Discovery of the Diploid Form of the Emerging Fungal Pathogen Candida auris

Shuru Fan1, Chao Li1,2, Jian Bing1

  • 1Department of Infectious Diseases, Huashan Hospital and State Key Laboratory of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai 200438, China.

ACS Infectious Diseases
|September 9, 2020
PubMed

Insights

The emerging fungal pathogen Candida auris, previously thought haploid, exists in diploid forms. These diploid cells show altered growth, increased virulence, and unique gene expression, suggesting adaptive strategies.

Area of Science:

  • Medical Mycology
  • Molecular Biology
  • Pathogen Biology

Background:

  • * Candida auris is an emerging multidrug-resistant fungal pathogen first identified in 2009.
  • * This human pathogen has historically been characterized as a haploid organism.
  • * Its global emergence necessitates a deeper understanding of its biology and virulence factors.

Purpose of the Study:

  • * To investigate the ploidy of clinical isolates of Candida auris.
  • * To characterize the phenotypic and genetic differences between haploid and diploid C. auris.
  • * To explore the implications of ploidy variation in C. auris pathogenesis and adaptation.

Main Methods:

  • * Isolation and characterization of clinical C. auris strains.
  • * Comparative analysis of growth rates and virulence in haploid and diploid cells.
  • * Global gene expression profiling using transcriptomic analysis.
  • * Antifungal susceptibility testing.

Main Results:

  • * Discovery of diploid forms and spontaneous ploidy shifts in C. auris clinical isolates.
  • * Diploid C. auris exhibits slower in vitro growth but increased virulence in a mouse model compared to haploid cells.
  • * Both ploidies express distinct sets of genes involved in metabolism, cell wall maintenance, and DNA replication.
  • * Antifungal susceptibility remains largely similar between haploid and diploid C. auris.

Conclusions:

  • * Ploidy variation (haploid and diploid states) is a significant biological feature of Candida auris.
  • * Differences in growth and virulence suggest distinct fitness advantages for each ploidy in different environments.
  • * Ploidy shifts may represent an adaptive mechanism for C. auris to environmental challenges.
  • * Understanding C. auris ploidy is crucial for developing effective therapeutic and control strategies.

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