Skip to main content

Virulence and Pathogenicity of Fungal Pathogens with Special Reference to Candida albicans

  • Chapter
  • First Online:
Combating Fungal Infections

Abstract

The frequency of severe systemic fungal diseases has increased in the last few decades. The clinical use of broad spectrum antibacterial drugs and immunosuppressive agents after organ transplantation, cancer chemotherapy, and advancements in surgery are associated with increasing risk of fungal infection. Despite the effectiveness of available antifungals in combating such infections, the emergence of drug resistance to antifungals, and problems of toxicity and poor delivery of drugs at the target site in systemic infections, have necessitated a systematic approach to the study of fungal pathogens, host–fungi interactions, and identification of virulence factors. Characterization of virulence factors is expected to improve understanding of fungal pathogenesis and to help explore new drug targets. In this article we discuss the process of fungal infections, virulence factors and pathogenicity of fungal pathogens, with special reference to Candida albicans. Adherence, dimorphism, phenotypic switching, secretion of hydrolytic enzymes, biofilm formation, and ability to adapt at host body temperature are some of the well-known virulence factors among pathogenic fungi and are discussed in relation to C. albicans.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Albrecht A, Felk A, Pichova I, Naglik JR, Schaller M, De Groot P, MacCallum D, Odds FC, Schafer W, Klis F, Monod M, Hube B (2006) Glycosylphosphatidylinositol anchored proteases of Candida albicans target proteins necessary for both cellular process and host pathogen interactions. J Biol Chem 281:668–694

    Google Scholar 

  • Alem MAS, Oteef MDY, Flowers TH, Douglas LJ (2006) Production of tyrosol by Candida albicans biofilms and its role in quorum sensing and biofilm development. Eukaryotic Cell 5:1770–1779

    Article  PubMed  CAS  Google Scholar 

  • Al-Fattani MA, Douglas LJ (2006) Biofilm matrix of Candida albicans and Candida tropicalis: chemical composition and role in drug resistance. J Med Microbiol 55:999–1008

    Article  PubMed  CAS  Google Scholar 

  • Baille GS, Douglas LJ (1999) Role of dimorphism in the development of Candida albicans biofilm. J Med Microbiol 48:671–679

    Article  Google Scholar 

  • Berman J, Sudbery PE (2002) Candida albicans: a molecular revolution built on lessons from budding yeast. Nat Rev Genet 3:918–930

    Article  PubMed  CAS  Google Scholar 

  • Blankenship JR, Mitchell AP (2006) How to build a biofilm: a fungal perspective. Curr Opin Microbiol 9:588–594

    Article  PubMed  CAS  Google Scholar 

  • Braun BR, Johnson AD (1997) Control of filament formation in Candida albicans by the transcriptional repressor TUP1. Science 277:105–109

    Article  PubMed  CAS  Google Scholar 

  • Braun BR, Johnson AD (2000) TUP1, CPH1 and EFG1 make independent contributions to filamentation in Candida albicans. Genetics 157:57–67

    Google Scholar 

  • Brock M (2009) Fungal metabolism in host niches. Curr Opin Microbiol 12:371–376

    Article  PubMed  CAS  Google Scholar 

  • Brown AJ, Gow NA (1999) Regulatory networks controlling Candida albicans morphogenesis. Trends Microbiol 7:333–338

    Article  PubMed  CAS  Google Scholar 

  • Cao YY, Cao YB, Xu Z, Ying K, Li Y, Xie Y, Zhu ZY, Chen WS, Jiang YY (2005) cDNA microarray analysis of differential gene expression in Candida albicans biofilm exposed to farnesol. Antimicrob Agents Chemother 49:584–589

    Article  PubMed  CAS  Google Scholar 

  • Casadevall A (2007) Determinants of virulence in the pathogenic fungi. Fungal Biol Rev 21:130–132

    Article  PubMed  Google Scholar 

  • Casadevall A, Pirofski LA (2001) Host-pathogen interactions: the attributes of virulence. J Infect Dis 184:337–344

