Gpm1p Is a Factor H-, FHL-1-, and Plasminogen-binding Surface Protein of Candida albicans*

The human pathogenic yeast Candida albicans utilizes host complement regulators for immune evasion. Here we identify the first fungal protein that binds Factor H and FHL-1. By screening a protein array of 4088 proteins of Saccharomyces cerevisiae, phosphoglycerate mutase (ScGpm1p) was identified as a Factor H- and FHL-1-binding protein. The homologous C. albicans Gpm1p (CaGpm1p) was cloned and recombinantly expressed as a 36-kDa His-tagged protein. Purified CaGpm1p binds the host complement regulators Factor H and FHL-1, but not C4BP. The CaGpm1p binding regions in the host proteins were localized; FHL-1 binds via short consensus repeats (SCRs) 6 and 7, and Factor H utilizes two contact regions that are located in SCRs 6 and 7 and in SCRs 19 and 20. In addition, recombinant CaGpm1p binds plasminogen via lysine residues. CaGpm1p is a surface protein as demonstrated by immunostaining and flow cytometry. A C. albicans gpm1-/- mutant strain was generated that did not grow on glucose-supplemented but on ethanol- and glycerol-supplemented medium. Reduced binding of Factor H and plasminogen to the null mutant strain is in agreement with the presence of additional binding proteins. Attached to CaGpm1p, each of the three host plasma proteins is functionally active. Factor H and FHL-1 show cofactor activity for cleavage of C3b, and bound plasminogen is converted by urokinase-type plasminogen activator to proteolytically active plasmin. Thus, the surface-expressed CaGpm1p is a virulence factor that utilizes the host Factor H, FHL-1, and plasminogen for immune evasion and degradation of extracellular matrices.

Candida albicans is the most important human pathogenic yeast and causes disseminated infections (1,2). The yeast form represents a common saprophyte in healthy individuals, which resides mainly on the skin, oral cavity, urogenital, and gastrointestinal tracts. In addition, C. albicans can cause systemic infections predominantly in immunocompromised or granulocytopenic patients (3). C. albicans systemic infections, which are difficult to diagnose and treat, can be lethal (4). Virulence of C. albicans is based on its ability to bind to host cells (5). Several secretory proteolytic enzymes are involved in tissue invasion of C. albicans (6). In addition, morphogenetic transition from yeast to hyphal forms correlates with the infection process and causes adherence to host cells and tissue penetration (7).
As a commensal, C. albicans has evolved highly effective strategies of immune evasion to survive in the host (8). The complement system represents an important part of host innate immunity. Four activation pathways have been described. The alternative pathway, which is initiated spontaneously, and by default, the lectin and classical pathway, which are triggered by antibodies or carbohydrates, are relevant for the recognition and elimination of microbes (9). The role of the recently described thrombin pathway (10) for immune defense needs to be worked out. C. albicans activates both the alternative and classical pathways of complement (11). C3b molecules bind directly to the C. albicans surface or via mannan-specific IgG antibodies, which occur naturally in human serum (12).
Upon entry into a human host, any microbe is attacked by the host complement system. However, pathogenic microbes control complement activation at their surface. This type of complement escape is mediated either by the acquisition of host regulators to the surface of the pathogen or by expression of endogenous complement regulators (13). An increasing number of pathogenic microbes utilize host complement regulators for immune evasion and for down-regulation of complement activation. For the yeast C. albicans, acquisition of the central fluid phase alternative pathway regulators Factor H and FHL-1 and the classical pathway regulator C4BP have been demonstrated (14,15). Binding of host complement regulators such as Factor H, FHL-1, and C4BP was also shown for Gram-negative bacteria, such as Borrelia burgdorferi (16,17), Neisseria gonorrhoeae (18), Neisseria meningitidis (19), Gram-positive bacteria, like Streptococcus pyogenes (20,21), Streptococcus pneumoniae (22), and parasites including Onchocerca volvulus, Echinococcus granulosus (23), and the human immunodeficiency virus (24). In their bound configuration these host proteins maintain their regulatory activities and protect the microbes against complement-mediated phagocytosis and lysis. For several pathogens the ligands for the host regulators have been identified and include classical virulence factors like the M protein of S. pyogenes. Factor H-and FHL1-binding proteins of C. albicans have been proposed (13), but so far these proteins have not been isolated. Here we identify the phosphoglycerate mutase Gpm1p of C. albicans (CaGpm1p) as the first fungal Factor H-and FHL-1-binding protein of yeast.
