Repurposing Pilocarpine Hydrochloride for Treatment of <named-content content-type="genus-species">Candida albicans</named-content> Infections

ABSTRACT Acetylcholine modulates the virulence of Candida albicans and regulates an appropriate immune response to infection in a Galleria mellonella infection model. Indeed, the evidence suggests that C. albicans possesses a functional cholinergic receptor that can regulate filamentous growth and b...

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Autores principales: Christopher Nile, Monica Falleni, Daniela Cirasola, Abeer Alghamdi, Oliver F. Anderson, Christopher Delaney, Gordon Ramage, Emerenziana Ottaviano, Delfina Tosi, Gaetano Bulfamante, Giulia Morace, Elisa Borghi
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Publicado: American Society for Microbiology 2019
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spelling oai:doaj.org-article:3f781b74dc9b49a396a7f1ff646169e32021-11-15T15:22:04ZRepurposing Pilocarpine Hydrochloride for Treatment of <named-content content-type="genus-species">Candida albicans</named-content> Infections10.1128/mSphere.00689-182379-5042https://doaj.org/article/3f781b74dc9b49a396a7f1ff646169e32019-02-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSphere.00689-18https://doaj.org/toc/2379-5042ABSTRACT Acetylcholine modulates the virulence of Candida albicans and regulates an appropriate immune response to infection in a Galleria mellonella infection model. Indeed, the evidence suggests that C. albicans possesses a functional cholinergic receptor that can regulate filamentous growth and biofilm formation. Furthermore, G. mellonella immune cell subsets possess repertories of cholinergic receptors which regulate an effective and appropriate cellular immune response to C. albicans infection. This study aimed to investigate the cholinergic receptor subtype involved in regulation of filamentous growth and biofilm formation by C. albicans and determine the roles of cholinergic receptors in modulation of G. mellonella immune cell subsets. The general muscarinic receptor agonist, pilocarpine hydrochloride, inhibited C. albicans biofilm formation and pathogenicity, a phenomenon that could be reversed using the general muscarinic receptor antagonist, scopolamine. Pilocarpine hydrochloride protected G. mellonella larvae from C. albicans infection via inhibition of C. albicans filamentation and appropriate regulation of cellular immunity. However, scopolamine abrogated the capacity of pilocarpine hydrochloride to protect G. mellonella larvae from C. albicans infection. Furthermore, acetylcholine and pilocarpine hydrochloride exhibited differential modulatory capabilities on Galleria mellonella hemocyte responses to C. albicans. The data in this article demonstrate that a muscarinic receptor modulates C. albicans filamentation and biofilm formation. Furthermore, the results suggest that G. mellonella hemocyte subsets possess unique repertoires of cholinergic receptors that regulate their differentiation, activation, and function in contrasting manners. Therefore, targeting cholinergic receptors by repurposing currently licensed cholinergic drugs may offer novel therapeutic solutions for the prevention or treatment of fungal infections. IMPORTANCE Candida albicans is the most common human fungal pathogen with an estimated crude mortality rate of 40%. The ability of the organism to switch from the yeast to hyphal form and produce biofilms are important virulence factors. C. albicans infections are combatted by the host immune system. However, Candida triggers a strong inflammatory response that, if not appropriately regulated, can damage host tissues. Therefore, it is important that the host immune response eliminates the fungus but limits tissue damage. This study provides evidence that targeting cholinergic receptors cannot only curb the virulence of C. albicans by inhibiting filamentous growth and biofilm formation but can also appropriately regulate the host immune response to induce rapid clearance with limited damage to vital tissues. This article provides evidence that repurposing licensed drugs that target cholinergic receptors may offer novel therapeutic solutions for the prevention or treatment of fungal infections.Christopher NileMonica FalleniDaniela CirasolaAbeer AlghamdiOliver F. AndersonChristopher DelaneyGordon RamageEmerenziana OttavianoDelfina TosiGaetano BulfamanteGiulia MoraceElisa BorghiAmerican Society for MicrobiologyarticleCandida albicansGalleria mellonellabiofilmmuscarinicpilocarpine hydrochloriderepurposingMicrobiologyQR1-502ENmSphere, Vol 4, Iss 1 (2019)
institution DOAJ
collection DOAJ
language EN
topic Candida albicans
Galleria mellonella
biofilm
muscarinic
pilocarpine hydrochloride
repurposing
Microbiology
QR1-502
spellingShingle Candida albicans
Galleria mellonella
biofilm
muscarinic
pilocarpine hydrochloride
repurposing
