriented behavior of individual cells. Realizing the need to directly assess chemotaxis at the single cell level, Zigmond (53, 56) pioneered the use of a chamber composed of a bridge that supports cells, bordered on either side by two wells: one containing buffer alone and the other containing buffer plus chemoattractant. When the wells are filled with their respective solutions, a transient spatial gradient of chemoattractant develops across the bridge. The speed at which the gradient develops and then flattens is directly proportional to molecular weight. By plotting the time of maximum response as a function of molecular weight for known chemoattractants and chemokinetic factors, one can generate a reference plot that can be used to estimate the approximate molecular weight of an unidentified attractant from the time it takes for the latter to elicit a maximum response (35, 36).
Here, we used a chamber designed based on that of Zigmond (53) to confirm prior observations based on transmembrane filter assays that Candida species release bona fide PMN chemoattractants (5, 7, 8). We also used this single-cell assay to test whether mating-type (14, 22) or white-opaque (38) switching affects the release of chemoattractant by Candida albicans. Our results demonstrate that all five tested pathogenic Candida spp. (C. albicans, C. dubliniensis, C. tropicalis, C. parapsilosis, and C. glabrata) release a bona fide chemokinetic and chemotactic factor(s), whereas three unrelated strains of Saccharomyces cerevisiae release a chemokinetic, but not a chemotactic, factor. In C. albicans, strains heterozygous for the mating type (MTL) locus (a/
) and strains homozygous for the MTL locus (a/a or
/
) in the white-phase phenotype, release a chemoattractant. However, strains homozygous for the MTL locus (a/a or
/
) that have switched to the opaque-phase phenotype do not release a chemoattractant. Since the opaque-phase phenotype of C. albicans represents the mating-competent phenotype of this species (23, 28), the possibility that opaque-phase cells suppress the release of a chemoattractant to facilitate mating is examined.
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Maintenance of yeast cultures.
The following yeast strains were used in this study: C. albicans strain 3153A (a/
) (37), C. albicans strain WO-1 (
/
) (38), C. albicans strain P37005 (a/a) (22), C. albicans strain 19F (
/
) (22), C. albicans strain L26 (a/a) (22), C. albicans strain 12C (a/a) (22), C. albicans strain P57072 (
/
) (22), C. dubliniensis strain P30 (17), C. tropicalis strain T1 (16), C. parapsilosis strain 313 (the present study), C. glabrata strains 1480.47 (25) and 35B11 (20), and S. cerevisiae strains MGD407 (2), and LP388 and LA761. Strains LP388 and LA761, obtained from vaginal S. cerevisiae infections, were generous gifts from J. D. Sobel, Wayne State University. Both formed asci on sporulation medium and were, therefore, diploid. Strain MGD407 (MATa/
ura3-52 leu2-3,112) was a generous gift from Brian Rymond, University of Kentucky. Cells maintained on nutrient agar were inoculated into the appropriate liquid nutrient medium and grown to mid-log or early stationary phase. C. albicans strains were grown in modified Lee medium (1). All others were grown in YPD medium (2% glucose, 2% Bacto Peptone, 1% yeast extract).
Conditioned buffer. A total of 5 ml of cell culture was pelleted, and the cells washed three times in 5 ml of H-HBSS. Cells were then resuspended in 5 ml of H-HBSS, followed by incubation on a rotating shaker for 3 h. Cells were then pelleted, and the supernatant was passed first through a 0.8-µm-pore-size Acrodisc syringe filter (Pall Corp., Ann Arbor, Mich.) and then through a 0.22-µm-pore-size Millipore syringe filter (Millipore Corp., Bedford, Mass.).
Chemotaxis assay. The quartz chamber used to analyze single-cell chemotaxis with bright-field optics has been described in detail by Shutt et al. (35) (Fig. 1A). To initiate a chemotaxis experiment, 200 µl of a suspension of ca. 2 x 106 PMNs per ml was distributed onto a 24-by-30-mm Thermanox coverslip (Nunc, Inc., Naperville, Ill.). After 5 min at 37°C, the coverslip was inverted and clamped to the top of the inverted chamber. The chamber was turned upside down, and source and sink wells were filled with test solution and H-HBSS, respectively. The second coverslip was then placed on the bottom and clamped. The chamber was positioned on an inverted microscope (Axiovert 100; Zeiss Corp.) equipped with a long-distance working lens and condenser.
