Results
Inactivation of the ATO gene family in C. albicans
To gain further insights into the function of C. albicans Ato proteins, we generated a
collection of single and multiple null mutants using CRISPR-Cas9 systems. Additionally,
we constructed mutants lacking the monocarboxylate transporter gene CaJEN1 and/or
the dicarboxylate transporter gene CaJEN2 to serve as controls in our assays (4, 5).
Owing to the diploid nature of C. albicans , the lack of a traditional sexual cycle (25) and
the high degree of genomic plasticity, the generation of marker-free homozygous
knockout strains of multigene families remains technically challenging. Nevertheless, we
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created a set of twelve C. albicans mutants, each lacking a specific JEN or ATO gene,
as well as strains with multiple JEN and ATO knockouts. Furthermore, we successfully
eliminated all JEN and ATO alleles within a single strain.
ATO disruption abolishes acetate utilisation in C. albicans
We screened these C. albicans mutants to reveal differential contributions of the 10 Ato
and 2 Jen proteins to acetate uptake (Figure 2A). As acetate transport via specific
carriers follows Michaelis-Menten kinetics (26), using a saturating concentration of 4 mM
ensured that differences in uptake rates between strains can be attributed to genetic
modifications rather than suboptimal substrate availability. Wild-type (WT) control cells
displayed 3- to 5-fold higher uptake rates than ato1
∆ /∆ and multiple Ato-deficient cells
(Figure 2A, p<0.01). Furthermore, the deletion of JEN transporters in combination with
ATO deletions did not alter the residual acetate uptake capacity (Figure 2A). We then
compared the kinetics of radiolabelled acetate transport in WT, ato1∆ /∆ , ato1-10∆ /∆ ,
ato1jen1-2∆ /∆ and ato1-10jen1-2∆ /∆ cells for concentrations between 0.5 mM and 4 mM
(Figure 2B). We confirmed that WT control cells displayed a high capacity to transport
acetate (Km 1.59 ± 0.20 mM and Vmax 1.09 ± 0.06 nmol s -1 mg-1, Figure 2B), whereas
ato1∆ /∆ cells showed a significant reduction in acetate uptake ( Km 4.26 ± 1.42 mM and
Vmax 0.51 ± 0.10 nmol s -1 mg-1, Figure 2B). In the absence of ATO genes ( ato1-10∆ /∆
and ato1-10jen1-2∆ /∆ strains), acetate transport was strongly reduced (Figure 2B). The
observed residual uptake of radiolabelled acetate in these two strains, which increases
proportionally with the tested concentrations of acetate, likely represents passive
diffusion of the acid into the cell (Figure 2B).
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These findings indicate that Ato1 plays an essential role in acetate transport across the
C. albicans plasma membrane. This hypothesis is supported by Ato1-GFP expression
and subcellular localization studies, where a clear Ato1-GFP signal was detected at the
plasma membrane when cells were induced in the presence of acetate (Figure 2C).
There was a clear temporal increase in ATO1 expression in response to acetate, in
contrast to what is observed in the presence of glucose (Figure 2C). The strong
fluorescent signal in the plasma membrane observed at 24 hours was also accompanied
by fluorescence within the vacuole. This pattern is consistent with the well-documented
intracellular trafficking and recycling of plasma membrane transporters in C. albicans
and other fungi (27). Internalisation and delivery to the vacuole often occur after
prolonged exposure to substrate or as part of turnover and regulation mechanisms (27).
Additionally, the growth of ato1
∆ /∆ cells on acetate as sole carbon source was
completely abolished at 18 ºC but was restored upon ATO1 reintroduction (Figure 2D),
reinforcing its essential role in acetate utilisation. At this temperature, carboxylic acid
uptake via passive diffusion is significantly reduced, making growth on carboxylic acids
entirely dependent on the presence of a functional transporter (7). Despite the potential
for genetic redundancy across this family, the presence of other ATO members in
ato1
∆ /∆ cells did not compensate for the loss of ATO1 in this growth condition. Indeed,
we have recently found that loss of ATO1 impairs the expression of other ATOs in the
presence of acetate (28). Furthermore, ATO1 disruption also impaired cell growth in the
presence of lactate, similar to the effect observed for the JEN1 disruption (Figure 2D).
