Vaccination with recombinant N-terminal domain of Als1p improves survival during murine disseminated candidiasis by enhancing cell-mediated, not humoral, immunity
Open accessAbstract
Candida spp. are opportunistic fungal pathogens that are among the most common causes of nosocomial bloodstream infections. The mortality attributable to disseminated candidiasis is 40 to 50% despite antifungal therapy. Clearly, new strategies are needed to prevent this life-threatening infection. Because risk factors for disseminated candidiasis are well defined and frequently of limited duration, vaccination is an appealing prophylactic strategy. We have identified a cell surface protein, Als1p, that mediates adherence of Candida albicans to a variety of human substrates and plastic. Here we report that immunizing BALB/c mice with the recombinant N-terminal domain of Als1p (rAls1p-N) improved survival during a subsequent challenge with a lethal inoculum of C. albicans. The protective 20-μg dose of rAls1p-N significantly increased Candida stimulation of Th1 splenocytes and increased in vivo delayed-type hypersensitivity. In contrast, antibody titers did not correlate with protection. Finally, the vaccine was not protective in T-cell-deficient mice but was protective in B-cell-deficient mice. These data indicate that the mechanism of action of the rAls1p-N vaccine is stimulation of cell-mediated, rather than humoral, immunity against C. albicans. The majority of efforts to date have focused on the development of passive immunization strategies to prevent or treat disseminated candidiasis. In contrast, our results provide proof of principle for vaccination with an adhesin of C. albicans and emphasize the potential for cell-mediated immune modulation as a prophylactic or therapeutic strategy against disseminated candidiasis.
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No fungal vaccine has been approved for humans.
“However, no fungal vaccine has been approved for humans [17,41].”
From The Emerging Fungal Pathogen Candida auris Induces IFNγ to Colonize the Skin (2025) · cites this paper as [41]
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- Authors
- Ibrahim, A. S., Spellberg, B. J., Avenissian, V., Fu, Y., Filler, S. G., & Edwards, J. E.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Ibrahim, Ashraf S.
- Venue
- Infection and Immunity
- Publisher
- American Society for Microbiology
- Published
- 2005-02
- Volume
- 73
- Issue
- 2
- Pages
- 999-1005
- ISSN
- 0019-9567 (ISSN-L)
- 1098-5522
- PMC
- PMC547099
- OpenAlex
- W2122999031
- Cited by
- 83
- References
- 68
- Citations by year
- 2025: 3 · 2022: 2 · 2021: 6 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 10 · 2013: 1 · 2012: 3
- FWCI
- 6.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Infection and Immunity (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (P01 AI-37194, R01AI019990, R03AI054531, K08AI060641, R01AI054928, R03 AI 054331, P01AI037194)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Keywords
- Candida albicans, systemic candidiasis, recombinant vaccine, cell-mediated immunity, Th1 response, delayed-type hypersensitivity, adhesins, fungal adhesion, humoral immunity, T cell deficiency, B cell deficiency, prophylactic vaccination, fungemia
- MeSH terms
- Animals, Antibodies, Antibody Formation, Candida albicans, Candidiasis, Fungal Proteins, Hypersensitivity, Delayed, Immunity, Cellular, Peptide Fragments, Recombinant Proteins, Time Factors, Vaccination, Protein Structure, Tertiary, Th1 Cells, Mice
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