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FIG. 1. Diagrams of the chemotaxis chamber (A) and spatial gradient generated across the bridge (B). After assembly of the chamber, PMNs (cells) are supported by the glass coverslip clamped to the chamber. The sink well contains buffer alone, whereas the source well contains test solution. When fMLP is placed in the source well, it generates a spatial gradient across the bridge. Because the bridge is made of quartz, high-magnification bright-field optics with a long working distance lens and condenser allows single cell analysis. Images are frame-grabbed at 4-s intervals for motion analysis.
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30° that attained a minimum of 5% total cell area and contained nonparticulate cytoplasm. The axis of translocation was determined by drawing a vector from the centroid of the cell in frame n-1 to that in frame n. The CI was computed as the net distance moved directly toward the source of chemoattractant divided by the total distance moved in that same time period. The percent positive chemotaxis was computed as the proportion of PMNs exhibiting a positive CI over the period of analysis. Only cells translocating at rates of 3 µm per min or greater were analyzed. This ranged between 75 and 85% of PMNs in a given experiment. Significance was tested by the Student t test. A P value of >0.05 was considered insignificant. |
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FIG. 2. Perimeter tracks of PMNs responding to no chemotactic gradient (A) and a chemotactic gradient of fMLP (B) in the gradient chamber described in Fig. 1. Perimeters were smoothed and plotted at 4-s intervals. The dark gray area is the last in each track. In panel A buffer alone was placed in the sink and source wells, whereas in panel B buffer alone was placed in the sink well and buffer plus 10-7 M fMLP was placed in the source well. Tracks begin after 5 min of incubation in the chamber. The fMLP gradient is represented by an arrow (pointing toward source) in panel B.
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TABLE 1. Five infectious yeasts (C. albicans, C. dubliniensis, C. tropicalis, C. parapsilosis, and C. glabrata), but not S. cerevisiae, release a potent chemoattractant for human PMNs
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If a test solution contains a chemoattractant as potent as fMLP, one would expect PMNs to orient in and chemotax up a gradient of that attractant in a manner similar to that in a gradient of fMLP (Fig. 2B and Table 1), but if a test solution contains no chemoattractant, one would expect PMNs to behave in a manner similar to that in buffer (Fig. 2A and Table 1). If a test solution contains a chemokinetic factor, then one would expect an increase in velocity similar to that in an fMLP gradient. The possibility exists that a test solution may contain either chemotactic or chemokinetic activity or both activities.
Release of chemoattractants by Candida spp.
Several studies demonstrated that C. albicans released one or more factors that stimulate cell migration across a membrane in a transfilter assay (5, 7, 8). To test whether C. albicans and related species release a bona fide PMN chemoattractant, cells from each Candida species were incubated in buffer for 3 h and centrifuged, and the supernatant (conditioned buffer) was filtered and tested in the source well of the chemotaxis chamber (Fig. 1A). C. albicans strain 3153A, which is a/
and thus constitutively in the white phase (22), released a potent PMN chemoattractant. Conditioned buffer from this strain, when used to generate a spatial gradient, stimulated individual PMNs to orient and crawl in a directed fashion toward the source trough (Fig. 3A). PMNs responded to this gradient, with an average CI of +0.33 and a percent positive chemotaxis of 92% (Table 1). Perimeter tracks of representative PMNs in spatial gradients of the C. albicans attractant(s) (Fig. 3A) were qualitatively similar to those in gradients of fMLP (Fig. 2B). The instantaneous velocities in the two gradients were 15.7 ± 8.6 and 14.3 ± 4.6 µm/min, respectively (P = 0.21) (Table 1). PMNs chemotaxing in a spatial gradient of C. albicans attractant exhibited an increase in mean instantaneous velocity over that in buffer of 56%, a decrease in mean directional change, an increase in length, a decrease in roundness, and an eightfold decrease in the average frequency of lateral pseudopod formation (Table 1). All of these differences had P values of <0.01. The parameters of PMNs in a spatial gradient of C. albicans attractant were similar to those of PMNs in a spatial gradient of fMLP (Table 1). The P values were all >0.05. These results demonstrate unequivocally that C. albicans releases a bona fide chemotaxis factor.
