Candida parapsilosis: From genes to the bedside

Renáta Tóth, Jozef Nosek, Héctor M. Mora-Montes, Toni Gabaldon, Joseph M. Bliss, Joshua D. Nosanchuk, Siobhán A. Turner, Geraldine Butler, Csaba Vágvölgyi, Attila Gácser

Research output: Contribution to journalReview article

23 Citations (Scopus)

Abstract

Patients with suppressed immunity are at the highest risk for hospital-acquired infections. Among these, invasive candidiasis is the most prevalent systemic fungal nosocomial infection. Over recent decades, the combined prevalence of non-albicans Candida species outranked Candida albicans infections in several geographical regions worldwide, highlighting the need to understand their pathobiology in order to develop effective treatment and to prevent future outbreaks. Candida parapsilosis is the second or third most frequently isolated Candida species from patients. Besides being highly prevalent, its biology differs markedly from that of C. albicans, which may be associated with C. parapsilosis’ increased incidence. Differences in virulence, regulatory and antifungal drug resistance mechanisms, and the patient groups at risk indicate that conclusions drawn from C. albicans pathobiology cannot be simply extrapolated to C. parapsilosis. Such species-specific characteristics may also influence their recognition and elimination by the host and the efficacy of antifungal drugs. Due to the availability of high-throughput, state-of-the-art experimental tools and molecular genetic methods adapted to C. parapsilosis, genome and transcriptome studies are now available that greatly contribute to our understanding of what makes this species a threat. In this review, we summarize 10 years of findings on C. parapsilosis pathogenesis, including the species’ genetic properties, transcriptome studies, host responses, and molecular mechanisms of virulence. Antifungal susceptibility studies and clinician perspectives are discussed. We also present regional incidence reports in order to provide an updated worldwide epidemiology summary.

Original languageEnglish
Article numbere00111-18
JournalClinical microbiology reviews
Volume32
Issue number2
DOIs
Publication statusPublished - Apr 2019

Keywords

  • Antifungal
  • Candida parapsilosis
  • Epidemiology
  • Experimental tools
  • Genome
  • Host response
  • Pathogenicity
  • Treatment
  • Virulence

ASJC Scopus subject areas

  • Epidemiology
  • Immunology and Microbiology(all)
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

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  • Cite this

    Tóth, R., Nosek, J., Mora-Montes, H. M., Gabaldon, T., Bliss, J. M., Nosanchuk, J. D., Turner, S. A., Butler, G., Vágvölgyi, C., & Gácser, A. (2019). Candida parapsilosis: From genes to the bedside. Clinical microbiology reviews, 32(2), [e00111-18]. https://doi.org/10.1128/CMR.00111-18