We then evaluated whether the deletion of additional ATO genes in ato1 ∆ /∆ cells would
confer additive growth defects in the presence of acetate or lactate under a more
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physiological temperature and growth condition (Figure S1A). Strains carrying additional
ATO gene deletions, particularly ato1-10∆ /∆ and ato1-10jen1-2 ∆ /∆ , did not display any
exacerbation of the growth defects observed for ato1∆ /∆ cells at 37 ºC, either in
Synthetic Complete (SC) or Synthetic Minimal (SM) media supplemented with acetate
(Figure S1A). Moreover, the growth defects observed in ato1∆ /∆ cells were restored
upon ATO1 reintroduction (Figure S1A). As previously observed at 18 ºC (Figure 2D),
the growth of ato1 ∆ /∆ cells was also impaired in the presence of lactate as the sole
carbon source at 37 ºC (Figure S1A). However, complete growth abolishment under this
condition was only observed upon disruption of JEN1 (Figure S1A).
ATO transporter function promotes gut colonisation during antibiotic-induced
dysbiosis
Altogether, these observations led us to ask whether both ATO and JEN families, or
ATO1 alone, influence fungal colonisation in the gastrointestinal tract – a major SCFA-
rich ecological niche for C. albicans . To test this hypothesis, we performed a series of
experiments in a murine model, monitoring the ability of ato and jen mutants to colonise
the gut (Figure 3A). The genotypes of all mutants were confirmed by whole genome
sequencing. The resident microbiota was depleted by treating mice with broad-spectrum
antibiotics, a prerequisite for C. albicans SC5314 colonisation and a well-documented
risk factor for candidiasis (29). We compared the bacterial microbiotas of untreated
(Figure S2A) versus antibiotic-treated mice (Figures 3B-3D) and the Candida infected
and uninfected groups by 16S ribosomal RNA gene amplicon sequencing from stool
samples (Figures 3B-3D, S2A). Our aim of this amplicon sequencing was to examine
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the impact of the antibiotic intervention on the intestinal microbiota, and to reveal any
potential changes in the gut microbiota associated with colonisation by C. albicans ato
and jen mutants.
The treated mice displayed decreased alpha-diversity compared with untreated controls
(p = 0.00016, Figure 3B), which was consistent with the antibiotic-induced depletion of
bacteria. Similarly, there were significant differences in beta-diversity between untreated
and antibiotic-treated samples (p = 0.001, Figure 3C). Our data show that the untreated
mice were mainly colonised by Firmicutes and Bacteroidota (Figure S2A). Species of
both phyla were the main targets of the administered antibiotics, with Bacteroidota
species being partially eliminated (Figure 3D). We also observed a significant increase
of Actinobacteriota and Proteobacteria species as result of the antibiotic treatment
(Figure 3D).
These phylogenetic alterations in the intestinal microbiome were consistent with a
dysbiotic state, often observed after antibiotic treatment (30) and during colonic
inflammation (31) in both murine models and clinical studies. Candida colonisation did
not alter substantially the bacterial microbiota: no significant differences were observed
before and after C. albicans colonisation (Figures 2D, S2A). Furthermore, our
comparisons of groups gavaged with C. albicans WT and knockout mutants showed
high degrees of similarity in their microbiotas (Figures 3D, S2A).
These analyses were important to ensure that the antibiotic treatment itself did not
introduce confounding changes in bacterial community composition, independent of
fungal colonisation. However, these groups displayed significant differences in their
fungal colonisation levels (Figure 3E). C. albicans levels were evaluated by quantifying
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fungal colony forming units (CFUs) in faeces over the course of seven days.
Significantly, none of the tested strains exhibited any fitness defects in vitro in the
presence of glucose, either in solid (at 18 ºC and 37 ºC, Figures 2D, S1A) or liquid
media (at 30 ºC, Figures S1B-S1C).
As expected (32), control mice that were not treated with antibiotics were not stably
colonised by C. albicans (Figure S2B). In contrast, all tested strains were able to
colonise the GI tract of the antibiotic-treated mice (Figure 3E). However, under these
conditions, WT cells exhibited increased fitness when compared to ato1-10jen1 -2
∆ /∆
cells, with significant differences arising after five days of colonisation ( p < 0.0001,
Figure 3E). Consistent with this result, ato1-10jen1-2∆ /∆ colonisation levels were also
reduced, in comparison to WT, when directly assessed in different gut compartments
such as in the small intestine ( p < 0.01, Figure 3F), cecum ( p < 0.01, Figure 3G) and
colon ( p < 0.01, Figure 3H). Fungal burdens were consistently lower in the small
intestine (Figure 3F) than in the cecum (Figure 3G) or colon (Figure 3H), which is in
agreement with previous observations (33). The significant reduction in the colonisation
levels observed for the C. albicans ato1-10jen1-2 mutant compared to both WT and ato1
strains (Figure 3E-H), suggests that ATO gene family members other than ATO1
promote C. albicans fitness during gut colonisation.
