Metabolic Adaptations During Staphylococcus aureus and Candida albicans Co-Infection

Successful pathogens require metabolic flexibility to adapt to diverse host niches. The presence of co-infecting or commensal microorganisms at a given infection site can further influence the metabolic processes required for a pathogen to cause disease. The Gram-positive bacterium Staphylococcus au...

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Main Authors: Kara R. Eichelberger, James E. Cassat
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-12-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.797550/full
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author Kara R. Eichelberger
James E. Cassat
James E. Cassat
James E. Cassat
James E. Cassat
James E. Cassat
author_facet Kara R. Eichelberger
James E. Cassat
James E. Cassat
James E. Cassat
James E. Cassat
James E. Cassat
author_sort Kara R. Eichelberger
collection DOAJ
description Successful pathogens require metabolic flexibility to adapt to diverse host niches. The presence of co-infecting or commensal microorganisms at a given infection site can further influence the metabolic processes required for a pathogen to cause disease. The Gram-positive bacterium Staphylococcus aureus and the polymorphic fungus Candida albicans are microorganisms that asymptomatically colonize healthy individuals but can also cause superficial infections or severe invasive disease. Due to many shared host niches, S. aureus and C. albicans are frequently co-isolated from mixed fungal-bacterial infections. S. aureus and C. albicans co-infection alters microbial metabolism relative to infection with either organism alone. Metabolic changes during co-infection regulate virulence, such as enhancing toxin production in S. aureus or contributing to morphogenesis and cell wall remodeling in C. albicans. C. albicans and S. aureus also form polymicrobial biofilms, which have greater biomass and reduced susceptibility to antimicrobials relative to mono-microbial biofilms. The S. aureus and C. albicans metabolic programs induced during co-infection impact interactions with host immune cells, resulting in greater microbial survival and immune evasion. Conversely, innate immune cell sensing of S. aureus and C. albicans triggers metabolic changes in the host cells that result in an altered immune response to secondary infections. In this review article, we discuss the metabolic programs that govern host-pathogen interactions during S. aureus and C. albicans co-infection. Understanding C. albicans-S. aureus interactions may highlight more general principles of how polymicrobial interactions, particularly fungal-bacterial interactions, shape the outcome of infectious disease. We focus on how co-infection alters microbial metabolism to enhance virulence and how infection-induced changes to host cell metabolism can impact a secondary infection.
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spelling doaj.art-1964a46b35254ef497e8e5e153c437872022-12-21T19:27:17ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-12-011210.3389/fimmu.2021.797550797550Metabolic Adaptations During Staphylococcus aureus and Candida albicans Co-InfectionKara R. Eichelberger0James E. Cassat1James E. Cassat2James E. Cassat3James E. Cassat4James E. Cassat5Department of Pediatrics, Division of Pediatric Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN, United StatesDepartment of Pediatrics, Division of Pediatric Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN, United StatesDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, United StatesVanderbilt Center for Bone Biology, Vanderbilt University Medical Center, Nashville, TN, United StatesDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, United StatesVanderbilt Institute for Infection, Immunology, and Inflammation (VI4), Vanderbilt University Medical Center, Nashville, TN, United StatesSuccessful pathogens require metabolic flexibility to adapt to diverse host niches. The presence of co-infecting or commensal microorganisms at a given infection site can further influence the metabolic processes required for a pathogen to cause disease. The Gram-positive bacterium Staphylococcus aureus and the polymorphic fungus Candida albicans are microorganisms that asymptomatically colonize healthy individuals but can also cause superficial infections or severe invasive disease. Due to many shared host niches, S. aureus and C. albicans are frequently co-isolated from mixed fungal-bacterial infections. S. aureus and C. albicans co-infection alters microbial metabolism relative to infection with either organism alone. Metabolic changes during co-infection regulate virulence, such as enhancing toxin production in S. aureus or contributing to morphogenesis and cell wall remodeling in C. albicans. C. albicans and S. aureus also form polymicrobial biofilms, which have greater biomass and reduced susceptibility to antimicrobials relative to mono-microbial biofilms. The S. aureus and C. albicans metabolic programs induced during co-infection impact interactions with host immune cells, resulting in greater microbial survival and immune evasion. Conversely, innate immune cell sensing of S. aureus and C. albicans triggers metabolic changes in the host cells that result in an altered immune response to secondary infections. In this review article, we discuss the metabolic programs that govern host-pathogen interactions during S. aureus and C. albicans co-infection. Understanding C. albicans-S. aureus interactions may highlight more general principles of how polymicrobial interactions, particularly fungal-bacterial interactions, shape the outcome of infectious disease. We focus on how co-infection alters microbial metabolism to enhance virulence and how infection-induced changes to host cell metabolism can impact a secondary infection.https://www.frontiersin.org/articles/10.3389/fimmu.2021.797550/fullCandida albicansStaphylococcus aureuspolymicrobial infectionpolymicrobial biofilmfungal-bacterial interactions
spellingShingle Kara R. Eichelberger
James E. Cassat
James E. Cassat
James E. Cassat
James E. Cassat
James E. Cassat
Metabolic Adaptations During Staphylococcus aureus and Candida albicans Co-Infection
Frontiers in Immunology
Candida albicans
Staphylococcus aureus
polymicrobial infection
polymicrobial biofilm
fungal-bacterial interactions
title Metabolic Adaptations During Staphylococcus aureus and Candida albicans Co-Infection
title_full Metabolic Adaptations During Staphylococcus aureus and Candida albicans Co-Infection
title_fullStr Metabolic Adaptations During Staphylococcus aureus and Candida albicans Co-Infection
title_full_unstemmed Metabolic Adaptations During Staphylococcus aureus and Candida albicans Co-Infection
title_short Metabolic Adaptations During Staphylococcus aureus and Candida albicans Co-Infection
title_sort metabolic adaptations during staphylococcus aureus and candida albicans co infection
topic Candida albicans
Staphylococcus aureus
polymicrobial infection
polymicrobial biofilm
fungal-bacterial interactions
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.797550/full
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