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Candida albicans forms biofilms on the vaginal mucosa
Open accessAbstract
Current understanding of resistance and susceptibility to vulvovaginal candidiasis challenges existing paradigms of host defence against fungal infection. While abiotic biofilm formation has a clearly established role during systemic Candida infections, it is not known whether C. albicans forms biofilms on the vaginal mucosa and the possible role of biofilms in disease. In vivo and ex vivo murine vaginitis models were employed to examine biofilm formation by scanning electron and confocal microscopy. C. albicans strains included 3153A (lab strain), DAY185 (parental control strain), and mutants defective in morphogenesis and/or biofilm formation in vitro (efg1/efg1 and bcr1/bcr1). Both 3153A and DAY815 formed biofilms on the vaginal mucosa in vivo and ex vivo as indicated by high fungal burden and microscopic analysis demonstrating typical biofilm architecture and presence of extracellular matrix (ECM) co-localized with the presence of fungi. In contrast, efg1/efg1 and bcr1/bcr1 mutant strains exhibited weak or no biofilm formation/ECM production in both models compared to wild-type strains and complemented mutants despite comparable colonization levels. These data show for the first time that C. albicans forms biofilms in vivo on vaginal epithelium, and that in vivo biotic biofilm formation requires regulators of biofilm formation (BCR1) and morphogenesis (EFG1).
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“Vaginal mucosal mouse models, both in vivo (live mice inoculated with C. albicans on the vaginal mucosa) and ex vivo (vaginas excised from euthanized mice and then inoculated with C. albicans in tissue culture plates), show similar biofilm architectures, with clear yeast, hyphae, and extracellular matrix evident throughout the biofilms formed on top of the mucosal layers (72).”
From Candida albicans Biofilms and Human Disease (2015) · cites this paper as [72]
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Influential
Research works printed but not linked: 1
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In vitro and in vivo model systems to study microbial biofilm formation
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Fungal Biofilms and Polymicrobial Diseases
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BackgroundThe role of fungi in fungal keratitis
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“albicans can also form biofilms on the vaginal mucosa, illustrated by two in vivo and ex vivo models in immunocompetent estradiol-treated mice [69].”
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“As evidenced here, the efg1 null state also provides a fitness advantage in several infection types, yet previous work has established that EFG1 function is critical for infection of other host niches (Harriott et al., 2010; Stoldt et al., 1997; Yano et al., 2016).”
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“The only publication claiming Candida albicans forms biofilms on the vaginal mucosa exclusively includes pictures of smears from vagina without vaginal epithelium.(13) Confirmation of the presence of Candida mucosal biofilm in vivo is thus lacking.”
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“It is important to note, however, that although individuals with immune suppression are the most vulnerable, other mundane factors are also considered risk factors for candidiasis; these factors include steroid and antibiotic usage, hormonal imbalances, nutritional deficiency, age, diabetes, metabolic disorders, and d…”
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“beginning to consider them to be important determinants of disease (13, 14), further”
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“albicans has been shown to form biofilms on the vaginal mucosa in mice (47), PMNs may exert reduced killing activity, as has been shown in vitro and with other in vivo candidiasis models (48–50).”
BackgroundSelf-citationBioactive Peptides Against Fungal Biofilms
Oshiro, K. G. N., Rodrigues, G. R., Monges, B. E. D., Cardoso, M. H. E. S., & Franco, O. L. (2019) · Frontiers in Microbiology · doi:10.3389/fmicb.2019.02169 · Cited by 85
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“Most cases of these infections are caused by C. albicans (Harriott et al., 2010).”
BackgroundO -Mannosylation in Candida albicans Enables Development of Interkingdom Biofilm Communities
Dutton, L. C., Nobbs, A. H., Jepson, K., Jepson, M. A., Vickerman, M. M., Aqeel Alawfi, S., Munro, C. A., Lamont, R. J., & Jenkinson, H. F. (2014) · mBio · doi:10.1128/mbio.00911-14 · Cited by 75
“The outer cell wall layer is comprised principally of mannoproteins which are embedded in a polysaccharide skeleton provided by -(1,3)- and -(1,6)-linked glucan chains and covalently linked chitin (18).”
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Overview of vertebrate animal models of fungal infection
Hohl, T. M. (2014) · Journal of Immunological Methods · doi:10.1016/j.jim.2014.03.022 · Cited by 74
“The recent recognition that C. albicans can form structured biofilms within the murine vaginal mucosa will undoubtedly inform studies on the genetic requirements for biofilm formation and its role in pathogenesis on biotic surfaces versus abiotic medical devices (Harriott et al., 2010).”
