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Candidiasis
a
19
Biology
Undergraduate 3
01/23/2018

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Term
How many aids patients will get a candida infection?
Definition
>80%
Term
How deaths from hospital acquired infections does candida cause?
Definition
30%
Term
Which are the two most common Candida species?
Definition
albicans and glabrata
Term
What are the forms of superficial candidiasis?
Definition
Thrush - white adherent growth on the mucous membranes of the mouth and throat
Vulvovaginal candidiasis - infection of the mucous membranes of the vagina, white growth, ulceration
Cutaneous candidiasis - occurs in chronically moist areas of the skin, and in burn patients
Term
What predisposes someone to disseminated candidiasis?
Definition
Antibacterial therapy
Compromised immune capacity
AIDS
Mucosal disruption - catheters - biofilms can form
Diabetes mellitus - high mannoprotein - uses for cell wall
Term
What are the overall steps of candida infection?
Definition
Adhesion to epithelium
Epithelial penetration and invasion by hyphae
Vascular dissemination
Endothelial colonization and penetration
Term
What mediates the adherence and variable cell wall proteins of Candida?
Definition
The ALS (agglutinin-like sequence) family of 8 genes
Term
What is the benefit of a variable cell wall?
Definition
Evade immune defences and colonize different sites
Term
Which ALS genes mediate adherence to different substrates?
Definition
1,3,5
Term
Why would more tandem repeats in ALS genes mean more adherence?
Definition
It is thought that it provides more N-terminal exporsure. It may also introduce antigenic diversity
Term
What is the ALS orthologue in C.glabrate?
Definition
EPAs
Term
What position are the EPA genes at and why is this important?
Definition
Subtelomeric, this generates diversity by differential silencing between individual cells - highly heterogeneous expression of EPA
Term
What is Hwp1?
Definition
Hyphal Wall Protein - GPI protein, substrate for epithelial cell transglutaminases, linking it to other epithelial surface proteins by mimicing host proteins - adherence to epithelial cells, and binds certain als's, mediating hypha-hypha adherence, aiding in biofilm formation
Term
How does Candida invade?
Definition
After adherence, it switches to a hyphal form, transcription factors Sfl2 and Efg1 induce this
Term
What is EntV?
Definition
A protein produces by a rival pathogen that inhibits hypha formation in albicans
Term
What challenged the recent thought that hyphae are invasive and yeast disseminatng?
Definition
Hypha-defective mutants can infect, non-infective mutatns can switch morphology
Term
How is Candida thigomotropism mediated?
Definition
Contact with barrier - activates Mid1, a stretch activated Ca channel.
Ca2+ directs Cdc42 to plasma membrane
Cdc42 amplifies directional growth signal
Term
What are the two methods of epithelial cell invasion?
Definition
Active hyphal penetraion using aspartyl proteanases, lipases and candidalysin
Induction of endocytosis by invasin-like proteins on the hypha surface - als3 binds to e-cadherin to stimulate clathrin dependent endocytosis, Ssa1 performs a similar action
Term
Why are biofilms resistnat to antifungal drugs?
Definition
Low ergosterol content
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