1. Candida auris isolates from New York outbreak are highly pathogenic with measurable experimental disease in Galleria mellonella
- Author
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Md. Rokebul Anower, Emily Dennis, Sudha Chaturvedi, and Vishnu Chaturvedi
- Subjects
Candida auris ,invertebrate host ,infection model ,immune response gene ,histopathology ,Galleria mellonella ,Microbiology ,QR1-502 - Abstract
ABSTRACT Candida auris causes prolonged colonization and bloodstream infections in hospitalized patients. Different C. auris clades vary in their geographic origin, disease spectrum, and antifungal resistance, but biological basis underlying such variations needs further examination. Therefore, we investigated susceptible and multidrug-resistant C. auris isolates, obtained early in the New York outbreak, to benchmark their pathogenic potential in caterpillar worms of greater wax moth Galleria mellonella. Healthy G. mellonella worms responded to C. auris in a strain-specific, dose-responsive pattern. Three drug-resistant, clade I C. auris 17-1, 18-1, and 18-2 isolates caused high mortality, while a control, drug-susceptible, clade II C. auris 16-1 caused lower mortality (P < 0.001) with graded inocula (1 × 104 to 1 × 107 CFU). Virulence correlated with fungal growth in hemolymph as C. auris 17-1, 18-1 and 18-2 reached high fungal cell load in the infected larvae, while C. auris 16-1 multiplied less proficiently. The degree of melanization was higher in worms infected with more pathogenic C. auris. Hemocoel histopathology showed more fungal elements and about 50 granulomas per profile for C. auris 17-1, 18-1 and 18-2 compared to 5 to 10 granulomas for C. auris 16-1. With more pathogenic C. auris isolates, the expression of gallerimycin, ceropin, and galiomycin increased significantly (P < 0.05). Thus, the induction of G. mellonella immune effector peptides, histopathological responses, and melanization are proportionate to C. auris pathogenic potential. However, G. mellonella from different vendors showed unpredictable quality upon delivery that impacted feasibility and reproducibility of planned studies. Our results indicate utility of G. mellonella experimental model for screening of C. auris pathogenesis depending upon quality of worms commercially available in the USA.IMPORTANCEThe New York metropolitan area continues to suffer from the largest, ongoing outbreak of drug-resistant Candida auris. It is necessary to gather more information to determine if C. auris isolates from this outbreak vary in their ability to cause more severe disease in affected patients. Therefore, we studied the experimental model of greater wax moth Galleria mellonella. We found that susceptible and drug-resistant NY C. auris isolates caused measurable disease in G. mellonella. There was a good correlation between pathogenic potential of C. auris and melanin in the infected worms, fungal elements in worm hemolymph, uptick in the genes involved in insect immunity, and histopathological changes. The worms sourced from various commercial vendors were of variable quality. We confirm that G. mellonella remains a facile model to study C. auris experimental disease.
- Published
- 2025
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