BackgroundMcKloud, E., Delaney, C., Sherry, L., Kean, R., Williams, S., Metcalfe, R., Thomas, R., Rautemaa‐Richardson, R., Gerasimidis, K., Nile, C. J., et al. (2021) · mSystems · doi:10.1128/msystems.00622-21 · Cited by 79
“C. albicans has been shown to form bio fi lms on vaginal mucosa both ex vivo and in vivo by identi-fi cation of signi fi cant fungal load, bio fi lm architecture, and extracellular matrix using confocal and electron microscopy (12).”
MethodMusa, S. F., Yeat, T. S., Kamal, L. Z. M., Tabana, Y., Ahmed, M. A., Ouweini, A. E., Lim, V., Keong, L. C., & Sandai, D. A. (2017) · Journal of the Science of Food and Agriculture · doi:10.1002/jsfa.8573 · Cited by 74
Boral, H., Metin, B., Döğen, A., Seyedmousavi, S., & İlkit, M. (2017) · Fungal Genetics and Biology · doi:10.1016/j.fgb.2017.10.008 · Cited by 71
“, 2009), intestinal (Ganguly and Mitchell, 2011), and vaginal (Harriott et al., 2010) environments.”
BackgroundHow Biofilm Growth Affects Candida-Host Interactions
Eix, E. F., & Nett, J. E. (2020) · Frontiers in Microbiology · doi:10.3389/fmicb.2020.01437 · Cited by 72
Combination Therapy to Treat Fungal Biofilm-Based Infections
Tits, J., Cammue, B. P. A., & Thevissen, K. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21228873 · Cited by 71
“Increasing evidence points to the involvement of drug tolerant biofilms in mucosal fungal infections, such as vulvovaginal candidiasis [10,22,33,34].”
BackgroundA Review on Antifungal Efficiency of Plant Extracts Entrenched Polysaccharide-Based Nanohydrogels
Kaur, N., Bains, A., Kaushik, R., Dhull, S. B., Fogarasi, M., & Chawla, P. (2021) · Nutrients · doi:10.3390/nu13062055 · Cited by 81
Scarsini, M., Tomasinsig, L., Arzese, A., D’Este, F., Oro, D., & Skerlavaj, B. (2015) · Peptides · doi:10.1016/j.peptides.2015.07.023 · Cited by 70
Adhesion of bacteria to surfaces and biofilm formation on medical devices
Floyd, K. A., Eberly, A. R., & Hadjifrangiskou, M. (2016) · Elsevier eBooks · doi:10.1016/b978-0-08-100382-4.00003-4 · Cited by 71
Identification of novel mechanisms involved in generating localized vulvodynia pain
Falsetta, M. L., Foster, D. C., Woeller, C. F., Pollock, S. J., Bonham, A. D., Haidaris, C. G., Stodgell, C. J., & Phipps, R. P. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2015.02.002 · Cited by 69
“Using an NFkB reporter, we show that activation is considerably more robust when fibroblasts are challenged with common vaginal pathogen C albicans, vs S cerevisiae, a Brewer’s yeast largely regarded as nonpathogenic.(25-28,78,79) In keeping with this observation, our previous work has shown that the response to diffe…”
BackgroundOrsi, C. F., Borghi, E., Colombari, B., Neglia, R. G., Quaglino, D., Ardizzoni, A., Morace, G., & Blasi, E. (2014) · Microbial Pathogenesis · doi:10.1016/j.micpath.2014.03.003 · Cited by 69
Host Contributions to Construction of Three Device-Associated Candida albicans Biofilms
Nett, J. E., Żarnowski, R., Cabezas‐Olcoz, J., Brooks, E. G., Bernhardt, J., Marchillo, K., Mosher, D. F., & Andes, D. R. (2015) · Infection and Immunity · doi:10.1128/iai.00931-15 · Cited by 68
Simitsopoulou, M., Pešková, P., Tasina, E., Katragkou, A., Kyrpitzi, D., Velegraki, A., Walsh, T. J., & Roilides, E. (2013) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.02541-12 · Cited by 66
“In addition, oropharyngeal and vaginal in vivo models have demonstrated that mucosal Candida infections are due to the development of biofilms, a process controlled by morphogenetic and biofilm regulators (4, 5).”
BackgroundAction mechanisms of probiotics on Candida spp. and candidiasis prevention: an update
Ribeiro, F. D. C., Rossoni, R. D., de Barros, P. P., dos Santos, J. D., Fugisaki, L. R. D. O., Leão, M. V. P., & Junqueira, J. (2019) · Journal of Applied Microbiology · doi:10.1111/jam.14511 · Cited by 65
“Recent evidence indicates that the pathogenic potential of Candida also depends on its ability to produce biofilms on abiotic and living surfaces (Harriott et al. 2010; Ramage et al. 2012).”
