Abstract
Candida albicans is an opportunistic human pathogen, that commonly causes localised infection of mucosal surfaces. Candida can also cause systemic infections, which remain difficult to treat and have a high risk of mortality. The immune response to C. albicans infection is complex and can be influenced by the surrounding microenvironment, for example, metabolic stresses or co-infection. Macrophages are a key immune cell in defence against C. albicans infection through phagocytosis of C. albicans and cytokine production to co-ordinate immune responses. Here, we utilise Data Independent Acquisition (DIA) based total proteomics to describe the murine bone marrow derived macrophage (BMDM) response to C. albicans infection as well as in response to co-infection with gram-negative bacterial outer membrane component lipopolysaccharide (LPS) or the gram-negative bacteria Pseudomonas aeruginosa. We found C. albicans induced a surprisingly muted immune response in BMDMs as compared to LPS or P. aeruginosa. Moreover, upon co-infection with LPS or P. aeruginosa, C. albicans suppressed P. aeruginosa and LPS induced IL-6 and IL-12p40 secretion as well as dampening proteomic remodelling in the macrophage in response to these agents. Thus, C. albicans has significant suppressive capabilities in the host innate immune responses that could impact clinical outcomes during infection.
Data availability
Mass spectrometry data has been deposited in PRIDE , under accession number PXD062689. Full scans of immunoblots are available in the supplementary data. Other data is available on request from the corresponding author.
References
Denning, D. Global incidence and mortality of severe fungal disease. Lancet Infect. Dis. 24, e428–e438 (2024).
Brown, G. D. et al. Hidden killers: human fungal infections. Sci. Transl Med. 4, 1–9 (2012).
Pfaller, M. A. & Diekema, D. J. Epidemiology of invasive candidiasis: A persistent public health problem. Clin. Microbiol. Rev. 20, 133–163 (2007).
Cleveland, A. A. et al. Declining incidence of candidemia and the shifting epidemiology of Candida resistance in two US metropolitan areas, 2008–2013: results from population-based surveillance. PLoS One. 10, 2008–2013 (2015).
Pappas, P. G., Lionakis, M. S., Arendrup, M. C., Ostrosky-Zeichner, L. & Kullberg, B. J. Invasive candidiasis. Nat. Rev. Dis. Primers. 4, 1–20 (2018).
Lionakis, M. S., Drummond, R. A. & Hohl, T. M. Immune responses to human fungal pathogens and therapeutic prospects. Nat. Rev. Immunol. 23, 433–452 (2023).
Cowen, L. E. The evolution of fungal drug resistance: modulating the trajectory from genotype to phenotype. Nat. Rev. Microbiol. 6, 187–198 (2008).
Cannon, R. D. et al. Efflux-mediated antifungal drug resistance. Clin. Microbiol. Rev. 22, 291–321 (2009).
Khandelwal, N. K. et al. Vacuolar sequestration of Azoles, a novel strategy of Azole antifungal resistance conserved across pathogenic and nonpathogenic yeast. Antimicrob. Agents Chemother. 63, e01347–e01318 (2019).
Katragkou, A. et al. In vitro combination therapy with isavuconazole against Candida spp. Med. Mycol. 55, 859–868 (2017).
Costa-de-oliveira, S. & Rodrigues, A. G. Candida albicans antifungal resistance and tolerance in bloodstream infections: the triad yeast-host-antifungal. Microorganisms 8, 154–173 (2020).
Sudbery, P. Growth of Candida albicans hyphae. Nat. Rev. Microbiol. 9, 737–748 (2011).
Duggan, S., Leonhardt, I., Hünniger, K. & Kurzai, O. Host response to Candida albicans bloodstream infection and sepsis. Virulence 6, 316–326 (2015).
Olivier, F. A. B. et al. The escape of Candida albicans from macrophages is enabled by the fungal toxin Candidalysin and two host cell death pathways. Cell. Rep. 40, 111374 (2022).
Wheeler, M. L., Limon, J. J. & Underhill, D. M. Immunity to commensal fungi: detente and disease. Annu. Rev. Pathol. 12, 359–385 (2017).