    Article  PubMed  CAS  Google Scholar 

  • Celera JA, Claderone R (2001) Signalling and the biology of human fungal pathogens. In: Claderone R, Cihlar R (eds) Fungal pathogenesis: principles and clinical applications. Marcel Dekker, New York, pp 115–137

    Google Scholar 

  • Chaffin WL, Lopez-Ribot Jl, Casanova M, Gozalbo D, Martinez JP (1998) Cell wall and secreted proteins of Candida albicans: identification, function and expression. Microbiol Mol Biol Rev 62:130–180

    PubMed  CAS  Google Scholar 

  • Chakrabarti A (2005) Microbiology of systemic fungal infection. J Postgrad Med 51(Suppl1):S16–S20

    PubMed  Google Scholar 

  • Chandra J, Kuhn DM, Mukherjee PK, Hoyer LL, McCormik T, Ghannoum MA (2001) Biofilm formation by the fungal pathogen Candida albicans: development, architecture and drug resistance. J Bacteriol 18:5385–5394

    Article  Google Scholar 

  • Chandra J, Patel JD, Li J, Zhou G, Mukherjee PK, McCormick TS et al (2005) Modification of surface properties of biomaterials influences the ability of Candida albicans to form biofilms. Appl Environ Microbiol 71:8795–8801

    Article  PubMed  CAS  Google Scholar 

  • Claderone RA, Fonzi WA (2001) Virulence factors of Candida albicans. Trends Microbiol 9:327–336

    Article  Google Scholar 

  • Corner BE, Magee PT (1997) Candida pathogenesis: unraveling the threads of infection. Curr Biol 2:R691–R694

    Article  Google Scholar 

  • de Bernardis F, Muhlschlegel FA, Cassone A, Fonzi WA (1998) The pH of the host niche controls the gene expression in and virulence of Candida albicans. Infect Immun 66:3317–3325

    PubMed  Google Scholar 

  • de Bernardis F, Arancia S, Morelli L, Hube B, Sanglard D, Schafer W, Cassone A (1999) Evidence that members of aspartyl proteinase gene family, in particular SAP 2, are virulence factors for Candida vaginitis. J Infect Dis 179:201–208

    Article  PubMed  Google Scholar 

  • Dominic RM, Shenoy S, Baliga S (2007) Candida biofilms in medical devices: evolving trends. Kathmandu Univ Med J 5:431–436

    CAS  Google Scholar 

  • Dos Santos AL, de Carvalno IM, daSilva BA, Portela MB, Alviano CS, de Aroujo Soares RM (2006) Secretion of serine peptidase by a clinical strain of Candida albicans: influence of growth condition and cleavage of human serum proteins and extracellular matrix components. FEMS Immunol Med Microbiol 46:209–220

    Article  PubMed  CAS  Google Scholar 

  • Douglas LJ (2003) Candida biofilms and their role in infection. Trends Microbiol 11:30–36

    Article  PubMed  CAS  Google Scholar 

  • Eckert SE, Sheth CC, Muhlschlegel FA (2007) Regulation of morphogenesis in Candia species. In: d’Enfert CH, Hube B (eds) Candida. Comparative and functional genomics. Caister Academic, Norfolk, pp 263–291

    Google Scholar 

  • Fidel PL Jr, Vanquez JA, Sobel JD (1999) Candida glabrata: a review of epidemiology, pathogenesis and clinical disease with comparison to Candida albicans. Clin Microbiol Rev 12:80–96

    PubMed  Google Scholar 

  • Filler SG, Sheppard DC, Edwards JE Jr (2006) Molecular basis of fungal adherence to endothelial and epithelial cells. In: Heitman J, Filler SG, Edwards JE Jr, Mitchell AP (eds) Molecular principles of fungal pathogenesis. ASM, Washington, DC, pp 187–196

    Google Scholar 

  • Fluckiger U, Marchetti O, Bille J, Eggiman P, Zimmerli S, Imhof A, Garbino J, Ruef C, Pittet D, Tauber M, Glauser M, Calandra T (2006) Treatment options of invasive fungal infections in adults. Swiss Med Wkly 136:447–463

