Juan E. Coronado,2 and
Peter N. Lipke2,3*
Department of Biological Sciences, St. John's University, Queens, New York,1 Department of Biology and Center for Gene Structure and Function, Hunter College, City University of New York, New York, New York,2 Department of Biology, Brooklyn College, City University of New York, Brooklyn, New York3
SUMMARY INTRODUCTION Structure of Adhesins A Word on Affinities ACTIVITIES OF ADHESINS The Adhesins of Saccharomyces cerevisiae in Mating S. cerevisiae a-agglutinin. alpha-Agglutinin. Interaction of the agglutinins. Other mating adhesins. The S. cerevisiae Flocculins: Adhesins for Social Aggregation and Foraging The Candida albicans ALS Family Expression profile and allelic variation of ALS genes. Other Adhesins of C. albicans Candida glabrata BROADENING THE SOCIAL LIFE: RECOMBINATION GENERATES DIVERSITY STRUCTURE OF GPI-ANCHORED ADHESINS The N-Terminal Domains Central Thr-Rich Sequences Ser/Thr-Rich Stalks Pre-GPI and GPI Signal Sequences CONCLUSIONS ACKNOWLEDGMENTS REFERENCES
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| INTRODUCTION |
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106 M) (also called "tight binding"). The weak interactions are characterized by binding only when the adhesin and/or ligand is present at high concentrations, and any individual adhesin may bind to its ligand for only a few microseconds to seconds at a time, because dissociation rates tend to be high. In contrast, high-affinity interactions occur at low adhesin or ligand concentrations, and individual binding reactions may last for many minutes, corresponding to lower dissociation rates. Therefore, the strength and duration of adhesion between yeast cells or between the cell and its substrate vary by many orders of magnitude. In the lab, these differences are often seen as relative differences in resistance to vortexing or pipetting. In vivo there are great differences in resistance of adhesions to shear forces such as flow in the bloodstream or in biofilms in natural environments (105, 119). | ACTIVITIES OF ADHESINS |
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, expresses an agglutinin specialized for mating. Binding of these two agglutinins to each other on the surfaces of the mating cells facilitates fusion of the haploid cells (78).
S. cerevisiae a-agglutinin.
a-Agglutinin consists of two subunits, the products of unlinked genes AGA1 and AGA2. a-Agglutinin has little similarity to other known adhesins. Aga1p is a 725-residue polypeptide with an N-terminal secretion signal sequence and a C-terminal GPI addition signal (Fig. 1). The remainder is Ser and Thr-rich and highly O glycosylated (103). Unexpectedly, Aga1p is expressed in both mating types, perhaps because of its role in agar invasion, as discussed below (41). The Aga2p subunit gives a-agglutinin its binding specificity and is expressed only on a cells. Although the mature form has only 69 amino acid residues, Aga2p contains all known binding determinants. This O-mannosylated glycopeptide is doubly disulfide linked to Aga1p (106). The Aga2p half-cystines are near the ends of the peptide, but they are linked to two Aga1p Cys residues separated by only two residues (106). Thus, the closeness of the disulfide bonds stabilizes an
/ß structure in Aga2p, similar to small Cys-knot proteins (132).
Cell surface concentrations of a-agglutinin are low in most strains and are increased to about 5 x 104 per cell following treatment with the sex pheromone
-factor. The increased surface expression is a result of pheromone signaling through a well-characterized mitogen-activated protein kinase pathway and increased transcription, translation, processing, secretion, and cross-linking to the wall (64). The Aga2p subunit binds with both low affinity and high affinity to
-agglutinin, which is expressed on the surfaces of cells of the opposite mating type,
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C-terminal peptides of Aga2p are high-affinity ligands for
-agglutinin, and binding to the whole subunit is greatly reduced if additional amino acids are added at the C terminus (10, 106). This result implies that optimal binding includes interactions of the
-agglutinin binding pocket with the Aga2p terminal carboxyl group. Nevertheless, other regions of the a-agglutinin glycoprotein contribute to binding, either as secondary ligands or due to a role in maintaining proper conformation of the C-terminal peptide. The former interpretation seems more likely, because C-terminal fusions to Aga2p decrease affinity significantly but are still recognized by
cells (129). These low-affinity interactions will, in fact, occur at the cell surface, where local agglutinin concentrations can approach 103 M when the cell surface concentration is 106 per cell (Fig. 2; Table 1) (106). Such high concentrations will effectively promote adhesin-ligand binding, even at very low affinities.
