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FEMS Microbiology Letters 120 (1994) 257-262 © 1994 Federation of E u r o p e a n Microbiological Societies 0378-1097/94/$07.00 Published by Elsevier 257 F E M S L E 06063 The contribution of electrostatic forces to the process of adherence of Candida albicans yeast cells to substrates S t e p h e n A. K l o t z * Department of Medicine, Veterans Affairs Medical Center, Kansas City, MO 64128, USA (Received 2 February 1994; revision received 12 April 1994; accepted 16 April 1994) Abstract: The contribution of electrostatic interactions to the adherence process of Candida albicans and other Candida species was investigated by mixing cationic or anionic exchange resins possessing free - C O 0 - or -NH~ groups, respectively, on their surface. The adherence process of yeast cells to the anionic exchange resin is a saturable event that is essentially complete by 60 min. There is no measurable interaction of yeast cells with the cationic exchange resin. All clinical isolates of C. albicans, C. pseudotropicalis, one isolate each of C. tropicalis and Torulopsis glabrata possessed electrostatic charge as defined by this method, whereas two clincal isolates of C. parapsilosis, C. krusei and one isolate of C. tropicalis did not have measurable electrostatic surface charge. The adherence process to the exchange resin with the free -NH4" group was d e p e n d e n t upon the pH of the suspending m e d i u m and varied from one isolate to another. Fixing yeast cells, or alternatively, endothelial cells, in such a m a n n e r as to change the surface charge of both and then measuring adherence of yeast cells to the target cells was an event that was not controlled by electrostatic interactions as they are defined herein. It appears that whatever contribution electrostatic charges make to the adherence process, that at best, it is a minor contribution. Key words: Electrostatic force; Adherence; Candida albicans Introduction The process of adherence of the fungus, Candida albicans, to cells, to extracellular matrix, or perhaps to inanimate objects such as plastic catheter surfaces is believed to be important in the pathogenesis of all forms of disease involving this commensal yeast [1]. Receptor (adhesin)ligand interactions such as those involving a fi- * Corresponding author. Fax: (816) 861 4700 ext. 3821 SSDI 0 3 7 8 - 1 0 9 7 ( 9 4 ) 0 0 2 0 9 - A bronectin adhesin [2] or a iC3b adhesin [3] interacting with subendothelial extracellular matrix or endothelial cells, respectively, are currently receiving considerable attention. These specific interactions are modelled loosely after the 'lock and key' concept applied to enzymes and their substrates and imply a high degree of specificity of interaction between the pathogen and the host target tissue. However, it is also apparent that the adherence process is not explainable by one single specific event and that several different specific interactions may be occurring [4] or that 258 'non-specific' forces or events may be contributing to the adherence process. For example, it has long been recognized that hydophobicity contributes to adhesion or adherence of C. albicans in vitro [5] and perhaps in vivo [6]. Although recognized earlier in work on Candida adherence [5], the role of electrostatic forces in the process of adherence of this fungus to substrates has never been investigated systematically. Previous work by us has established that altering the electrostatic charges on the surface of C. albicans will affect the adherence of yeast cells to underlying substrates. For example, treating yeast cells with formaldehyde increases the net negative surface charge on the microorganism [5] and markedly reduces the number of yeast cells which adhere to the surface of ex vivo porcine endothelium [7]. In addition formaldehyde-treated yeast cells demonstrate a 49% reduction in adherence to a plastic surface, whereas carbodiimide-treated yeast cells which are more positively charged demonstrate a 72% increase in adherence to a plastic surface [5]. Thus, in vitro it appears that electrostatic forces in concert with other forces, both non-specific such as