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FIG. 3. Perimeter tracks of PMNs challenged with potential gradients of chemoattractant generated from buffer conditioned by the noted species in the source wells of the chamber. Perimeters were smoothed and plotted at 4-s intervals. The dark gray area is the last in each track. The gradient of potential attractant is represented by an arrow at the bottom of each panel. Note that chemotaxis (directed movement up each gradient) is induced by buffer conditioned by every tested species but S. cerevisiae.
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The only exception was S. cerevisiae. Although the buffers conditioned by three tested strains of S. cerevisiae, two natural isolates from vaginitis patients (LP388 and LA761) and one laboratory strain (MGD407), induced increases in instantaneous velocity (P < 0.01 compared to buffer), which are considered chemokinetic responses, none stimulated chemotaxis (Table 1). In each case, directional change was high, maximum length was low and roundness high, as in buffer (Table 1). The CI of PMNs in all three cases, however, was close to 0.00, the value for true random movement (Table 1). The percent positive chemotaxis in all three cases ranged between 47 and 55%, close to the 50% value representing true directional randomness. Perimeter tracks of representative PMNs revealed random movement (Fig. 3F).
Switching regulates chemoattractant in C. albicans.
In C. albicans, zygosity at the mating-type locus (MTL) regulates the capacity to undergo white-opaque switching, and switching in turn regulates the capacity to mate (22, 23, 28, 42, 46). Although cells heterozygous at the MTL locus (a/
) are unable to switch, cells homozygous at the MTL locus (a/a or
/
) are able to switch (22, 28). To test whether MTL zygosity, mating type, and switching affect the production of chemoattractant by C. albicans, five strains homozygous at the MTL locus, three a/a and two
/
, were tested in the white and opaque phases for the production of PMN chemoattractant (Table 2). Buffer conditioned by white-phase cells of each of the five strains stimulated chemotaxis and chemokinesis. The CIs of PMNs responding to spatial gradients of chemoattractant released from white-phase cells of the five strains ranged from +0.27 to +0.50, and the percent positive chemotaxis values ranged from 82 to 92% (Table 2). The majority of perimeter tracks of PMNs in gradients generated by conditioned buffer from all four strains revealed directed movement up each gradient (Fig. 4A, C, E, and G). The percent chemokinetic stimulation over control cells ranged from 25 to 65% (P < 0.01 in all cases compared to buffer) (Table 2). The spatial gradients of chemoattractant released by white-phase cells of the five strains caused a decrease in mean directional change and a dramatic decrease in the frequency of lateral pseudopod formation, a result similar to the changes in spatial gradients of fMLP (P < 0.01 compared to buffer) (Table 2).
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TABLE 2. Opaque-phase cells of C. albicans do not produce a PMN chemoattractant
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FIG. 4. Perimeter tracks of PMNs challenged with potential gradients of chemoattractant in buffer conditioned by white-phase and opaque-phase cells of each tested homozygous (a/a or / ) strain of C. albicans. Strains WO-1, 157072, and 19F are / , whereas 137005 is a/a. Perimeters were smoothed and plotted at 4-s intervals. The dark gray image is the last in each track. The gradient of potential attractant is represented by an arrow at the bottom of each panel. Note that chemotaxis was induced by buffer conditioned by white-phase, but not opaque-phase, cells of each strain of C. albicans.
