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Updated: Mar 12, 2026

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An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract
Published on: July 1, 2020
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Interspecies Interactions between Clostridium difficile and Candida albicans.
Pim T van Leeuwen1, Jasper M van der Peet2, Floris J Bikker3
1Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Free University of Amsterdam and the University of Amsterdam, Amsterdam, The Netherlands; Department of Medical Microbiology, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Msphere
|November 15, 2016
Summary
Candida albicans enables Clostridium difficile to survive aerobic conditions. C. difficile produces p-cresol, inhibiting C. albicans
Area of Science:
- Microbiology
- Medical Mycology
- Gut Microbiome Research
Background:
- Candida albicans and Clostridium difficile are opportunistic gut pathogens.
- Interactions between these two microbes remain largely unstudied.
- Understanding these interactions is crucial for managing polymicrobial infections.
Purpose of the Study:
- To investigate the chemical and physical interactions between C. albicans and C. difficile.
- To elucidate the mechanisms underlying their coexistence in the human gut.
- To characterize the impact of each microbe on the other's virulence factors.
Main Methods:
- Co-culture experiments under varying atmospheric conditions.
- Analysis of conditioned media from C. difficile cultures.
- Microscopic examination of fungal and bacterial morphology.
- Identification of key chemical mediators using biochemical assays.
Main Results:
- C. albicans facilitates C. difficile survival and growth under aerobic conditions.
- C. difficile-conditioned medium inhibits C. albicans hyphal growth and induces yeast conversion.
- p-Cresol, a C. difficile metabolite, is identified as a key mediator of these effects.
- Inhibition of hyphal growth by p-cresol impacts C. albicans biofilm formation and virulence.
Conclusions:
- C. albicans provides a protective environment for C. difficile against aerobic toxicity.
- C. difficile-derived p-cresol modulates C. albicans morphology and virulence.
- These findings reveal novel inter-kingdom interactions within the gut microbiome.
- The study offers insights into polymicrobial pathogenesis involving fungi and bacteria.