hydrophobicity and specific such as r e c e p t o r - l i g a n d interactions, contribute to the adherence process. However, the magnitude a n d / o r the importance of electrostatic interactions in the adherence process remains unknown. In early studies of adherence it was appreciated that the presence of calcium a p p e a r e d to be important to the adherence process. For example, Skerl et al. [8] demonstrated that significantly more yeast cells adhered to immobilized fibronectin in the presence of ionized calcium that did so in the absence of this divalent cation. Since ionized calcium is a charged particle it was possible that the contribution of this metal to the adherence process was purely electrostatic in character. Materials and Methods Fungi Candida species were maintained on Sabouraud dextrose agar and subcultured monthly. For assay purposes, a loopful of microorganisms was placed in Sabouraud dextrose broth (or in some experiments, brain heart infusion medium) and grown for 20 h at room temperature with shaking. This yields yeast cells at the early stationary phase of growth. In some experiments the fungi were cultured for 12 h which yields fungi in the early logarithmic phase of growth. The fungi in each instance were washed by centrifugation and suspended in Hank's balanced salt solution containing 2 mM calcium and 2 m M magnesium (buffer). Electrostatic charge determination Following the wash of yeast cells in buffer, 0.5 g of either anionic or cationic exchange resin beads of 1 0 0 - 2 0 0 / x m mesh (Bio-Rad, Richmond, CA) were added to a 15-ml acid-washed screwtopped test tube along with 5 ml of buffer containing 1 x l0 s yeast cells m l - I at p H 7.35. A sample of the suspension was removed from the test tube, allowed to settle for 10 min and then the absorbance of the 'supernatant' was determined at 530 nm. This value was denoted as E 0. The test tubes were then gently rocked for 60 rain to insure proper mixing, a sample removed, allowed to settle for 10 min, and the absorbance of the 'supernatant' determined. This value was termed E60. The value attached to the degree of electrostatic interactions among the yeast cells was then determined by the formula 1 - E 6 o / E o. The greater the value, 1 - E6o/Eo, the greater the electrostatic interaction. This value, 1 E6o/Eo, is termed ' b o u n d ' yeast cells for the sake of simplicity. When no resin beads were added there was no significant difference in the beginning and ending absorbance values. Miscellaneous methods Bovine aortic endothelial cells were grown to confluence on plastic coverslips in the bottom of 24-well tissue culture trays by previously described methods [9]. Some wells containing endothelial cells were treated with formaldehyde or glutaraldehyde, washed and yeast cells added to each well to determine the amount of adherence. Following incubation for 1 h the coverslips were washed by immersion, fixed and stained with hematoxylin and silver. The number of yeast cells 259 adhering to 100 endothelial cells was then determined microscopically [9]. Results Yeast cells were mixed with either cationic or anionic exchange resin and a m e a s u r e m e n t of electrostatic charge on the surface of yeast cells recorded. Fig. 1 shows that the interaction of yeast cells with the charged beads is a saturable phenomenon. Only the anionic resin containing free -NH~- groups and therefore positively charged, allowed interaction with yeast cells. Cationic resin beads containing free - C O O groups had no measurable interaction with yeast cells. A scanning electron p h o t o m i c r o g r a p h demonstrating the b i n d i n g / a d h e r e n c e of the yeast cells to anionic resin beads is shown in Fig. 2. A number of different Candida species yeast cells were then mixed with anionic exchange resin in order to measure electrostatic interactions of the cells. All of these were clinical isolates and as can be seen in Table 1 there was a broad range of interaction of yeast cells with the resin beads. A 0.25 - 0.15 rn - 0.10- 0.05- 0.00 o 2'o ,'o 6'o 8'0 ,~0 Incubation Time (minutes) Fig. 1. Measurement of electrostatic charge on the surface of Candida albicans yeast