Kubota, Y. et al. Role of alveolar macrophages in Candida-induced acute lung injury. Clin. Diagn. Lab. Immunol. 8, 1258–1262 (2001).
Netea, M. G., Joosten, L. A. B., Van Der Meer, J. W. M., Kullberg, B. J. & Van De Veerdonk, F. L. Immune defence against Candida fungal infections. Nat. Rev. Immunol. 15, 630–642 (2015).
Qian, Q., Jutila, M. A. & Van Rooijen, N. Elimination of mouse Splenic macrophages correlates with increased susceptibility to experimental disseminated candidiasis. J. Immunol. 152, 5000–5008 (1994).
Lionakis, M. S. et al. CX 3 CR1-dependent renal macrophage survival promotes Candida control and host survival. J. Clin. Invest. 123, 5035–5051 (2013).
Teo, Y. J. et al. Renal CD169 + + resident macrophages are crucial for protection against acute systemic candidiasis. Life Sci. Alliance. 4, 1–14 (2021).
Lewis, L. E. et al. Stage specific assessment of Candida albicans phagocytosis by macrophages identifies cell wall composition and morphogenesis as key determinants. PLoS Pathog. 8, (2012).
Erwig, L. P. & Gow, N. A. R. Interactions of fungal pathogens with phagocytes. Nat. Rev. Microbiol. 14, 163–176 (2016).
Uwamahoro, N. et al. The pathogen Candida albicans hijacks pyroptosis for escape from macrophages. mBio 5, (2014).
Brown, G. D. et al. Dectin-1 is a major β-glucan receptor on macrophages. J. Exp. Med. 196, 407–412 (2002).
Gow, N. A. R. et al. Immune recognition of Candida albicans  -glucan by Dectin-1. J. Infect. Dis. 196, 1565–1571 (2007).
Hatinguais, R., Willment, J. A. & Brown, G. D. PAMPs of the fungal cell wall and mammalian PRRs. Curr. Top. Microbiol. Immunol. 425, 187–223 (2020).
Lobato-Pascual, A., Saether, P. C., Fossum, S., Dissen, E. & Daws, M. R. Mincle, the receptor for mycobacterial cord factor, forms a functional receptor complex with MCL and FcεRI-γ. Eur. J. Immunol. 43, 3167–3174 (2013).
Becker, K. L., Ifrim, D. C., Quintin, J. & Netea, M. G. Veerdonk, F. L. Antifungal innate immunity: recognition and inflammatory networks. Semin Immunopathol. 37, 107–116 (2015). van de.
Bugarcic, A. et al. Human and mouse macrophage-inducible C-type lectin (Mincle) bind Candida albicans. Glycobiology 18, 679–685 (2008).
Jouault, T. et al. Candida albicans phospholipomannan is sensed through toll-like receptors. J. Infect. Dis. 188, 165–172 (2003).
Choteau, L. et al. Role of TLR1, TLR2 and TLR6 in the modulation of intestinal inflammation and Candida albicans elimination. Gut Pathog. 9, 1–13 (2017).
Tada, H. et al. Saccharomyces cerevisiae- and Candida albicans-derived Mannan induced production of tumor necrosis factor alpha by human monocytes in a CD14- and Toll-like receptor 4-dependent manner. Microbiol. Immunol. 46, 503–512 (2002).
Netea, M. G. et al. The role of toll-like receptor (TLR) 2 and TLR4 in the host defense against disseminated candidiasis. J. Infect. Dis. 185, 1483–1489 (2002).
Dalpke, A. H., Helm, M., Dalpke, A. H. & Helm, M. RNA mediated toll-like receptor stimulation in health and disease. RNA Biol. 9, 828–842 (2012).
Hardison, S. E. & Brown, G. D. C-type lectin receptors orchestrate antifungal immunity. Nat. Immunol. 13, 817–822 (2012).
Uribe-Querol, E., Rosales, C. & Phagocytosis Our current Understanding of a universal biological process. Front. Immunol. 11, 1–13 (2020).
