Comparative media studies in the isolation ofCandida albicans from pregnant women

Summary Rice agar and corn meal agar, with and without Tween 80, were evaluated clinically as directly inoculable selective and differential media for the isolation ofC. albicans from vulvovaginal specimens taken from pregnant women. Chlamydospore formation on these media was investigated as a criterion for the identification ofC. albicans.Of 301 patients cultured, 118 (39.2 %) gave positive cultures for yeast-like fungi of the genusCandida. Of 118 strains for which fermentation patterns were determined, 69 (58.5 %) gave the pattern forC. albicans. Of these, 56 (81.1 %) formed chlamydospores.Tween 80 was found to exert a very stimulating influence on chlamydospore production. Rice agar with Tween 80 appeared to be the most efficient medium for eliciting chlamydospores. However, since strains of 4 out of 6 species ofCandida isolated were found to sporulate it was concluded that chlamydospore formation is not a reliable criterion for the speciation ofC. albicans.Each of the 4 media served satisfactorily as a directly inoculable selective medium for the isolation of yeast-like fungi of the genusCandida from vulvovaginal specimens. None of the media appeared to preferentially stimulate chlamydospore production inC. albicans.Dr.Smith is Associate Professor in the Department of Microbiology; Dr.Taubert is a Fellow in the Department of Obstetrics and Gynecology; Mr.Towns is Laboratory Assistant in the Department of Microbiology.Supported in part by a grant from the Lederle Medical Faculty Awards Committee and in part by United States Public Health Service Grant E-3068.     

Identification of Candida isolated from the cutaneous candidiasis by the combined use of confirmatory medium and slide agglutination with monofactorial antibodies

Forty strains ofCandida and one ofTorulopsis were isolated from patients with cutaneous candidiasis. The isolates comprised 29 strains ofC. albicans, 7 strains ofC. tropicalis, 2 strains ofC. guilliermondii, and one each ofC. parakrusei, C. lipolytica, andT. famata were identified by the ordinary method. Besides the common pathogenC. albicans, a few other species ofCandida may be etiologic organisms of cutaneous candidiasis. These strains were re-examined by combined use of sucrose agar slants and slide agglutination tests with IgG monofactorial antibodies as a rapid identification method, especially for determining serotypes ofC. albicans. The new method was useful and reliable for rapid identification ofC. albicans and related species. All strains ofC. albicans isolated from skin lesions proved to be standard serotypes ofC. albicans.

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Zusammenfassung Vierzig Stämme vonCandida und eins vonTorulopsis wurden aus Kranken mit kutanen Candidamykosen isoliert. Neunundzwanzig Stämme vonC. albicans, 7 vonC. tropicalis, 2 vonC. guilliermondii, und je einer vonC. parakrusei, C. lipolytica undT. famata wurden mit dem ordinären Methode identifiziert. Außer dem gewohnlichen Erreger,C. albicans, konnten auch ein Paar andere Spezies vonCandida als den Erreger betrachtet werden. Sechsunddreißig Stämme vonC. albicans undC. tropicalis wurden mit der von uns verbesserten kombinierten serologischen und biologischen Methode untersucht, besonders um den Serotypus vonC. albicans festzusetzen. Die neue Methode war gut und zuverlässig als die rapide Identification vonC. albicans und verwandten Spezies. Alle aus der Hautläsion isoliertenC. albicans waren der in Japan allgemeine Serotypus vonC. albicans.

     

A technique for quantitative evaluation of ectoparasitic mites and insects of domestic animals

A modified KOH dissolution technique using Tween 80 has been developed for the diagnosis and quantitative evaluation of ectoparasitic mites and insects of veterinary importance. Fifty intact skin segments from ten different domestic animals were artificially inoculated in vitro with ten specimens each of the mitesSarcoptes scabiei, Chorioptes bovis, Psoroptes ovis andDemodex caprae and insectsHaematopinus eurysternus andBovicola bovis. Sixty-seven to 88% of the mites and 80–99% of the insects were recovered by this technique. Using this method, parasitic mites and insects were found and identified in all skin scrapings from ten naturally infested animals. Using Cook's dissolution technique in our experimental design, 63.4% ofC. bovis and 65% ofS. scabiei mites were recovered.     

Development and evaluation of a rapid identification test for candida albicans

Summary A new technique for the rapid identification ofC. albicans has been developed and evaluated. This yeast can be identified in one hour by the formation of germ tubes after inoculation in 1/2 ml of human or animal plasma, and commercial plasma substitutes.C. albicans also forms germ tubes within 2 to 4 hours after inoculation in human serum and incubation at 37° C.Filamentation ofC. albicans in these blood derivatives is a reliable method for the identification of this yeast. It is more rapid than the assimilation and fermentation sugar tests and chlamydospore formation.Assimilation and fermentation sugar tests are used to identify those isolates ofCandida that fail to produce filaments in plasma or serum.     

