Extracellular vesicles of Candida albicans show dual effects on Enterococcus faecalis growth and virulence: A

Sirui Yang1, Na Li1, Haoze Wu1

  • 1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Operative Dentistry and Endodontics, School of Stomatology, The Fourth Military Medical University, Xi'an, Shaanxi, China.

PubMed
Abstract

Insights

Extracellular vesicles (EVs) from Candida albicans show dual effects on Enterococcus faecalis, influencing its growth and virulence. High concentrations of EVs inhibit E. faecalis, suggesting potential for controlling this bacterium in endodontic disease.

Area of Science:

  • Microbiology
  • Oral Biology
  • Biochemistry

Background:

  • Enterococcus faecalis and Candida albicans are key pathogens in post-treatment endodontic disease (PTED).
  • Fungal-bacterial interactions in PTED are complex and not fully understood.
  • Extracellular vesicles (EVs) are emerging mediators of microbial communication.

Purpose of the Study:

  • To investigate the impact of Candida albicans-derived EVs on Enterococcus faecalis growth and pathogenicity.
  • To elucidate the role of fungal EVs in mediating inter-kingdom communication in endodontic infections.

Main Methods:

  • Isolation and characterization of Candida albicans EVs.
  • Assessment of EV effects on E. faecalis planktonic growth and biofilm formation.
  • Evaluation of E. faecalis virulence factors, including dentinal tubule invasion and cytotoxicity, in the presence of EVs.

Main Results:

  • Candida albicans EVs exhibited dual effects on E. faecalis, with 5 μg/mL inhibiting growth and 0.156 μg/mL promoting it.
  • EVs modulated E. faecalis virulence, with higher concentrations reducing cytotoxicity and invasion.
  • EVs influenced E. faecalis's ability to infect dentinal tubules and form biofilms.

Conclusions:

  • Candida albicans EVs play a significant role in fungal-bacterial communication.
  • EVs from C. albicans demonstrate dose-dependent effects on E. faecalis growth and virulence.
  • High-concentration C. albicans EVs may represent a novel therapeutic strategy for controlling E. faecalis in endodontic infections.