We also quantified the levels of the key SCFAs acetate, propionate and butyrate in the
different gut compartments by gas chromatography-mass spectrometry (GS-MS) to
ensure the physiological relevance of our experimental model. The observed levels of
acetate, propionate and butyrate remained aligned with the classical reported ratio of
3:1:1 for these acids in the gut (Figures 3I-K) (33). SCFAs levels were reduced in
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antibiotic-treated mice, consistent with decreased bacterial fermentation under this
condition. Nevertheless, these acetate concentrations remained comparable to those
tested and shown to be dependent upon Ato-mediated uptake in vitro (Figure 2).
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Figure 1. The expanded AceTr transporter family in C. albicans . A. Top and side
views of Escherichia coli SatP crystal structure (PDB ID: 5ZUG), a representative
prokaryotic member of the acetate uptake transporter (AceTr) family. B. Consensus
membrane topology for each protomer (11, 12). C. Schematic illustration of alpha-fold
predictions for the 10 Ato membrane proteins in C. albicans. Displayed nomenclature
follows new classification (6) (bold) to better reflect and describe their function, while
maintaining reasonable consistency with the literature. Standard and systematic names
are also included.
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Figure 2. ATO disruption in C. albicans compromises acetate utilisation. A. Uptake
of radiolabelled [14C]-acetate (4.0 mM, pH 6.0) into C. albicans WT and knockout strains
grown in Synthetic Complete (SC) medium supplemented with acetate (0.1% v/v, pH
6.0). Error bars indicate mean ± sd of at least 3 independent experiments. Asterisks
indicate statistical significance between WT and knockout strains, determined using
one-way ANOVA with multiple comparisons tests: **, p < 0.01. B. Uptake rates of
radiolabelled [ 14C]-acetate, at pH 6.0, as a function of acetate concentration, of cells
grown in SC medium supplemented with acetate (0.1% v/v, pH 6.0) as sole carbon
source. The kinetic parameters (V max and Km) were determined by a computer-assisted
nonlinear regression analysis (GraphPad Prism 9.5.0). Error bars indicate mean ± sd of
n=3 independent experiments. C. Expression and subcellular localization of Ato1-GFP
through time in exponentially growing C. albicans cells in Synthetic Minimal (SM)
medium supplemented with glucose (0.2% w/v) and then transferred to SC medium
supplemented with acetate (0.1% v/v, pH 6.0) as sole carbon source for 6, 8 and 24h. D.
Growth phenotypes of C. albicans WT and knockout strains in SM medium
supplemented with specific defined carbon sources: glucose (0.2% w/v), acetate (0.1%
v/v, pH 6.0), lactate (0.1% v/v, pH 5.0). Cells were serially diluted, spotted on solid
media and incubated at 18 ºC for 7 days. Representative data from three independent
replicate experiments are shown.
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Figure 3. C. albicans ATO proteins allow stable gut occupancy of C. albicans
under bacterial dysbiosis. A. Schematic of the experimental design. Mice were
colonised with C. albicans strains through oral gavage. Experiments were followed for 7
days post colonisation (dpc). B. Alpha diversity of untreated and antibiotic-treated
groups measured by the Simpson index. Data are shown via interquartile ranges with
the median as a black horizontal line. C. Beta diversity of untreated and antibiotic-
treated groups measured by principal coordinate analysis (PCoA) based on Bray-Curtis
distance. D. Relative abundance of taxa (%) in antibiotic-treated mice before (day -1)
and after C. albicans colonisation through oral gavage (day 3 and 7). Each bar
represents one independent group of 4 mice. E. Fecal colonisation levels (CFUs/g stool)
of C. albicans strains ( n = 8 per strain) in antibiotic-treated mice over time. The
experiment was performed twice with similar results. Asterisks reflect comparison
between strains at individual time points using Tukey’s multiple comparisons test: **, p <
0.01; ***, p < 0.001; ****, p < 0.0001. F , G, H. C. albicans levels (CFUs/g tissue) in the
small intestine (F), cecum (G), and colon (H) of antibiotic-treated mice (n = 8 per strain)
at end-point (7 days). Asterisks reflect comparison between strains at individual time
points using Tukey’s multiple comparisons test: *, p < 0.05; **, p < 0.01. I , J, K. In vivo
quantification of SCFAs measured in the small intestine (I ), cecum ( J), and colon
colonised by C. albicans (K) by GC-MS. **, p < 0.01; ***, p < 0.001; ****, p < 0.0001.
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