Granulocytes govern the transcriptional response, morphology and proliferation of Candida albicans in human blood

Chantal Fradin, Piet De Groot, Donna Margaret MacCallum, Martin Schaller, Frans Klis, Frank Christopher Odds, Bernhard Hube

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330 Citations (Scopus)


Survival in blood and escape from blood vessels into tissues are essential steps for the yeast Candida albicans to cause systemic infections. To elucidate the influence of blood components on fungal growth, morphology and transcript profile during bloodstream infections, we exposed C. albicans to blood, blood fractions enriched in erythrocytes, polymorphonuclear or mononuclear leukocytes, blood depleted of neutrophils and plasma. C. albicans cells exposed to erythrocytes, mononuclear cells, plasma or blood lacking neutrophils were physiologically active and rapidly switched to filamentous growth. In contrast, the presence of neutrophils arrested C. albicans growth, enhanced the fungal response to overcome nitrogen and carbohydrate starvation, and induced the expression of a large number of genes involved in the oxidative stress response. In particular, SOD5, encoding a glycosylphosphatidylinositol (GPI)-anchored superoxide dismutase localized on the cell surface of C. albicans, was strongly expressed in yeast cells that were associated with neutrophils. Mutants lacking key genes involved in oxidative stress, morphology or virulence had significantly reduced survival rates in blood and the neutrophil fraction, but remained viable for at least 1 h of incubation when exposed to erythrocytes, mononuclear cells, plasma or blood lacking neutrophils. These data suggest that C. albicans genes expressed in blood were predominantly induced in response to neutrophils, and that neutrophils play a key role during C. albicans bloodstream infections. However, C. albicans is equipped with several genes and transcriptional programmes, which may help the fungus to counteract the attack of neutrophils, to escape from the bloodstream and to cause systemic infections.
Original languageEnglish
Pages (from-to)397-415
Number of pages19
JournalMolecular Microbiology
Issue number2
Early online date18 Feb 2005
Publication statusPublished - 1 Apr 2005


  • Blood
  • Candida albicans
  • Candidiasis
  • Cell Proliferation
  • Gene Expression Profiling
  • Gene Expression Regulation, Fungal
  • Granulocytes
  • Humans
  • Transcription, Genetic


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