BackgroundWang, X., You, J., King, J. B., Powell, D. R., & Cichewicz, R. H. (2012) · Journal of Natural Products · doi:10.1021/np2009994 · Cited by 66
Sardi, J. D. C. O., Silva, D. R., Aníbal, P. C., Baldin, J. J. C. M. D. C., Ramalho, S. R., Rosalen, P. L., Macedo, M. L. R., & Höfling, J. F. (2021) · Current Fungal Infection Reports · doi:10.1007/s12281-021-00415-9 · Cited by 62
Fungal Biofilms: In Vivo Models for Discovery of Anti-Biofilm Drugs
Nett, J. E., & Andes, D. R. (2015) · Microbiology Spectrum · doi:10.1128/microbiolspec.mb-0008-2014 · Cited by 68
“In addition to these animal models of device-associated infections, models of mucosal Candida biofilms will surely be helpful for the study of these common infections (25, 26).”
BackgroundExperimental Models of Vaginal Candidiasis and Their Relevance to Human Candidiasis
Cassone, A., & Sobel, J. D. (2016) · Infection and Immunity · doi:10.1128/iai.01544-15 · Cited by 63
“In both rodents, pseudoestrus induces stage-dependent, profound changes in the vaginal epithelium, with a keratinized surface to which fungal cells strongly adhere and upon which they multiply by hyphal growth and by eventually forming a biofilm (19, 24).”
BackgroundLaFleur, M. D., Lucumi, E., Napper, A. D., Diamond, S. L., & Lewis, K. (2011) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dkq530 · Cited by 59
Rat Indwelling Urinary Catheter Model of Candida albicans Biofilm Infection
Nett, J. E., Brooks, E. G., Cabezas-Olcoz, J., Sanchez, H., Zarnowski, R., Marchillo, K., & Andes, D. R. (2014) · Infection and Immunity · doi:10.1128/iai.02284-14 · Cited by 58
“The adherent community of Candida cells suggested the presence of a mucosal biofilm, as has been described for both oral and vaginal candidiasis (25, 60).”
BackgroundYou, J., Du, L., King, J. B., Hall, B. E., & Cichewicz, R. H. (2013) · ACS Chemical Biology · doi:10.1021/cb400009f · Cited by 60
Connolly, L. A., Riccombeni, A., Grózer, Z., Holland, L., Lynch, D. B., Andes, D. R., Gácser, A., & Butler, G. (2013) · Molecular Microbiology · doi:10.1111/mmi.12345 · Cited by 59
“Cells with an efg1 deletion form very loose biofilms on plastic consisting mostly of yeast cells (Ramage et al., 2002), and form defective biofilms on vaginal mucosa (Harriott et al., 2010).”
BackgroundTroskie, A. M., Rautenbach, M., Delattin, N., Vosloo, J. A., Dathe, M., Cammue, B. P. A., & Thevissen, K. (2014) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.02381-14 · Cited by 57
The Clinical Importance of Fungal Biofilms
Ramage, G., & Williams, C. (2013) · Advances in applied microbiology · doi:10.1016/b978-0-12-407673-0.00002-3 · Cited by 58
Srikantha, T., Daniels, K. J., Pujol, C., Kim, E., & Soll, D. R. (2013) · Eukaryotic Cell · doi:10.1128/ec.00071-13 · Cited by 54
“been demonstrated by Noverr and coworkers (39).”
MethodGaining Insights from Candida Biofilm Heterogeneity: One Size Does Not Fit All
Kean, R., Delaney, C., Rajendran, R., Sherry, L., Metcalfe, R., Thomas, R., McLean, W., Williams, C., & Ramage, G. (2018) · Journal of Fungi · doi:10.3390/jof4010012 · Cited by 56
Comparative Analysis of the Capacity of the Candida Species To Elicit Vaginal Immunopathology
Willems, H. M. E., Lowes, D. J., Barker, K. S., Palmer, G. E., & Peters, B. M. (2018) · Infection and Immunity · doi:10.1128/iai.00527-18 · Cited by 56
Identification of the cell targets important for propolis-induced cell death in Candida albicans
de Castro, P. A., Bom, V. L. P., Brown, N. A., Almeida, R. S., Ramalho, L. N. Z., Savoldi, M., Goldman, M. H. S., Berretta, A. A., & Goldman, G. H. (2013) · Fungal Genetics and Biology · doi:10.1016/j.fgb.2013.07.001 · Cited by 55
Role ofCandida albicanssecreted aspartyl protease Sap9 in interkingdom biofilm formation
Dutton, L. C., Jenkinson, H. F., Lamont, R. J., & Nobbs, A. H. (2016) · Pathogens and Disease · doi:10.1093/femspd/ftw005 · Cited by 54
“Candida albicans biofilm formation on a range of surfaces in vitro and in vivo (Paulitsch et al. 2009; Busscher et al. 2010; Harriott et al. 2010) occurs in several phases, beginning with the deposition of yeast-form cells onto a substratum and subsequent formation of hyphae (Nobile et al. 2012).”
