Pre-colonization with the commensal fungus Candida albicans reduces murine susceptibility to Clostridium difficile

Laura Markey1, Lamyaa Shaban1, Erin R Green1

  • 1a Graduate Program in Molecular Microbiology, Sackler School of Graduate Biomedical Sciences and Department of Molecular Biology and Microbiology , Tufts University , Boston , MA.

Gut Microbes
|April 19, 2018
PubMed

Insights

The fungus Candida albicans protects against Clostridium difficile infection (CDI) by enhancing the immune response, not by increasing colonization resistance. This suggests a beneficial role for C. albicans in preventing CDI.

Area of Science:

  • Microbiology
  • Immunology
  • Gastroenterology

Background:

  • Clostridium difficile infection (CDI) is a significant healthcare-associated pathogen with high annual incidence and mortality in the U.S.
  • Antibiotic use is a primary risk factor for CDI, highlighting the protective role of commensal microbes.
  • Current CDI treatments have limited success due to high relapse rates, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To investigate the effect of commensal gut microbes on susceptibility to Clostridium difficile infection (CDI).
  • To explore the potential of probiotic interventions, such as fungal colonization, for CDI treatment and prevention.

Main Methods:

  • A murine model was used to assess the protective effects of Candida albicans colonization against lethal CDI.
  • Immune responses, specifically Interleukin-17A (IL-17A) levels, were measured in infected tissues.
  • Changes in the gut microbiota composition following C. albicans colonization were analyzed.

Main Results:

  • Candida albicans colonization protected mice against lethal CDI without enhancing general colonization resistance.
  • C. albicans colonization led to increased IL-17A levels in infected tissues upon C. difficile challenge.
  • Administration of IL-17A alone conferred protection against lethal CDI in non-colonized mice.
  • C. albicans colonization altered the gut microbiota composition.

Conclusions:

  • Candida albicans colonization enhances host immune responses, specifically IL-17A production, conferring protection against C. difficile infection.
  • C. albicans colonization modifies the gut ecosystem, contributing to improved survival after C. difficile challenge.
  • These findings reveal a novel beneficial role for gut colonization by Candida albicans in combating CDI.

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