Evidence map›Paper›PMID 33232448›Full record

ReviewFEMS microbiology reviews2021

The impact of the Fungus-Host-Microbiota interplay upon Candida albicans infections: current knowledge and new perspectives.

Christophe d'Enfert, Ann-Kristin Kaune, Leovigildo-Rey Alaban, Sayoni Chakraborty, Nathaniel Cole, Margot Delavy, Daria Kosmala, Benoît Marsaux, Ricardo Fróis-Martins, Moran Morelli and 23 more

Open access · hybridAbstract readReview
In one paragraph

Review in FEMS microbiology reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 218 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
218citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

218 citing papers in PubMed, 2 syntheses or guidelines pooled it, 334 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Ergosterol from Yeasts PromotesInternational journal of molecular sciences · 2026
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  8. [Age-Related Changes in the Oral Microbiota].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
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  14. In Vitro Antifungal and Wound-Healing Potential ofAntibiotics (Basel, Switzerland) · 2026
    Article
  15. Drug-resistant clinicalAntimicrobial agents and chemotherapy · 2026
    Article
  16. Review
  17. Article
  18. Protective effects ofJournal of microbiology and biotechnology · 2026
    Article
  19. Exometabolome variation in the fungal pathogen of humansApplied and environmental microbiology · 2026
    Article
  20. Article

158 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 13 institutions in 8 countries.

Christophe d'EnfertUnité Biologie et Pathogénicité Fongiques, Département de Mycologie, Institut Pasteur, USC 2019 INRA, 25, rue du Docteur Roux, 75015 Paris, France.ORCID 0000-0002-6235-3886
Ann-Kristin KauneAberdeen Fungal Group, Institute of Medical Sciences, University of Aberdeen, Ashgrove Road West, Foresterhill, Aberdeen AB25 2ZD, UK.
Leovigildo-Rey AlabanBIOASTER Microbiology Technology Institute, 40 avenue Tony Garnier, 69007 Lyon, France.
Sayoni ChakrabortyMicrobial Immunology Research Group, Emmy Noether Junior Research Group Adaptive Pathogenicity Strategies, and the Department of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knöll Institute, Beutenbergstraße 11a, 07745 Jena, Germany.
Nathaniel ColeGut Microbiology Group, Rowett Institute, University of Aberdeen, Ashgrove Road West, Foresterhill, Aberdeen AB25 2ZD, UK.
Margot DelavyUnité Biologie et Pathogénicité Fongiques, Département de Mycologie, Institut Pasteur, USC 2019 INRA, 25, rue du Docteur Roux, 75015 Paris, France.
Daria KosmalaUnité Biologie et Pathogénicité Fongiques, Département de Mycologie, Institut Pasteur, USC 2019 INRA, 25, rue du Docteur Roux, 75015 Paris, France.
Benoît MarsauxProDigest BV, Technologiepark 94, B-9052 Gent, Belgium.
Ricardo Fróis-MartinsImmunology Section, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 266a, Zurich 8057, Switzerland.
Moran MorelliMimetas, Biopartner Building 2, J.H. Oortweg 19, 2333 CH Leiden, The Netherlands.
Diletta RosatiDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Geert Grooteplein 28, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0003-2992-2503
Marisa ValentineMicrobial Immunology Research Group, Emmy Noether Junior Research Group Adaptive Pathogenicity Strategies, and the Department of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knöll Institute, Beutenbergstraße 11a, 07745 Jena, Germany.
Zixuan XieGut Microbiome Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Yoan EmritlollUnité Biologie et Pathogénicité Fongiques, Département de Mycologie, Institut Pasteur, USC 2019 INRA, 25, rue du Docteur Roux, 75015 Paris, France.
Peter A WarnMagic Bullet Consulting, Biddlecombe House, Ugbrook, Chudleigh Devon, TQ130AD, UK.
Frédéric BequetBIOASTER Microbiology Technology Institute, 40 avenue Tony Garnier, 69007 Lyon, France.
Marie-Elisabeth BougnouxUnité Biologie et Pathogénicité Fongiques, Département de Mycologie, Institut Pasteur, USC 2019 INRA, 25, rue du Docteur Roux, 75015 Paris, France.
Stephanie BornesUniversité Clermont Auvergne, INRAE, VetAgro Sup, UMRF0545, 20 Côte de Reyne, 15000 Aurillac, France.
Mark S GresnigtMicrobial Immunology Research Group, Emmy Noether Junior Research Group Adaptive Pathogenicity Strategies, and the Department of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knöll Institute, Beutenbergstraße 11a, 07745 Jena, Germany.
Bernhard HubeMicrobial Immunology Research Group, Emmy Noether Junior Research Group Adaptive Pathogenicity Strategies, and the Department of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knöll Institute, Beutenbergstraße 11a, 07745 Jena, Germany.
Ilse D JacobsenMicrobial Immunology Research Group, Emmy Noether Junior Research Group Adaptive Pathogenicity Strategies, and the Department of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology - Hans Knöll Institute, Beutenbergstraße 11a, 07745 Jena, Germany.
Mélanie LegrandUnité Biologie et Pathogénicité Fongiques, Département de Mycologie, Institut Pasteur, USC 2019 INRA, 25, rue du Docteur Roux, 75015 Paris, France.
Salomé Leibundgut-LandmannImmunology Section, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 266a, Zurich 8057, Switzerland.
Chaysavanh ManichanhGut Microbiome Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Carol A MunroAberdeen Fungal Group, Institute of Medical Sciences, University of Aberdeen, Ashgrove Road West, Foresterhill, Aberdeen AB25 2ZD, UK.
Mihai G NeteaDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Geert Grooteplein 28, 6525 GA Nijmegen, The Netherlands.
Karla QueirozMimetas, Biopartner Building 2, J.H. Oortweg 19, 2333 CH Leiden, The Netherlands.
Karine RogetNEXBIOME Therapeutics, 22 allée Alan Turing, 63000 Clermont-Ferrand, France.
Vincent ThomasBIOASTER Microbiology Technology Institute, 40 avenue Tony Garnier, 69007 Lyon, France.
Claudia ThoralNEXBIOME Therapeutics, 22 allée Alan Turing, 63000 Clermont-Ferrand, France.
Pieter Van den AbbeeleProDigest BV, Technologiepark 94, B-9052 Gent, Belgium.
Alan W WalkerGut Microbiology Group, Rowett Institute, University of Aberdeen, Ashgrove Road West, Foresterhill, Aberdeen AB25 2ZD, UK.
Alistair J P BrownMRC Centre for Medical Mycology, Department of Biosciences, University of Exeter, Geoffrey Pope Building, Stocker Road, Exeter EX4 4QD, UK.ORCID 0000-0003-1406-4251
Institut Pasteur · FRLeibniz-Institut für Naturstoff-Forschung und Infektionsbiologie e. V. - Hans-Knöll-Institut (HKI) · DEUniversity of Aberdeen · GBBIOASTER · FRMimetas (Netherlands) · NLRadboud University Nijmegen · NLUniversity of Zurich · CHVall d'Hebron Institut de Recerca · ESGhent University · BEProDigest (Belgium) · BEUniversité Clermont Auvergne · FRUniversité Paris Cité · FRUniversity of Exeter · GB

