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Candida albicans—The Virulence Factors and Clinical Manifestations of Infection
Open accessAbstract
Candida albicans is a common commensal fungus that colonizes the oropharyngeal cavity, gastrointestinal and vaginal tract, and healthy individuals’ skin. In 50% of the population, C. albicans is part of the normal flora of the microbiota. The various clinical manifestations of Candida species range from localized, superficial mucocutaneous disorders to invasive diseases that involve multiple organ systems and are life-threatening. From systemic and local to hereditary and environmental, diverse factors lead to disturbances in Candida’s normal homeostasis, resulting in a transition from normal flora to pathogenic and opportunistic infections. The transition in the pathophysiology of the onset and progression of infection is also influenced by Candida’s virulence traits that lead to the development of candidiasis. Oral candidiasis has a wide range of clinical manifestations, divided into primary and secondary candidiasis. The main supply of C. albicans in the body is located in the gastrointestinal tract, and the development of infections occurs due to dysbiosis of the residential microbiota, immune dysfunction, and damage to the muco-intestinal barrier. The presence of C. albicans in the blood is associated with candidemia–invasive Candida infections. The commensal relationship exists as long as there is a balance between the host immune system and the virulence factors of C. albicans. This paper presents the virulence traits of Candida albicans and clinical manifestations of specific candidiasis.
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“The infection advance of C. albicans to the host is determined by the joint action of growth ability and virulence factors [56], but not all factors play an equally important role in the pathogenic process.”
From The F 1 F o -ATP synthase α subunit of Candida albicans induces inflammatory responses by controlling amino acid catabolism (2023) · cites this paper as [56]
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Nácher, A., Peris, J., Taléns‐Visconti, R., Dı́ez-Sales, O., Manca, M. L., Manconi, M., & Usach, I. (2025) · Drug Delivery and Translational Research · doi:10.1007/s13346-025-02007-3 · Cited by 1
“Candidiasis can affect vari - ous parts of the body, ranging from superficial mucocuta - neous infections to invasive systemic disease, which may involve multiple organ systems and become life-threatening, particularly in vulnerable patients [ 5 , 6].”
Gut Microbiota in Colorectal Cancer Carcinogenesis: The Evolution of Hypotheses
Glazunova, E. V., Kurnosov, A., Molodtsova, P. A., Moskalenko, A. M., Makarov, V. V., & Zlobovskaya, O. A. (2025) · Molecular Biology · doi:10.1134/s0026893325700335 · Cited by 1
“C. albicans can be found in biofilms together with bacteria of the genus Streptococcus [152, 153], F. nucleatum (especially in its hyphal form [146]), and P. gingivalis [153].”
The Changing Face of Candida in Southeast Asia
Espiritu, L. M., Capule, P. R. D., Casulla, L. Y., Yu, P. K., Carascal, M. B., Ombao, D. J. N., Notarte, K. I., Guerrero, J. J. G., & Chaturvedi, V. P. (2025) · Springer eBooks · doi:10.1007/978-981-95-2640-6_6 · Cited by 1
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Nationwide epidemiology of candidiasis in Panama, 2010–2020
Arana, I. C., Añino, Y., Murillo, D., & Ramírez‐Camejo, L. A. (2025) · Scientific Reports · doi:10.1038/s41598-025-27218-z · Cited by 2
Nair, S. S., Kumar, M. S., & Sajan, D. (2025) · Spectroscopy Letters · doi:10.1080/00387010.2025.2601854 · Cited by 1
AROMATIC PLANTS AS ANTIFUNGAL AGENTS AGAINST ORAL CANDIDA STRAINS
Ohiienko, T. Y., Ohiienko, S. A., Kutsyk, R., Shkoruta, D. P., Popadynets, O. H., Varkey, T. C., & Kotyk, T. (2025) · Proceedings of the Shevchenko Scientific Society Medical Sciences · doi:10.25040/ntsh2025.02.03 · Cited by 1
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“C. albicans , a predominant opportunistic pathogen, causes superficial infections (oral mucositis, vaginitis) and systemic candidemia [54].”
