Synergistic cross-kingdom host cell damage between Candida albicans and Enterococcus faecalis

Insights

The fungus Candida albicans and bacterium Enterococcus faecalis interact, increasing host cell damage. This fungal-bacterial synergy worsens infections, highlighting complex microbial interplay in disease.

Area of Science:

  • Microbiology
  • Pathogenesis
  • Host-microbe interactions

Background:

  • Candida albicans and Enterococcus faecalis are opportunistic pathogens sharing mucosal sites.
  • Both microbes can cause severe infections, especially during dysbiosis.
  • Understanding their interactions is crucial for managing polymicrobial diseases.

Purpose of the Study:

  • To investigate the impact of Candida albicans presence on Enterococcus faecalis-mediated host cell damage.
  • To elucidate the mechanisms underlying the synergistic pathogenicity of these two microbes.
  • To determine the role of enterococcal cytolysin in the aggravated oropharyngeal candidiasis model.

Main Methods:

  • Co-culture experiments to assess host cell damage.
  • Murine model of oropharyngeal candidiasis to evaluate disease severity.
  • Analysis of physical interactions and glucose availability.
  • Assessment of enterococcal cytolysin activity.

Main Results:

  • Candida albicans presence significantly increased host cell damage caused by Enterococcus faecalis.
  • Enterococcus faecalis aggravated oropharyngeal candidiasis in a mouse model.
  • Enterococcal cytolysin, physical interaction, and fungal-mediated glucose depletion were key factors.
  • Physical contact facilitated cytolysin delivery, while glucose depletion sensitized host cells.

Conclusions:

  • Fungal-bacterial interactions can lead to enhanced pathogenicity and host damage.
  • Enterococcus faecalis cytolysin plays a critical role in the synergistic damage.
  • Altered nutrient availability and direct physical contact mediate this detrimental interplay.