Antibodies and Proteins-For specific detection of Factor H and FHL-1 in the protein array, monoclonal antibodies B22 and L20 (25) (directed against SCR 5 and SCR 19 of Factor H) were labeled with Alexa Fluor 647 (Molecular Probes, Eugene, OR) according to the manufacturer's instructions. Horseradish peroxidase-conjugated rabbit anti-goat antisera and horseradish peroxidase-conjugated rabbit anti-mouse antisera as well as horseradish peroxidase-conjugated swine anti-rabbit antisera were obtained from Dako (Glostrup, Denmark). Polyclonal goat anti-Factor H antiserum (Calbiochem) and a polyclonal goat anti-plasminogen antiserum (Acris, Hiddenhausen, Germany) was used for ELISA. 3 Polyclonal antibodies against CaGpm1p were raised by immunizing rabbits with purified recombinant CaGpm1p. Alexa Fluor 488-labeled goat antirabbit antisera (Molecular Probes), used for fluorescence microscopy, and fluorescein isothiocyanate-labeled swine antirabbit antisera (Dako, Glostrup, Denmark), used for flow cytometry, were obtained from Molecular Probes. A monoclonal mouse antibody directed against human ␥ tubulin (kindly provided by Peter Hemmerich, Jena, Germany) was used for detection of ␥ tubulin. For detection of C3b degradation products, a polyclonal goat anti-C3 antiserum (Calbiochem) was used. Recombinant CaGpm1p was detected with PentaHis antiserum (Qiagen, Hilden, Germany). Factor H, Factor I, and C3b were obtained from Calbiochem, uPA was from Chemicon (Hofheim, Germany), and plasminogen was from Chromogenix (Milano, Italy).
Expression of Recombinant Proteins-The C. albicans phosphoglycerate mutase gene CaGPM1 was amplified by PCR using genomic DNA from strain SC5314 and primers S1 (5Ј-GAATTCGTATGCCAAAGTTAGTTTTAGT-3Ј) and S2 (5Ј-TCTAGATATTTCTTTTGACCTTGAGCAG-3Ј); EcoRI and XbaI restriction sites are underlined. The resulting 760-bp DNA fragment contained the complete CaGPM1 coding region flanking an additional EcoRI and a XbaI restriction site. The DNA fragment was subcloned into Escherichia coli cloning vector pCR4Blunt-TOPO (Invitrogen) and subsequently cloned into the EcoRI and XbaI sites of the Pichia pastoris vector pPICZ␣B (Invitrogen). CaGpm1p was recombinantly expressed as a His-tagged protein in P. pastoris strain X33. Protein expression was induced with 1% methanol. After 3 days of expression the culture supernatant was harvested, and recombinant CaGpm1p was precipitated with 80% ammonium sulfate. FHL-1 (SCR 1-7) and recombinant deletion constructs of Factor H (SCRs 1-5, SCRs 1-6, SCRs 8 -11, SCRs 11-15, SCRs [15][16][17][18]and SCRs 19 and 20) were expressed in the baculovirus system as described (26). All recombinant proteins were purified by nickel affinity chromatography using HisTrap columns in an Á kta fast protein liquid chromatography system (GE Healthcare) and concentrated in PBS using Vivaspin 15R concentrators with a cut off of 10 kDa (Vivascience, Hannover, Germany).
Protein Binding Assays-The ProtoArray Yeast Proteome PPI kit (Invitrogen), representing 4088 purified recombinant yeast proteins of the yeast Saccharomyces cerevisiae, spotted onto a glass slide, was used to identify Factor H-and FHL-1binding proteins. Arrays were probed either with Factor H or FHL-1 (6 g each), and bound proteins were detected with fluorescence-labeled antibodies. The arrays were scanned using a fluorescent microarray scanner (Gene Pix 4000B, Molecular Devices). Significant interactions were identified by analyzing the acquired data with the ProtoArray Prospector software (Invitrogen). Additional arrays were probed exclusively with the antibodies to identify background reactivity.