Interactions ofCandida albicans with bacteria and salivary molecules in oral biofilms

The yeastCandida albicans coaggregates with a variety of streptococcal species, an interaction that may promote oral colonization by yeast cells.C. albicans andCandida tropicalis are the yeasts most frequently isolated from the human oral cavity and our data demonstrate that both these species bind toStreptococcus gordonii NCTC 7869 while two otherCandida species (Candida krusei andCandida kefyr) do not. Adherence ofC. albicans was greatest when the yeast had been grown at 30° C to mid-exponential growth phase. For 21 strains ofC. albicans there was a positive correlation between the ability to adhere toS. gordonii and adherence to experimental salivary pellicle. Whole saliva either stimulated or slightly inhibited adherence ofC. albicans toS. gordonii depending on the streptococcal growth conditions. The results suggest that the major salivary adhesins and coaggregation adhesins ofC. albicans are co-expressed.     

A method for taxonomic determination ofCandida albicans with DNA probes

Determination ofCandida species represents an important problem derived from the clinical implications of the species belonging to this genus. DNA probes have already been used for the epidemiology ofCandida albicans, as well as for taxonomic analysis ofCandida and other genera, although these probes are based on non-species-specific DNA sequences. In this work we carried out a 48-h assay, allowing the identification ofC. albicans from clinical isolates, using DNA probes based onC. albicans LEU2 andURA3 genes. Another probe related toC. albicans SEC18 gene was shown not to beC. albicans specific.     

Epidemiological investigations of oral Candida Albicans

Using a gargle-rinse technique, the oral cavities of 103 volunteers were sampled and cultured for the presence ofCandida albicans. Thirty-six (33.95 %) were positive forC. albicans, including 14 females and 22 males. Sixty-four subjects, including negative controls, were placed on treatment regimes of a pre-sleep gargle-rinse with either sterile distilled water (W) or Cepacol® Mouthwash/Gargle (C). The possible effects of ambient temperature, diet, age, sex, and mouthwash use on oralC. albicans levels are illustrated and discussed, including some evidence for familial endemicity. On simulated sporadic or continuous mouthwash use, some individuals showed statistically significant reductions in oralC. albicans flora, whereas others had biologically significant reductions that were not confirmed statistically. A few originally negative individuals developed non-persistent lowC. albicans counts on one or two days. Total bacterial counts were made for 32 subjects, for most of whom biologically significant reductions were obtained, although the counts were highly variable and erratic. The data support the concept that a reduction in oralC. albicans does not lead to an increase in total bacterial flora, and vice versa.with the technical assistance ofAlyce R. Schmitt Paper 741, Department of Botany, The Ohio State University. This investigation was supported by a research grant form the Wm. S. Merrell Co., Cinninnati, O.     

The effect of the supernatants obtained fromSporothrix schenkii andCandida albicans culture on the generation of reactive oxygen species by polymorphonuclear leukocytes

The effect of the supernatants obtained from the liquid culture medium ofSporothrix schenkii andCandida albicans on the generation of superoxide anion (O ₂ ^– and hydroxyl radicals OH_., the elements of reactive oxygen species (ROS), and chemilimunescence (CL), a measure of several ROS, by polymorphonuclear leukocytes (PMNs) was examined. In our study, it was shown that the supernatant ofS. schenkii increased all types of ROS generation examined and CL, while that ofC. albicans increased OH_. generation and CL. The effect of the supernatants ofS. schenkii on OH_. generation and CL and that ofC. albicans on CL were most remarkable when the supernatant obtained 8 weeks after the inoculation was used. The supernatant ofS. schenkii was shown to be a much more potent stimulant than the supernatant ofC. albicans. This ROS-stimulating effect of the supernatant ofS. schenkii was heat stable but not dialyzable. These findings suggest the possible role of ROS produced by infiltrated PMNs in the inflammatory skin lesions induced byS. schenkii.     