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Although buffer conditioned by opaque-phase cells did not stimulate chemotaxis, it did stimulate chemokinesis, ranging from 14 to 49% stimulation (P < 0.01 in all cases compared to buffer) (Table 2). For all but one strain, chemokinetic stimulation by buffer conditioned by opaque-phase cells was lower than that by buffer conditioned by white-phase cells (P < 0.01, except for L26, where P = 0.53) (Table 2). However, buffer conditioned by opaque-phase cells did not cause a decrease in directional change or a decrease in the frequency of lateral pseudopod formation (Table 2), changes associated with chemotactic stimulation (44). These results support the conclusion that whereas white-phase cells of either a/a or
/
strains release a PMN chemoattractant, opaque-phase cells of the same strains do not.
The experiments comparing white- and opaque-phase cells from two homozygous strains, one a/a (L26) and one
/
(WO-1), were repeated with PMNs from a second healthy donor. The results were highly similar to those obtained with PMNs from the primary donor. For both strains, spatial gradients generated from buffer conditioned by white-phase cells induced chemokinesis (instantaneous velocities of 16.62 ± 2.0 and 14.9 ± 1.2 µm/min, respectively) and chemotaxis (CIs of +0.30 and +0.41, respectively) and suppressed lateral pseudopod formation, whereas opaque- phase cells stimulated chemokinesis (instantaneous velocities of 14.0 ± 2.9 and 13.4 ± 3.7 µm/min, respectively) but did not stimulate chemotaxis (CIs of -0.02 and -0.01, respectively) or suppress lateral pseudopod formation. These results demonstrate that the lack of response by PMNs to opaque-phase cell-conditioned buffer is not a peculiarity of the PMNs of the major healthy donor.
The chemoattractant of C. albicans is a peptide. To test whether the chemoattractant released by C. albicans was a peptide, we tested whether it was heat labile and sensitive to proteinase. Boiling and treatment with proteinase K removed chemotactic, but not chemokinetic, activity from buffer conditioned by white-phase cells (Table 3). These results suggest that the chemotactic factor released by white-phase C. albicans cells is a protein.
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TABLE 3. The chemoattractant appears to be a protein synthesized by white-phase, but not by opaque-phase, cells
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FIG. 5. Estimating the molecular mass of the chemoattractant release by C. albicans. Chemokinetic and chemotactic agents with known molecular masses were individually placed in the source well, buffer was placed in the sink well of the chamber in Fig. 1, and responding cells were placed at the bridge. Different fields of cells were continuously videorecorded through a 150-min period. Cells were then analyzed by computer-assisted methods for chemotaxis and/or chemokinesis. The maximum response time was the time of maximum chemotactic or chemokinetic response. The response times are the average of three experiments. The standard deviations of all knowns were less than 20% of the mean. The maximum response time was plotted as a function of molecular mass. Known molecules (small filled circles) and responding cells included the following: cyclic AMP (cAMP; 328 Da), Dictyostelium discoideum amoebae; fMLP (438 Da), human PMNs; RANTES (8 kDa), IL-16 (14 kDa), and gp120 (120 kDa); and peripheral blood T cells. The maximum response time of the attractant released by C. albicans was 7 min (peak of % positive chemotaxis plotted as a function of time in Fig. 6). The position along the reference plot at 7 min (large filled circle) was used to estimate molecular mass along the vertical axis ( 103 Da). See references 35 and 36 for details of this bioassay.
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FIG. 6. The percent positive chemotaxis in the chamber in Fig. 1 was plotted as a function of time for PMNs responding to a gradient of chemoattractant released by C. albicans (3153A) cells, which were in the white phase. Measurements were made for each 5-min interval and were the means of three separate experiments. The standard deviations of all measurements were less than 15% of the mean. The peak was at approximately 7 min.
