2022
DOI: 10.3390/ijms23115895
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Virulence Factors of Candida spp. and Host Immune Response Important in the Pathogenesis of Vulvovaginal Candidiasis

Abstract: Vulvovaginal candidiasis (VVC) is one of the most common types of vaginal infections in women around the world and is often underestimated by both patients and doctors. Research on the pathogenesis of fungal vaginal infections over the last 20 years has resulted in a closer understanding of the virulence factors involved in Candida epithelial invasion and their mechanisms of action. Recently, attention was drawn to the enormous complexity of the interaction between yeast-like fungi and host cells, as well as t… Show more

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Cited by 41 publications
(30 citation statements)
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References 79 publications
(352 reference statements)
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“…The isolates of C. albicans are the most virulent and produce the most extracellular virulence factors; The expression of proteases, hemolysins, and esterases is correlated with the virulence of Candida isolates. 27 The expression of virulence factors among Candida species, may vary depending on the infecting species, geographical origin, type of infection, the site and stage of infection, and host reaction. 28 Studies like this can explore the colonizing newer emerging Candida species for example C. auris which is resistant to many antifungals can be identified.…”
Section: Discussionmentioning
confidence: 99%
“…The isolates of C. albicans are the most virulent and produce the most extracellular virulence factors; The expression of proteases, hemolysins, and esterases is correlated with the virulence of Candida isolates. 27 The expression of virulence factors among Candida species, may vary depending on the infecting species, geographical origin, type of infection, the site and stage of infection, and host reaction. 28 Studies like this can explore the colonizing newer emerging Candida species for example C. auris which is resistant to many antifungals can be identified.…”
Section: Discussionmentioning
confidence: 99%
“…In C. parapsilosis , five Als proteins are present on the surface of the pseudohyphae, and the ortholog CaAls7 has been described as a determinant for adhesion to host epithelial cells [ 47 , 48 ]. Other adhesion proteins and non-protein factors with similar properties, such as Eap1, Iff4, Mp65, Ecm33, Utr2, Int1, and Mnt1, have also been identified in Candida species; however, these have not been widely studied to date [ 49 ].…”
Section: Virulence Attributesmentioning
confidence: 99%
“…Then, Candida cells can invade the surface they have been attached to. The invasion is caused by the secretion of some hydrolytic enzymes, such as hemolysins, proteinases, and phospholipases, being the most studied secreted aspartyl proteases (SAP) [12]. Afterward, the biofilm matures, and during this phase, we can find both hyphal cells, pseudohyphae cells, and round yeast cells.…”
Section: Candida: Biofilm and Stages Of Biofilm Developmentmentioning
confidence: 99%