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Updated: Jun 23, 2026

Bio-energetics Investigation of Candida albicans Using Real-time Extracellular Flux Analysis
Published on: March 19, 2019
[Opportunistic yeast infections and enzymatic profile of the etiological agents]
Danielle Patrícia Cerqueira Macêdo1, Aline Mary de Almeida Farias, Reginaldo Gonçalves de Lima Neto
1Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE.
Abstract:
Yeast infections are common in immunocompromised patients, although emerging species have been changing the epidemiological profile. The ability to secrete proteinases has been associated with pathogenicity within the genus Candida. This study had the aims of diagnosing yeast infections in immunocompromised patients and evaluating the virulence of the etiological agents, based on a proteinase secretion assay using bovine serum albumin as a substrate. Out of a total of 104 patients studied, 19 presented episodes of yeast infection. The respiratory tract (63.2%), followed by the urinary tract (10.5%), were the most common sites of infection. Candida albicans, Candida parapsilosis, Candida tropicalis and emerging species such as Candida krusei and Candida guilliermondii were isolated. Five isolates of Candida parapsilosis and one of Candida albicans and Candida guilliermondii exhibited high enzymatic activity. We conclude that enzymatic characterization of Candida isolates may be a useful prognostic marker, especially among immunocompromised individuals, since yeast infections in such patients are generally serious.
Insights
Yeast infections in immunocompromised patients are serious. Evaluating proteinase secretion from Candida species can help identify virulent strains and serve as a prognostic marker for better patient outcomes.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Clinical Microbiology
Background:
- Yeast infections, particularly candidiasis, pose a significant threat to immunocompromised individuals.
- The epidemiological landscape of yeast infections is evolving due to emerging Candida species.
- Proteinase secretion is a key virulence factor in pathogenic Candida species.
Purpose of the Study:
- To diagnose yeast infections in immunocompromised patients.
- To evaluate the virulence of etiological agents by assessing proteinase secretion.
- To investigate the role of proteinase activity as a prognostic marker in candidiasis.
Main Methods:
- Collected samples from 104 immunocompromised patients.
- Identified and isolated various Candida species from infected patients.
- Utilized a proteinase secretion assay with bovine serum albumin as a substrate to quantify enzymatic activity.
Main Results:
- 19 out of 104 patients experienced yeast infections, primarily affecting the respiratory and urinary tracts.
- Commonly isolated species included Candida albicans, Candida parapsilosis, and Candida tropicalis.
- Emerging species like Candida krusei and Candida guilliermondii were also identified.
- High enzymatic activity was observed in five Candida parapsilosis isolates, one Candida albicans isolate, and one Candida guilliermondii isolate.
Conclusions:
- Enzymatic characterization of Candida isolates, specifically proteinase secretion, can serve as a valuable prognostic marker.
- This approach is particularly relevant for immunocompromised patients where yeast infections are often severe.
- Understanding virulence factors aids in managing and predicting outcomes of candidiasis in vulnerable populations.
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