title: The RIM101 signal transduction pathway regulates Candida albicans virulence during experimental keratomycosis.
abstract: OBJECTIVE
  To examine the role of the fungal RIM101 signal transduction pathway in the pathogenesis of Candida albicans keratitis.
  
  
  METHODS
  C. albicans wild-type strain SC5314, prototrophic mutant control DAY185, and homozygous fungal mutants for the rim8, rim13, rim20, rim101, and phr1 genes were evaluated in vitro using proliferation and filamentation assays. Scarified corneas of BALB/c and C57BL/6J mice were topically inoculated and observed daily for keratitis severity. Corneal adaptation and pathogenicity were assessed ex vivo by maintaining infected porcine corneas for 3 days in an explantation culture system for histologic evaluation of hyphal penetration.
  
  
  RESULTS
  All C. albicans strains had similar growth kinetics, and SC5314 and DAY185 demonstrated pH-induced filamentation. Fungal mutants had reduced hyphal formation at alkaline and neutral pH, but normal acidic assays ascertained that mutant strains did not have a generalized filamentation defect. SC5314 and DAY185 caused moderate to severe keratitis in mice, whereas fungal strains lacking constituents of the RIM101 pathway had significantly (P<0.05) attenuated severity in vivo. Three days after inoculation of porcine corneas, SC5314 and DAY185 produced hyphae that penetrated 28% and 25%, respectively, of the corneal thickness, and all five mutant strains showed significantly (P<0.05) less stromal penetration.
  
  
  CONCLUSIONS
  The RIM101 signal transduction pathway plays an important role in the development of C. albicans keratitis. The fungal pathway intermediates Rim8p, Rim13p, Rim20p, and Rim101p and the downstream cell-wall protein Phr1p are pivotal in the process of corneal invasion by C. albicans.
authors.affiliation: Sid W. Richardson Ocular Microbiology Laboratory, Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas 77030, USA.
authors.forename: Xiaoyong
authors.initials: X
authors.lastname: Yuan
authors.forename: Bradley M
authors.initials: BM
authors.lastname: Mitchell
authors.forename: Xia
authors.initials: X
authors.lastname: Hua
authors.forename: Dana A
authors.initials: DA
authors.lastname: Davis
authors.forename: Kirk R
authors.initials: KR
authors.lastname: Wilhelmus
mesh_terms: D000818:Animals; D002176:Candida albicans / Q000235:genetics / Q000378:metabolism* / Q000472:pathogenicity; D002177:Candidiasis / Q000378:metabolism / Q000382:microbiology*; D003315:Cornea / Q000382:microbiology; D004268:DNA-Binding Proteins / Q000378:metabolism*; D018450:Disease Progression; D005656:Fungal Proteins / Q000378:metabolism*; D005838:Genotype; D025301:Hyphae / Q000254:growth & development / Q000378:metabolism; D007121:Immunocompetence; D007634:Keratitis / Q000378:metabolism / Q000382:microbiology*; D051379:Mice; D008807:Mice, Inbred BALB C; D008810:Mice, Inbred C57BL; D009154:Mutation; D010641:Phenotype; D012720:Severity of Illness Index; D015398:Signal Transduction / Q000502:physiology*; D013552:Swine; D014774:Virulence
chemical_list: D004268:DNA-Binding Proteins; D005656:Fungal Proteins; C489602:RIM101 protein, Candida albicans