Wells, C. A. et al. MINCLE is an essential component of the innate immune response to C.albicans. J. Immunol. 180, 7404–7413 (2008).
Zhu, L. et al. C-type lectin receptors dectin-3 and dectin-2 form a heterodimeric pattern-recognition receptor for host defense against fungal infection. Immunity 39, 324–334 (2013).
Keppler-Ross, S., Douglas, L., Konopka, J. B. & Dean, N. Recognition of yeast by murine macrophages requires Mannan but not glucan. Eukaryot. Cell. 9, 1776–1787 (2010).
Cohen, P. The TLR and IL-1 signalling network at a glance. J. Cell. Sci. 127, 2383–2390 (2014).
Bi, L. et al. CARD9 mediates dectin-2-induced IκBα kinase ubiquitination leading to activation of NF-κB in response to stimulation by the hyphal form of Candida albicans. J. Biol. Chem. 285, 25969–25977 (2010).
Gantner, B. N., Simmons, R. M. & Underhill, D. M. Dectin-1 mediates macrophage recognition of Candida albicans yeast but not filaments. EMBO J. 24, 1277–1286 (2005).
Gay, N. J., Symmons, M. F., Gangloff, M. & Bryant, C. E. Assembly and localization of Toll-like receptor signalling complexes. Nat. Rev. Immunol. 14, 546–558 (2014).
Kasperkovitz, P. V. et al. Toll-like receptor 9 modulates macrophage antifungal effector function during innate recognition of Candida albicans and Saccharomyces cerevisiae. Infect. Immun. 79, 4858–4867 (2011).
Bain, J. M. et al. Candida albicans hypha formation and Mannan masking of β-Glucan inhibit macrophage phagosome maturation. mBio 5, 1–17 (2014).
Davis, S. E. et al. Masking of β(1–3)-glucan in the cell wall of Candida albicans from detection by innate immune cells depends on phosphatidylserine. Infect. Immun. 82, 4405–4413 (2014).
de Assis, L. J. et al. Nature of b-1,3-glucan-exposing features on Candida albicans cell wall and their modulation. mBio 13, (2022).
Rogiers, O., Kucharíková, S. R., MAvan, L. & Gv., Dijck, P. & A, W. Candidalysin crucially contributes to Nlrp3 inflammasome activation by Candida albicans Hyphae. mBio 10, e02221-18 (2019).
Kasper, L. et al. The fungal peptide toxin Candidalysin activates the NLRP3 in Fl ammasome and causes cytolysis in mononuclear phagocytes. Nat. Commun. 9, 4260 (2018).
Russell, C. M. et al. Connecting the pore forming mechanism of this virulence factor to its immunostimulatory properties. J. Biol. Chem. 299, 102829 (2023).
Gow, N. A. R. & Hube, B. Importance of the Candida albicans cell wall during commensalism and infection. Curr. Opin. Microbiol. 15, 406–412 (2012).
Todd, O. A. et al. Candida albicans augments Staphylococcus aureus virulence by engaging the Staphylococcal Agr quorum sensing system. mBio 10, 1–16 (2019).
Hughes, W. T. Mycoflora in cystic fibrosis: some Ecologic aspects of Pseudomonas aeruginosa and Candida albicans. Mycopathol Mycol. Appl. 50, 261–269 (1973).
Haiko, J., Saeedi, B., Bagger, G., Karpati, F. & Özenci, V. Coexistence of Candida species and bacteria in patients with cystic fibrosis. Eur. J. Clin. Microbiol. Infect. Dis. 38, 1071–1077 (2019).
Bergeron, A. C. et al. Candida albicans and Pseudomonas aeruginosa interact to enhance virulence of mucosal infection in transparent zebrafish. Infect. Immun. 85, 1–18 (2017).
Lopez-Medina, E. et al. Candida albicans inhibits Pseudomonas aeruginosa virulence through suppression of Pyochelin and Pyoverdine biosynthesis. PLoS Pathog. 11 (2015).