Exploring New Antifungal Agents for the Treatment of Candida Infections in the Era of Resistance
Bhatol, J., Dwivedi, S., Jain, V. K., Sisodiya, N., & Darwhekar, G. N. (2025) · Biosciences Biotechnology Research Asia · doi:10.13005/bbra/3448 · Cited by 1
Global population genetics and evolutionary dynamics of Candida albicans
Dalmieda, J., & Xu, J. (2026) · Canadian Journal of Microbiology · doi:10.1139/cjm-2025-0248 · Cited by 2
Mayasari, D., & Meiliani, S. A. (2025) · Pharmacon Jurnal Farmasi Indonesia · doi:10.23917/pharmacon.v22i2.10551 · Cited by 2
“Mostly 50% infection of C. albicans caused candidiasis, a secondary infection in immunocompromised individuals, and followed by common inhabitant in the oral cavity, bronchial secretions, skin folds, feces, urines and vagina (Talapko et al., 2021).”
Le, H. T., Vo, T.-H., Nguyen, P.-V., Vu, G. P., & Nguyen, B. V. G. (2026) · JADA Foundational Science · doi:10.1016/j.jfscie.2025.100066 · Cited by 1
Toprani, N., Acharya, S. R., Prakash, P. Y., Mayya, A., Chatra, A., Mayya, S. S., & Vimala, N. (2026) · Pesquisa Brasileira em Odontopediatria e Clínica Integrada · doi:10.1590/pboci.2026.042 · Cited by 1
Bukhari, S. I., Kharsa, R., Otaibi, M. F. A., Anazi, S. A., Alsaleh, F., Aldosari, E., Alshammari, R. A., Shehata, T. M., & Elsewedy, H. S. (2026) · Journal of Pharmaceutical Sciences · doi:10.1016/j.xphs.2026.104195 · Cited by 1
Malavia, D., Leaves, I., Onime, J., O'Neill, P., Yan, K., Brown, A. J., & Gow, N. A. R. (2026) · The Cell Surface · doi:10.1016/j.tcsw.2026.100170 · Cited by 1
“Globally, around 1.6 million cases of invasive candidemia occur per year, causing an estimated 995,000 deaths (Talapko et al., 2021; Denning, 2024; Wolfgruber et al., 2024).”
InfluentialEl‐Kamel, R. S., & Fekry, A. M. (2026) · Scientific Reports · doi:10.1038/s41598-026-36707-8 · Cited by 1
Harooni, N. S., Naimi‐Jamal, M. R., Dekamin, M. G., & Tahghighi, A. (2026) · Scientific Reports · doi:10.1038/s41598-026-39141-y · Cited by 1
“Various factors can disrupt the normal homeostasis of Candida, leading to its transition from a harmless member of the normal flora to a pathogenic and opportunistic infectious agent 45 .”
Marena, G. D., Carvalho, G. C., Magalhães, M. H. C., Figueiredo, J., Ramos, D. H., Nosanchuk, J. D., & Taborda, C. P. (2026) · Journal of Fungi · doi:10.3390/jof12030162 · Cited by 1
“C. albicans is a ubiquitous commensal fungus in humans that colonizes mucosal surfaces, such as the vagina, gastrointestinal tract and oropharyngeal cavity [30].”
Mayasari, E., & Siregar, C. (2026) · International Journal of Microbiology · doi:10.1155/ijm/1517489 · Cited by 2
α-Glucosidase-driven metabolism as a potential therapeutic vulnerability in Candida albicans
Mitra, J., Sajeevan, A., Sujith, S., Paramasivam, S., Shanmugam, K., & Solomon, A. P. (2026) · Frontiers in Microbiology · doi:10.3389/fmicb.2026.1812644 · Cited by 1
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“Candida species are normal human microbiota that can colonize human tissues and organs, such as the mouth, throat, gut, and vagina, without causing infection [47].”
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“…of healthy women is generally dominated by Lactobacillus species, it may also harbor opportunistic microorganisms such as Candida albicans , which is frequently detected in the vaginal tract and is responsible for vulvovaginal candidiasis (Donati et al. 2010; Sobel 2007; Talapko et al. 2021).”
Rivera-Yañez, N., Hernández-Sánchez, K. M., Hernández-Rosas, N. A., Francisco-Cruz, L., Nieto-Yáñez, Ó., Ortega, C. C. B., Pozo‐Molina, G., Méndez-Catalá, C. F., Méndez‐Cruz, A. R., Ruiz-Hurtado, P. A., et al. (2026) · Journal of Fungi · doi:10.3390/jof12050301 · Cited by 1
“Biofilms can grow on both abiotic surfaces and host epithelia [22], conferring significant resistance to conventional treatments [28].”