BackgroundThe SPS amino acid sensor mediates nutrient acquisition and immune evasion inCandida albicans
Miramón, P., & Lorenz, M. C. (2016) · Cellular Microbiology · doi:10.1111/cmi.12600 · Cited by 56
Tulasidas, S., Rao, P., Bhat, S., & Manipura, R. (2018) · Infection and Drug Resistance · doi:10.2147/idr.s179462 · Cited by 51
Araújo, M. G. D. F., Pacífico, M., Vilegas, W., dos Santos, L. C., Icely, P. A., Miró, M. S., Scarpa, M. V., Bauab, T. M., & Sotomayor, C. E. (2013) · Medical Mycology · doi:10.3109/13693786.2013.795294 · Cited by 49
The Host’s Reply to Candida Biofilm
Nett, J. E. (2016) · Pathogens · doi:10.3390/pathogens5010033 · Cited by 46
“Recent investigations have identified mucosal biofilm formation in a murine model of vaginal candidiasis [14,39,40].”
BackgroundEllah, N. H. A., Abdel-Aleem, J. A., Abdo, M. N., Abou‐Ghadir, O. F., Zahran, K. M., & Hetta, . F. (2019) · International Journal of Pharmaceutics · doi:10.1016/j.ijpharm.2019.118472 · Cited by 47
Our current clinical understanding of Candida biofilms: where are we two decades on?
Ramage, G., Borghi, E., Rodrigues, C. F., Kean, R., Williams, C., & Lopez-Ribot, J. L. (2023) · Apmis · doi:10.1111/apm.13310 · Cited by 47
“However, there is unequivocal evidence that C. albicans biofilm formation on vaginal mucosa in a murine model of VVC, which has been visualized using scanning electron and confocal microscopy (63).”
Bonifácio, B. V., Vila, T. V. M., Masiero, I. F., da Silva, P. B., da Silva, I. C., Lopes, É. D. O., Ramos, M. A. D. S., de Souza, L. P., Vilegas, W., Pavan, F. R., et al. (2019) · Frontiers in Microbiology · doi:10.3389/fmicb.2019.02642 · Cited by 48
Iseppi, R., Tardugno, R., Brighenti, V., Benvenuti, S., Sabia, C., Pellati, F., & Messi, P. (2020) · Antibiotics · doi:10.3390/antibiotics9090592 · Cited by 46
Sudjana, A. N., Carson, C. F., Carson, K. C., Riley, T. V., & Hammer, K. A. (2012) · Medical Mycology · doi:10.3109/13693786.2012.683540 · Cited by 43
The Vaginal Microbiota, Bacterial Biofilms and Polymeric Drug-Releasing Vaginal Rings
Carson, L., Merkatz, R. B., Martinelli, E., Boyd, P., Variano, B., Sallent, T., & Malcolm, K. R. (2021) · Pharmaceutics · doi:10.3390/pharmaceutics13050751 · Cited by 41
“to form biofilms that attach irreversibly to both biotic and abiotic surfaces; this trait is highly dependent on yeast to hyphal morphogenesis [73,75].”
Background
Metadata
- Authors
- Harriott, M. M., Lilly, E. A., Rodriguez, T. E., Fidel, P. L., & Noverr, M. C.
- Affiliations
- Wayne State University (US)
- Louisiana State University Health Sciences Center New Orleans (US)
- Venue
- Microbiology
- Publisher
- Microbiology Society
- Published
- 2010-12-01
- Volume
- 156
- Issue
- 12
- Pages
- 3635-3644
- ISSN
- 1350-0872 (ISSN-L)
- 1465-2080
- PMC
- PMC3068702
- OpenAlex
- W2063801124
- Cited by
- 301
- References
- 35
- Citations by year
- 2026: 10 · 2025: 14 · 2024: 13 · 2023: 20 · 2022: 19 · 2021: 26 · 2020: 27 · 2019: 24 · 2018: 16 · 2017: 25 · 2016: 21 · 2015: 26 · 2014: 25 · 2013: 16 · 2012: 9
- FWCI
- 7.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Microbiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Louisiana Board of Regents
- Carnegie Mellon University
- National Institutes of Health
- National Institute of Allergy and Infectious Diseases (R01 AI72406-01, R01AI072406, R01AI32556, R01AI032556)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacterial biofilms and quorum sensing
- Keywords
- Candida albicans, biofilm formation, vaginal mucosa, vaginal candidiasis, vaginal epithelium, extracellular matrix, BCR1, EFG1, morphogenesis, fungal virulence
- MeSH terms
- Animals, Candida albicans, Candidiasis, Female, Humans, Mice, Inbred C57BL, Mucous Membrane, Vagina, Biofilms, Dioxygenases, Mice
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