Microbiology
QR1-502
Christopher Nile
Monica Falleni
Daniela Cirasola
Abeer Alghamdi
Oliver F. Anderson
Christopher Delaney
Gordon Ramage
Emerenziana Ottaviano
Delfina Tosi
Gaetano Bulfamante
Giulia Morace
Elisa Borghi
Repurposing Pilocarpine Hydrochloride for Treatment of <named-content content-type="genus-species">Candida albicans</named-content> Infections
description ABSTRACT Acetylcholine modulates the virulence of Candida albicans and regulates an appropriate immune response to infection in a Galleria mellonella infection model. Indeed, the evidence suggests that C. albicans possesses a functional cholinergic receptor that can regulate filamentous growth and biofilm formation. Furthermore, G. mellonella immune cell subsets possess repertories of cholinergic receptors which regulate an effective and appropriate cellular immune response to C. albicans infection. This study aimed to investigate the cholinergic receptor subtype involved in regulation of filamentous growth and biofilm formation by C. albicans and determine the roles of cholinergic receptors in modulation of G. mellonella immune cell subsets. The general muscarinic receptor agonist, pilocarpine hydrochloride, inhibited C. albicans biofilm formation and pathogenicity, a phenomenon that could be reversed using the general muscarinic receptor antagonist, scopolamine. Pilocarpine hydrochloride protected G. mellonella larvae from C. albicans infection via inhibition of C. albicans filamentation and appropriate regulation of cellular immunity. However, scopolamine abrogated the capacity of pilocarpine hydrochloride to protect G. mellonella larvae from C. albicans infection. Furthermore, acetylcholine and pilocarpine hydrochloride exhibited differential modulatory capabilities on Galleria mellonella hemocyte responses to C. albicans. The data in this article demonstrate that a muscarinic receptor modulates C. albicans filamentation and biofilm formation. Furthermore, the results suggest that G. mellonella hemocyte subsets possess unique repertoires of cholinergic receptors that regulate their differentiation, activation, and function in contrasting manners. Therefore, targeting cholinergic receptors by repurposing currently licensed cholinergic drugs may offer novel therapeutic solutions for the prevention or treatment of fungal infections. IMPORTANCE Candida albicans is the most common human fungal pathogen with an estimated crude mortality rate of 40%. The ability of the organism to switch from the yeast to hyphal form and produce biofilms are important virulence factors. C. albicans infections are combatted by the host immune system. However, Candida triggers a strong inflammatory response that, if not appropriately regulated, can damage host tissues. Therefore, it is important that the host immune response eliminates the fungus but limits tissue damage. This study provides evidence that targeting cholinergic receptors cannot only curb the virulence of C. albicans by inhibiting filamentous growth and biofilm formation but can also appropriately regulate the host immune response to induce rapid clearance with limited damage to vital tissues. This article provides evidence that repurposing licensed drugs that target cholinergic receptors may offer novel therapeutic solutions for the prevention or treatment of fungal infections.
format article
author Christopher Nile
Monica Falleni
Daniela Cirasola
Abeer Alghamdi
Oliver F. Anderson
Christopher Delaney
Gordon Ramage
Emerenziana Ottaviano
Delfina Tosi
Gaetano Bulfamante
Giulia Morace
Elisa Borghi
author_facet Christopher Nile
Monica Falleni
Daniela Cirasola
Abeer Alghamdi
Oliver F. Anderson
Christopher Delaney
Gordon Ramage
Emerenziana Ottaviano
Delfina Tosi
Gaetano Bulfamante
Giulia Morace
Elisa Borghi
author_sort Christopher Nile
title Repurposing Pilocarpine Hydrochloride for Treatment of <named-content content-type="genus-species">Candida albicans</named-content> Infections
title_short Repurposing Pilocarpine Hydrochloride for Treatment of <named-content content-type="genus-species">Candida albicans</named-content> Infections
title_full Repurposing Pilocarpine Hydrochloride for Treatment of <named-content content-type="genus-species">Candida albicans</named-content> Infections
title_fullStr Repurposing Pilocarpine Hydrochloride for Treatment of <named-content content-type="genus-species">Candida albicans</named-content> Infections
title_full_unstemmed Repurposing Pilocarpine Hydrochloride for Treatment of <named-content content-type="genus-species">Candida albicans</named-content> Infections
title_sort repurposing pilocarpine hydrochloride for treatment of <named-content content-type="genus-species">candida albicans</named-content> infections
publisher American Society for Microbiology
publishDate 2019
url https://doaj.org/article/3f781b74dc9b49a396a7f1ff646169e3
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