Candida auris Biofilm Colonization on Skin Niche Conditions

Priya Uppuluri1,2

  • 1Division of Infectious Disease, The Lundquist Institute at Harbor-University of California, Los Angeles (UCLA) Medical Center, Torrance, California, USA puppuluri@labiomed.org.

Msphere
|January 24, 2020
PubMed

Insights

Candida auris, a resistant yeast, forms resilient biofilms on skin, contributing to healthcare outbreaks. Targeting these biofilms could prevent the spread of this dangerous pathogen.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Candida auris is an emerging multidrug-resistant yeast causing invasive infections globally.
  • Its persistence in healthcare settings is linked to skin colonization and patient-to-patient spread.
  • Mechanisms of skin predilection and resilience for Candida auris remain poorly understood.

Purpose of the Study:

  • To investigate the mechanism of Candida auris skin colonization and resilience.
  • To understand the role of biofilms in Candida auris persistence on skin.
  • To provide evidence for controlling Candida auris outbreaks in healthcare facilities.

Main Methods:

  • Culturing Candida auris in synthetic sweat medium simulating axillary skin conditions.
  • Utilizing a novel ex vivo porcine skin model to study skin colonization.
  • Observing biofilm formation and desiccation resistance in vitro and ex vivo.

Main Results:

  • Candida auris forms multilayered biofilms resistant to desiccation in synthetic sweat.
  • Biofilm formation on porcine skin demonstrates successful ex vivo colonization.
  • These findings suggest skin biofilms are a reservoir for Candida auris.

Conclusions:

  • Candida auris exhibits a propensity for biofilm formation on skin.
  • Persistent skin biofilms may act as a continuous source of infection outbreaks.
  • Interventions targeting Candida auris biofilm development on skin are crucial for outbreak control.