cells as determined by the interaction with anionic exchange resin at pH 7.35 and room temperature. B equals the value of 1 - E 6 o / E o. Other isolates had similar saturation kinetics, r = 0.8470 for the points shown. Error bars represent 2 standard deviations. Dotted line is best fit sigmoidal curve. Table 1 Survey of the electrostatic charge on the surface of clinical isolates of Candida species yeast cells Species Isolate Bound (1 - E 6 o / E o) Candida albicans 1 2 3 4 5 1 0.094 0.100 0.515 0.800 0.303 0.265 Candida tropicalis Candida parapsilosis Candida krusei Candida pseudotropicalis Torulopsis glabrata 2 0.000 1 0.000 2 0.000 1 2 1 2 1 0.000 0.000 0.340 0.280 0.700 Yeast cells were incubated with anionic exchange resin for 1 h at room temperature, pH 7.35. C. albicans isolate had the greatest measurable charge of all the isolates and all C. albicans isolates had some measurable charge, whereas two isolates each of C. parapsilosis and C. krusei did not have any measurable electrostatic charge. Two isolates of C. albicans were then selected and the degree of electrostatic interaction of yeast cells with both cationic and anionic resin beads determined over a broad range of pH. T h e r e was no measurable interaction of C. albicans with the cationic exchange resin. The electrostatic charge of yeast cells as determined by the interaction of cells with anionic exchange resin varied unpredictably with the p H of the suspending medium. C. albicans yeast cells cultured in brain heart infusion medium adhered to the anionic exchange resin about three times more avidly than did yeast cells cultured in Sabouraud dextrose broth. Also, stationary phase yeast cells adhered to the exchange resin in significantly greater numbers that did yeast cells in the logrithmic phase of growth. Adding 5 - 2 0 % fetal calf serum to the suspending buffer entirely obliterated any binding of yeast cells to anionic exchange resin. Previous work has established that formaldehyde-treated yeast cells do not adhere as well as viable untreated yeast cells to ex vivo porcine endothelium [7]. If formaldehyde treatment in- 260 creases the net negative charge on the surface of cells as has been claimed [5] then treating the endothelium with formaldehyde should reduce the adherence of viable untreated yeast cells to this tissue as well. As is shown in Table 2 such is not the case. On the contrary, treating the endothelium with formaldehyde actually increased the adherence of C. albicans yeast ceils, whereas, Fig. 2. Scanning electronphotomicrograph of Candida albicans yeast cells adhering to the surface of anionic exchange resin beads. Bar on the lower part of the figure equals 1 /xm. 261 Table 2 T h e adherence of Candida albicans yeast cells to bovien endothelial cells in tissue culture following the electrostatci alteration of the surface of yeast cells or the endothelial cells n ~ Control (viable yeast cells plus normal endothelium) Endothelium treated with: 1.5% formaldehyde 2% glutaraldehyde Yeast cells treated with: 1.5% formaldehyde Yeast cells/100 endothelial cells ( _+SD b) P 3 6 7 + 16 7 4 105 + 16 70 + 18 < 0.05 NS 3 31 + 11 < 0.05 A d h e r e n c e assay was performed at p H 7.4, 37°C in 95% a i r / 5 % CO2. a n = n u m b e r of coverslips. b DS, standard deviation. c NS, not significant. treatment with glutaraldehyde seemingly does not affect the adherence process. Therefore in this somewhat more complex interaction of living yeast cell and living or fixed endothelial cell, rather than the exchange resin as previously worked with, electrostatic interactions a p p e a r to be overwhelmed in the adherence process or are purely secondary to other forms of interactions. Discussion This work establishes that measurable electrostatic charges exist on the surface of Candida species isolates and that these charges may play some minor role in the adherence process of the yeast cell to a substratum. For example, the interaction of the yeast cells with the anionic resin exchange beads and not with the cationic exchange beads supports the concept of electrostatic interactions in the process since the beads differ only in their net surface charge. However, the