Toll-like receptor 4 and CD11b expressed on microglia coordinate eradication of Candida albicans cerebral mycosis

Yifan Wu, Shuqi Du, Lynn h. Bimler, Kelsey e. Mauk, Léa Lortal, Nessim Kichik, James s. Griffiths, Radim Osicka, Lizhen Song, Katherine Polsky, Lydia Kasper, Peter Sebo, Jill Weatherhead, J. morgan Knight, Farrah Kheradmand, Hui Zheng, Jonathan p. Richardson, Bernhard Hube, Julian r. Naglik, David b. Corry

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

The fungal pathogen Candida albicans is linked to chronic brain diseases such as Alzheimer’s disease (AD), but the molecular basis of brain anti-Candida immunity remains unknown. We show that C. albicans enters the mouse brain from the blood and induces two neuroimmune sensing mechanisms involving secreted aspartic proteinases (Saps) and candidalysin. Saps disrupt tight junction proteins of the blood-brain barrier (BBB) to permit fungal brain invasion. Saps also hydrolyze amyloid precursor protein (APP) into amyloid β (Aβ)-like peptides that bind to Toll-like receptor 4 (TLR4) and promote fungal killing in vitro while candidalysin engages the integrin CD11b (Mac-1) on microglia. Recognition of Aβ-like peptides and candidalysin promotes fungal clearance from the brain, and disruption of candidalysin recognition through CD11b markedly prolongs C. albicans cerebral mycosis. Thus, C. albicans is cleared from the brain through innate immune mechanisms involving Saps, Aβ, candidalysin, and CD11b.
Original languageEnglish
Number of pages113240
JournalCell Reports
Volume42
Issue number10
Early online date18 Oct 2023
DOIs
Publication statusPublished - Oct 2023

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