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-Agglutinin.
-Agglutinin consists of a globular head and a highly glycosylated extended stalk (10, 13, 78, 134). We modeled the globular region of
-agglutinin as three tandem immunoglobulin (Ig)-like folds, and the models have been tested by peptide mapping and circular dichroism (CD) analyses (13, 40, 77, 134, 140). Surface residues involved in ligand binding have been identified and mapped on the model (19). The Ig-like region of
-agglutinin is conformationally flexible: the native state has a high percentage of ß-sheet (45%) and about 2%
-helix (13). The ß-sheet content increases upon ligand binding, and the
-helix content increases under environmental stress (140). Interestingly, the globular regions of the homologous Als proteins have been modeled more recently, and Ig-like templates were also used in that study (107).
Interaction of the agglutinins.
Because both
-agglutinin and its ligand a-agglutinin have been extensively characterized, we can describe a model of the binding. Binding of
-agglutinin to high-affinity peptide epitopes on the a-agglutinin binding subunit Aga2p is slow and tight (KD of
109 M) (10, 106, 141). The agglutinins are displayed on the outer surface of the cell wall (10, 133) at 104 to 5 x 104 copies per cell, corresponding to concentrations of 10 to 100 µM in the 100-nm space between the cells (Fig. 2) (106). At such concentrations, both high-affinity binding and low-affinity binding are rapid. Therefore, cell surface adhesion assays show interactions with micromolar or even larger dissociation constants. In contrast, in vitro binding assays such as surface plasmon resonance or 125I-protein binding assays can document only much tighter interactions, with affinities in the nanomolar to micromolar range. Indeed, the agglutinins bind with both nanomolar and micromolar affinities (106, 141). Because the C-terminal residues of Aga2p are the major binding determinant, a surface display model that fuses peptides to be screened to the C terminus of Aga2p inactivates the high-affinity binding (106, 129). Therefore, it is the low-affinity interactions that are used in screening. This result and mutational analyses demonstrate that the binding is complex, involving several regions of Aga2p with several regions of Ag
1p (106).
In addition, conformational shifts in the agglutinins are essential for effective binding, even in this well-characterized, apparently simple reaction (141). Binding of the S. cerevisiae agglutinins is kinetically irreversible, due to very low dissociation rates (hours to days) (80, 141). This irreversibility would facilitate stable binding of partnered cells in mating and presumably results from interactions of individual molecules that include fairly large surface regions of each of the two agglutinins (19).
Such kinetic irreversibility is also characteristic of systems with multipoint attachments at lower affinity, such as flocculation or binding of Als proteins to many ligands on a mammalian cell surface. In these cases, multipoint attachments form as a result of the extremely high cell surface concentrations of the adhesins, many of which are bound to ligands that are also at high surface concentrations. For instance, flocculins bind to mannose residues, and Als proteins bind to common peptide sequence motifs, both with millimolar affinities. Mannose residues can be at molar or higher concentrations on the cell surface. If a cell is attached at two points on its surface, the dissociation rate of the cells decreases and the apparent affinity increases as the product of the individual values. Therefore, millimolar affinities become micromolar with two attachments, and nanomolar with three attachments, between the yeast and the multivalent ligand or substrate. If the dissociation rate for the binding was 101 s1, the corresponding whole-cell dissociation times would be about 10 s for a single-point attachment, 1.5 min for two attachments, and 15 min for three-point attachment. In this way, a high cell surface concentration of low-affinity adhesins and a lower concentration of high-affinity adhesins yield similar energetics and longevity of cellular adhesions.
Other mating adhesins.
The a-agglutinin GPI-anchored subunit Aga1p has another adhesive role as well. While Aga1p functions as the anchorage subunit of a-agglutinin, it is expressed in both mating types. Aga1p or the similar protein Fig2p is essential for completion of mating and for mating-dependent invasion of agar (41). Little is known about whether these proteins act directly as adhesins, but Fig2p has a role in signal transduction to the wall stress pathway and therefore has a role in maintenance of cell wall integrity during mating (59, 138). It is pheromone induced and has an indirect role in attenuating sexual agglutination in mating type
cells (59, 138). Thus, Aga1p and Fig2p are partially redundant, and each has multiple adhesive roles. Such manifold activities and partial redundancy are common among the yeast adhesins in general.
