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Candidozyma auris and the Perfect Storm of Fungal Pathogenicity: Adaptation, Persistence, and Resistance
Alessandra Vaccaro1, John F Cooper2, Augusto Vazquez-Rodriguez1
1Department of Molecular Microbiology & Immunology and South Texas Center for Emerging Infectious Diseases, The University of Texas at San Antonio, San Antonio, TX 78249, USA.
Abstract:
Candidozyma auris (formerly Candida auris) is an emerging multidrug-resistant pathogenic fungus with an increased ability to cause outbreaks in healthcare facilities, leading to poor patient outcomes. Since its initial discovery in 2009, C. auris has spread rapidly across continents and is now classified by both the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) as a critical-priority pathogen. This review summarizes current knowledge on the origin, taxonomy, microbiology, and virulence mechanisms of C. auris, emphasizing its thermotolerance, osmotolerance, and biofilm-forming capacity on biotic and abiotic surfaces, as well as aspects related to its antifungal drug resistance and management. These features, together with its genomic plasticity, contribute to persistence, transmission, and drug resistance. Emerging evidence also supports a potential link between climate change and C. auris evolution, highlighting environmental adaptation as a driver of pathogenicity. Combating C. auris will require multidisciplinary efforts to mitigate its expanding global impact.
Insights
Candida auris is a dangerous, drug-resistant fungus causing healthcare outbreaks. Its adaptability, like heat tolerance and biofilm formation, drives its spread and resistance, requiring global action.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Candida auris (C. auris) is an emerging multidrug-resistant fungal pathogen.
- C. auris outbreaks in healthcare facilities lead to poor patient outcomes.
- Classified as a critical-priority pathogen by CDC and WHO.
Purpose of the Study:
- To review current knowledge on Candida auris.
- To summarize its origin, taxonomy, microbiology, and virulence.
- To highlight antifungal resistance, management, and potential links to climate change.
Main Methods:
- Literature review of scientific publications.
- Synthesis of data on C. auris characteristics.
- Analysis of genomic plasticity and environmental adaptation.
Main Results:
- C. auris exhibits thermotolerance, osmotolerance, and biofilm formation.
- Genomic plasticity contributes to its persistence and drug resistance.
- Climate change may be linked to C. auris evolution and pathogenicity.
Conclusions:
- Multidrug resistance and adaptability make C. auris a significant global health threat.
- Multidisciplinary efforts are essential for combating C. auris.
- Understanding environmental adaptation is key to mitigating its impact.
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