Estrogen promotes innate immune evasion of Candida albicans through inactivation of the alternative complement system.

Estrogen promotes innate immune evasion of Candida albicans through inactivation of the alternative complement system.
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DOI:
10.1016/j.celrep.2021.110183
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发表时间:
2022-01-04
期刊:
影响因子:
8.8
通讯作者:
Hall RA
Hall RA
中科院分区:
生物学1区
文献类型:
--
作者:
Kumwenda P;Cottier F;Hendry AC;Kneafsey D;Keevan B;Gallagher H;Tsai HJ;Hall RA

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Candida albicans is a commensal of the urogenital tract and the predominant cause of vulvovaginal candidiasis (VVC). Factors that increase circulatory estrogen levels such as pregnancy, the use of oral contraceptives, and hormone replacement therapy predispose women to VVC, but the reasons for this are largely unknown. Here, we investigate how adaptation of C. albicans to estrogen impacts the fungal host-pathogen interaction. Estrogen promotes fungal virulence by enabling C. albicans to avoid the actions of the innate immune system. Estrogen-induced innate immune evasion is mediated via inhibition of opsonophagocytosis through enhanced acquisition of the human complement regulatory protein, Factor H, on the fungal cell surface. Estrogen-induced accumulation of Factor H is dependent on the fungal cell surface protein Gpd2. The discovery of this hormone-sensing pathway might pave the way in explaining gender biases associated with fungal infections and may provide an alternative approach to improving women's health. Estrogen promotes the virulence of Candida albicans by reducing phagocytosis Estrogen-adapted C. albicans binds more Factor H on its cell surface Estrogen-induced innate immune evasion of C. albicans is dependent on Gpd2 Overexpression of GPD2 promotes the virulence of C. albicans Women with high estrogen levels have an increased risk of developing genital thrush caused by Candida albicans. Kumwenda et al. show that C. albicans grown in estrogen is not recognized and killed efficiently by white blood cells. This reduced immune recognition could enable C. albicans to proliferate and cause infection.
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