Galleria mellonella as a versatile model for investigating Candida glabrata virulence and antifungal resistance

<i>Candida glabrata</i> is an opportunistic fungal pathogen and a leading cause of invasive candidiasis, particularly in immunocompromised patients, where treatment is increasingly compromised by intrinsic and acquired antifungal resistance. Despite lacking morphological plasticity, <i>C. glabrata</i> employs distinct virulence strategies, including adhesin-mediated host colonization, intracellular survival within phagocytes, stress tolerance, iron acquisition and biofilm formation. This review synthesizes current knowledge of <i>C. glabrata</i> virulence and antifungal resistance mechanisms, with a particular focus on azole and echinocandin resistance driven by efflux pump regulation and <i>FKS</i> mutations. We critically evaluate the greater wax moth larva, <i>Galleria mellonella</i>, as a non-mammalian <i>in vivo</i> model for studying <i>C. glabrata</i> pathogenesis, host-pathogen interactions and antifungal efficacy. Evidence demonstrating concordance between <i>G. mellonella</i>, murine models and clinical outcomes is discussed, alongside the model's limitations, including the absence of adaptive immunity. Collectively, this review highlights <i>G. mellonella</i> as a robust, cost-effective platform for dissecting <i>C. glabrata</i> virulence traits and for preclinical screening of antifungal therapies, supporting its growing role in translational fungal research.

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Publication Details

Journal
Journal of Medical Microbiology
Published
2026-02-18
DOI
https://doi.org/10.1099/jmm.0.002127
Primary Topic
Antifungal resistance and susceptibility
Type
article
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article

Galleria mellonella as a versatile model for investigating Candida glabrata virulence and antifungal resistance

Jane Usher, Charlie J. D. Holt, Catrin C. Wiliams
Journal of Medical Microbiology
Antifungal resistance and susceptibility
article

Galleria mellonella as a versatile model for investigating Candida glabrata virulence and antifungal resistance

Jane Usher, Charlie J. D. Holt, Catrin C. Wiliams
article en

Abstract

<i>Candida glabrata</i> is an opportunistic fungal pathogen and a leading cause of invasive candidiasis, particularly in immunocompromised patients, where treatment is increasingly compromised by intrinsic and acquired antifungal resistance. Despite lacking morphological plasticity, <i>C. glabrata</i> employs distinct virulence strategies, including adhesin-mediated host colonization, intracellular survival within phagocytes, stress tolerance, iron acquisition and biofilm formation. This review synthesizes current knowledge of <i>C. glabrata</i> virulence and antifungal resistance mechanisms, with a particular focus on azole and echinocandin resistance driven by efflux pump regulation and <i>FKS</i> mutations. We critically evaluate the greater wax moth larva, <i>Galleria mellonella</i>, as a non-mammalian <i>in vivo</i> model for studying <i>C. glabrata</i> pathogenesis, host-pathogen interactions and antifungal efficacy. Evidence demonstrating concordance between <i>G. mellonella</i>, murine models and clinical outcomes is discussed, alongside the model's limitations, including the absence of adaptive immunity. Collectively, this review highlights <i>G. mellonella</i> as a robust, cost-effective platform for dissecting <i>C. glabrata</i> virulence traits and for preclinical screening of antifungal therapies, supporting its growing role in translational fungal research.

Journal of Medical MicrobiologyVol. 75(2)
University of Exeter (GB), Medical Research Council (GB)
Openalex Percentile: Top 51%
Antifungal resistance and susceptibility
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