Candida pathogens induce protective mitochondria-associated type I interferon signalling and a damage-driven response in vaginal epithelial cells

Nat Microbiol. 2021 May;6(5):643-657. doi: 10.1038/s41564-021-00875-2. Epub 2021 Mar 22.

Abstract

Vaginal candidiasis is an extremely common disease predominantly caused by four phylogenetically diverse species: Candida albicans; Candida glabrata; Candida parapsilosis; and Candida tropicalis. Using a time course infection model of vaginal epithelial cells and dual RNA sequencing, we show that these species exhibit distinct pathogenicity patterns, which are defined by highly species-specific transcriptional profiles during infection of vaginal epithelial cells. In contrast, host cells exhibit a homogeneous response to all species at the early stages of infection, which is characterized by sublethal mitochondrial signalling inducing a protective type I interferon response. At the later stages, the transcriptional response of the host diverges in a species-dependent manner. This divergence is primarily driven by the extent of epithelial damage elicited by species-specific mechanisms, such as secretion of the toxin candidalysin by C. albicans. Our results uncover a dynamic, biphasic response of vaginal epithelial cells to Candida species, which is characterized by protective mitochondria-associated type I interferon signalling and a species-specific damage-driven response.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Candida / genetics*
  • Candida / immunology
  • Candida / isolation & purification
  • Candida / pathogenicity
  • Candidiasis, Vulvovaginal / genetics
  • Candidiasis, Vulvovaginal / immunology
  • Candidiasis, Vulvovaginal / microbiology*
  • Epithelial Cells / immunology*
  • Epithelial Cells / microbiology
  • Female
  • Fungal Proteins / genetics
  • Fungal Proteins / metabolism
  • Humans
  • Interferon Type I / genetics
  • Interferon Type I / immunology*
  • Mitochondria / genetics
  • Mitochondria / immunology*
  • Species Specificity
  • Vagina / immunology
  • Vagina / microbiology
  • Virulence

Substances

  • Fungal Proteins
  • Interferon Type I