Clonal population structure and genetic diversity of Candida albicans in AIDS patients from Abidjan (Côte d'Ivoire)

François Nébavi1, Francisco J Ayala, François Renaud

  • 1Laboratoire de Parasitologie et Mycologie Médicale, EA 2413, Faculté de Pharmacie, 34060 Montpellier Cedex 1, France.

Insights

This study analyzed Candida albicans genotypes in HIV-positive patients in Côte d'Ivoire. Results show individual patient and gender significantly impact genetic variability, with low transmission rates and predominantly clonal reproduction observed.

Area of Science:

  • Medical Mycology
  • Human Genetics
  • Infectious Diseases

Background:

  • Candida albicans is a common opportunistic pathogen, particularly in immunocompromised individuals.
  • Understanding the genetic diversity and population dynamics of C. albicans is crucial for managing infections in vulnerable populations.
  • Previous studies have explored C. albicans genetics, but data from Sub-Saharan Africa, especially among HIV-positive patients, remain limited.

Purpose of the Study:

  • To investigate the genetic variability of Candida albicans isolates from HIV-positive patients in Abidjan, Côte d'Ivoire.
  • To identify key factors influencing the genetic diversity of C. albicans within this patient cohort.
  • To assess the population size, transmission dynamics, and reproductive strategy of C. albicans in a clinical setting.

Main Methods:

  • Genotyping of 275 C. albicans isolates from 42 HIV-positive patients using 14 enzyme-encoding loci.
  • Analysis of patient-specific variables including residence, age, gender, T cell count, hospitalization, and drug treatment.
  • Statistical analysis to determine the contribution of each variable to genetic variability.

Main Results:

  • The primary drivers of genetic variability in C. albicans were the individual patient and gender.
  • The parasite population size was generally small within individual patients, larger in females than males.
  • Low transmission rates of C. albicans between adult patients were inferred, with evidence suggesting predominantly clonal reproduction.

Conclusions:

  • Individual host factors, particularly gender, play a significant role in shaping C. albicans genetic diversity.
  • The low transmission rate and clonal reproduction suggest limited horizontal gene transfer and a stable parasite population within hosts.
  • These findings contribute to understanding C. albicans epidemiology in HIV-infected populations in West Africa.