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1 Department of Oral Medicine, Pathology and Immunology, King's College London Dental Institute, Kings College London, London, UK
2 Department of Dermatology, Eberhard Karl University, University of Tuebingen, Tuebingen, Germany
3 Department of Genitourinary and HIV Medicine, Guy's and St Thomas's Hospital Trust, St Thomas' Hospital, London, UK
4 Friedrich Schiller University Jena and Department of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology – Hans Knoell Institute Jena (HKI), Beutenbergstraße 11a, D-07745 Jena, Germany
Correspondence
Julian R. Naglik
julian.naglik{at}kcl.ac.uk
A quantitative real-time RT-PCR system was established to identify which secreted aspartyl proteinase (SAP) genes are most highly expressed and potentially contribute to Candida albicans infection of human epithelium in vitro and in vivo. C. albicans SC5314 SAP1–10 gene expression was monitored in organotypic reconstituted human epithelium (RHE) models, monolayers of oral epithelial cells, and patients with oral (n=17) or vaginal (n=17) candidiasis. SAP gene expression was also analysed in 
sap1–3, sap4–6, efg1 and efg1/cph1 mutants to determine whether compensatory SAP gene regulation occurs in the absence of distinct proteinase gene subfamilies. In monolayers, RHE models and patient samples SAP9 was consistently the most highly expressed gene in wild-type cells. SAP5 was the only gene significantly upregulated as infection progressed in both RHE models and was also highly expressed in patient samples. Interestingly, the SAP4–6 subfamily was generally more highly expressed in oral monolayers than in RHE models. SAP1 and SAP2 expression was largely unchanged in all model systems, and SAP3, SAP7 and SAP8 were expressed at low levels throughout. In sap1–3, expression was compensated for by increased expression of SAP5, and in sap4–6, expression was compensated for by SAP2: both were observed only in the oral RHE. Both sap1–3 and sap4–6 mutants caused RHE tissue damage comparable to the wild-type. However, addition of pepstatin A reduced tissue damage, indicating a role for the Sap family as a whole in inducing epithelial damage. With the hypha-deficient mutants, RHE tissue damage was significantly reduced in both efg1/cph1 and efg1, but SAP5 expression was only dramatically reduced in efg1/cph1 despite the absence of hyphal growth in both mutants. This indicates that hypha formation is the predominant cause of tissue damage, and that SAP5 expression can be hypha-independent and is not solely controlled by the Efg1 pathway but also by the Cph1 pathway. This is believed to be the first study to fully quantify SAP gene expression levels during human mucosal infections; the results suggest that SAP5 and SAP9 are the most highly expressed proteinase genes in vivo. However, the overall contribution of the Sap1–3 and Sap4–6 subfamilies individually in inducing epithelial damage in the RHE models appears to be low.
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  A. Hornbach, A. Heyken, L. Schild, B. Hube, J. Loffler, and O. Kurzai The Glycosylphosphatidylinositol-Anchored Protease Sap9 Modulates the Interaction of Candida albicans with Human Neutrophils Infect. Immun., December 1, 2009; 77(12): 5216 - 5224. [Abstract] [Full Text] [PDF]
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 U. Lermann and J. Morschhauser Secreted aspartic proteases are not required for invasion of reconstituted human epithelia by Candida albicans Microbiology, November 1, 2008; 154(11): 3281 - 3295. [Abstract] [Full Text] [PDF]
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