Biomedical Engineering Reference
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whereas the same gene upregulated the formation of biofi lm by
S. aureus
(Becker et al. 2001). This versatility by
ADH1
in different microbial biofi lms
may thus have an impact on the
interactions between
C. albicans
and bacteria
in a mixed-species environment.
Hypothetically speaking, it is likely that by over-expressing
ADH
1,
bacteria will enhance their ability to form biofilm while at the
same
time inhibiting
Candida
biofi lm formation. Such a hypothesis requires
confi rmation to fully understand the specifi city of
ADH
expression in yeast
and bacteria.
The role of the
ADH
1 gene on
C. albicans
biofi lm formation is confi rmed
by the Adh1 protein. Indeed, using molecular and biochemical approaches,
we showed that Adh1p restricted the ability of
Candida
to form biofi lm, as
revealed by enhanced biofi lm formation in response to the disruption
of
the
ADH
1 gene or the biochemical inhibition of the enzyme (Mukherjee
et al. 2006).
Compared to the parent
strain,
ADH
1 mutant
Candida
strain displays
reduced fi tness; this reduction may play an active role in the interaction of
C. albicans
with bacteria existing in the environment and leading to mixed
biofi lm formation. In this regard,
Hogan and Kolter (2002) suggested a link
between biofi lm formation
and the activities of some eukaryotic-specifi c
virulence factors
toward fungal cells and that the antagonism between
bacteria and
fungi may contribute to the evolution and maintenance of
many pathogenesis-related genes.
In an extended investigation, the role of the
ADH
1 gene in
Candida
's
interaction with the host was confi rmed using engineered human oral
demonstrate a correlation between the activity of the ADH1 protein and
biofi lm formation on normal human tissue, such as oral mucosa, which
brings us closer
to the clinical setting. The observation that an
ADH
1 mutant
of
C. albicans
formed increased biofi lm (which may in turn promote tissue
invasion) suggests that biofi lm plays a role in
the ability of
Candida
to
invade host tissues. It is likely
that having the ability to form biofi lm in the
oral cavity enables
Candida
to transmigrate across the oral
submucosa and
subsequently possibly cause systemic infection. As our study demonstrated
that the
ADH
1 mutant displayed a greater ability to penetrate the EHOM
layers, one mechanism of action of
ADH
1p in biofi lm formation may thus
be to
modulate host tissue invasion by the
Candida
biofi lm. This aspect of
ADH1p's action in
Candida
biofi lm formation
remains to be investigated
but will no doubt shed light on the use of an alternative treatment that
integrates the ADH1 gene/protein to overcome different forms of
Candida
infection in humans.