For ELISA CaGpm1p (0.25 g in carbonate-bicarbonate buffer, Sigma) was immobilized onto a microtiter plate (halfarea plate, Corning) at RT overnight. Nonspecific binding sites were blocked with PBS containing 2% BSA for 2 h at RT. After incubation with the ligand protein (0.75 g) for 2 h at RT, wells were washed 3 times with PBS-T buffer (PBS containing 0.05% Tween 20) and incubated with primary antiserum (1:1000 dilution in blocking solution) for 1 h at RT. After washing with PBS-T, horseradish peroxidase-conjugated antisera (1:2000 dilution in blocking solution) were added and incubated for 1 h at RT. After washing, substrate o-phenylenediamine dihydrochloride (Sigma) was added. The reaction was stopped with 2 M H 2 SO 4 , and the optical density was measured at 490 nm in an ELISA plate reader (SpektraMax 190, Molecular Devices).
Immunofluorescence Assays and Flow Cytometry-C. albicans yeast or hyphal cells (10 8 ) were incubated at RT for 30 min in PBS supplemented with 2% BSA. After blocking of nonspecific binding sites, the cells were incubated at 4°C overnight with rabbit anti-CaGpm1p antiserum or with preimmune serum (1:50 dilution). After incubation, cells were washed 3 times with blocking buffer. A goat anti-rabbit antiserum labeled with Alexa 488 was added at a dilution of 1:200 in blocking buffer at RT. Cells were again washed three times and examined with a laser scanning microscope (LSM 510 META, Zeiss).
C. albicans yeast cells were analyzed by flow cytometry. After incubation at 4°C for 30 min with CaGpm1p antiserum (1:100 dilution in 1% BSA-PBS), C. albicans yeast cells were washed with PBS supplemented with 1% BSA (1% BSA-PBS). Alexa Fluor 488-labeled goat anti-rabbit serum was used as secondary antibody (1:200 dilution in 1% BSA-PBS). After incubation at 4°C for 30 min, the cells were washed with 1% BSA-PBS and examined by flow cytometry (LSR II, BD Biosciences). Forward and sideward scatters were used for the identification of the cells, and fluorescent events of 10,000 cells were counted.
bicans cells were cultivated in Soll's medium (27), pH 4.5, at 30°C overnight followed by growth in Soll's medium, pH 6.5, at 37°C for 45 min. The cells were harvested by centrifugation and stored at Ϫ20°C. After resuspending the pellet in PBS supplemented with 25 mM DTT and 12.5 mM phenylmethylsulfonyl fluoride (final concentrations), the cells were lysed by glass beads in a Mini-BeadBeater (Biospec Products) followed by three freeze and thaw cycles. For the isolation of cytoplasmic proteins, cell lysate of the C. albicans null mutant and the wild type strain was centrifuged, and the supernatant was collected.
Cell debris was resuspended in PBS and again centrifuged. This step was repeated 10 times. Proteins derived from cell wall pellet were extracted by reducing loading buffer Roti-Load1 (Roth, Karlsruhe, Germany) incubated at 99°C for 5 min and then separated by SDS-PAGE.
Cofactor Assay-Cofactor activity of CaGpm1p-bound complement regulators Factor H and FHL-1 was performed as described (15). CaGpm1p was coated to the surface of a microtiter plate (half-area plate, Corning), and Factor H (0.2 g/well) or FHL-1 (0.2 g/well) was bound to this matrix. After extensive washing with PBS, C3b (0.4 g/well) and Factor I (0.8 g/well) were added. After the incubation at 37°C the supernatant was separated by SDS-PAGE, and C3 degradation products were analyzed by Western blot using an anti-C3 antiserum and a horseradish peroxidase-conjugated anti-mouse serum as secondary antibody.
Candida ELISA-For Candida ELISAs, C. albicans yeast cells from an overnight culture were washed with PBS, diluted into carbonate-bicarbonate buffer (Sigma) to 1 ϫ 10 7 cells/ml and immobilized onto a microtiter plate (MaxiSorb, Nunc) at 4°C overnight. After washing with PBS-T buffer once, nonspecific binding sites were blocked with PBS containing 1ϫ Roti-Block (Roth) for 2 h at RT. After incubation with 20% normal human serum/EDTA (normal human serum/diluted in blocking solution supplemented with 0.05% Tween 20 (Block-T) and 10 mM EDTA) for 1 h at 37°C, wells were washed 3 times with PBS-T and incubated with primary antiserum (1:1000 dilution in Block-T) for 1 h at RT. After washing with PBS-T buffer, horseradish peroxidase-conjugated antisera (1:1000 dilution in Block-T) were added and incubated for 1 h at RT. After washing, substrate o-phenylenediamine dihydrochloride (Sigma) was added. The reaction was stopped with 2 M H 2 SO 4 , and the optical density was measured at 490 nm in an ELISA plate reader (SpektraMax 190, Molecular Devices).