S. cerevisiae harbors a family of flocculin genes with five members: FLO1, FLO5, FLO9, and FLO10 (117) and FLO11 (72, 82) Of these, only FLO11 is expressed in most laboratory strains of S. cerevisiae, where it exhibits a profusion of phenotypes. FLO11 expression is required for flocculation in S. cerevisiae var. diastaticus (82) and for invasion of substrates and formation of pseudohyphae in
1278b strains (72, 81). Flocculation is important to the brewing industry: Yeast cells flocculate spontaneously at the end of fermentation, with the result that the majority of cells are separated from the culture medium (122).
The Flo11p flocculin also enables yeast to adapt to a changing nutritional environment by switching to a pseudohyphal mode of growth. The filamentous chains of pseudohyphae (Fig. 3C), which may invade the substrate, develop in response to starvation for nitrogen in diploid cells. This mode of growth is considered an adaptation for this nonmotile species to forage for nutrients (36, 37). Pseudohyphal differentiation involves changes in gene transcription and cell cycle progression as well as changes in cell morphology (reviewed in reference 30). Flo11p may play a role in polarizing cell shape in addition to its role in adhesion (93). The Flo11p adhesin is required to hold the cells together in the branched chains. Thus, adhesin expression can govern colony morphology and invasion.
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1278b strains that express FLO11 do not flocculate (41). Clearly, other factors must be involved in these phenomena. Potential causes might be sequence differences or differential glycosylation. Flo1p and Flo5p, which are 96% similar (117), were identified as proteins that cause flocculation (4, 58, 116, 130, 131). They are large proteins that display structures typical of flocculins: a hydrophobic N terminus with signal sequence, a hydrophobic C terminus with a GPI anchor consensus sequence, and a central domain comprising tandem repeats of sequences that are extremely rich in Thr residues (Fig. 1). These are cell wall lectin-like proteins that participate directly in adhesive cell-cell interactions (4-6, 67, 118). Flo1p and Flo5p, along with Flo11p, have been identified as "Flo1-type flocculins" whose activity is inhibited by mannose but not by glucose (3, 108, 112). A variant flocculin, Lg-Flo1 has been identified as a member of the "NewFlo-type flocculins," a class whose activity is inhibited by both mannose and glucose. Domain swap experiments have established that the sugar-binding domains of Flo1p and Lg-Flo1 are the externally exposed N-terminal domains (67).
FLO9 and FLO10 were identified on the basis of their sequence similarity to FLO1 and were found to also cause flocculation when expressed (41, 117). The FLO flocculins differ in their functional roles, but when overexpressed some can substitute for others. Expression from a galactose-inducible promoter of either Fig2p or Flo10p in strain
1278b causes agar invasion, like that caused by Flo11p. Overexpression of Flo1p does not cause agar invasion but does promote flocculation. Overexpression of Flo10p can promote both flocculation and Flo11p-like pseudohyphal development (41). Therefore, the roles of the flocculins are overlapping but not identical, and the flocculin family members have partial functional redundancy.
The flocculins are lectins, proteins that bind to cell surface carbohydrates. Each yeast lectin is specific for one or two monosaccharide haptens (e.g., for mannose or for mannose and glucose) but binds to haptenic oligosaccharides that contain these sugars in several different glycosidic linkages. Consequently, oligosaccharides with specific sugar in diverse linkages can act as hapten inhibitors (61, 124). Low specificity is usually accompanied by low affinity (millimolar or higher for monosaccharides and disaccharides) (56), because binding sites are broad and flexible, whereas high-affinity sites surround one specific kind of structure and maximize the interactions with all surfaces of the ligand. Broad specificity would allow binding to many structures on the surfaces of host cells and on other fungi.
-agglutinin (compare Als proteins and Sag1p in Fig. 1B) (47, 107). Als adhesins mediate adhesion to epithelia, yeast aggregation, and biofilm formation. The family is encoded at eight loci, and each locus is heterozygous (144). The various forms are expressed at different phases of growth and infection (47, 143). Because of the widespread expression of different Als proteins in C. albicans, function can rarely be assigned to a single member of the family. Therefore, mechanistic studies have relied on heterologous expression in S. cerevisiae. In all known cases, Als-dependent behavior in S. cerevisiae mimics that in C. albicans, and ALS1 and ALS5 were cloned based on their ability to mediate S. cerevisiae adhesion to mammalian cells (27, 33, 107). Als1p is the most widely expressed member of the family and contributes to adhesion and colonization in an oropharyngeal candidiasis model (60). Als1p binds to endothelia and epithelia. Als3p is important for biofilm formation and induction of damage in an underlying oral epithelium (71, 90, 91, 100, 107, 142, 143). For the Als proteins, the N-terminal globular domain is necessary and sufficient for binding to cell surfaces (85, 99, 107). The binding specificity is extremely broad, and both Als1p and Als5p bind to peptides containing a common structural motif: 
+ (a turn-like residue, a bulky hydrophobic residue, and Lys or Arg). This motif is present in multiple copies in most proteins. Als5p and Als1p show overlapping specificities but show some differences in binding to individual instances of the motif (65). Peptides with other sequences also bind to Als proteins, making binding specificity even broader (32, 35). Flexibility of the peptide backbone is essential for binding, which is disrupted by H-bond perturbants (35). The apparent affinity to such peptides is around 0.5 mM. Thus, Als1p or Als5p causes expressing C. albicans to adhere to endothelia and epithelia, as well as biochemically defined substrates. Expression profile and allelic variation of ALS genes. The ALS genes are differentially expressed in different growth phases and in different morphological forms (38, 48, 50, 51). ALS1 expression is maximal just after inoculation into fresh growth medium (143). Similarly, ALS3 expression is maximal when germ tubes are microscopically visible, and it may mediate the well-known autoaggregation of germ tubes (90, 143).
ALS gene activity accompanies C. albicans pathogenesis. Reverse transcription PCR tests detected ALS gene expression in human clinical specimens and in a vaginal candidiasis model (14). Although transcription from all ALS genes was observed, ALS1, ALS3, and ALS9 were detected most frequently. Similar results for ALS transcriptional activity were found in a murine model of disseminated candidiasis (38). Experiments utilizing the gene encoding the yeast enhanced green fluorescent protein as a reporter gene under control of ALS promoters suggested that some Als proteins (mainly Als1p and Als3p) are abundant on the C. albicans cell surface, while others are produced at lower levels in the mouse disseminated candidiasis model (39).
Like the flocculins, Als proteins can aggregate cells that express them. Als-mediated aggregation does not require Ca2+ and so is different from flocculation, which is Ca2+ dependent. However, the Thr-rich domains of Als5p are clearly involved in cell aggregation in C. albicans (99). Therefore, the Als adhesins mediate both adhesion to mammalian tissues and aggregation of the C. albicans cells to form microscopic colonies. In parallel with a recent finding for S. cerevisiae FLO1 (123), Als proteins with more copies of the Thr-rich repeats are more aggregative (47, 99).
C. albicans Hwp1p, a glutamine-rich, GPI wall-anchored adhesin, is a substrate for epithelial cell transglutaminases (110, 111). Thus, it participates in a covalent cross-link between the yeast and the epithelium. The resulting association would be shear resistant, extremely close, and permanent in the absence of proteolysis. Such interactions could underlie the clinical observation that oropharyngeal colonies of C. albicans resist removal by scraping (89).
| BROADENING THE SOCIAL LIFE: RECOMBINATION GENERATES DIVERSITY |
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Several repeated motifs in the FLO genes are conserved in the DNA sequence as well as in the amino acid-coding sequence, providing further evidence that homologous exchanges at these sequences may provide a selective advantage to the organism (125). Recombination between FLO5 and a flocculin pseudogene may have given rise to the NewFlo-type flocculin Lg-Flo1p (67). The fact that most of the genes in the S. cerevisiae genome that contain repeated sequences encode cell wall proteins illustrates the functional significance of these domains (123).
