2Candida albicans is part of the normal human flora, and it grows on mucosal surfaces in healthy individuals. In susceptible hosts, this organism can cause both mucosal and hematogenously disseminated disease. For C. albicans to persist in the host and induce disease, it must be able to adhere to biotic and abiotic surfaces, invade host cells, and obtain iron. The C. albicans hypha-specific surface protein Als3 is a member of the agglutininlike sequence (Als) family of proteins and is important in all of these processes. Functioning as an adhesin, Als3 mediates attachment to epithelial cells, endothelial cells, and extracellular matrix proteins. It also plays an important role in biofilm formation on prosthetic surfaces, both alone and in mixed infection with Streptococcus gordonii. Als3 is one of two known C. albicans invasins. It binds to host cell receptors such as E-cadherin and N-cadherin and thereby induces host cells to endocytose the organism. Als3 also binds to host cell ferritin and enables C. albicans to utilize this protein as a source of iron. Because of its multiple functions and its high expression level in vivo, Als3 is a promising target for vaccines that induce protective cell-mediated and antibody responses. This review will summarize the multiple functions of this interesting and multifunctional protein.Candida spp. are the fourth most common cause of nosocomial bloodstream infections, and Candida albicans accounts for approximately 50% of cases of candidemia (20,67). This organism also causes at least 80% of cases of oropharyngeal and vulvovaginal candidiasis (57, 66). The predominance of C. albicans as a cause of both hematogenously disseminated and mucosal disease suggests that this organism possesses unique virulence factors compared to other species of Candida. One such factor, which is present only in C. albicans, is Als3. This protein plays a key role in multiple processes that are necessary for the organism to colonize the host and cause disease. These processes include adherence to host cells, biofilm formation, host cell invasion, and iron acquisition. Moreover, because Als3 is highly expressed in vivo, it is a promising target for therapeutic antibody and vaccine development. This review will discuss Als3 structure and function, as well as its utility as a therapeutic target.
GENETIC AND BIOCHEMICAL CHARACTERISTICS OF Als3The ALS gene family. Als3 is encoded by the ALS3 gene, which is a member of the agglutinin-like sequence (ALS) gene family (23). This family was discovered by Hoyer et al. (24) based on its similarity to Saccharomyces cerevisiae SAG1, which codes for ␣ agglutinin. The ALS gene family has eight members (ALS1 to ALS7 and ALS9) (Fig. 1). These genes encode cell surface proteins that are predicted to share the same overall structure (Fig. 2). At the N terminus is a signal peptide followed by a 300-amino-acid immunoglobulin-like domain and a 104-amino-acid threonine-rich domain that contains -sheets (18,22,47,55). Most Als proteins have adhesin function (18,55,72), an...