Funding

Medical Research Council MR/M026663/1Medical Research Council MR/M026663/2Medical Research Council MR/N006364/1Medical Research Council MR/N006364/2Medical Research Council MR/V033417/1
6 · The paper itself

Abstract

Candida albicans is a major fungal pathogen of humans. It exists as a commensal in the oral cavity, gut or genital tract of most individuals, constrained by the local microbiota, epithelial barriers and immune defences. Their perturbation can lead to fungal outgrowth and the development of mucosal infections such as oropharyngeal or vulvovaginal candidiasis, and patients with compromised immunity are susceptible to life-threatening systemic infections. The importance of the interplay between fungus, host and microbiota in driving the transition from C. albicans commensalism to pathogenicity is widely appreciated. However, the complexity of these interactions, and the significant impact of fungal, host and microbiota variability upon disease severity and outcome, are less well understood. Therefore, we summarise the features of the fungus that promote infection, and how genetic variation between clinical isolates influences pathogenicity. We discuss antifungal immunity, how this differs between mucosae, and how individual variation influences a person's susceptibility to infection. Also, we describe factors that influence the composition of gut, oral and vaginal microbiotas, and how these affect fungal colonisation and antifungal immunity. We argue that a detailed understanding of these variables, which underlie fungal-host-microbiota interactions, will present opportunities for directed antifungal therapies that benefit vulnerable patients.

Indexed as

Candida albicansCandidiasisHost Microbial InteractionsHumansMicrobial Interactionsantifungal immunityCandidaCandida infectionsfungal variabilityfungus-host-microbiota interactionsmicrobiotamicrobiota variabilitymycobiotapatient variability

Identifiers

PMID33232448
PMCPMC8100220
OpenAlexW3108954589

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.