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Candida albicans Amphotericin B-Tolerant Persister Formation is Closely Related to Surface Adhesion

Mycopathologia volume 181, pages 41–49 (2016)Cite this article

Abstract

Candida albicans persisters have so far been observed only in biofilm environment; the biofilm element(s) that trigger(s) persister formation are still unknown. In this study, we tried to further elucidate the possible relationship between C. albicans persisters and the early phases of biofilm formation, especially the surface adhesion phase. Three C. albicans strains were surveyed for the formation of persisters. We tested C. albicans persister formation dynamically at different time points during the process of adhesion and biofilm formation. The number of persister cells was determined based on an assessment of cell viability after amphotericin B treatment and colony-forming unit assay. None of the planktonic cultures contained persisters. Immediately following adhesion of C. albicans cells to the surface, persister cells emerged and the proportion of persisters reached a peak of 0.2–0.69 % in approximately 2-h biofilm. As the biofilm matured, the proportion of persisters decreased and was only 0.01–0.02 % by 24 h, while the number of persisters remained stable with no significant change. Persisters were not detected in the absence of an attachment surface which was pre-coated. Persisters were also absent in biofilms that were scraped to disrupt surface adhesion prior to amphotericin B treatment. These results indicate that C. albicans antifungal-tolerant persisters are produced mainly in surface adhesion phase and surface adhesion is required for the emergence and maintenance of C. albicans persisters.

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Acknowledgments

This work was supported by National Natural Science Foundation of China (Grant Nos 30973310, 81371158). Our laser confocal scanning work was performed at The Microscopy Characterization Facility, Shandong University. We are also indebted to Professor K. Lewis for supplying the C. albicans strains.

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Affiliations

  1. Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwu Road, Jinan, Shandong, China

    Jing Sun

  2. Shandong Provincial Key Laboratory of Oral Biomedicine, 44-1 Wenhuaxi Road, Jinan, Shandong, China

    Jing Sun, Haoyue Chu, Jing Guo, Guangshui Jiang & Qingguo Qi

  3. School of Stomatology, Shandong University, 44-1 Wenhuaxi Road, Jinan, Shandong, China

    Jing Sun, Haoyue Chu, Jing Guo, Guangshui Jiang & Qingguo Qi

  4. Cheeloo Health Science Center, Shandong University, Jinan, 250012, Shandong, China

    Qingguo Qi

  5. Qianfoshan Hospital Shandong Province, 16766 Jingshi Road, Jinan, Shandong, China

    Zhigang Li

Authors
  1. Jing Sun
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  2. Zhigang Li
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  3. Haoyue Chu
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Correspondence to Guangshui Jiang or Qingguo Qi.

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Sun, J., Li, Z., Chu, H. et al. Candida albicans Amphotericin B-Tolerant Persister Formation is Closely Related to Surface Adhesion. Mycopathologia 181, 41–49 (2016). https://doi.org/10.1007/s11046-015-9894-1

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  • DOI: https://doi.org/10.1007/s11046-015-9894-1

Keywords

  • Candida albicans
  • Persisters
  • Biofilm
  • Adhesion