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It has long been known that individual PMNs undergo positive chemotaxis in vitro in spatial gradients of formyl-methyl-peptides (53, 54, 56), which are released naturally by bacteria. This chemotactic response has been demonstrated to be mediated through a specific fMLP receptor (26, 31) and to be a true chemotactic response through studies in which single-cell behavior was analyzed (53). Single-cell assays represent the only method for definitively distinguishing between chemotactic and chemokinetic stimulation (32, 50, 55, 57). The results from transmembrane assays suggested that a number of Candida species, as well as S. cerevisiae, released chemotactic factors (5, 7, 8). An elegant study by Edens et al. (8) demonstrated that these factors mediate a response through the fMLP receptor. In the present study, by using a single-cell chemotaxis assay, we confirmed the majority of these results, demonstrating that C. albicans, C. dubliniensis, C. tropicalis, C. parapsilosis, and C. glabrata all release a bona fide PMN chemoattractant. We have demonstrated that as in the case of fMLP (11), these chemoattractants suppress the frequency of lateral pseudopod formation and turning. These attractants also induce a chemokinetic response. However, until the Candida spp. attractant is purified and tested, we cannot be certain that chemotactic and chemokinetic stimulation are due to a single factor. Our results, however, do not support the conclusion that S. cerevisiae releases a chemotactic factor. Our results do demonstrate that S. cerevisiae releases a chemokinetic factor, which may explain the positive results obtained with transmembrane assays (8).
Our characterization studies indicate, as did previous studies (8), that the C. albicans chemoattractant is a small protein. By passing conditioned medium through filters with known pore size, Edens et al. (8) estimated the molecular mass of the attractant to be between 0.5 and 1.0 kDa. Using a bioassay, we have similarly estimated the molecular mass to be
1.0 kDa. The attractant is sensitive to heat denaturation and proteinase K digestion, suggesting that it is a low-molecular-mass polypeptide, like fMLP. This is consistent with previous transmembrane studies demonstrating that the C. albicans chemoattractant mediates its response through the fMLP receptor (8). Experiments are now under way to identify the C. albicans chemoattractant and to test whether it alone mediates both the chemotactic and the chemokinetic responses. The possibility that there may be separate chemotactic and chemokinetic factors emerges from three observations. First, whereas buffer conditioned by opaque-phase cells is devoid of a chemotactic factor, it does consistently contain chemokinetic activity, albeit at lower levels than buffer conditioned by white-phase cells. Second, although buffer conditioned by mixtures of white- and opaque-phase cells contains high levels of chemoattractant activity, it exhibits reduced levels of chemokinetic activity. Finally, although proteinase K and high temperature remove chemotactic activity from conditioned buffer, these treatments do not remove chemokinetic activity.
The most intriguing result of our study, however, is the discovery that opaque-phase cells of C. albicans do not release a chemotactic agent. They do appear to release a chemokinetic agent, although the chemokinetic activity of buffer conditioned by opaque-phase cells, as noted, was lower than that of buffer conditioned by white-phase cells for all five tested MTL-homozygous strains. The absence of a chemoattractant represents one more unique phenotypic characteristic of opaque-phase cells (40, 41). Given the newly discovered role white-opaque switching plays in C. albicans mating (22, 23, 24, 28), the absence of attractant must be considered within this context, as well as pathogenesis. Although 97% of natural isolates of C. albicans are a/
, only 3% are a/a or
/
(22). a/
strains cannot undergo white-opaque switching. However, C. albicans can undergo the white-opaque transition after it has undergone homozygosis at the MTL locus to either a/a or
/
. The opaque-phase phenotype in turn represents the mating-competent phenotype of C. albicans (22, 28). Hence, the absence of a secreted chemoattractant may either be fortuitous and irrelevant to mating or it may play a role in the mating strategy. Possibly, the absence of a PMN chemoattractant makes opaque-phase cells less vulnerable to clearing by white blood cells, hence facilitating mating. Although mating occurs inside the host at low frequency (15, 27), it occurs at extremely high frequencies on skin (19), presumably because internal body temperature (37°C) causes conversion of the opaque-phase cell to the white-phase phenotype (33, 38, 41, 47). The temperature of skin (32°C) supports the opaque-phase phenotype. Although none of these observations provide a complete explanation for the selective absence of a chemoattractant in opaque-phase cell cultures, they do suggest that an answer may be found in the emerging relationships between MTL homozygosis, switching, mating, and pathogenesis (42, 46).
Motion analysis experiments were performed in the W. M. Keck Dynamic Image Analysis Facility at The University of Iowa.
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-Pheromone-induced shmooing and gene regulation require white-opaque switching during Candida albicans mating. Eukaryot. Cell 2:847-855.
strains. Science 289:310-313.
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