electrostatic interactions are clearly dependent upon the p H of the milieu in which these experiments are conducted. The electrostatic charge varies greatly with the p H and no two isolates are the same (data not shown). This observation is in agreement with Persi et al. [10] who found that C. albicans yeast cell adherence to vaginal epithelial cells was highly dependent upon the p H and was different for two clinical isolates. However, more recent work did not demonstrate an effect of p H on the adherence process of C. albicans to acrylic [11]. Ionized calcium has been shown by this laboratory and others to be important in the adherence process of the fungus to substratum [12]. This ion (calcium) and other cations are a prominent part of the D L V O colloid theory of interaction of a small particle (such as a microbe) with a negatively charged substratum [13]. In this theory the cationic metals are treated solely as charged particles. However, recent work by us would indicate that the favorable effect that calcium has upon yeast cell adherence to a substratum is due more to its conformation or configuration than to its charge. For example, in the adherence of C. albicans yeast cells to immobilized fibronectin, calcium clearly was the one cation which enhanced adherence. Terbium, a trivalent earth metal which is thought to be isomorphic with calcium enhances adherence of yeast cells to fibronectin to about half that of calcium. Magnesium, only when added to calcium, enhanced adherence. The presence of other cations did not affect the adherence of yeast cells. Therefore, the contribution of calcium to the adherence process appears to depend a great deal upon the shape of this particular cation rather than solely upon its positive charge. It thus appears that electrostatic interactions, although present in the process of adherence of yeast cells to some substrata, is a minor force which makes only a modest, at best, contribution to adherence. References 1 Klotz, S.A. (1992) Fungal adherence to the vascular compartment: a critical step in the pathogenesis of disseminated candidiasis. Clin. Infect. Dis. 14, 340-347. 2 Klotz, S.A. and Smith, R.L. (1991) A fibronectin receptor on Candida albicans mediates adherence of the fungus to extracellular matrix. J. Infect. Dis. 163, 604-610. 3 Gustafson, K.S., Vercellotti, G.M., Bendel, C.M. and Hostetter, M.K. (1991) Molecular mimicry in Candida 262 4 5 6 7 8 9 albicans. Role of an integrin analogue in adhesion of the yeast to human endothelium. J. Clin. Invest. 87, 1896-1902. Staddon, W., Todd, T. and Irvin, R.T. (1990) Equilibrium analysis of binding of Candida albicans to human buccal epithelial cells. Can. J. Microbiol. 36, 336-340. Klotz, S.A., Drutz, D.J. and Zajic, J.E. (1985) Factors governing the adherence of Candida species to plastic surfaces. Infect. Immun. 50, 97-101. Antley, P.P. and Hazen, K.C. (1988) Role of yeast cell growth temperature on Candida albicans virulence in mice. Infect. Immun. 56, 2884-2890. Klotz, S.A., Drutz, D.J., Harrison, J.L. and Huppert, M. (1983) Adherence and penetration of vascular endothelium by Candida yeasts. Infect. Immun. 42, 374-384. Skerl, K.G., Calderone, R.A., Segal, E., Sreevalson, T. and Scheld, W.M. (1984) In vitro binding of Candida albicans yeast cells to human fibronectin. Can. J. Microbiol. 30, 221-227. Klotz, S.A. (1987) The adherence of Candida yeasts to 10 11 12 13 human and bovine vascular endothelium and subendothelial extracellular matrix. FEMS Microbiol. Lett. 48, 201205. Persi, M.A., Burnham, J.C. and Duhring, J.L. (1985) Effects of carbon dioxide and pH on adhesion of Candida albicans to vaginal epithelial cells. Infect. Immun. 50, 82-90. Verran, J., Shakespeare, A.P., Willcox, M.D.P. and Know, K.W. (1991) The effect of pH on adhesion and hyphal formation by strains of Candida albicans. Microb. Ecol. Health Dis. 4, 73-80. Klotz, S.A., Rutten, M.J., Smith, R.L., Babcock, S.R. and Cunningham, M.D. (1993) Adherence of Candida albicans to immobilized extracellular matrix proteins is mediated by calcium-dependent surface glycoproteins. Microb. Pathog. 14, 133-147. Curtis, A.S.G. (1973) Cell adhesion. Prog. Biophys. Mol. Biol. 27, 317-386.