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Updated: Mar 29, 2026

Deep Dermal Injection As a Model of Candida albicans Skin Infection for Histological Analyses
Published on: June 13, 2018
Host-Candida auris interactions in the skin
Shankar Thangamani1, Abishek Balakumar1, Abhishek Datta1
1Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, United States of America.
Abstract:
Candida auris is an emerging, multidrug-resistant fungal pathogen that causes healthcare-associated outbreaks and life-threatening systemic infections. Unlike other Candida species, C. auris exhibits a distinct capacity for persistent skin colonization. In this review, we summarize our current understanding of clinical risk factors and host-microbe interactions that underlie C. auris skin colonization and infection. We discuss fungal determinants, including the unique mannan outer layer, fungal adhesins, the protein kinase Hog1, and other pathways in C. auris that govern adaptation in the skin. Furthermore, we highlight host immune mechanisms, including cytokine mediators (IL-1Ra, IL-17) and innate immune cells (neutrophils, macrophages, innate lymphocytes), that shape the outcome of C. auris skin colonization and infection. We also discuss how excessive IFN-γ responses drive epithelial pathology at the cutaneous barrier and enhance fungal persistence. Finally, we outline emerging research directions to understand host and microbe factors governing long-term colonization, with implications for developing novel therapeutic and vaccine strategies against this skin-tropic, multidrug-resistant fungal pathogen.
Insights
Candida auris, a multidrug-resistant fungus, can persist on skin. Understanding host-microbe interactions and fungal factors is key to developing new treatments for Candida auris skin colonization and infection.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Dermatology
Background:
- Candida auris is an emerging multidrug-resistant fungal pathogen causing healthcare-associated infections.
- Unlike other Candida species, C. auris demonstrates significant skin colonization potential.
- This review focuses on the factors contributing to C. auris skin colonization and infection.
Purpose of the Study:
- To summarize current knowledge on clinical risk factors for C. auris skin colonization.
- To elucidate host-microbe interactions governing C. auris skin colonization and infection.
- To identify fungal and host determinants influencing C. auris pathogenesis on the skin.
Main Methods:
- Review of existing literature on Candida auris.
- Analysis of fungal factors (mannan layer, adhesins, Hog1 pathway) involved in skin adaptation.
- Examination of host immune responses (cytokines, immune cells, IFN-γ) to C. auris.
Main Results:
- Fungal determinants like the mannan outer layer and adhesins contribute to skin adaptation.
- Host immune responses, including specific cytokines and immune cells, modulate infection outcomes.
- Excessive IFN-γ responses can exacerbate epithelial damage and fungal persistence.
Conclusions:
- Understanding fungal and host factors is crucial for managing C. auris skin colonization.
- Further research into these interactions can guide the development of novel therapeutics and vaccines.
- Targeting C. auris's skin-tropic nature and multidrug resistance is essential for effective control.
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