Candida albicans is a fungus that resides in the gut of approximately 80% of people. While it typically remains harmless, it has the potential to transform into a dangerous microbe that can lead to severe diseases in various organs. To prevent this transition, it is essential to understand how C. albicans colonizes the gut.
Researchers at Baylor College of Medicine, in collaboration with international partners, recently made unexpected discoveries regarding the factors that facilitate C. albicans settlement and persistence in the gut. Their study, published in Microbiology Spectrum, sheds light on the interactions between the fungus and the gut environment, offering insights that could help reduce colonization.
The study, led by graduate student Kelsey Mauk and Dr. David Corry, aimed to investigate how C. albicans establishes itself in the gut under normal, untreated conditions. Contrary to expectations, a clinical strain known as CLCA10 was able to thrive in the mouse gut for an extended period without causing adverse effects. Even treatment with antifungal medication only partially eliminated the fungus, indicating its resilience.
Interestingly, the researchers found that C. albicans primarily resided in the gut contents and the mucus layer, without disrupting the bacterial balance. Surprisingly, factors such as sex, diet, or the source of mice did not significantly impact the fungus’s ability to colonize the gut. Instead, the study revealed that specific fungal proteins, including candidalysin, as well as adhesins Als3 and Hwp1, played a crucial role in C. albicans colonization.
Candidalysin, a toxin secreted by C. albicans hyphae, was thought to hinder colonization due to its inflammatory properties. However, the study demonstrated that candidalysin, along with other hypha-associated proteins, was necessary for the fungus to establish itself in the gut. Mice infected with strains lacking these proteins showed reduced levels of fungal colonization, highlighting the importance of these factors.
Dr. Corry, the senior author of the study, emphasized the significance of targeting fungal hyphal factors to mitigate C. albicans gut colonization and its potential health risks. By understanding the mechanisms that enable C. albicans to persist in the gut, researchers hope to develop more effective strategies to prevent fungal infections.
Overall, this study provides valuable insights into the complex interactions between C. albicans and the gut environment, paving the way for future research on fungal colonization and infection prevention. The findings underscore the importance of understanding the factors that influence microbial colonization in the gut and their implications for human health.