Abstract

The morphological switch between yeast and hyphae of Candida albicans is essential for its interaction with the host defense system. However, the lack of understanding of host–pathogen interactions during C. albicans infection greatly hampers the development of effective immunotherapies. Here, we found that priming with the C. albicans FLO8-deficient (flo8) mutant, locked in yeast form, protected mice from subsequent lethal C. albicans infection. Deficiency of Dectin-2, a fungus-derived α-mannan recognition receptor, completely blocked flo8 mutant-induced protection. Mechanistically, the flo8 mutant-induced Dectin-2/CARD9-mediated IL-10 production in DCs and macrophages to block thymus atrophy by inhibiting the C. albicans-induced apoptosis of thymic T cells, which facilitated the continuous output of naive T cells from the thymus to the spleen. Continuous recruitment of naive T cells to the spleen enhanced Th1-biased antifungal immune responses. Consequently, depletion of CD4+ T cells or blockade of IL-10 receptor function using specific antibodies in mice completely blocked the protective effects of flo8 mutant priming against C. albicans infection. Moreover, mannans exposed on the surface of the flo8 mutant were responsible for eliciting protective immunity by inhibiting the C. albicans-induced apoptosis of thymic T cells to sustain the number of naive T cells in the spleen. Importantly, priming with the flo8 mutant extensively protected mice from polymicrobial infection caused by cecal ligation and puncture (CLP) by enhancing Th1-biased immune responses. Together, our findings imply that targeting FLO8 in C. albicans elicits protective immune responses against polymicrobial infections and that mannans extracted from the flo8 mutant are potential immunotherapeutic candidate(s) for controlling infectious diseases.

Highlights

  • Sepsis is the systemic inflammatory response syndrome caused by bacterial, viral, or fungal infections.[1]

  • To further explore the influences of C. albicans infection and flo[8] mutant priming on the thymus, we investigated whether C. albicans infection selectively affected certain thymocyte subpopulations

  • Priming with mannans extracted from the flo[8] mutant elicits protective immunity against C. albicans infection We further explored whether mannans extracted from WT strains (WYM vs. WIM) and flo[8] mutants with or without serum induction elicited immunoprotection against C. albicans infection

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Summary

Introduction

Sepsis is the systemic inflammatory response syndrome caused by bacterial, viral, or fungal infections.[1]. Accumulating evidence supports that effective therapies against invasive fungal infections require the development of immunotherapeutic strategies, which could be combined with antifungal chemotherapy.[2,3] Recent studies have shown that vaccination with live attenuated vaccines such as Bacillus Calmette-Guérin, the measles vaccine, the oral polio vaccine, or commensal intestinal fungi such as Candida albicans and Saccharomyces cerevisiae can protect the host from infections caused by various species of microorganisms,[4,5,6] which makes it possible to develop immunopotentiators or vaccines against polymicrobial sepsis from attenuated pathogens or human commensal microorganisms. For C. albicans, a leading commensal fungal pathogen affecting humans, the transition between yeast and hyphal forms is critical for its pathogenicity in life-threatening invasive candidiasis, and this disease has a high mortality rate, exceeding 40%.7–9. Despite intense research efforts, the development of efficient antifungal immunotherapies has fallen behind in part due to an insufficient understanding of the host–pathogen interactions and the mechanisms underlying immune escape and the induction of protective immunity during fungal infections

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