Salvatori, O. et al. Bacteria modify Candida albicans hypha formation, microcolony properties, and survival within macrophages. mSphere 5 (2020).
Elcombe, S. E. et al. Dectin-1 regulates IL-10 production via a MSK1/2 and CREB dependent pathway and promotes the induction of regulatory macrophage markers. PLoS One. 8, e60086 (2013).
Brown, G. Dectin-1: a signalling non-TLR pattern-recognition receptor. Nat. Rev. Immunol. 6, 33–43 (2006).
Zheng, X., Wang, Y. & Wang, Y. Hgc1, a novel hypha-specific G1 cyclin-related protein regulates Candida albicans hyphal morphogenesis. EMBO J. 23, 1845–1856 (2004).
Amato, S. F., Nakajima, K., Hirano, T. & Chiles, T. C. Transcriptional regulation of the JunB promoter in mature B lymphocytes. Activation through a Cyclic adenosine 3’,5’-monophosphate-like binding site. J. Immunol. 157, 146–155 (1996).
Mayer, S. I., Dexheimer, V., Nishida, E., Kitajima, S. & Thiel, G. Expression of the transcriptional repressor ATF3 in gonadotrophs is regulated by Egr-1, CREB, and ATF2 after gonadotropin-releasing hormone receptor stimulation. Endocrinology 149, 6311–6325 (2008).
Astarci, E., Sade, A., Çimen, I., Savaş, B. & Banerjee, S. The NF-κB target genes ICAM-1 and VCAM-1 are differentially regulated during spontaneous differentiation of Caco-2 cells. FEBS J. 279, 2966–2986 (2012).
Melotti, P. et al. Activation of NF-kB mediates ICAM-1 induction in respiratory cells exposed to an adenovirus-derived vector. Gene Ther. 8, 1436–1442 (2001).
Darragh, J., Ananieva, O., Courtney, A., Elcombe, S. & Arthur, J. S. C. MSK1 regulates the transcription of IL-1ra in response to TLR activation in macrophages. Biochem. J. 425, 595–602 (2010).
Chen, C. C. et al. NF-κB-mediated transcriptional upregulation of TNFAIP2 by the Epstein-Barr virus oncoprotein, LMP1, promotes cell motility in nasopharyngeal carcinoma. Oncogene 33, 3648–3659 (2014).
Sohn, W. J. et al. Novel transcriptional regulation of the schlafen-2 gene in macrophages in response to TLR-triggered stimulation. Mol. Immunol. 44, 3273–3282 (2007).
Ungefroren, H. & Krull, N. B. Transcriptional regulation of the human Biglycan gene. J. Biol. Chem. 271, 15787–15795 (1996).
Mencacci, A., Fé d’Ostiani, C., Mosci, P., Trinchieri, G., Adorini, L. & E, C., G, D. S. &,, , R. IL-10 is required for development of protective Th1 responses in IL-12-deficient mice upon Candida albicans infection. J. Immunol. 161, 6228–6237 (1998).
Van Enckevort, F. H. J. et al. Increased susceptibility to systemic candidiasis in interleukin-6 deficient mice. Med. Mycol. 37, 419–426 (1999).
Vazquez-Torres, A., Jones-Carson, J., Warner, T. & Balish, E. Nitric oxide enhances resistance of Scid mice to mucosal candidiasis. J. Infect. Dis. 172, 192–198 (1995).
Collette, J. R., Zhou, H. & Lorenz, M. C. Candida albicans suppresses nitric oxide generation from macrophages via a secreted molecule. PLoS One. 9, e96203 (2014).
Gilchrist, M. et al. Systems biology approaches identify ATF3 as a negative regulator of Toll-like receptor 4. Nature 441, 173–178 (2006).
Whitmore, M. M. et al. Negative regulation of TLR-Signaling pathways by activating transcription Factor-3. J. Immunol. 179, 3622–3630 (2007).
Jung, D. H. et al. Involvement of ATF3 in the negative regulation of iNOS expression and NO production in activated macrophages. Immunol. Res. 62, 35–45 (2015).
