Patients are becoming increasingly susceptible to infectious diseases. Deep mycoses are grave infections that occur in compromised hosts including patients with hematopoietic malignant diseases such as leukemia and malignant tumors, or AIDS, and continue to be a serious problem despite the availability of advanced medical technology.
1)The fungal cell wall typically contains b-glucans as its main constituent, and b-glucans are detected in the blood of patients with deep mycoses. Measurements of blood b-glucan levels are universally employed for the early diagnosis of deep mycoses. [2][3][4][5] We obtained a water-soluble extracellular polysaccharide fraction (Candida albicans water-soluble fraction: CAWS) in the culture supernatant obtained by culturing Candida spp. in a completely synthetic medium. CAWS was found to be composed of a mannoprotein-b-glucan complex, to be able to activate limulus G factor, 6) to demonstrate an activating effect on vascular endothelial cells, platelets, and lymphocytes, and to demonstrate vasculitis-inducing activity when administered to mice.7-11) Moreover, CAWS caused an acute lethal reaction when administered intravenously to mice. The vasculitis was strongly related to the structure of the mannan moiety, and the activity was significantly reduced in the presence of a beta-1,2-linked mannosyl segment which was synthesized under specific conditions.12) We found that water-soluble fractions derived from other strains of C. albicans and other species including C. parapsilosis and Saccharomyces cerevisiae were also lethal when administered intravenously (i.v.) to mice, suggesting that the toxicity is universal among yeast-like fungi. However, the water-soluble fraction derived from C. albicans strain NBRC 1385 (CAWS) was the most lethal CAWS of these species and strains. In addition, the toxicity varied depending on the strain of mouse.13) These differences among strains are a good example of the genetic background of the host having a remarkable effect on the expression of pathogen-associated molecular patterns (PAMPs). Detailed analyses of the toxicity of CAWS at the molecular level will be useful for the development of therapies against pathogenic fungi.We describe herein the results of our study of the mechanism underlying the acute lethal reaction to CAWS, using various inhibitors.
MATERIALS AND METHODS
Experimental AnimalsMale C3H/HeN and ICR mice were acquired from Japan SLC. The animals were raised in a specific pathogen-free (SPF) environment. Mice were purchased at 5 weeks of age and used at 6 to 8 weeks of age.Fungi Candida albicans strain NBRC 1385 was acquired from NITE Biological Resource Center on Sabouraud agar medium (Difco, U.S.A.) at 25°C, and sub-cultured once every 3 months.Preparation of the C. albicans Water-Soluble Extracellular Polysaccharide Fraction (CAWS) CAWS was prepared from C. albicans strain NBRC 1385 in accordance with conventional methods.3) The culture was performed in 5 l of C-limiting medium (Sucrose; 10 g, (NH 4 ) 2 SO 4 ; 2 g, KH 2 PO 4 ; 2 g,...