Effect of miconazole on diO-C6-(3) accumulation in mitochondria ofCandida albicans

A flow cytometric method was used to investigate the effect of miconazole (MCZ) on yeast-form cells ofCandida albicans. Relative changes in electric potential of mitochondrial and cytoplasmic membranes were assessed by 3,3′-dihexyloxacarbocyanine iodide (diO-C₆-(3)) and bis-(1,3-dibutyl-barbituric acid) trimethine oxonol (diBA-C₄-(3)) stainings, respectively. WhenC. albicans was exposed to MCZ at 10 μg/ml (a fungistatic concentration) for 2 h, no change appeared in cytoplasmic membrane potential, which was revealed by constant fluorescence intensity of diBA-C₄-(3)-stained cells. On the other hand, the cells lost the ability to accumulate diO-C₆-(3) in mitochondria by MCZ treatment. Time- and dose-responses in fluorescence intensity reflected that MCZ affected the mitochondrial activity ofC. albicans.     

New milk medium for germ tube and chlamydoconidia production byCandida albicans

A new medium consisting of UHT milk, tween 80 and agar is described for the development of both germ tube and chlamydoconidia byCandida albicans. In total 172 isolates from clinical specimens, includingC. albicans (112),C. guilliermondii (4),C. krusei (3),C. parasilopsis (16).C. tropicalis (28),Torulopsis glabrata (6) andTrichosporon beigellii (3), were examined in this medium by using the standard method. A higher percentage (98.2%) of germ tube production byC. albicans was found in this medium than in undiluted serum (90.2%). In addition, onlyC. albicans was found to be able to produce a high percentage of chlamydoconidia (95.5%) after 48 hours' incubation. In comparison with the conventional medium, corn meal tween 80 agar (21.4%), this new medium gives a significantly higher percentage and abundance of chlamydoconidia production. Being simple, cheap and easy to prepare, the new milk medium is proposed as very practical in the clinical mycology laboratory.     

Candida inhibitory effects of six commercial mouthwashes

TheCandida inhibitory activities of commercial mouthwashes with various, active ingredients — fluoride (FLO), cethylpyridinium chloride (CPC), chlorhexidine gluconate (CHX), triclosan (TRI) and herbal extracts: Twin Lotus (TLO) and Herbric concentrated (HBC) — were determined. TheCandida activities included growth, germ tube formation and adhesion ofCandida albicans to human buccal mucosa. This study showed that TRI, TLO and CHX mouthwashes had growth inhibitory effects toC. albicans with the MIC of 1/64, 1/64 and 1/32, respectively. CHX, TRI, TLO, HBC and CPC mouthwashes had ability to inhibit adhesion ofC. albicans ATCC 10231 by approximately 85, 80, 70, 65 and 55%, respectively. Germ tube formation, or mycelial conversion, ofC. albicans was inhibited by approximately 90, 85 and 80% after treatment with 20% mouthwashes containing CHX, TRI and CPC, respectively. Fluoride mouthwash showed the weakest in all inhibitory activities. These results suggested that CHX and triclosan mouthwashes were effective in reducing oralCandida activities.     

Pathogenicity of the Y form as compared to M form in experimentally inducedCandida albicans infections

Experimental pathogenicity of the Y form and the M form ofC. albicans separated with a high degree of purity has been evaluated. Experiments are described in which the two morphological forms ofC. albicans were separately inoculated intradermally, intraperitoneally and intravenously in mice and rabbits. In suitable conditions, higher pathogenicity was significantly provoked by the Y form ofC. albicans.

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Riassunto E' stato effettuato uno studio sperimentale sulla patogenicità esercitata nei topini e nei conigli dalle forme morfologiche Y e M dellaC. albicans, separate tra di loro con un alto grado di purezza. Le due forme Y e M sono state inoculate, separatamente, nei conigli per via endovenosa oppure intradermica, nei topini per via intraperitoneale.Nelle condizioni sperimentali seguite, laC. albicans presenta una piú alta patogenicità della forma Y rispetto la forma M.

     

Detection of Candida albicans in disseminated candidosis by immunofluorescence staining

An indirect immunofluorescence (IF) method using rabbit anti-Candida albicans was used to detect C. albicans in blood samples of 12 patients with systemic candidosis defined clinically, histologically and by blood cultures. Positive staining of C. albicans could be detected in all of the patients. The findings suggest that IF-method offers a more rapid method in the diagnosis of disseminated candidosis.     

