Torulopsis Holmii
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''Candida'' is a genus of yeasts and is the most common cause of
fungal infections Fungal infection, also known as mycosis, is disease caused by fungi. Different types are traditionally divided according to the part of the body affected; superficial, subcutaneous, and systemic. Superficial fungal infections include common ti ...
worldwide. Many species are harmless
commensals Commensalism is a long-term biological interaction (symbiosis) in which members of one species gain benefits while those of the other species neither benefit nor are harmed. This is in contrast with mutualism, in which both organisms benefit fro ...
or endosymbionts of hosts including humans; however, when
mucosal A mucous membrane or mucosa is a membrane that lines various cavities in the body of an organism and covers the surface of internal organs. It consists of one or more layers of epithelial cells overlying a layer of loose connective tissue. It is ...
barriers are disrupted or the immune system is compromised they can invade and cause disease, known as an
opportunistic infection An opportunistic infection is an infection caused by pathogens (bacteria, fungi, parasites or viruses) that take advantage of an opportunity not normally available. These opportunities can stem from a variety of sources, such as a weakened immune ...
. Candida is located on most mucosal surfaces and mainly the gastrointestinal tract, along with the skin. '' Candida albicans'' is the most commonly isolated species and can cause infections ( candidiasis or thrush) in humans and other animals. In winemaking, some species of ''Candida'' can potentially spoil wines. Many species are found in
gut flora Gut microbiota, gut microbiome, or gut flora, are the microorganisms, including bacteria, archaea, fungi, and viruses that live in the digestive tracts of animals. The gastrointestinal metagenome is the aggregate of all the genomes of the gut mi ...
, including ''C. albicans'' in
mammal Mammals () are a group of vertebrate animals constituting the class Mammalia (), characterized by the presence of mammary glands which in females produce milk for feeding (nursing) their young, a neocortex (a region of the brain), fur or ...
ian hosts, whereas others live as endosymbionts in insect hosts. Systemic infections of the bloodstream and major organs (
candidemia Fungemia is the presence of fungi or yeasts in the blood. The most common type, also known as candidemia, candedemia, or systemic candidiasis, is caused by '' Candida'' species; candidemia is also among the most common bloodstream infections of a ...
or
invasive candidiasis Invasive candidiasis is an infection (candidiasis) that can be caused by various species of ''Candida'' yeast. Unlike ''Candida'' infections of the mouth and throat (oral candidiasis) or vagina ( ''Candidal'' vulvovaginitis), invasive candidias ...
), particularly in patients with an impaired immune system ( immunocompromised), affect over 90,000 people a year in the US. The genome of several ''Candida'' species has been sequenced.
Antibiotic An antibiotic is a type of antimicrobial substance active against bacteria. It is the most important type of antibacterial agent for fighting bacterial infections, and antibiotic medications are widely used in the treatment and prevention of ...
s promote yeast (fungal) infections, including gastrointestinal (GI) ''Candida'' overgrowth and penetration of the GI mucosa. While women are more susceptible to genital yeast infections, men can also be infected. Certain factors, such as prolonged antibiotic use, increase the risk for both men and women. People with diabetes or the immunocompromised, such as those infected with HIV, are more susceptible to yeast infections. '' Candida antarctica'' and ''
Candida rugosa ''Candida'' is a genus of yeasts and is the most common cause of fungal infections worldwide. Many species are harmless commensals or endosymbionts of hosts including humans; however, when mucosal barriers are disrupted or the immune system is ...
'' are a source of industrially important
lipase Lipase ( ) is a family of enzymes that catalyzes the hydrolysis of fats. Some lipases display broad substrate scope including esters of cholesterol, phospholipids, and of lipid-soluble vitamins and sphingomyelinases; however, these are usually tr ...
s, while ''
Candida krusei ''Candida krusei'' is a budding yeast (a species of fungus) involved in chocolate production. ''Candida krusei'' is an emerging fungal nosocomial pathogen primarily found in the immunocompromised and those with hematological malignancies. It ha ...
'' is prominently used to ferment
cacao Cacao is the seed from which cocoa and chocolate are made, from Spanish cacao, an adaptation of Nahuatl cacaua, the root form of cacahuatl ("bean of the cocoa-tree"). It may also refer to: Plants *''Theobroma cacao'', a tropical evergreen tree ** ...
during chocolate production. ''
Candida rugosa ''Candida'' is a genus of yeasts and is the most common cause of fungal infections worldwide. Many species are harmless commensals or endosymbionts of hosts including humans; however, when mucosal barriers are disrupted or the immune system is ...
'' is also used as an enzyme supplement to support fat digestion with its broad specificity for lipid hydrolysis.


