Drosophila melanogaster as a model to study virulence and azole treatment of the emerging pathogen Candida auris

Sebastian Wurster1, Ashwini Bandi1, Nicholas D Beyda2

  • 1Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Abstract

Insights

A new fruit fly model effectively studies Candida auris, an emerging yeast pathogen. This model shows C. auris is more deadly than C. albicans and helps test antifungal drugs.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Model Organisms

Background:

  • Candida auris is an emerging multidrug-resistant (MDR) yeast pathogen.
  • Efficient animal models are crucial for understanding C. auris pathogenicity and evaluating treatments.
  • Existing models may not fully capture the challenges posed by this resilient fungus.

Purpose of the Study:

  • To develop and validate a novel fruit fly (Drosophila melanogaster) infection model for Candida auris.
  • To compare the virulence of C. auris strains against a control pathogen, Candida albicans.
  • To assess the efficacy of antifungal drugs (fluconazole, posaconazole) in the established fly model.

Main Methods:

  • Infection of Toll-deficient female flies (TollI-RXA/Tollr632) with ten C. auris strains and three C. albicans strains.
  • Assessment of fly survival rates, fungal burden (colony-forming units per gram of tissue), and histopathology.
  • Evaluation of drug protection assays using fluconazole- or posaconazole-containing food.

Main Results:

  • All ten C. auris strains demonstrated significantly higher mortality rates in flies compared to C. albicans.
  • South American C. auris isolates exhibited faster in vitro growth and greater virulence in the fly model.
  • Antifungal treatment (fluconazole, posaconazole) reduced fungal burden and improved survival, correlating with in vitro susceptibility.
  • The model showed high reproducibility in survival curves for both treated and untreated infected flies.

Conclusions:

  • Toll-deficient fruit flies provide a rapid, reliable, and cost-effective model for studying C. auris pathogenesis.
  • This model is suitable for evaluating the activity of antifungal agents against C. auris infections.
  • The developed model aids in understanding the complex interactions between C. auris and its host.

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