Evidence for mannose-mediated adherence of Candida albicans to human buccal cells in vitro

Various lectins and sugars were used to study the possible role of saccharide-containing moieties on the surface of Candida albicans and human buccal cells in the adherence of this yeast to mucosal surfaces. The lectins possessed affinities for several different sugar moieties and were used to pretreat C. albicans or buccal cells before mixing and incubating in the adherence assay. It was found that concanavalin A, a lectin that recognizes mannose and glucose, inhibited adherence of the pretreated yeasts to buccal cells and also inhibited adherence of pretreated buccal cells to nonpretreated yeast cells. Adherence was restored by preincubating the concanavalin A with a mannose derivative, but preincubation of concanavalin A with other sugars did not produce this effect. Lectins that do not recognize mannose had no effect on adherence. The presence of alpha-D-methyl mannopyranoside in the incubation medium during the assay inhibited adherence, whereas other sugars did not. Germinated yeasts adhered to buccal cells more effectively than nongerminated cells and were more susceptible to adherence inhibition by concanavalin A than were nongerminated yeasts. Thus, mannose-containing moieties on the surface of C. albicans and buccal cells could mediate the adherence of this yeast to human epithelium.