Abstract

Candida albicans is an opportunistic and polymorphic fungal pathogen that causes mucosal, disseminated and invasive infections in humans. Transition from the yeast form to the hyphal form is one of the key virulence factors in C. albicans contributing to macrophage evasion, tissue invasion and biofilm formation. Nontoxic small molecules that inhibit C. albicans yeast-to-hypha conversion and hyphal growth could represent a valuable source for understanding pathogenic fungal morphogenesis, identifying drug targets and serving as templates for the development of novel antifungal agents. Here, we have identified the triterpenoid saponin family of gymnemic acids (GAs) as inhibitor of C. albicans morphogenesis. GAs were isolated and purified from Gymnema sylvestre leaves, the Ayurvedic traditional medicinal plant used to treat diabetes. Purified GAs had no effect on the growth and viability of C. albicans yeast cells but inhibited its yeast-to-hypha conversion under several hypha-inducing conditions, including the presence of serum. Moreover, GAs promoted the conversion of C. albicans hyphae into yeast cells under hypha inducing conditions. They also inhibited conidial germination and hyphal growth of Aspergillus sp. Finally, GAs inhibited the formation of invasive hyphae from C. albicans-infected Caenorhabditis elegans worms and rescued them from killing by C. albicans. Hence, GAs could be useful for various antifungal applications due to their traditional use in herbal medicine.

Highlights

  • Over the past decades, opportunistic fungal infections have gained increasing importance among nosocomial infections due to a growing number of patients who are immune-compromised or hospitalized with serious underlying diseases such as cancer, organ transplantation, non-transplant surgery or in neonatal intensive care units [1,2,3,4]

  • As many of the plant pathogenic fungi enter into the plant cells via hypha-dependent penetration structures, we reasoned that plants should produce compounds that can limit/inhibit hyphal growth of the invading fungal pathogens and could represent a useful resource for the identification of inhibitors of yeast-to-hypha transition and hyphal growth in C. albicans

  • In order to improve and enrich the detection of active principles, plant extracts were fractionated on conventional silica gel columns and concentrated fractions were used for initial screening

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Summary

Introduction

Opportunistic fungal infections have gained increasing importance among nosocomial infections due to a growing number of patients who are immune-compromised or hospitalized with serious underlying diseases such as cancer, organ transplantation, non-transplant surgery or in neonatal intensive care units [1,2,3,4]. We report the isolation and identification of a family of plant-derived triterpenoid saponin compounds, the gymnemic acids (GAs), that inhibited C. albicans yeast-to-hypha transition under various hyphal inducing conditions, including in an animal (nematode) model of Candida infection.

Results
Conclusion
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