Shock is a serious clinical problem because of high mortality. There are many mechanisms inducing shock and major mechanisms related to immune dysfunction are anaphylaxis, septic shock, and endotoxin shock. Shock is usually difficulty to treat, because it is a systemic response involving not only changes in immunological parameters but inducing dysfunction of circulation, coagulation and fibrinolysis. 1) There have been many studies establishing and analyzing animal models of shock. We have also long been analyzing septic and endotoxic shock from various points of view such as, the detoxification of endotoxin by lysozyme, modulation of antibiotic action by lysozyme, 2,3) development of a monoclonal anti-CD14 antibody and its application, 4,5) and establishing an endogenous septic shock model using non-steroidal anti-inflammatory drugs. 6,7) In the course of studying early diagnosis of deep seated fungal infection we have found a limulus factor G activating activity in a water soluble polysaccharide fraction rich in mannan, named Candida albicans water soluble fraction (CAWS), released from Candida albicans, and it strongly caused acute anaphylaxis-like shock in mice.
8)The pathogenic yeast Candida albicans, a commensal of the human digestive tract and vaginal mucosa, is now one of the most common microbes of bloodstream infections in immunocompromised or intensive-care patients.9) The invasive mycoses including candidiasis, aspergillosis and cryptococcosis are increasingly becoming associated with immunosuppressive therapies and immunodeficiency associated with infections of the human immunodeficiency virus. The associated crude mortality is extensively high (38 to 75%), despite appropriate treatment with anti-fungal drugs.10-13) Sepsis, which is caused by a Gram-negative bacterial infection, has also increased for the reasons described above and the associated mortality is markedly high.
14)We previously obtained a water-soluble fraction (CAWS), prepared from the culture supernatants of Candida albicans grown in a completely synthetic medium. CAWS is mainly composed of a complex of mannoprotein and b-1,3-, b-1,6-glucans.15,16) CAWS exhibits various potential biological activities, such as cytokine synthesis by leukocytes, platelet aggregation, lethal toxicity like anaphylactoid shock, induction of coronary arteritis in various strains of mice, and so on. [17][18][19][20] However, the detailed mechanisms of these biological activities are unclear.It is reported that the intravenous injection of lipopolysaccharide from Escherichia coli O9, which possesses the mannose homopolysaccharide (MHP) as the O-antigen region, induced anaphylactoid shock within 15-60 min, but not lipopolysaccharide (LPS) from Escherichia coli O111, which possesses a heterosaccharide (not containing mannose). 21,22) The characteristics of this shock differ from those of the well-known endotoxic shock with respect to time until shock occurs and can be evoked in LPS-hyposensitive mice, like C3H/HeJ strain, 23) with a defect in Toll-like recept...