PUBLICATION

Beyond colonization: Candida albicans exhibits substantial pathogenic potential in cystic fibrosis environments

Authors
Radakovic, N., Plackic, N., Djuris, J., Morschhäuser, J., Sovtic, A., Basa, M., Minic, P., Zobi, F., Pavic, A.
ID
ZDB-PUB-251219-5
Date
2025
Source
NPJ biofilms and microbiomes   12: 23 (Journal)
Registered Authors
Keywords
none
MeSH Terms
  • Animals
  • Antifungal Agents/pharmacology
  • Candida albicans*/drug effects
  • Candida albicans*/genetics
  • Candida albicans*/growth & development
  • Candida albicans*/isolation & purification
  • Candida albicans*/pathogenicity
  • Candidiasis*/microbiology
  • Cystic Fibrosis*/complications
  • Cystic Fibrosis*/microbiology
  • Disease Models, Animal
  • Fungal Proteins/genetics
  • Fungal Proteins/metabolism
  • Humans
  • Lung/microbiology
  • Microbial Sensitivity Tests
  • Oxygen/metabolism
  • Sputum/microbiology
  • Virulence
  • Zebrafish
PubMed
41413063 Full text @ NPJ Biofilms Microbiomes
Abstract
Cystic fibrosis (CF) sputum represents a highly permissive niche for microbial colonization, yet the contribution of Candida albicans to disease progression remains insufficiently investigated despite its frequent detection in CF airways. We hypothesized that the heterogeneous nature of CF lung, reflected through the emergence of oxygen-depleted niches during disease progression, modulates C. albicans pathogenicity and antifungal susceptibility. Using complementary in vitro and in vivo approaches, we show that clinical CF isolates of C. albicans are virulent in CF-mimicking environments. Synthetic CF medium (SCFM2) supported robust filamentation, with oxygen-nutrient interplay critically shaping fungal growth and drug response. In a novel CF infection model using zebrafish morphants, we observed heightened susceptibility to C. albicans compared to wild-type embryos. Reporter strains showed elevated ECE1 expression, indicating increased candidalysin production and virulence in vivo. Our study provides compelling evidence that CF isolates of C. albicans have pathogenic potential, warranting consideration in future therapeutic strategies.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping