The outcome of the interaction between a pathogen and a host depends on the interplay between virulence factors of the microorganism and host responses to the infection. Some virulence factors are induced only in the host and may therefore require specialized techniques to be identified, based on detection of these genes in vivo or the survival of mutagenized strains within specific host environments. Previous studies have shown that non-vertebrate hosts can be used to study established and identify novel virulence determinants in a variety of microbial animal pathogens. The hypothesis is that selection for genes involved in interactions with both mammalian and non-mammalian hosts may specifically identify genes of fundamental relevance to pathogenesis independent of the model system used (read more). Therefore, investigators have increasingly turned to invertebrates as facile and inexpensive hosts to model a variety of human pathogens. If killing of invertebrate hosts by pathogens mimics key features of mammalian pathogenesis, then it should be possible to use invertebrates as facile and inexpensive hosts for high throughput study of microbial pathogenesis.

We developed three invertebrate systems for the study of the fungal pathogens. These non-mammalian hosts are:

  1. Caenorhabditis elegans
  2. Drosophila melanogaster and
  3. Galleria mellonella.

Each of these systems provides some unique advantages. We are using non-mammalian hosts and especially Caenorhabditis elegans to study host-pathogen interactions. C. elegans is a facile model (read more) and has enabled us to study virulence factors of the model fungal pathogen Cryptococcus neoformans. Using this system we have ascertained a number of C. neoformans mutants that are hypovirulent in C. elegans (read more).

More recently, we found that Candida albicans as well as other Candida species are ingested by C. elegans and establish a persistent lethal infection in the C. elegans intestinal track. Importantly, key components of Candida pathogenesis in mammals, such as biofilm and filament formation, are also involved in nematode killing. The assay is performed in liquid media using standard 96-well plate technology. A screen of 1,266 compounds with known pharmaceutical activities identified 15 (~1.2%) that prolonged survival of C. albicans-infected nematodes and inhibited in vivo filamentation of C. albicans. We have tested three of these compounds in the murine model of candidiasis and two of these compounds identified, caffeic acid phenethyl ester (CAPE), a major active component of honeybee propolis, and the fluoroquinolone agent enoxacin, exhibited anti-fungal activity in mice. (read more) These surrogate hosts fill an important niche in microbial pathogenesis research and, along with established mammalian models provide us with a unique opportunity to identify and study basic, evolutionarily conserved aspects of microbial virulence and host response.

Eleftherios Mylonakis, M.D.
Division of Infectious Diseases
55 Fruit Street
Gray Jackson 5, Room GRJ-504
Boston, Massachusetts 02114-2696
(617) 726-3812
E-mail: emylonakis@partners.org

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