The pathogenic yeast Candida albicans can grow in multiple morphological states including budded, pseudohyphal and true hyphal forms. The ability to interconvert between budded and hyphal forms, herein termed the budded-to-hyphal transition (BHT), is important for C. albicans virulence, and is regulated by multiple environmental and cellular signals. To identify smallmolecule inhibitors of known cellular processes that can also block the BHT, a microplate-based morphological assay was used to screen the BIOMOL-Institute of Chemistry and Cell Biology (ICCB) Known Bioactives collection from the ICCB-Longwood Screening Facility (Harvard Medical School, Boston, MA, USA). Of 480 molecules tested, 53 were cytotoxic to C. albicans and 16 were able to block the BHT without inhibiting budded growth. These 16 BHT inhibitors affected protein kinases, protein phosphatases, Ras signalling pathways, G protein-coupled receptors, calcium homeostasis, nitric oxide and guanylate cyclase signalling, and apoptosis in mammalian cells. Several of these molecules were also able to inhibit filamentous growth in other Candida species, as well as the pathogenic filamentous fungus Aspergillus fumigatus, suggesting a broad fungal host range for these inhibitory molecules. Results from secondary assays, including hyphal-specific transcription and septin localization analysis, were consistent with the inhibitors affecting known BHT signalling pathways in C. albicans. Therefore, these molecules will not only be invaluable in deciphering the signalling pathways regulating the BHT, but also may serve as starting points for potential new antifungal therapeutics.
INTRODUCTIONCandida albicans is a major opportunistic pathogen of immunocompromised hosts (Schmidt-Westhausen et al., 1991;Warnock, 2007), as well as a leading cause of nosocomial bloodstream infections, especially in patients with indwelling medical devices (Kojic & Darouiche, 2004;Lynch & Robertson, 2008). C. albicans can grow as either budded (yeast-like) or filamentous cells, the latter comprising pseudohyphae and true hyphae (Sudbery et al., 2004). Both budded and hyphal cells are found at sites of infection, and the ability to undergo the budded-to-hyphal transition (BHT) is important for virulence (Saville et al., 2003). C. albicans mutants that have defects in the BHT have a reduced ability to become internalized and to cause endothelial cell injury in vitro (Phan et al., 2000), and small-molecule inhibitors of the BHT can protect endothelial cells from C. albicans-induced cell damage (Toenjes et al., 2005). These data are indicative that the BHT can modulate the ability of C. albicans to cause endothelial cell injury and suggest that the BHT is critical for systemic candidiasis.The BHT occurs in response to a variety of environmental signals, including temperature above 35 u C, pH above 6.5, nutrient starvation and growth in serum (Ernst, 2000). Therefore, it is not surprising that multiple signalling pathways regulate the BHT (Biswas et al., 2007;Brown, 2002). Genetic analysis ...