Immunocompromised patients are at high risk of developing Candida infections. Although cellmediated immunity is generally believed to play the main role in defence against fungi, antibodies could also be effective in immune defence by different mechanisms of action. The adherence capacity of four strains of Candida albicans to polystyrene and to some extracellular matrix components was investigated after incubation of the yeasts with non-specific and specific anti-C. albicans IgG. Experiments were carried out using a colorimetric method based upon the reduction of XTT tetrazolium (2,3-bis[2-methoxy-4-nitro-5-sulfophenyl]-2H-tetrazolium-5-carboxanilide) by mitochondrially active blastospores in the presence of menadione. Incubation of the yeasts with IgG, specific or not, caused a decrease in the capacity for adherence to the surfaces studied. There was no significant effect of the specificity of the tested antibodies on the reduction of adherence capacity. In conclusion, total IgG could play a role in blocking the binding of C. albicans to host and medical device surfaces. These results suggest that regular survey of levels of total IgG in patients suffering from severe hypogammaglobulinaemia could be of interest for the prevention of systemic candidiasis.
INTRODUCTIONCandida albicans, a saprophyte of the human digestive tract, is frequently responsible for systemic infections in immunocompromised patients, even if other species of Candida are reported with increased frequency (Vincent et al., 1998). According to a wide-ranging American study, the rate of invasive fungal infections among hospital patients approximately doubled between 1980 and 1990, and the incidence of nosocomial candidaemia alone increased fivefold (BeckSagué & Jarvis, 1993).C. albicans possesses virulence factors that are required for the establishment of candidiasis, involved in processes such as adhesion, phenotypic switching and morphogenesis (Calderone & Fonzi, 2001). Adhesion of the organism to mucosal epithelium is a prerequisite for colonization and is therefore regarded as the initial step in the process leading to infection. Furthermore, adhesion to endothelium and extracellular matrix (ECM) components are required for dissemination of C. albicans (Klotz, 1992). A number of ECM proteins bind to the yeast, including fibronectin (Klotz et al., 1994), laminin (Sakata et al., 1999), vitronectin and type I and IV collagens (Klotz et al., 1993). Moreover, C. albicans is also able to adhere to the surface of intravascular catheters, usually colonized by intra-or extraluminal migration of Candida spp. from the skin surface (Flanagan & Barnes, 1998). Candidaemia occurs commonly in the presence of a colonized intravascular catheter (Rex, 1996).Nevertheless, the ability of this yeast to cause human infectious disease relates more to the immunological status of the host than to obvious virulence factors produced by the fungus. C. albicans is an opportunist yeast that becomes a pathogen in hosts whose local or systemic immune functions are impair...