Studi In Vitro : Aktivitas Antijamur Kulit Buah dan Daun Coffea canephora Terhadap Candida albicans
Widianingsih, M., & Aini, Y. A. (2026) · Journal of Pharmaceutical And Sciences · doi:10.36490/journal-jps.com.v9i2.1456 · Cited by 1
Furtado, C., González-Vázquez, M., Kılıç, C. S., Salgueiro, L., & Zuzarte, M. (2026) · Antibiotics · doi:10.3390/antibiotics15050471 · Cited by 1
“In the skin and mucosa, candidiasis can manifest as intertrigo, diaper rash, oral thrush, paronychia, or chronic wound infections, with the ability to form germ tubes, hyphae, and biofilms that enable tissue invasion and antifungal resistance [37].”
Antifungal effects of dibenzofuran derivatives against multi-azole resistant Candida albicans
Faleye, O. O., Mukhles, M. B., Boya, B. R., Kim, Y., Lee, J., & Lee, J. (2026) · Bioorganic Chemistry · doi:10.1016/j.bioorg.2026.109971 · Cited by 1
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“These include hyphal morphogenesis, adhesins (e.g., the Als family), and effector peptides such as candidalysin (encoded by Ece1 ) [5, 19, 20], The disruption of any key virulence factor typically attenuates the pathogen’s capacity for tissue proliferation and damage.”
Nouraei, H., Yousefi, Z., Zareshahrabadi, Z., Amirzadeh, N., Rajabi, S. Z., & Pakshir, K. (2026) · BMC Microbiology · doi:10.1186/s12866-026-05214-1 · Cited by 1
“…species of Candida , C. albicans , utilizes many virulence mechanisms in its pathogenic process, including enzyme production, such as phospholipase, protein-ase, and esterase, as well as a morphology based virulence mechanism like phenotypic switching between white and opaque colonies [4, 5].”
Blanco, I. R., Oliveira, R. P. D. S., & Pereira, M. M. (2026) · In Silico Pharmacology · doi:10.1007/s40203-026-00642-3 · Cited by 1
“C. albicans is an opportunistic pathogen and the most prominent fungal species associated with human infections, ranging from superficial skin and mucosal disease to sys - temic infections affecting multiple organs (Talapko et al. 2021 ).”
Lewtak, K., Dryglewska, M., Wójcik-Mieszawska, S., Skwarek, E., Czaplewska, P., Ścibek-Rejmontowska, W., Korkmaz, H., Wydrych, J., Kaźmierski, W., Skrzypiec, K., et al. (2026) · Scientific Reports · doi:10.1038/s41598-026-52961-2 · Cited by 1
“However, C. albicans is responsible for approximately 70% of fungal infections worldwide, making it a major pathogen of humans 52,57 .”
Tuan, D. A., & Masák, J. (2026) · Journal of Applied Microbiology · doi:10.1093/jambio/lxag142 · Cited by 1
Metadata
- Authors
- Talapko, J., Juzbašić, M., Matijević, T., Pustijanac, E., Bekić, S., Kotris, I., & Škrlec, I.
- Affiliations
- University of Osijek (HR)
- Klinički bolnički centar Osijek (HR)
- Juraj Dobrila University of Pula (HR)
- Department of Internal Medicine, General County Hospital Vukovar, HR-3200 Vukovar, Croatia
- Corresponding author
- Škrlec, Ivana
- Venue
- Journal of Fungi
- Publisher
- MDPI AG
- Published
- 2021-01-22
- Volume
- 7
- Issue
- 2
- Pages
- 79
- ISSN
- 2309-608X (ISSN-L)
- PMC
- PMC7912069
- OpenAlex
- W3124481512
- Cited by
- 794
- References
- 175
- Citations by year
- 2026: 149 · 2025: 231 · 2024: 187 · 2023: 121 · 2022: 89 · 2021: 15
- FWCI
- 12.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Fungi (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Infectious Diseases › Fungal Infections and Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Keywords
- Candida albicans, virulence factors, candidiasis, oral candidiasis, invasive candidiasis, candidemia, commensalism, dysbiosis, mucosal barrier, host immune response, opportunistic fungal infection, clinical features
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