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The human pathogenic fungus Candida albicans is a frequent cause of mucosal infections. Although the ability to transition from the yeast to the hypha morphology is essential for virulence, hypha formation and host cell invasion per se are not sufficient for the induction of epithelial damage. Rather, the hypha‐associated peptide toxin, candidalysin, a product of the Ece1 polyprotein, is the critical damaging factor. While synthetic, exogenously added candidalysin is sufficient to damage epithelial cells, the level of damage does not reach the same level as invading C. albicans hyphae. Therefore, we hypothesized that a combination of fungal attributes is required to deliver candidalysin to the invasion pocket to enable the full damaging potential of C. albicans during infection. Utilising a panel of C. albicans mutants with known virulence defects, we demonstrate that the full damage potential of C. albicans requires the coordinated delivery of candidalysin to the invasion pocket. This process requires appropriate epithelial adhesion, hyphal extension and invasion, high levels of ECE1 transcription, proper Ece1 processing and secretion of candidalysin. To confirm candidalysin delivery, we generated camelid VHHs (nanobodies) specific for candidalysin and demonstrate localization and accumulation of the toxin only in C. albicans‐induced invasion pockets. In summary, a defined combination of virulence attributes and cellular processes is critical for delivering candidalysin to the invasion pocket to enable the full damage potential of C. albicans during mucosal infection. Take Aways: Candidalysin is a peptide toxin secreted by C. albicans causing epithelial damage.Candidalysin delivery to host cell membranes requires specific fungal attributes.Candidalysin accumulates in invasion pockets created by invasive hyphae.Camelid nanobodies enabled visualisation of candidalysin in the invasion pocket. [ABSTRACT FROM AUTHOR]

Dysbiosis in the female genital tract (FGT) is characterized by the overgrowth of pathogenic bacterial, fungal, or protozoan members of the microbiota, leading to symptomatic or asymptomatic infections. In this review, we discuss recent advances in studies dealing with molecular mechanisms of pathogenicity factors of Gardnerella vaginalis , Mycoplasma genitalium, Mycoplasma hominis , Neisseria gonorrhoeae , Streptococcus agalactiae , Chlamydia trachomatis, Trichomonas vaginalis , and Candida spp., as well as their interactions with the host and microbiota in the various niches of the FGT. Taking a holistic approach to identifying fundamental commonalities and differences during these infections could help us to better understand reproductive tract health and improve current prevention and treatment strategies. The microbiota of the FGT consists of a complex population of aerobic and anaerobic microorganisms, typically dominated by Lactobacillus spp. However, lactobacilli can be outnumbered by pathogenic microbial members causing an infection of the vagina or cervix. The causative agents of infection can be bacteria, yeasts, or protozoa, thus presenting a very diverse group of pathogens that have developed different mechanisms to adapt to a highly challenging environmental milieu. Despite their evolutionary distance, these agents share similar strategies of adhesion and biofilm formation, invasion into host cells, nutrient acquisition, evasion of host defenses, as well as secretion of multiple factors required for survival and epithelial damage. [ABSTRACT FROM AUTHOR]

Abstract: In a collection of 395 independent clinical isolates classified as Candida parapsilosis on a biochemical profile basis, 20 Candida metapsilosis strains were identified by molecular tests with an isolation frequency of 5%. Isolates were screened for their susceptibility to conventionally used antifungals and for virulence determinants, such as biofilm formation and protease production. Molecular characterization of C. metapsilosis independent isolates by amplified fragment length polymorphism (AFLP) revealed a high percentage of polymorphic bands. Statistical analysis of the pairwise genetic distances and bootstrapping revealed that recombination occurs and significantly contributes to C. metapsilosis genetic population variability. No association between specific AFLP markers and drug resistance or other phenotypes was observed. [Copyright &y& Elsevier]