A Tenebrio molitor model for Talaromyces marneffei infection and the importance of host cues for dimorphic switching

There is a growing body of research demonstrating the utility of invertebrate models for studies of fungal pathogenesis. In this study we evaluated Tenebrio molitor larvae as a model for studying talaromycosis, the infection caused by Talaromyces marneffei. T. marneffei is a thermally dimorphic opportunistic pathogen of humans, which transitions from hyphae to yeast when exposed to human body temperature (37{degrees}C). Using a combination of virulence assays and histopathology techniques, we have found T. molitor larvae to be useful simple hosts for modelling the yeast-associated disease at 37{degrees}C, as well as for studying the influence of temperature on T. marneffei biology. Infection establishment was found to be temperature-dependent: Larval infections could be established at both 37{degrees}C and 25{degrees}C, however 10-fold higher doses of conidia were required to cause significant disease at 25{degrees}C. Infections were also established more quickly when directly injecting larvae with the yeast cells, indicating that the yeast form has an increased capacity for host damage. T. marneffei in vivo yeast cell development was observed within larval tissues and hemolymph primarily at 37{degrees}C, but also at 25{degrees}C along with filamentous hyphal growth. The larval host environment therefore strongly supports yeast development, even partially in the absence of the 37{degrees}C signal, emphasising the combined importance of temperature and host environment for maintenance of the pathogenic morphology. This work provides a new model to assist future studies of this neglected tropical disease and improves our understanding of the complex relationship between morphology and pathogenicity in T. marneffei.