Identification of ScGpm1p as a Factor H-and FHL-1-binding
Protein-We have previously shown that host complement regulators Factor H and FHL-1 bind to the pathogenic yeast C. albicans (15). To identify yeast proteins that bind Factor H and A Complement Regulator-binding Protein from C. albicans DECEMBER 28, 2007 • VOLUME 282 • NUMBER 52

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FHL-1, a protein microarray representing 4088 recombinant proteins of the related yeast S. cerevisiae was used, and four Factor H-binding (YDR047W, YKL152C, YGR191W, YBL024W) and three FHL-1-binding (YDR047W, YKL152C, YBL024W) proteins were identified. All three FHL-1-binding proteins do also bind Factor H, and YGR191W binds specifically Factor H but not FHL-1. Spot YKL152C, which bound both Factor H and FHL-1, represents the phosphoglycerate mutase ScGpm1p (Fig. 1A). The C. albicans homologue CaGpm1p showed the highest homology to the S. cerevisiae protein (78%). Because this protein was recently identified as a plasminogen-binding protein (30), it was selected for further analyses.
To confirm this interaction, the Gpm1p of C. albicans was cloned and recombinantly expressed in the yeast P. pastoris. The culture supernatant and various fractions obtained by nickel chelate chromatography were separated by SDS-PAGE and analyzed by silver staining (Fig. 1B). Two prominent bands of 36 and 31 kDa were detected in the supernatant and the elute fraction. Western blotting with ␣-His antiserum identified the 36-kDa band as the recombinant CaGpm1p protein (Fig. 1B,  lane 5), suggesting that the second 31-kDa band represents a degradation product that lacks the His tag.
CaGpm1p Binds Human Plasma Proteins-Binding of Factor H and FHL-1 to recombinant CaGpm1p was assayed by ELISA. CaGpm1p was immobilized to the microtiter plate, and purified Factor H and FHL-1 were added. Both immune regulators bound to CaGpm1p. CaGpm1p was recently identified as a plasminogen-binding protein (30,) and this interaction was confirmed for the recombinant yeast protein. The classical pathway regulator C4BP did not bind to immobilized CaGpm1p (Fig. 2). Factor H and FHL-1 as well as plasminogen bound to recombinant immobilized CaGpm1p.
Mapping of the Binding Regions in Factor H and FHL-1-To localize binding sites for CaGpm1p within the two host regulators, recombinant deletion constructs of FHL-1 and of Factor H representing SCRs 1-5, SCRs 1-6, SCRs 1-7/FHL-1, SCRs 8 -11, SCRs 11-15, SCRs 15-18, and SCRs 19 and 20 (26) were tested for CaGpm1p binding. FHL-1 (SCRs 1-7) and SCRs 1-6 did bind to immobilized CaGpm1p, but SCRs 1-5 showed rather weak binding. In addition, recombinant deletion constructs of Factor H SCRs 19 and 20 did clearly bind, whereas SCRs 15-18 bound to a smaller extent. Constructs SCRs 8 -11 and SCRs 11-15 did not bind (Fig. 3A). Based on these results it is concluded that FHL-1 has one interacting region with CaGpm1p, located in SCRs 6 and 7 (region I). Factor H has two binding regions, one shared with FHL-1 and a second region (region II) located in the C terminus, i.e. SCRs 19 and 20 (Fig.  3B). In the ELISA assays region I binds with higher intensity than region II.
Lysine-dependent Binding of Plasminogen to CaGpm1p-To characterize the CaGpm1p plasminogen interaction in more detail we analyzed the role of the lysine analogue ⑀-aminocaproic acid (⑀ACA). ⑀ACA inhibited plasminogen binding to CaGpm1p in a dose-dependent manner. Inhibition of about 20% was observed with 0.1 mM ⑀ACA, and maximal inhibition (Ͼ90%) was observed with 10 mM of the inhibitor (Fig. 4). Thus,

FIGURE 1. Identification of ScGpm1p as a Factor H-and FHL-1-binding protein.