The ALS adhesin genes of C. albicans also contain central domains of 108-bp tandemly repeated Thr-rich sequences, which exhibit considerable allelic variation. The number of these repeats varies considerably between alleles of a given ALS gene, resulting in a large repertoire of adhesins (47, 92, 144). Remarkably, 60 different alleles of ALS7 were discovered in an analysis of 66 clinical isolates of C. albicans. The allelic differences were primarily due to rearrangements in repeated motifs (139). The genetic and allelic variabilities of ALS genes lead to differences in cellular behavior. Studies examining the two ALS3 alleles showed a drastic difference in adhesion to vascular endothelial cells; the larger allele (containing a greater number of tandem repeats) conferred much more adherence than the smaller allele (92). Further analysis of ALS allelic pairing across five major C. albicans clades demonstrated a tendency of C. albicans to encode one smaller and one larger ALS allele (92).
Epigenetic regulation of flocculin gene expression provides additional variation in cell surface properties. When diploid S. cerevisiae cells are starved for nitrogen they develop as pseudohyphae, but this response is not homogenous. Some cells remain in the yeast form, which is the single-cell form. These yeast form cells have undergone an epigenetic switch that results in the metastable silencing of the FLO11 gene (43). This switch is regulated by the histone deacetylase Hda1p and is heritable for several generations. The silent FLO10 gene in these cells is also heterogeneously expressed, due to high-frequency mutations in IRA1 and IRA2. Silencing of FLO10 is accomplished by a different set of histone deacetylases, Hst1p and Hst2p (43). The consequent cell surface heterogeneity of yeast populations means that they are primed for rapid adaptation to changes in environmental conditions, because there are preexisting adhesive and nonadhesive subpopulations.
Thus, the repeat sequences generate genetic diversity in the flocculins through recombination, while epigenetic mechanisms provide the capacity for rapid adaptation to changing conditions. Given the short generation time of these unicellular organisms, a population of yeast is thus capable of rapidly changing its adhesive properties to permit colonization of new niches. Adaptive radiation of this sort may explain the periodic outbreaks of pathogenic strains of S. cerevisiae in patients when this usually harmless bread yeast is used as a probiotic therapy to control antibiotic-induced diarrhea (11).
| STRUCTURE OF GPI-ANCHORED ADHESINS |
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-agglutinin) to about 1,650 residues for some of the Als proteins, Flo11p, and Fig2p.
The globular adhesion domains follow the signal sequences and contain the known ligand binding sites. In S. cerevisiae the
-agglutinin N-terminal region has the sedimentation coefficient of a globular domain and shows a CD spectrum typical of ß-sheet-rich folds (115, 140). Residues important for binding to Aga2p are in this region and are localized in loops that connect ß-strands in the Ig-like structural model (19). In C. albicans the Als protein N-terminal domains are homologous to
-agglutinin and so also have Ig-like structures. Als1p and Als5p also have ß-sheet-rich CD spectra, and predictions have been made for ligand-binding regions (49, 107).
Other adhesion domains have not been physically studied, but secondary-structure studies are intriguing. CD spectroscopy shows that Aga2p has both ß-sheet and
-helical regions (106). The Flo lectins are also predicted to be ß-sheet rich by secondary-structure predictors. The prevalence of ß-sheets in this small sample of adhesins may be fortuitous, but it might be a consequence of the acid stability of ß-sheet structures in environments typical for growth of these acidogenic organisms (140).
The Thr-rich repeats account for about 70% of the amino acids of Flo1. These repeats play a role in determining flocculation levels. In the flocculins and Als adhesins, proteins with fewer repeats display reduced flocculation levels (5). When the numbers of tandem repeats in FLO1 were experimentally manipulated, a linear relationship was found between repeat number and flocculation as well as strength of adhesion to polystyrene (123). Similarly, the aggregation ability of the C. albicans Als proteins is roughly proportional to the number of Thr-rich repeats (99), and the Als5p repeats can mediate cellular aggregation (99). Therefore, it is likely that many of these repeats have adhesive activity as well as being recombinogenic.
-agglutinin, and a similar region near the C terminus of the GPI membrane protein Gas1p), all Ser and Thr residues have been found to be O glycosylated (13, 31, 136). Thus, they would be predicted to form an extended conformation (57). Such an extended structure is consistent with the predicted length of the stalk visible in an electron micrograph of wall-bound
-agglutinin (10, 78). This length would allow the ligand-binding regions of Epa1p, Als1p, and Aga2p to be displayed far enough from the wall surface to be active (78). In these cases, deletion of some amino acids from this region results in inactive adhesins (26, 52, 85, 106). In an elegant study, Frieman and Cormack showed that when this region was deleted from Eap1p, the adhesion domain was present in the wall but was not sufficiently exposed to bind to its ligand because the stalk was too short (26). Two features of the Ser/Thr-rich C-terminal regions are common but have unknown consequences, and their roles have not been systematically tested. First, all Ser/Thr-rich regions also have substantial clusters of hydrophobic residues (Fig. 1). Second, the C-terminal regions of the Ser/Thr regions are often rich in Cys residues as well. These Cys residues form a disulfide network near the surface of the wall, and this network limits wall permeability (Fig. 1) (20, 63, 64). Such a region in Aga1p helps to cross-link the adhesin to the wall, presumably through bonds to Cys residues in other GPI-anchored proteins (52, 64, 106).
