Impact of the Environment upon the Candida albicans Cell Wall and Resultant Effects upon Immune Surveillance

Curr Top Microbiol Immunol. 2020:425:297-330. doi: 10.1007/82_2019_182.

Abstract

The fungal cell wall is an essential organelle that maintains cellular morphology and protects the fungus from environmental insults. For fungal pathogens such as Candida albicans, it provides a degree of protection against attack by host immune defences. However, the cell wall also presents key epitopes that trigger host immunity and attractive targets for antifungal drugs. Rather than being a rigid shield, it has become clear that the fungal cell wall is an elastic organelle that permits rapid changes in cell volume and the transit of large liposomal particles such as extracellular vesicles. The fungal cell wall is also flexible in that it adapts to local environmental inputs, thereby enhancing the fitness of the fungus in these microenvironments. Recent evidence indicates that this cell wall adaptation affects host-fungus interactions by altering the exposure of major cell wall epitopes that are recognised by innate immune cells. Therefore, we discuss the impact of environmental adaptation upon fungal cell wall structure, and how this affects immune recognition, focussing on C. albicans and drawing parallels with other fungal pathogens.

Keywords: Candida albicans; Cell wall adaptation; Cell wall signalling; Cell wall structure; Host-fungus interactions; Immune evasion.

Publication types

  • Review

MeSH terms

  • Candida albicans / cytology*
  • Candida albicans / immunology*
  • Candida albicans / pathogenicity
  • Candidiasis / immunology
  • Candidiasis / microbiology
  • Cell Wall / immunology*
  • Humans