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Hopke A
; Nicke N
; Hidu EE
; Degani G
; Popolo L
; Wheeler RT
PLoS Pathog
2016[May]; 12
(5
): e1005644
PMID27223610
show ga
Pathogens hide immunogenic epitopes from the host to evade immunity, persist and
cause infection. The opportunistic human fungal pathogen Candida albicans, which
can cause fatal disease in immunocompromised patient populations, offers a good
example as it masks the inflammatory epitope ?-glucan in its cell wall from host
recognition. It has been demonstrated previously that ?-glucan becomes exposed
during infection in vivo but the mechanism behind this exposure was unknown.
Here, we show that this unmasking involves neutrophil extracellular trap (NET)
mediated attack, which triggers changes in fungal cell wall architecture that
enhance immune recognition by the Dectin-1 ?-glucan receptor in vitro.
Furthermore, using a mouse model of disseminated candidiasis, we demonstrate the
requirement for neutrophils in triggering these fungal cell wall changes in vivo.
Importantly, we found that fungal epitope unmasking requires an active fungal
response in addition to the stimulus provided by neutrophil attack. NET-mediated
damage initiates fungal MAP kinase-driven responses, particularly by Hog1, that
dynamically relocalize cell wall remodeling machinery including Chs3, Phr1 and
Sur7. Neutrophil-initiated cell wall disruptions augment some macrophage cytokine
responses to attacked fungi. This work provides insight into host-pathogen
interactions during disseminated candidiasis, including valuable information
about how the C. albicans cell wall responds to the biotic stress of immune
attack. Our results highlight the important but underappreciated concept that
pattern recognition during infection is dynamic and depends on the host-pathogen
dialog.