Candida albicans enhances Staphylococcus aureus virulence by progressive generation of new phenotypes

Betsy Verónica Arévalo-Jaimes1,2, Eduard Torrents1,2

  • 1Bacterial infections and antimicrobial therapies group, Institute for Bioengineering of Catalonia (IBEC), Baldiri Reixac Street 10, 08037, Barcelona, Spain.

Insights

Candida albicans proximity causes Staphylococcus aureus to form more virulent colonies by neutralizing pH. This fungal interaction enhances bacterial virulence, impacting host pathogenesis.

Area of Science:

  • Microbiology
  • Pathogenesis
  • Microbial Interactions

Background:

  • Candida albicans and Staphylococcus aureus frequently co-occur in biofilm-associated infections, particularly with medical devices.
  • This polymicrobial association benefits both species and harms the host.
  • Understanding non-physical interactions is crucial for elucidating synergistic virulence.

Purpose of the Study:

  • To investigate colony variations in Staphylococcus aureus resulting from proximity to Candida albicans.
  • To determine the impact of fungal-bacterial non-physical interactions on bacterial virulence.

Main Methods:

  • Proximity assays were conducted by co-culturing C. albicans and S. aureus colonies on agar plates at varying distances (6 distances) for 9-10 days.
  • Phenotypic changes in S. aureus colonies were observed.
  • Virulence of S. aureus variants was assessed using a Galleria mellonella larvae model.
  • Gene expression analysis (RNA III and agrA) was performed.

Main Results:

  • Prolonged proximity to C. albicans induced colony variants in S. aureus, linked to fungal-mediated pH neutralization.
  • These S. aureus variants exhibited increased virulence in the Galleria mellonella model compared to controls.
  • Upregulation of RNA III and agrA expression was observed, suggesting a role for alpha-toxin.

Conclusions:

  • Candida albicans enhances Staphylococcus aureus virulence through non-physical interactions, leading to the emergence of more aggressive bacterial colonies.
  • Fungal-induced environmental modifications (e.g., pH changes) can significantly impact bacterial virulence and pathogenesis.
  • This study underscores the complex interplay between environmental cues, gene regulation, and virulence in polymicrobial infections.

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