-agglutinin and other GPI wall proteins, a truncated GPI glycan becomes transglycosylated to ß-1,6-glucan (63, 69, 79). There is significant research addressing the question of whether there is also a signal that specifies that a GPI moiety will be directed to the wall or remain membrane attached. Investigation of this question is complicated by the observation that GPI proteins are always found to some extent in both locations (16, 87, 88). Indeed, recent information shows that GPI-linked wall proteins are often cross-linked into the wall by other mechanisms as well, including glutamine-dependent transesterification (22, 64) and disulfide bond formation (52). The result of these complications is that the proportion of proteins localized within the wall has usually been underestimated, a result of incomplete release of the wall-bound proteins as well as because of poor electrophoresis and blotting of yeast proteoglycans (88). Nevertheless, the sequence immediately before the GPI addition signal influences the ratio of membrane-associated to wall-associated protein (9, 44). Specifically, hydrophobic residues at positions 4 and 5 before the GPI transpeptidylation site direct a greater proportion of the protein to the wall (9), and basic residues at one and two residues before this site direct more protein to the membrane (64). HCA plots show that all "wall-directed" proteins have substantial hydrophobic regions four to eight residues N terminal to the GPI addition site, whereas the "membrane-directed" proteins show an exclusion of hydrophobic residues within about 20 residues of the site (not shown).
| CONCLUSIONS |
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The common structural motifs of the adhesins described here suit adhesin function extremely well. The glycoproteins are secreted to the outer face of the plasma membrane, then they are covalently anchored in the wall with their binding domains elevated beyond the wall surface (10, 26, 79). Their N-terminal globular domains bind peptide or sugar ligands. Central domains often include tandemly repeated sequences that are highly glycosylated. These Thr-rich domains potentiate cell-to-cell binding, but the molecular mechanism of such an association is not yet clear. These repeats also mediate recombination between repeats and between genes. The high levels of recombination and epigenetic regulation are sources of variation which enable the population to continually exploit new niches and resources.
While the structural motifs described in this review are widespread among the adhesins, they are not universal. Among the adhesins with alternative structures is Bad1p, for example, a molecule secreted by Blastomyces dermatiditis which utilizes an epidermal growth factor-like domain to bind cells and down-regulate the immune response (7).
The adhesins are subjects of medical interest, since adhesion to tissue is an obligatory first step in pathogenesis by many yeasts. These yeasts also use adhesins to colonize catheters and other prosthetic medical devices and thus produce biofilms. Within biofilms, organisms are quite resistant to antimicrobial therapy, frequently necessitating removal of the plastic medical device. Fungal pathogenesis is emerging as a significant cause of infection due to the increase in frequency of chronic predisposing factors such as human immunodeficiency virus infection, cancer chemotherapy, corticosteroid therapy, and use of broad-spectrum antibiotics (23). The cell wall exposure of the adhesins make them attractive candidates for targeted drug therapy to interfere with adhesin function or with their anchorage in the cell wall. This interference would disrupt social networks among the fungi and improve them in the host organisms.
| ACKNOWLEDGMENTS |
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This work was supported by NIH SCORE grants S06 GM60654 to Hunter College and S06 GM076168 to Brooklyn College (P.N.L. and J.E.C.) and by NIH grant R15 AI 43927 and NSF grant MCB9973776 to St. Johns University (A.M.D.). J.M.R. was supported by Kirschstein fellowship F31 GM 070122, and J.E.C. was supported by NSF Magnet-STEM and by NIH RCMI grant RR03037.
| FOOTNOTES |
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Present address: Dept. of Microbiology, Columbia College of Physicians and Surgeons, New York, NY 10032. ![]()
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