Biology

When grown in a laboratory, ''Candida'' appears as large, round, white or cream (''albicans'' means "whitish" in Latin) colonies, which emit a yeasty odor on agar plates at room temperature. ''C. albicans'' ferments glucose and
maltose } Maltose ( or ), also known as maltobiose or malt sugar, is a disaccharide formed from two units of glucose joined with an α(1→4) bond. In the isomer isomaltose, the two glucose molecules are joined with an α(1→6) bond. Maltose is the two- ...
to acid and gas,
sucrose Sucrose, a disaccharide, is a sugar composed of glucose and fructose subunits. It is produced naturally in plants and is the main constituent of white sugar. It has the molecular formula . For human consumption, sucrose is extracted and refined ...
to acid, and does not ferment
lactose Lactose is a disaccharide sugar synthesized by galactose and glucose subunits and has the molecular formula C12H22O11. Lactose makes up around 2–8% of milk (by mass). The name comes from ' (gen. '), the Latin word for milk, plus the suffix '' - ...
, which helps to distinguish it from other ''Candida'' species. Recent molecular phylogenetic studies show that the genus ''Candida'', as currently defined, is extremely polyphyletic (encompassing distantly-related species that do not form a natural group). Before the advent of inexpensive molecular methods, yeasts that were isolated from infected patients were often called ''Candida'' without clear evidence of relationship to other ''Candida'' species. For example, ''
Candida glabrata ''Candida glabrata'' is a species of haploid yeast of the genus ''Candida'', previously known as ''Torulopsis glabrata''. Despite the fact that no sexual life cycle has been documented for this species, ''C. glabrata'' strains of both mating typ ...
'', '' Candida guilliermondii'', and ''
Candida lusitaniae ''Candida lusitaniae'' is a species of yeast Yeasts are eukaryotic, single-celled microorganisms classified as members of the fungus kingdom. The first yeast originated hundreds of millions of years ago, and at least 1,500 species are cu ...
'' are clearly misclassified and will be placed in other
genera Genus ( plural genera ) is a taxonomic rank used in the biological classification of living and fossil organisms as well as viruses. In the hierarchy of biological classification, genus comes above species and below family. In binomial nomenclat ...
once phylogenetic reorganization is complete (for example, see Khunnamwong ''et al.'' 2015). Some species of ''Candida'' use a non-standard genetic code in the translation of their
nuclear gene A nuclear gene is a gene whose physical DNA nucleotide sequence is located in the cell nucleus of a eukaryote. The term is used to distinguish nuclear genes from genes found in mitochondria or chloroplasts. The vast majority of genes in eukaryote ...
s into the amino acid sequences of polypeptides. The difference in the genetic code between species possessing this alternative code is that the
codon The genetic code is the set of rules used by living cells to translate information encoded within genetic material ( DNA or RNA sequences of nucleotide triplets, or codons) into proteins. Translation is accomplished by the ribosome, which links ...
CUG (normally encoding the amino acid leucine) is translated by the yeast as a different amino acid,
serine Serine (symbol Ser or S) is an α-amino acid that is used in the biosynthesis of proteins. It contains an α-amino group (which is in the protonated − form under biological conditions), a carboxyl group (which is in the deprotonated − form un ...
. The alternative translation of the CUG codon in these species is due to a novel nucleic acid sequence in the serine- tRNA (ser-tRNACAG), which has a guanosine located at position 33, 5' to the anticodon. In all other tRNAs, this position is normally occupied by a
pyrimidine Pyrimidine (; ) is an aromatic, heterocyclic, organic compound similar to pyridine (). One of the three diazines (six-membered heterocyclics with two nitrogen atoms in the ring), it has nitrogen atoms at positions 1 and 3 in the ring. The other ...
(often uridine). This genetic code change is the only such known alteration in cytoplasmic mRNA, in both the prokaryotes, and the
eukaryote Eukaryotes () are organisms whose cells have a nucleus. All animals, plants, fungi, and many unicellular organisms, are Eukaryotes. They belong to the group of organisms Eukaryota or Eukarya, which is one of the three domains of life. Bacte ...
s, involving the reassignment of a
sense codon The genetic code is the set of rules used by living cells to translate information encoded within genetic material ( DNA or RNA sequences of nucleotide triplets, or codons) into proteins. Translation is accomplished by the ribosome, which links ...
. This novel genetic code may be a mechanism for more rapid adaptation to the organism's environment, as well as playing an important role in the evolution of the genus ''Candida'' by creating
genetic barrier Introduction Geographic isolation or other factors that prevent reproduction have resulted in a population of organisms with a change in genetic diversity and ultimately leads to the genetic isolation of species. Genetic isolates form new specie ...
s that encouraged
speciation Speciation is the evolutionary process by which populations evolve to become distinct species. The biologist Orator F. Cook coined the term in 1906 for cladogenesis, the splitting of lineages, as opposed to anagenesis, phyletic evolution within ...
.


