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Isolates from hospital environments are the most virulent of the Candida parapsilosis complex

dc.contributor.authorSabino, Raquel
dc.contributor.authorSampaio, Paula
dc.contributor.authorCarneiro, Catarina
dc.contributor.authorRosado, Laura
dc.contributor.authorPais, Célia
dc.date.accessioned2011-10-12T14:13:32Z
dc.date.available2011-10-12T14:13:32Z
dc.date.issued2011-08-08
dc.description.abstractBackground: Candida parapsilosis is frequently isolated from hospital environments, like air and surfaces, and causes serious nosocomial infections. Molecular studies provided evidence of great genetic diversity within the C. parapsilosis species complex but, despite their growing importance as pathogens, little is known about their potential to cause disease, particularly their interactions with phagocytes. In this study, clinical and environmental C. parapsilosis isolates, and strains of the related species C. orthopsilosis and C. metapsilosis were assayed for their ability to induce macrophage cytotocixity and secretion of the pro-inflammatory cytokine TNF-a, to produce pseudo-hyphae and to secrete hydrolytic enzymes. Results: Environmental C. parapsilosis isolates caused a statistically significant (p = 0.0002) higher cell damage compared with the clinical strains, while C. orthopsilosis and C. metapsilosis were less cytotoxic. On the other hand, clinical isolates induced a higher TNF-a production compared with environmental strains (p < 0.0001). Whereas the amount of TNF-a produced in response to C. orthopsilosis strains was similar to the obtained with C. parapsilosis environmental isolates, it was lower for C. metapsilosis strains. No correlation between pseudo-hyphae formation or proteolytic enzymes secretion and macrophage death was detected (p > 0.05). However, a positive correlation between pseudo-hyphae formation and TNF-a secretion was observed (p = 0.0119). Conclusions: We show that environmental C. parapsilosis strains are more resistant to phagocytic host defences than bloodstream isolates, being potentially more deleterious in the course of infection than strains from a clinical source. Thus, active environmental surveillance and application of strict cleaning procedures should be implemented in order to prevent cross-infection and hospital outbreaks.por
dc.description.sponsorshipThis research was supported by FEDER funds through the Operational Programme COMPETE and national funds through Fundação para a Ciência e Tecnologia (FCT), in the scope of project PEst-C/BIA/UI4050/2011. Raquel Sabino received a fellowship from FCT (contract BD/22100/2005).por
dc.identifier.citationBMC Microbiol. 2011 Aug 8;11:180por
dc.identifier.issn1471-2180
dc.identifier.otherdoi:10.1186/1471-2180-11-180
dc.identifier.urihttp://hdl.handle.net/10400.18/289
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherBioMed Centralpor
dc.relation.publisherversionhttp://www.biomedcentral.com/1471-2180/11/180por
dc.subjectCandida parapsilosispor
dc.subjectVirulencepor
dc.subjectNosocomial infectionspor
dc.subjectHospital isolatespor
dc.subjectClinical isolatespor
dc.subjectInfecções Sistémicas e Zoonosespor
dc.titleIsolates from hospital environments are the most virulent of the Candida parapsilosis complexpor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage180por
oaire.citation.titleBMC Microbiologypor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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