A, a protein array representing 4088 recombinant proteins of the yeast S. cerevisiae was probed with Factor H or alternatively with FHL-1. Two positive spots (YKL152C spotted in duplicate) representing the phosphoglycerate mutase were identified. The experiments were repeated three times, and a representative result is shown. B, the corresponding protein of the human pathogenic yeast C. albicans was cloned and recombinantly expressed in P. pastoris as a His-tagged protein. CaGpm1p was purified by affinity chromatography. The P. pastoris supernatant, flow-through, wash, and eluate fractions were separated by SDS-PAGE and analyzed by silverstaining (lanes 1-4). The eluate fraction was analyzed by Western blotting using a His antibody (lane 5).

FIGURE 2. Binding of human plasma proteins to recombinant CaGpm1p.
CaGpm1p was immobilized to a microtiter plate, and binding of Factor H, FHL-1, C4BP, and plasminogen was assayed by ELISA using specific antisera. The bars represent the means of three independent experiments Ϯ S.D.
binding of plasminogen to CaGpm1p is mediated by lysine residues.
CaGpm1p Is a Surface Protein of C. albicans-To confirm CaGpm1p expression on the surface of intact C. albicans, an antiserum was raised against the recombinant yeast protein.
Confocal laser scanning microscopy showed expression of CaGpm1p on the surface of intact C. albicans yeast cells (Fig.  5A, upper, left panel). Staining was particularly prominent on the tip of the hyphae (Fig. 5A, lower, left panel). In addition, surface localization of CaGpm1p is demonstrated by flow cytometry (Fig. 5B). Furthermore, the native 27.5-kDa CaGpm1p protein was identified in the cytoplasmic fraction and also in a cell wall extract by Western blotting using the specific antiserum (Fig. 5C, lanes 1 and 2). Preimmune serum showed no reactivity (data not shown). To exclude contamination of the cell wall fraction with intracellular proteins, the presence of the intracellular protein ␥ tubulin was assayed. Staining for the 53-kDa ␥ tubulin is detected in the cytoplasmic but not in the cell wall fraction (Fig. 5C, bottom   panel), thus, demonstrating that the cell wall extract is free of major cytoplasmic contaminants. In summary, three independent methods show expression of CaGpm1p at the surface of C. albicans.
Generation of a C. albicans gpm1 Null Mutant Strain-To verify the role of CaGpm1p in the binding of Factor H, FHL-1, and plasminogen to C. albicans, a Cagpm1 knock-out mutant was generated using the Ura-blaster method ( Table 1). The knock-out strain did not grow on glucose-supplemented YP medium but did grow when both ethanol and glycerol were applied as carbon sources. In addition, Southern blotting (data not shown) and cytoplasmic and cell wall fractions were generated from heterozygous (CAP1), homozygous mutants (CAP3), and a revertant strain (CAP5). Staining of these preparations for CaGpm1p revealed reduced protein levels in the heterozygote and the revertant strains and the complete absence in the knock-out strain (Fig. 6A).  ⑀ACA was used to interfere with the plasminogen-CaGpm1p interaction. CaGpm1p was bound to the microtiter plate and incubated with plasminogen in the presence of increasing concentrations of ⑀ACA. This experiment has been repeated three times, and a representative result is shown. OD, optical density. A Complement Regulator-binding Protein from C. albicans DECEMBER 28, 2007 • VOLUME 282 • NUMBER 52

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Binding of Factor H and Plasminogen from Normal Human Serum to C. albicans SC5314 and GPM1 Mutant Strains -When the mutant strains were analyzed for Factor H and plasminogen binding, no significant reduction in attachment was observed for both plasma proteins in the knock-out strain (CAP3) (Fig. 6, B and C). The reduction but not the complete loss of binding by ϳ6% (Factor H) and 10% (plasminogen) is explained by the presence of additional Factor H-and plasminogen-binding surface proteins.
Factor H and FHL-1 Bound to CaGpm1p Maintain Complement Regulatory Activity-To assess whether Factor H and FHL-1 bound to CaGpm1p maintain complement regulatory function, cofactor activity of the CaGpm1p-bound regulators was analyzed. Factor H and FHL-1 were attached to immobilized CaGpm1p and C3b together with factor I were added. After incubation for 60 min, the supernatants were separated by SDS-PAGE, and C3b degradation products were identified by Western blotting. Cofactor activity of the bound regulator is revealed by the appearance of cleavage products of ␣Ј68, ␣Ј46 and ␣Ј43 kDa (Fig. 7, lanes 1 and 3). The same cleavage products were generated when Factor H was directly coated and used as cofactor for C3b degradation (Fig. 7, lane 5). These results show that Factor H and FHL-1 attached to Gpm1p of C. albicans maintain complement regulatory function and mediate cofactor activity.
