Identification of uncommon oral yeasts from cancer patients by MALDI-TOF mass spectrometry

Aslani, Narges; Janbabaei, Ghasem; Abastabar, Mahdi; Meis, Jacques F.; Babaeian, Mahasti; Khodavaisy, Sadegh; Boekhout, Teun; Badali, Hamid

doi:10.1186/s12879-017-2916-5

Cited by 114Antifungal resistance and susceptibilityYeasts and Rust Fungi StudiesFungal Infections and Studies

Identification of uncommon oral yeasts from cancer patients by MALDI-TOF mass spectrometry

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Aslani, Narges, Janbabaei, Ghasem, Abastabar, Mahdi, Meis, Jacques F., Babaeian, Mahasti, Khodavaisy, Sadegh, Boekhout, Teun, Badali, Hamid·2018·BMC Infectious Diseases

DOI 10.1186/s12879-017-2916-5PMC PMC5759378

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Abstract

BACKGROUND: Opportunistic infections due to Candida species occur frequently in cancer patients because of their inherent immunosuppression. The aim of the present study was to investigate the epidemiology of yeast species from the oral cavity of patients during treatment for oncological and haematological malignancies. METHODS: MALDI-TOF was performed to identify yeasts isolated from the oral cavity of 350 cancer patients. Moreover, antifungal susceptibility testing was performed in according to CLSI guidelines (M27-A3). RESULTS: Among 162 yeasts and yeast-like fungi isolated from the oral cavity of cancer patients, Candida albicans was the most common species (50.6%), followed by Candida glabrata (24.7%), Pichia kudriavzevii (Candida krusei (9.9%)), Candida tropicalis (4.3%), Candida dubliniensis (3.7%), Kluyveromyces marxianus (Candida kefyr (3.7%)) and Candida parapsilosis (1%). In addition, uncommon yeast species i.e., Saprochaete capitata, Saccharomyces cerevisiae, Clavispora lusitaniae (C. lusitaniae) and Pichia kluyveri (C. eremophila) were recovered from oral lesions. Oral colonization by C. albicans, non-albicans Candida species and uncommon yeasts were as follow; 55%, 44% and 1%, whereas oral infection due to C. albicans was 33.3%, non-albicans Candida species 60.6%, and uncommon yeasts 6.1%. Poor oral hygiene and xerostomia were identified as independent risk factors associated with oral yeast colonization. The overall resistance to fluconazole was 11.7% (19/162). Low MIC values were observed for anidulafungin for all Candida and uncommon yeast species. CONCLUSIONS: This current study provides insight into the prevalence and susceptibility profiles of Candida species, including emerging Candida species and uncommon yeasts, isolated from the oral cavity of Iranian cancer patients. The incidence of oral candidiasis was higher amongst patients with hematological malignancies. The majority of oral infections were caused by non-albicans Candida species which were often more resistant to anti-fungal agents. Our findings suggest that anidulafungin should be used as antifungal of choice for prophylaxis in clinically high-risk patients with documented oral colonization or infection.

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In Aslani et al.'s study in Iran, 27.8% of Candida isolates showed resistance to caspofungin.
“Based on Aslani et al. [106] findings in the study conducted in Iran on echinocandins, 27.8% of the Candida isolates showed resistance to caspofungin.”
From Candida glabrata: pathogenicity and resistance mechanisms for adaptation and survival (2021) · cites this paper as [106]
All isolates were highly susceptible to anidulafungin except C. glabrata with 10% resistance.
“All isolates were highly susceptible to anidulafungin except C. glabrata with 10% resistance.”
From Candida glabrata: pathogenicity and resistance mechanisms for adaptation and survival (2021) · cites this paper as [106]

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Candida albicans enhances the progression of oral squamous cell cancrinoma in vitro and in vivoPreprint
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Fermentation as a Strategy to Improve the Health-Promoting Benefits of Edible Seaweeds
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First Case of Identification of Candida kefyr and Pichia kluyveri in Lebanese Water
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Chair-Side Direct Microscopy Procedure for Diagnosis of Oral Candidiasis in an Adolescent
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Comparison of PCR-RFLP with 21-plex PCR and rDNA Sequencing for Identification of Clinical Yeast Isolates
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Candida kefyr as an emerging cause of invasive fungal infection in transplant patients: Case report and literature review
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In-vivo efficiency of the novel azole compounds (ATTAF-1 and ATTAF-2) against systemic candidiasis in a murine model
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A Review of Case Reports of Rare Clinical Yeast Infections in the Last Five Years
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In vitro interactions of nystatin and micafungin combined with chlorhexidine against candida albicans isolates
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An end-to-end stereo matching algorithm based on improved convolutional neural network
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Fungemia caused by Pichia kluyveri: An uncommon yeast infection
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Prevalence of Candida spp. in the oral cavity of patients admitted to the dermatology ward service of a level 3 hospital in Sao Paulo, BrazilPreprint
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Candida krusei M4CK Produces a Bioemulsifier That Acts on Melaleuca Essential Oil and Aids in Its Antibacterial and Antibiofilm Activity
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Genital-oral transmission of Candida lusitaniae
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Sensitivity of antifungal preparations of Сandida isolates from sub-biotopes of the human oral cavity
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Authors: Aslani, N., Janbabaei, G., Abastabar, M., Meis, J. F., Babaeian, M., Khodavaisy, S., Boekhout, T., & Badali, H.
Affiliations: Mazandaran University of Medical Sciences (IR)
Radboud University Medical Center (NL)
Tehran University of Medical Sciences (IR)
Westerdijk Fungal Biodiversity Institute (NL)
Corresponding author: Badali, Hamid
ORCID: Aslani, Narges
Janbabaei, Ghasem
Abastabar, Mahdi
Meis, Jacques F.
Khodavaisy, Sadegh
Boekhout, Teun
Badali, Hamid
Venue: BMC Infectious Diseases
Publisher: Springer Science and Business Media LLC
Published: 2018-01-08
Volume: 18
Issue: 1
Pages: 24-24
ISSN: 1471-2334 (ISSN-L)
DOI: 10.1186/s12879-017-2916-5
PMC: PMC5759378
OpenAlex: W2782643503
Cited by: 114
References: 47
Citations by year: 2026: 1 · 2025: 6 · 2024: 8 · 2023: 20 · 2022: 22 · 2021: 21 · 2020: 10 · 2019: 15 · 2018: 9 · 2017: 2
FWCI: 10.40
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: BMC Infectious Diseases (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
KNAW Research Portal (The Royal Netherlands Academy of Arts and Sciences) (publishedVersion, other-oa)
UvA-DARE (University of Amsterdam) (submittedVersion, cc-by)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Radboud Repository (Radboud University) (submittedVersion)
Radboud Repository (Radboud University) (submittedVersion, other-oa)
Funders: Mazandaran University of Medical Sciences (1298)
Topics: Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Yeasts and Rust Fungi Studies
Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
Keywords: oral candidiasis, oral yeasts, Candida species, non-albicans Candida, Candida glabrata, Candida albicans, antifungal susceptibility, fluconazole resistance, anidulafungin, hematologic malignancies, oral colonization, xerostomia, oral hygiene
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Antifungal Agents, Candida, Candidiasis, Oral, Saccharomycetales, Female, Humans, Male, Microbial Sensitivity Tests, Middle Aged, Mouth, Neoplasms, Pichia, Risk Factors, Xerostomia, Fluconazole, Prevalence, Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization, Young Adult

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Identification of uncommon oral yeasts from cancer patients by MALDI-TOF mass spectrometry

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