Thompson, M. R., Xu, D. & Williams, B. R. G. ATF3 transcription factor and its emerging roles in immunity and cancer. J. Mol. Med. 87, 1053–1060 (2009).
Fontana, M. F. et al. JUNB is a key transcriptional modulator of macrophage activation. J. Immnology. 176, 100–106 (2016).
Bambouskova, M. et al. Itaconate confers tolerance to late NLRP3 inflammasome activation. Cell. Rep. 34, 108756 (2021).
Lampropoulou, V. et al. Itaconate links Inhibition of succinate dehydrogenase with macrophage metabolic remodeling and regulation of inflammation. Cell. Metab. 24, 158–166 (2016).
O’Neill, L. A. J. & Artyomov, M. N. Itaconate: the poster child of metabolic reprogramming in macrophage function. Nat. Rev. Immunol. 19, 273–281 (2019).
Hooftman, A. et al. The Immunomodulatory metabolite Itaconate modifies NLRP3 and inhibits inflammasome activation. Cell. Metab. 32, 468–478e7 (2020).
Westman, J. et al. Lysosome fusion maintains phagosome integrity during fungal infection. Cell. Host Microbe. 28, 798–812e6 (2020).
Bain, J. M., Alonso, M. F., Childers, D. S., Walls, C. A. & Mackenzie, K. Immune cells fold and damage fungal hyphae. Proc. Natl. Acad. Sci. U S A. 118, 1–8 (2021).
Grant, L. et al. Myeloid-cell protein tyrosine phosphatase-1B deficiency in mice protects against high-fat diet and lipopolysaccharide-induced inflammation, hyperinsulinemia, and endotoxemia through an IL-10 STAT3-dependent mechanism. Diabetes 63, 456–470 (2014).
Baker, C. P. et al. DIA label-free proteomic analysis of murine bone-marrow-derived macrophages. STAR. Protoc. 3, 101725 (2022).
Sinclair, L. V. et al. Autophagy repression by antigen and cytokines shapes mitochondrial, migration and effector machinery in CD8 T cells. Nat. Immunol. 26, 429–443 (2025).
Baker, C. P. et al. Optimising Spectronaut search parameters to improve data quality with minimal proteome coverage reductions in DIA analyses of heterogeneous samples. J. Proteome Res. 23, 1926–1936 (2024).
Wiśniewski, J. R., Hein, M. Y., Cox, J. & Mann, M. A ‘proteomic ruler’ for protein copy number and concentration Estimation without spike-in standards. Mol. Cell. Proteomics. 13, 3497–3506 (2014).
Tyanova, S. et al. The perseus computational platform for comprehensive analysis of (prote)omics data. Nat. Methods. 13, 731–740 (2016).
Perez-Riverol, Y. et al. The PRIDE database resources in 2022: A hub for mass spectrometry-based proteomics evidences. Nucleic Acids Res. 50, D543–D552 (2022).
Ritchie, M. E. et al. Limma powers differential expression analyses for RNA-sequencing and microarray studies. Nucleic Acids Res. 43, e47 (2015).
Acknowledgements
The authors would like to thank A. Brenes and A. Howden for proteomic analysis advice; Dundee University Biological Resource unit; A. Score, A. Atrih and the Fingerprint Proteomics Facility.
Funding
This work was funded by the Wellcome Trust (102132/B/13/Z) and EastBio (BBSRC BBSRC DTP Research BB/M010996/1) PhD Studentships.
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Conceptualization, JSCA, CPB, SL; methodology, JSCA, CPB, SL, JW, KS; formal analysis, CPB, SL; writing—original draft preparation and writing CPB; reviewing and editing, CPB, JSCA, JW, SL, HW. All authors have read and agreed to the published version of the manuscript.
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Baker, C.P., Laba, S., Warner, J. et al. Candida albicans infection suppresses lipopolysaccharide or Pseudomonas aeruginosa stimulated murine bone marrow derived macrophage (BMDM) responses. Sci Rep (2026). https://doi.org/10.1038/s41598-026-39429-z
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DOI: https://doi.org/10.1038/s41598-026-39429-z