Plasminogen Bound to CaGpm1p Is Converted to Proteolytically Active Plasmin-In addition, we assayed if plasminogen bound to CaGpm1p is converted to the functional protease plasmin. Plasminogen was attached to CaGpm1p and treated with the activator uPA, and the capacity of the activated plasmin to cleave the chromogenic substrate S-2251 was assayed. This activity was dose-dependent and correlated with the amount of immobilized CaGpm1p (Fig. 8). Thus, plasminogen attached to CaGpm1p is accessible for the activator uPA, and the activated plasmin retains its proteolytic activity.

DISCUSSION
The human pathogenic yeast C. albicans utilizes host complement regulators for immune evasion. Here, we identify the first fungal protein that binds the host immune regulators Factor H and FHL-1. By screening a protein array of S. cerevisiae, phosphoglycerate mutase (ScGpm1p) was identified as a Factor H-and FHL-1-binding protein. The homologous C. albicans Gpm1p was cloned and recombinantly expressed. The purified CaGpm1p binds specifically Factor H and FHL-1 but not C4BP. The CaGpm1p binding sites were identified in the two host proteins. FHL-1 binds to CaGpm1p via SCRs 6 and 7, and Factor H utilizes two binding regions that are located in SCRs 6 and 7 and in SCRs 19 and 20. In addition, recombinant CaGpm1p binds plasminogen via lysine residues. CaGpm1p is a surface protein and was identified in the cell wall fraction by Western blotting and by immunostaining of intact C. albicans yeast cells and hyphae using a specific antiserum. Attached to CaGpm1p, each of the three host plasma proteins is functionally active. Factor H and FHL-1 show cofactor activity for cleavage of C3b,  and bound plasminogen is converted by uPA to proteolytically active plasmin. Thus, surface-expressed CaGpm1p acquires the host complement regulators Factor H, FHL-1, and the host protease precursor plasminogen. This acquisition and surface decoration leads to immune evasion and degradation of extracellular matrices. The phosphoglycerate mutase Gpm1p was initially identified as a cytoplasmic glycolytic protein regulating the catalytic conversion of 3-phosphoglycerate to 2-phosphoglycerate during glycolysis and the reverse reaction in gluconeogenesis. The phosphoglycerate mutase of C. albicans has a predicted molecular mass of 27.5 kDa and lacks apparent signal and transport sequences. C. albicans Gpm1p is located in the cytoplasm and at the cell surface where it is a component of the cell wall as shown here by immunofluorescence, Western blotting, and flow cytometry (Fig. 5). Using a proteomic approach, C. albicans Gpm1p was previously identified as a cell wall component (31) that binds plasminogen (30). Here we confirm surface expression of Gpm1p in C. albicans using a newly generated polyclonal antiserum, and in addition, we characterize CaGpm1p as a protein, which is expressed at the tip of hyphae. Surface expression and accessibility is further confirmed by the presence of CaGpm1p antibodies in sera of patients with systemic candidiasis (32) and in mice after infection with the yeast (33). Similar to C. albicans, the Gpm1p of S. cerevisiae is distributed in the cytoplasm and cell wall (34), and the protein is released from regenerating S. cerevisiae protoplasts in an enzymatically active form (34,35).
The C. albicans gpm1 knock-out strain does not grow on glucose-supplemented but does grow on ethanol-and glycerolsupplemented medium. Similarly, deletion of ScGPM1 in S. cerevisiae results in a mutant that does not grow on glucose-supplemented medium (36). The Cagpm1 knock-out mutant (CAP3) shows reduced binding of Factor H and plasminogen (Fig. 6, B and C), thus suggesting a role of surface-exposed CaGpm1p in the binding of the two host regulators. This reduction but not the complete lack of binding is explained by the presence of additional Factor H/FHL-1-and plasminogenbinding C. albicans surface proteins (15,30).
