Niewerth M, Korting H C
Klinikum der Universität München, Klinik und Poliklinik für Dermatologie und Allergologie, Germany.
Mycoses. 2001 Nov;44(9-10):361-7. doi: 10.1046/j.1439-0507.2001.00685.x.
Infections due to Candida albicans are frequent and of clinical importance. Especially at a time of increasing organ transplantations, HIV infections, and resistance to antimicrobial agents a profound knowledge of the interaction between C. albicans and host tissue is mandatory. In addition to secreted aspartyl proteinase, dimorphism, cell surface composition, and toxin production phospholipases are a main factor in pathogenicity. Up to the present, many different groups and subgroups of phospholipases have been detected. These different enzymes are related to various types of aggressive and defensive actions. These range from active invasion of host cell tissue to growth control and remodelling of the yeast cell membrane. It is clear that a multiplicity of factors must co-operate to overcome the host's defences. Yet it can be supposed today that phospholipases are one important factor in this complex interaction. Therefore the known phospholipases of C. albicans are described in detail under clinical aspects.
白色念珠菌引起的感染很常见且具有临床重要性。特别是在器官移植、HIV感染不断增加以及对抗菌药物产生耐药性的时代,深入了解白色念珠菌与宿主组织之间的相互作用是必不可少的。除了分泌天冬氨酸蛋白酶、二态性、细胞表面成分和毒素产生外,磷脂酶也是致病性的一个主要因素。到目前为止,已经检测到许多不同的磷脂酶组和亚组。这些不同的酶与各种类型的侵袭性和防御性作用有关。这些作用范围从宿主细胞组织的主动侵入到酵母细胞膜的生长控制和重塑。显然,多种因素必须协同作用才能克服宿主的防御。然而如今可以推测,磷脂酶是这种复杂相互作用中的一个重要因素。因此,将从临床角度详细描述白色念珠菌已知的磷脂酶。