A proteomic approach to understanding the development of multidrug-resistant<Emphasis Type="Italic"> Candida albicans</Emphasis> strains

Resistance of the pathogenic yeast Candida albicans to the antifungal agent fluconazole is often caused by the overexpression of genes that encode multidrug efflux pumps (CDR1, CDR2, or MDR1). We have undertaken a proteomic approach to gain further insight into the regulatory network controlling efflux pump expression and drug resistance in C. albicans. Three pairs of matched fluconazole-susceptible and resistant clinical C. albicans isolates, in which drug resistance correlated with stable activation of MDR1 or CDR1/2, were analyzed for differences in their protein expression profiles. In two independent, MDR1-overexpressing, strains, additional up-regulated proteins were identified, which are encoded by the YPR127 gene and several members of the IFD (YPL088) gene family. All are putative aldo-keto reductases of unknown function. These proteins were not up-regulated in a fluconazole-resistant strain that overexpressed CDR1 and CDR2 but not MDR1, indicating that expression of the various efflux pumps of C. albicans is controlled by different regulatory networks. To investigate the possible role of YPR127 in the resistance phenotype of the clinical isolates, we constitutively overexpressed the gene in a C. albicans laboratory strain. In addition, the gene was deleted in a C. albicans laboratory strain and in one of the drug-resistant clinical isolates in which it was overexpressed. Neither forced overexpression nor deletion of YPR127 affected the susceptibility of the strains to drugs and other toxic substances, suggesting that the regulatory networks which control the expression of efflux pumps in C. albicans also control genes involved in cellular functions not related to drug resistance.Communicated by D. Y. Thomas     

The influence of post-filtration washing on the in vitro assay ofCandida albicans adherence to human buccal epithelial cells

A simple in vitro assay technique was used to determine the effect of post-filtration washing on the adherence ofC. albicans (NCPF 3736) to human buccal epithelial cells (BEC). Washing was carried out with a range of volumes of phosphate buffered saline (PBS), viz. 0, 5, 10 and 20 ml, at a standard flow rate. Both the number ofC. albicans adherent to BEC and the percentage of BEC with adherentC. albicans were significantly decreased (p<0.001 for each of these measures) after washing with 5 ml PBS. Further increases in the volume of PBS did not significantly decrease either measure of adherence. These data indicate that only a small volume of PBS, 5 ml, is required to achieve the removal of non-adherentC. albicans from the surface of BEC. The result of the adherence assay is not significantly affected by increasing the volume of PBS used. It is concluded that considerable savings in time may be made through using only a small (5 ml) volume of washing buffer at a standard flow rate.Abbreviations BEC buccal epithelial cells - PBS phosphate buffered saline - MEM Eagle's minimum essential medium - NCPF National collection of pathogenic fungi     

Characterization ofl-leucine transport in the opportunistic yeastsMalassezia furfur andMalassezia pachydermatis

The lipophilic yeastsMalassezia furfur andM. pachydermatis show an initial rapid uptake ofl-leucine followed by slower steady-state rates. At least two independent transport systems forl-leucine were present in both species. The high-affinity system forM. furfur had a K_T of 0.047 µM with a J_max of 222 fM/min/10⁶ cells (65 pM/min/mg dry weight), whereas forM. pachydermatis the K_T was 0.067 µM with a J_max of 709 fM/min/10⁶ cells (89 pM/min/dry weight). The low-affinity system forM. furfur had a K_T of 646 µM with a J_max of 1.62 pM/min/10⁶ cells (0.5 nM/min/mg dry weight) and that ofM. pachydermatis had a K_T of 3.3 µM with a J_max of 9.97 pM/min/10⁶ cells (1.3 nM/min/mg dry weight). Both transport systems were energy-dependent. Cells incubated with Tween 80 showedl-leucine uptake via both transport systems. Cells incubated with a combination of glucose (1%) and Tween 80 (0.01%) showed decreased transport rates for the high-affinity system for both species as compared with cells incubated only with glucose. The low-affinity transport system of both species in the presence of glucose plus Tween 80 showed an initial rapid uptake followed by greater efflux than influx ofl-leucine.l-Leucine demonstrated binding to Tween 80, but the major effect of Tween 80 on membrane transport inMalassezia appears to be on the efflux of transported molecules.     