Pathogen

''Candida'' are almost universal in low numbers on healthy adult skin and ''C.'' ''albicans'' is part of the normal flora of the mucous membranes of the respiratory, gastrointestinal and female genital tracts. The dryness of skin compared to other tissues prevents the growth of the fungus, but damaged skin or skin in intertriginous regions is more amenable to rapid growth. Overgrowth of several species, including ''C.'' ''albicans'', can cause infections ranging from superficial, such as oropharyngeal candidiasis (thrush) or
vulvovaginal candidiasis Vaginal yeast infection, also known as candidal vulvovaginitis and vaginal thrush, is excessive growth of yeast in the vagina that results in irritation. The most common symptom is vaginal itching, which may be severe. Other symptoms include burn ...
(vaginal candidiasis) and subpreputial candidiasis, which may cause balanitis, to systemic, such as
fungemia Fungemia is the presence of fungi or yeasts in the blood. The most common type, also known as candidemia, candedemia, or systemic candidiasis, is caused by '' Candida'' species; candidemia is also among the most common bloodstream infections of a ...
and
invasive candidiasis Invasive candidiasis is an infection (candidiasis) that can be caused by various species of ''Candida'' yeast. Unlike ''Candida'' infections of the mouth and throat (oral candidiasis) or vagina ( ''Candidal'' vulvovaginitis), invasive candidias ...
. Oral candidiasis is common in elderly denture-wearers. In otherwise healthy individuals, these superficial infections can be cured with topical or systemic antifungal medications (commonly over-the-counter antifungal treatments like miconazole or
clotrimazole Clotrimazole, sold under the brand name Lotrimin, among others, is an antifungal medication. It is used to treat vaginal yeast infections, oral thrush, diaper rash, tinea versicolor, and types of ringworm including athlete's foot and jock itch ...
). In debilitated or immunocompromised patients, or if introduced intravenously (into the bloodstream), candidiasis may become a systemic disease producing
abscess An abscess is a collection of pus that has built up within the tissue of the body. Signs and symptoms of abscesses include redness, pain, warmth, and swelling. The swelling may feel fluid-filled when pressed. The area of redness often extends b ...
es, thrombophlebitis, endocarditis, or infections of the eyes or other organs. Typically, relatively severe
neutropenia Neutropenia is an abnormally low concentration of neutrophils (a type of white blood cell) in the blood. Neutrophils make up the majority of circulating white blood cells and serve as the primary defense against infections by destroying bacteria ...
(low neutrophils) is a prerequisite for ''Candida'' to pass through the defenses of the skin and cause disease in deeper tissues; in such cases, mechanical disruption of the infected skin sites is typically a factor in the fungal invasion of the deeper tissues. The most common way to treat invasive candida infections is with the use of amphotericin or fluconazole; other methods would include surgery.


Applications

''C. albicans'' has been used in combination with carbon nanotubes (CNT) to produce stable electrically-conductive bio-nano-composite tissue materials that have been used as temperature-sensing elements.


Species

Among ''Candida'' species, ''C. albicans'', which is a normal constituent of the
human flora The human microbiome is the aggregate of all microbiota that reside on or within human tissues and biofluids along with the corresponding anatomical sites in which they reside, including the skin, mammary glands, seminal fluid, uterus, ovarian ...
, a commensal of the skin and the gastrointestinal and genitourinary tracts, is responsible for the majority of ''Candida'' bloodstream infections (candidemia). Yet, there is an increasing incidence of infections caused by '' C. glabrata'' and '' C. rugosa'', which could be because they are frequently less susceptible to the currently used azole-group of antifungals. Other medically important species include '' C. parapsilosis'', '' C. tropicalis'', '' C. dubliniensis''. and the more recent upcoming pathogen '' C. auris''. Other ''Candida'' species, such as '' C. oleophila'', have been used as biological control agents in fruit. * '' C. albicans'' * '' C. ascalaphidarum'' * '' C. amphixiae'' * '' C. antarctica'' * '' C. argentea'' * '' C. atlantica'' * '' C. atmosphaerica'' * '' C. auris'' * '' C. blankii'' * '' C. blattae'' * '' C. bracarensis'' * '' C. bromeliacearum'' * '' C. carpophila'' * '' C. carvajalis'' * '' C. catenulata'' * '' C. cerambycidarum'' * '' C. chauliodes'' * '' C. corydali'' * '' C. crusei'' * '' C. dosseyi'' * '' C. dubliniensis'' * '' C. ergatensis'' * '' C. fructus'' * '' C. glabrata'' * '' C. fermentati'' * '' C. guilliermondii'' * '' C. haemulonii'' * '' C. humilis'' * '' C. insectamens'' * '' C. insectorum'' * '' C. intermedia'' * '' C. jeffresii'' * '' C. kefyr'' * '' C. keroseneae'' * '' C. krusei'' * '' C. lusitaniae'' * '' C. lyxosophila'' * '' C. maltosa'' * '' C. marina'' * '' C. membranifaciens'' * '' C. mogii'' * '' C. oleophila'' * '' C. oregonensis'' * '' C. parapsilosis'' * '' C. quercitrusa'' * '' C. rhizophoriensis'' * '' C. rugosa'' * '' C. sake'' * '' C. sharkiensis'' * '' C. shehatea'' * '' C. temnochilae'' * '' C. tenuis'' * '' C. theae'' * '' C. tolerans'' * '' C. tropicalis'' * '' C. tsuchiyae'' * '' C. sinolaborantium'' * '' C. sojae'' * '' C. subhashii'' * '' C. viswanathii'' * '' C. ubatubensis'' * '' C. utilis'' * '' C. zemplinina''


References


External links


Labs working on Candida
* {{Authority control Yeasts Gut flora Pathogenic microbes