    PubMed  CAS  Google Scholar 

  • Ghannoum MA (2000) Potential role of phospholipases in virulence and fungal pathogenesis. Clin Microbiol Rev 13:122–143

    Article  PubMed  CAS  Google Scholar 

  • Gow NAR, Brown AJP, Odds FC (2002) Fungal morphogenesis and host invasion. Curr Opin Microbiol 5:366–371

    Article  PubMed  CAS  Google Scholar 

  • Granger BL, Flenniken ML, Davis DA, Mitchell AP, Cutler JE (2005) Yeast wall protein 1 of Candida albicans. Microbiol 151:1631–1644

    Article  CAS  Google Scholar 

  • Green CB, Cheng G, Chandra J, Mukherjee P, Ghannoum MA, Hoyer LL (2004) RT-PCR detection of Candida albicans ALS gene expression in the reconstituted human epithelium (RHE) model of oral candidiasis and in model biofilms. Microbiol 150:267–275

    Article  CAS  Google Scholar 

  • Haas H, Eisendle M, Turgeon BG (2008) Siderophores in fungal physiology and virulence. Ann Rev Phytopathol 46:149–187

    Article  CAS  Google Scholar 

  • Hall-Stoodley L, Costerton JW, Stoodley P (2004) Bacterial biofilms: from the natural environment to infectious diseases. Nat Rev Microbiol 2:95–108

    Article  PubMed  CAS  Google Scholar 

  • Hawser SP, Douglas LJ (1994) Biofilm formation by Candida species on the surface of catheter materials in vitro. Infect Immun 62:915–921

    PubMed  CAS  Google Scholar 

  • Hayens KA, Westerneng TJ (1996) Rapid identification of Candida albicans, C. glabrata, C. parapsilosis and C. krusei by species specific PCR of large subunit ribosomal DNA. J Med Microbiol 44:390–396

    Article  Google Scholar 

  • Haynes K (2001) Virulence in Candida species. Trends Microbiol 9:591–596

    Article  PubMed  CAS  Google Scholar 

  • Hogan DA (2006) Talking to themselves: autoregulation and quorum sensing in fungi. Eukaryotic Cell 5:613–619

    Article  PubMed  CAS  Google Scholar 

  • Hogan LH, Klein BS, Levitz SM (1996) Virulence factors of medically important fungi. Clin Microbiol Rev 9:469–488

    PubMed  CAS  Google Scholar 

  • Hoyer LL (2001) The ALS gene family of Candida albicans. Trends Microbiol 9:176–180

    Article  PubMed  CAS  Google Scholar 

  • Hoyer LL, Payne TL, Bell M, Myers AM, Scherer S (1998) Candida albicans AL S3 and insights into the nature of the ALS gene family. Curr Genet 33:451–459

    Article  PubMed  CAS  Google Scholar 

  • Hube B (2004) From commensal to pathogen: stage and tissue specific gene expression of Candida albicans. Curr Opin Microbiol 7:336–341

    Article  PubMed  CAS  Google Scholar 

  • Hube B, Naglik J (2001) Candida albicans proteinases resolving the mystery of a gene family. Microbiol 147:1997–2005

    CAS  Google Scholar 

  • Hube B, Sanglard D, Odds FC, Hess D, Monod M, Schafer W, Brown AJ, Gow NA (1997) Disruption of each of the secreted aspartyl proteinase genes SAP1, SAP2 and SAP3 of Candida albicans attenuates virulence. Infect Immun 65:3529–3538

    PubMed  CAS  Google Scholar 

  • Hube B, Ruchel R, Monod M, Sanglard D, Odds FC (1998) Functional aspects of secreted Candida proteinases. Adv Exp Med Biol 436:339–344

    Article  PubMed  CAS  Google Scholar 

  • Ibrahim AS, Mirbod F, Filler SG, Banno Y, Cole GT, Kitajima Y, Edwards JE Jr, Nozawa Y, Ghannoum MA (1995) Evidence implicating phospholipase as a virulence factor of Candida albicans. Infect Immun 63:1993–1998

