The role of Candida albicans in the severity of multiple sclerosis

Shahla Amri Saroukolaei1, Mojdeh Ghabaee2, Hojjatollah Shokri3

  • 1Neurology Department, Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran.

Mycoses
|April 11, 2016
PubMed

Insights

The specific enzyme activity of Candida albicans proteinase A is significantly higher in multiple sclerosis patients than in controls, correlating positively with disease severity.

Area of Science:

  • Mycology
  • Immunology
  • Neurology

Background:

  • Multiple sclerosis (MS) is a chronic inflammatory disease affecting the central nervous system.
  • Candida albicans (C. albicans) is a fungal species that can cause opportunistic infections.
  • The role of C. albicans in MS pathogenesis is not fully understood.

Purpose of the Study:

  • To compare the specific activity of proteinase A in C. albicans between MS patients and healthy controls.
  • To investigate the correlation between C. albicans proteinase A activity and MS severity.

Main Methods:

  • Isolation and analysis of C. albicans strains from MS patients (n=135) and healthy controls (n=100).
  • Measurement of specific enzyme activity (SEA) of proteinase A.
  • Application of analytical models (regression, neural network) to assess SEA's impact on Expanded Disability Status Scale (EDSS).

Main Results:

  • Significantly higher SEA of C. albicans in MS patients (3466.95 ± 277.25 μmol min⁻¹ mg⁻¹) compared to controls (1108.98 ± 294.51 μmol min⁻¹ mg⁻¹).
  • Positive correlation between SEA and MS severity (P < 0.001, r = 0.65).
  • SEA identified as the most significant factor influencing EDSS among those analyzed.

Conclusions:

  • Elevated SEA of C. albicans proteinase A is associated with MS.
  • The findings suggest a potential role for C. albicans virulence factors in MS progression.
  • Further research is warranted to explore C. albicans' contribution to MS.