Anti-yeast activity of a food-grade dilution-stable microemulsion

The anti-yeast activities of a food-grade dilution-stable microemulsion against Candida albicans and Saccharomyces cerevisiae have been studied. The weight ratio of the formulated microemulsion is glycerol monolaurate (GML)/propionic acid/Tween 80/sodium benzoate (SB)/water = 3:9:14:14:24. Results of anti-yeast activity on solid medium by agar diffusion method showed that the anti-yeast activity of the microemulsion at 4.8 mg/ml was comparable to that of natamycin at 0.1 mg/ml as positive control. Results of anti-yeast activity in liquid medium by broth dilution method showed that the growth of both C. albicans and S. cerevisiae was completely inhibited when the liquid medium containing 10⁶ cfu/ml was treated with 1.2 mg/ml microemulsion, which was determined as minimum fungicidal concentration. The kinetics of killing results showed that the microemulsion killed over 90% yeast cells rapidly within 15 min and caused a complete loss of viability in 120 min. Among the components, SB and GML had a similar anti-yeast activity, followed by propionic acid, while Tween 80 exhibited no activity and could not enhance the anti-yeast activities of these components, and it was revealed that the anti-yeast activity of the microemulsion was attributed to a combination of propionic acid, GML, and SB. The anti-yeast activity of the microemulsion was in good agreement with the leakage of 260-nm absorbing materials and the observation of transmission electron microscopy, indicating that the microemulsion induced the disruption and dysfunction of the cell membrane.     

Candida species isolated from cerebrospinal fluid

In the period from November 1998 to June 2001 13 cases of nosocomial meningitis were reported.Candida albicans was isolated from 54% of the patients (7);C. parapsilosis from 23% (3);C. tropicalis from 15% (2) andC. krusei from 8% (1).C. albicans was isolated from the cerebrospinal fluid (CSF) of five children with the following diagnoses: nonspecified tumor of the central nervous system, Hodgkin's disease, meningitis, suspect neuroinfection, and sepsis. Examination of CSF allowed us to detect 2 strains ofC. albicans from adult patients, one after neurosurgery because of a brain tumor and one with a vascular disease of the brain.C. parapsilosis was found in CSF from two premature children and one child with epilepsy. Two isolates ofC. tropicalis were obtained from both blood and the CSF of a child from the neonatal intensive care unit and from a child from pediatric oncology with multiple malignant neoplasms. Only one strain ofC. krusei was found in the oral cavity and CSF of a patient after neurosurgery performed after head trauma.     

Rapid diagnosis of Candida albicans

The inhibitory action of an antibiotic isolated fromB. subtilis is studied onC. albicans, C. clausenii, C. langeronii, C. stellatoidea, andC. visvanathii, as a possible means forC. albicans rapid identification. Growth inhibition ofC. albicans by the antibiotic was observed when the yeast was preincubated on malt-agar slants, at 30° C, during 24 hours, and tested afterwards for antibiosis on Sabouraud-agar plates. No growth inhibition could be detected withC. clausenii, C. langeronii, C. stellatoidea, andC. viswanathii, under the same experimental conditions.In support of our results are the data reported byPérez-Silva &Gil-Alvarez (1960), where 33 strains ofC. albicans tested against that antibiotic, were shown to be the only sensitive yeast amongst 68 strains of yeast from several species.

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Zusammenfassung Die Wirkung der Inhibition eines vomB. subtilis isolierten Antibiotiks wurde untersucht anC. albicans, C. clausenii, C. langeronii, C. stellatoides, undC. viswanathii als ein mögliches Mittel für die schnelle Bestimmung vonC. albicans. Wachstumsinhibition vonC. albicans durch das Antibiotik war beobachtet, wenn die Hefe an Maltose-Schrägagar vorher inokuliert, bei 30° C für 24 Std., und nachher für Antibiosis an Sabouraud Agarplatten untersucht worden ist. Keine Inhibitionswirkung konnte mitC. clausenii, C. langeronii, C. stellatoides undC. viswanathii unter den selben experimentellen Bedingungen beobachtet werden. Die Ergebnisse sind durch diejenigen vonPérez-Silva &Gil-Alvarez (1960) unterstützt, in denen 33 Stämme vonC. albicans gegen das Antibiotik getested und gezeigt worden sind, daß nurC. albicans die einzige empfindliche Hefe unter 68 Stämmen von Hefen verschiedener Arten war.

     

Effect of tetracycline on the virulence of Y and M forms of Candida albicans in experimentally induced infections

The tetracyclines increase the virulence of Y and M forms ofC. albicans in endoperitoneal infection in mice but not in rabbits inoculated intradermally; there is no significant difference in the mortality grade of mice provoked by Y or M forms. The effects of the tetracyclines are dose dependent; the pathogenicity ofC. albicans forms is influenced to a different degree by different tetracyclines.

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Riassunto La tetraciclina aumenta la virulenza delle forme Y e M dellaC. albicans nelle infezioni endoperitoneali nei topini, ma non nei conigli inoculati per via intradermica; nei topini, tuttavia, non è stata rilevata una significativa differenza nella virulenza delle due fasi morfologiche.E' stato infine rilevato che la patogenicità dellaC. albicans è in rapporto alla dose di antibiotico complessivamente inoculata ed è influenzata in vario grado da differenti tetracicline.