    PubMed  CAS  Google Scholar 

  • Kelly MT, MacCallum DM, Clancy SD, Odds FC, Brown AJ, Butler G (2004) The Candida albicans CaACE 2 gene affects morphogenesis, adherence and virulence. Mol Microbiol 53:969–983

    Article  PubMed  CAS  Google Scholar 

  • Khan ZK, Gyanchandani A (1998) Candidiasis: a review. PINSA 64:1–34

    CAS  Google Scholar 

  • Klein BS, Tebbets B (2007) Dimorphism and virulence in fungi. Curr Opin Microbiol 10:314–319

    Article  PubMed  CAS  Google Scholar 

  • Kruppa M, Krom BP, Chauhan N, Bambach AV, Cihlar RL, Calderone RA (2004) The two-component signal transduction protein Chk1p regulates quorum sensing in Candida albicans. Eukaryotic Cell 3:1062–1065

    Article  PubMed  CAS  Google Scholar 

  • Kuleta JK, Kozik MR, Kozik A (2009) Fungi pathogenic to humans: molecular basis of virulence of Candida albicans, Cryptococcus neoformans and Aspergillus fumigatus. Acta Biochim Pol 56:211–224

    Google Scholar 

  • Kvaal C, Lachke SA, Srikantha T, Daniels K, McCoy J, Soll DR (1999) Misexpression of the opaque phase specific gene PEP1 (SAP1) in the white phase of Candida albicans confers increased virulence in a mouse model of cutaneous infection. Infect Immun 67:6652–6662

    PubMed  CAS  Google Scholar 

  • Latge JP, Calderone R (2002) Host–microbe interactions: fungi Invasive human fungal opportunistic infections. Curr Opin Microbiol 5:355–358

    Article  PubMed  Google Scholar 

  • Leberer E, Harcus D, Broadbent ID, Clark KL, Dignard D, Ziegelbauer K, Schmidt A, Gow NAR, Brown AJP, Thomas DY (1996) Signal transduction through homologs of the Ste20p and Ste7p protein kinases can trigger hyphal formation in the pathogenic fungus Candida albicans. Proc Natl Acad Sci USA 93:13217–13222

    Article  PubMed  CAS  Google Scholar 

  • Lewis RE, Lo HJ, Raad II, Kontoyiannis DP (2002) Lack of catheter infection by the efg1/efg1 cph1/cph1 double-null mutant, a Candida albicans strain that is defective in filamentous growth. Antimicrob Agents Chemother 46:1153–1155

    Article  PubMed  CAS  Google Scholar 

  • Li F, Svarovsky MJ, Karlsson AJ, Wagner JP, Marchillo K, Oshel P, Andes D, Palecek SP (2007) Eap1p, a adhesin that mediates Candida albicans biofilm formation in vitro and in vivo. Eukaryotic Cell 6:931–939

    Article  PubMed  CAS  Google Scholar 

  • Liu H (2001) Transcriptional control of dimorphism in Candida albicans. Curr Opin Microbiol 4:728–735

    Article  PubMed  CAS  Google Scholar 

  • Lopez-Ribot Jl (2005) Candida albicans biofilms: more than filamentation. Curr Biol 15:R453–R455

    Article  PubMed  CAS  Google Scholar 

  • Martin GS, Mnnino DM, Eaton S, Moss M (2003) The epidemiology of sepsis in the United States from 1979 through 2000. N Engl J Med 348:546–1554

    Google Scholar 

  • Martinez-Lopez R, Monteoliva L, Diez-Orejas R, Nombela C, Gil C (2004) The GPI-anchored protein CaEcm33p is required for cell wall integrity, morphogenesis and virulence in Candida albicans. Microbiol 150:3341–3354

    Article  CAS  Google Scholar 

  • Mendes-Giannini MJS, Da Silva JLM, Da Silva JF, Donofrio FC, Miranda ET, Andreotti PF, Soares CP (2008) Interactions of Paracoccidioides brasiliensis with host cells: recent advances. Mycopathologia 165:237–248

