The fungal pathogen Candida albicans has a multilayered cell wall composed of an outer layer of proteins glycosylated with N- or O-linked mannosyl residues and an inner skeletal layer of β-glucans and chitin. We demonstrate that cytokine production by human mononuclear cells or murine macrophages was markedly reduced when stimulated by C. albicans mutants defective in mannosylation. Recognition of mannosyl residues was mediated by mannose receptor binding to N-linked mannosyl residues and by TLR4 binding to O-linked mannosyl residues. Residual cytokine production was mediated by recognition of β-glucan by the dectin-1/TLR2 receptor complex. C. albicans mutants with a cell wall defective in mannosyl residues were less virulent in experimental disseminated candidiasis and elicited reduced cytokine production in vivo. We concluded that recognition of C. albicans by monocytes/macrophages is mediated by 3 recognition systems of differing importance, each of which senses specific layers of the C. albicans cell wall.

Dendritic cells (DC) that express the type II C‐type lectin DC‐SIGN (CD209) are located in the submucosa of tissues, where they mediate HIV‐1 entry. Interestingly, the pathogen Candida albicans,the major cause of hospital‐acquired fungal infections, penetrates at similar submucosal sites. Here we demonstrate that DC‐SIGN is able to bind C. albicans both in DC‐SIGN‐transfected cell lines and in human monocyte‐derived DC. The binding was shown to be time‐ as well as concentration‐dependent, and live as well as heat‐inactivated C. albicans were bound to the same extent. Moreover, in immature DC, DC‐SIGN was able to internalize C. albicans in specific DC‐SIGN‐enriched vesicles, distinct from those containing the mannose receptor, the other known C. albicans receptor expressed by DC. Together, these results demonstrate that DC‐SIGN is an exquisite pathogen‐uptake receptor that captures not only viruses but also fungi.