Attached to CaGpm1p, each host regulator is functionally active (Figs. 7 and 8). Thus, C. albicans yeast cells and hyphae acquire host regulators of the complement and of the fibrinolytic system, and therefore, the pathogen exploits host proteins that control homeostasis and tissue integrity for disguise and tissue invasion.
FHL-1 has one and Factor H has two contact regions for CaGpm1p that were mapped to SCRs 6 and 7 and SCRs 19 and 20 (Fig. 3). The same binding regions shown here for the purified recombinant CaGpm1p were previously identified when binding of the host proteins was assayed to intact C. albicans yeast cells (15). Binding of host immune regulators via SCRs 6 and 7 and SCRs 19 and 20 seems to be a common characteristic for attachment of regulators to the pathogen. The same binding sites are utilized by M protein of group-A-streptococci by BbCRASP-1 and BbCRASP-2 of B. burgdorferi (37) as well as by Pseudomonas aeruginosa (38). The binding via the C termini, i.e. SCRs 6 and 7 (FHL-1) and SCRs 19 and 20 (Factor H), orients both host proteins with the N-terminal complement regulatory domains to the surrounding of the pathogen, thereby allowing inhibitory activity.
CaGpm1p also binds human plasminogen, the precursor of the serine protease plasmin, as shown in vitro by ELISA (Fig. 2). The dose-dependent inhibition with the lysine analogue ⑀ACA suggests that lysine residues are relevant for the interaction between plasminogen and CaGpm1p (Fig. 4). At present several plasminogen-binding surface proteins, all secreted by non-conventional routes, have been identified for C. albicans such as glyceraldehyd-3-phosphate dehydrogenase, alcohol dehydrogenase, catalase, and thioredoxin peroxidase (39).
Plasminogen bound to CaGpm1p is accessible for the activator uPA, is converted to the active serine protease plasmin, FIGURE 7. Factor H and FHL-1 bound to CaGpm1p retain complement regulatory activity. CaGpm1p was immobilized to the surface of a microtiter plate and Factor H (lanes 1 and 2) or FHL-1 (lanes 3 and 4) were bound, and after extensive washing, C3b and Factor I were added. After incubation for 60 min the mixture was separated by SDS-PAGE and transferred to a membrane, and C3b cleavage products were detected by a specific antiserum. C3b degradation is visualized by the appearance of the ␣Ј68-, ␣Ј46-, and ␣Ј43-kDa bands. Immobilized Factor H served as cofactor for C3 degradation by the protease Factor I as revealed by the appearance of the cleavage products ␣Ј68, ␣Ј46, and ␣Ј 43 kDa bands (lane 5). In addition, C3b in the absence of the protease is shown in lane 6. The results show a representative experiment of five. FIGURE 8. Plasminogen bound to CaGpm1p is converted to active plasmin. CaGpm1p was immobilized to the surface of a microtiter plate, and plasminogen was added. After extensive washing the activator uPA and the chromogenic substrate S-2251 were added. At various time points the absorbance was measured. The amount of immobilized CaGpm1p correlates with the absorbance of the product formed by plasmin. The results show a representative experiment of five.
A Complement Regulator-binding Protein from C. albicans DECEMBER 28, 2007 • VOLUME 282 • NUMBER 52 JOURNAL OF BIOLOGICAL CHEMISTRY 37543 which in its bound form cleaves the chromogenic substrate S-2251 (Fig. 8). The serine protease plasmin is a key enzyme of intravascular fibrinolysis and displays extravascular functions in the degradation of extracellular matrix components such as laminin, vitronectin, and fibronectin (40). Thus, pathogens bind plasminogen to their surface and activate plasmin to degrade host extracellular matrix. Because endothelial cells secrete the plasminogen activator tissue plasminogen activator, the direct contact with these host cells results in the activation of attached plasminogen at the fungal surface (40).
Apparently, C. albicans utilizes host plasma proteins for multiple purposes. Attached to the surface of C. albicans, host complement regulators such as Factor H and FHL-1 control complement activation and inhibit the generation of toxic C3 activation products. In addition, surface-attached plasminogen can be converted to proteolytic active plasmin. Thus, CaGpm1p represents one single multifunctional virulence factor of C. albicans that mediates immune evasion (inhibition of complement activation) and degradation of extracellular matrix components. This combination reveals a strategy of how the human pathogenic yeast survives in the human host and how it mediates tissue invasion.