    Article  PubMed  Google Scholar 

  • Miller MG, Johnson AD (2002) White opaque switching in Candida albicans is controlled by mating type locus homeodomain proteins and allows efficient mating. Cell 110:293–302

    Article  PubMed  CAS  Google Scholar 

  • Molero G, Dies-Oreja R, Navarro-Garcia F, Monteoliva L, Pla J, Gill C, Sanchez-Perez M, Nambela C (1998) Candida albicans: genetics, dimorphism and pathogenicity. Int J Microbiol 1:95–106

    CAS  Google Scholar 

  • Monod M, Zepelin MB (2002) Secreted proteinases and other virulence mechanisms of Candida albicans. Chem Immunol 81:114–128

    Article  PubMed  CAS  Google Scholar 

  • Moore RD, Chaisson RE (1996) Natural history of opportunistic disease in an HIV infected urban clinical cohort. Ann Intern Med 124:633–642

    PubMed  CAS  Google Scholar 

  • Muhlschlegel FA, Fonzi WA (1997) PHR2 of Candida albicans encodes a functional homolog of the pH regulated gene PHR1 with an inverted pattern of pH dependent expression. Mol Cell Biol 17:5960–5967

    PubMed  CAS  Google Scholar 

  • Mulhern SM, Logue ME, Butler G (2006) Candida albicans transcription factor Ace2 regulates metabolism and is required for filamentation in hypoxic conditions. Eukaryotic Cell 5:2001–2013

    Article  PubMed  CAS  Google Scholar 

  • Murphy JW (1991) Mechanisms of natural resistance to human pathogenic fungi. Annu Rev Microbiol 45:509–538

    Article  PubMed  CAS  Google Scholar 

  • Naglik JR, Challacombe SJ, Hube B (2003) Candia albicans secreted aspartyl proteinases in virulence and pathogenesis. Microbiol Mol Biol Rev 67:400–428

    Article  PubMed  CAS  Google Scholar 

  • Naglik JR, Albercht A, Bader O, Hube B (2004) Candida albicans proteinases and host pathogen interactions. Cellular Microbiol 6:915–926

    Article  CAS  Google Scholar 

  • Naglik JR, Moyes D, Makwana J, Kanzaria P, Tsichlaki E, Weindl G, Tappuni AR, Rodgers CA, Woodman AJ, Challacombe SJ, Schaller M, Hube B (2008) Quantitative expression of the Candida albicans secreted aspartyl proteinase gene family in human oral and vaginal candidiasis. Microbiol 154:3266–3280

    Article  CAS  Google Scholar 

  • Nobile CJ, Mitchell AP (2005) Regulation of cell surface genes and biofilm formation by the Candida albicans transcription factor Bcr1. Curr Biol 15:1150–1155

    Article  PubMed  CAS  Google Scholar 

  • Nobile CJ, Andes DR, Nett JE, Smith FJ, Yue F, Phan QT, Edwards JE, Filler SG, Mitchell AP (2006a) Critical role of Bcr1- dependent adhesins in Candida albicans biofilms formation in vitro and in vivo. PLoS Pathog 2:636–649

    Article  CAS  Google Scholar 

  • Nobile CJ, Nett JE, Andes DR, Mitchell AP (2006b) Function of Candida albicans adhesin Hwp1 in biofilm formation. Eukaryotic Cell 5:1604–1610

    Article  PubMed  CAS  Google Scholar 

  • Noffiz CS, Liedschulte V, Lengeler K, Ernst JF (2008) Functional mapping of the Candida albicans Efg1 regulator. Eukaryotic Cell 7:881–893

    Article  CAS  Google Scholar 

  • Norice CT, Smith FJ Jr, Solis N, Filler SG, Mitchell AP (2007) Requirement for Candida albicans Sun41 in biofilm formation and virulence. Eukaryot Cell 6:2046–2055

    Article  PubMed  CAS  Google Scholar 

  • Odds FC (1988) Candida and Candidiasis: a review and bibliography. Bailliere Tindall, London, UK, p 67

    Google Scholar 

  • Odds FC, Gow NAR, Brown AJP (2006) Toward a molecular understanding of Candida albicans virulence. In: Heitman J, Filler SG, Edwards JE Jr, Mitchell AP (eds) Molecular principles of fungal pathogenesis. ASM, Washington, DC, pp 305–319

    Google Scholar 

  • Pfaller MA, Diekema DJ (2002) Role of sentinel surveillance of candidemia: trends in species distribution and antifungal susceptibility. J Clin Microbiol 40:3551–3557

    Article  PubMed  CAS  Google Scholar 

  • Pommerville JC (2004) Alcamo’s fundamentals of microbiology, 7th edn. Jones and Bartlett, Sudbury, MA

    Google Scholar 

  • Ramage G, Saville SP, Wickes BL, Lopez-Ribot Jl (2002) Inhibition of Candida albicans biofilm formation by farnesol, a quorum sensing molecule. Appl Environ Microbiol 68:5459–5463

    Article  PubMed  CAS  Google Scholar 

  • Ramage G, Saville SP, Thomas DP, Lopez-Ribot JL (2005) Candida biofilms: an update. Eukaryotic Cell 4:633–638

    Article  PubMed  CAS  Google Scholar 

  • Ramage G, Ghannoum MA, Lopez-Ribot JL (2006) Fungal biofilms: agents of disease and drug resistance. In: Hetman J, Filler SG, Edwards JE Jr, Mitchell AP (eds) Molecular principles of fungal pathogenesis. ASM, Washington, DC, pp 177–185

    Google Scholar 

  • Rappleye CA, Goldman WE (2006) Defining virulence genes in the dimorphic fungi. Annu Rev Microbiol 60:281–303

    Article  PubMed  CAS  Google Scholar 

  • Reedy JL, Bastidas RJ, Heitman J (2007) The virulence of human pathogenic fungi: notes from the South of France. Cell Host Microbe 2:77–83

    Article  PubMed  CAS  Google Scholar 

  • Ribaud P, Chastang C, Latge JP, BAffroy-Lafitte C, Parquet N, Devergie A, Esperou H, Selini F, Rocha V, Derouin F, Socie G, Gluckman E (1999) Outcome and prognostic factors of invasive aspergillosis after allogenic bone marrow transplantation. Clin Infect Dis 28:322–330

    Article  PubMed  CAS  Google Scholar 

  • Richard ML, Nobile CJ, Bruno VM, Mitchell AP (2005) Candida albicans biofilm-defective mutants. Eukaryote Cell 4:1493–1502

    Article  CAS  Google Scholar 

  • Richardson MD (2005) Changing pattern and trends in systemic fungal infections. J Antimicrob Chemother 56:5–11

    Article  CAS  Google Scholar 

  • Ruiz-Herrera J, Elorza MV, Valentin E, Sentandreu R (2006) Molecular organization of the cell wall of Candida albicans and its relation to pathogenicity. FEMS Yeast Res 6:14–29

    Article  PubMed  CAS  Google Scholar 

  • Rupp S (2007) Interactions of the fungal pathogen Candida albicans with the host. Future Microbiol 2:141–151

    Article  PubMed  CAS  Google Scholar 

  • Saporito-Irwin SM, Birse CE, Sypherd PS, Fonzi WA (1995) PHR1, a pH regulated gene of Candida albicans, is required for morphogenesis. Mol Cell Biol 15:601–613

    PubMed  CAS  Google Scholar 

  • Schaller M, Hube B, Ollert MW, Schafer W, Borg-Von ZM, Thoma-Greber E, Korting HC (1999) In vivo expression and localization of Candida albicans secreted aspartyl proteinases during oral candidiasis in HIV infected patients. J Invest Dermatol 112:383–386

    Article  PubMed  CAS  Google Scholar 

  • Senet JM (1998) Candida adherence pheneomenon, from commensalisms to pathogenicity. Int Microbiol 1:117–122

    PubMed  CAS  Google Scholar 

  • Seneviratne CJ, Jin L, Samaranayke LP (2007) Biofilm lifestyle of Candida: a mini review. Oral Dis 14:582–590

    Article  Google Scholar 

  • Soll DR (1992) High frequency switching in Candida albicans. Clin Microbiol Rev 5:183–203

    PubMed  CAS  Google Scholar 

  • Soll DR (1997) Gene regulation during high frequency switching in Candida albicans. Microbiol 143:279–288

    Article  CAS  Google Scholar 

  • Soll DR (2002a) Phenotypic switching. In: Claderone R (ed) Candida and candidiasis. ASM, Washington, DC, pp 123–142

    Google Scholar 

  • Soll DR (2002b) Candida commensalism and virulence: the evolution of phenotypic plasticity. Acta Trop 81:101–110

    Article  PubMed  Google Scholar 

  • Staab JF, Bradway SD, Fidel PL, Sundstrom P (1999) Adhesive and mammalian transglutaminase substrate properties of Candida albicans Hwp1. Science 283:1535–1538

    Article  PubMed  CAS  Google Scholar 

  • Staib P, Kretschmar M, Nichterlein T, Hof H, Morschhauser J (2002) Transcriptional regulators cph1p and Efg1p mediate activation of the Candida albicans virulence gene SAP5 during infection. Infect Immun 70:921–927

    Article  PubMed  CAS  Google Scholar 

  • Sullivan D, Moran G, Coleman D (2005) Fungal diseases of humans. In: Kavanagh K (ed) Fungi: biology and applications. Wiley, Chichester, UK, pp 171–190

    Chapter  Google Scholar 

  • Theiss S, Ishdorj G, Brenot A, Kretschmar M, Lan CY, Nichterlein T, Hacker J, Nigam S, Agabian N, Kohler GA (2006) Inactivation of the phospholipase B gene PLB5 in wild type Candida albicans reduces cell associated phospholiupase A2 activity and attenuates virulence. Int J Med Microbiol 296:405–420

    Article  PubMed  CAS  Google Scholar 

  • Tomee JFCH, Kauffman HF (2000) Putative virulence factors of Aspergillus fumigatus. Clin Exp Allergy 30:476–484

    Article  PubMed  CAS  Google Scholar 

  • Wanner A, Salathe M, O’Riordan TG (1996) Mucociliary clearance in the airways. Am J Respir Crit Care Med 154:1868–1902

    PubMed  CAS  Google Scholar 

  • Watamoto T, Samaranayake LP, Jayatilake JAMS, Egusa H, Yatani H, Seneviratne CJ (2009) Effect of filamentation and mode of growth on antifungal susceptibility of Candida albicans. Int J Antimicrob Agents 34:333–339

    Article  PubMed  CAS  Google Scholar 

  • Weitzman I, Summerbell RC (1995) The dermatophytes. Clin Microbiol Rev 8:240–259

    PubMed  CAS  Google Scholar 

  • Willey JM, Sherwood LM, Woolverton CJ (2008) Prescott, Harley and Klein’s microbiology, 7th edn. McGraw Hill, Singapore

    Google Scholar 

  • Yang YL (2003) Virulence factors of Candida species. J Microbiol Immunol Infect 36:223–228

    PubMed  CAS  Google Scholar 

  • Zhao X, Daniels KJ, Oh SH, Green CB, Veater KM, Soll DR, Hoyer LL (2006) Candida albicans Als3p is required for wild type biofilm formation on silicone elastomer surface. Microbiology 152:2287–2299

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohd Sajjad Ahmad Khan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Khan, M.S.A., Ahmad, I., Aqil, F., Owais, M., Shahid, M., Musarrat, J. (2010). Virulence and Pathogenicity of Fungal Pathogens with Special Reference to Candida albicans . In: Ahmad, I., Owais, M., Shahid, M., Aqil, F. (eds) Combating Fungal Infections. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12173-9_2

Download citation

Publish with us

Policies and ethics