Molecular Identification of Candida Species in the Oral Microbiota of Individuals with Down Syndrome: A Case–Control Study

Candida species are common in the human oral microbiota and may cause oral candidiasis (OC) when the microbiota equilibrium is disturbed. Immunosuppressed individuals are susceptible to oral infections as individuals with Down syndrome (IDS) due to particularities of their mouth morphoanatomy, saliv...

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Veröffentlicht in:Mycopathologia (1975) 2020-06, Vol.185 (3), p.537-543
Hauptverfasser: Maranhão, Fernanda Cristina de Albuquerque, Mendonça, Nayara Maciel, Teixeira, Thamires Costa, Lages, Gilvonete Alves da Costa Sobrinha, de Melo, Jacqueline Araújo, Porciuncula, Carlos Guilherme Gaelzer, da Silva Filho, Eurípedes Alves, Silva, Denise Maria Wanderlei
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container_end_page 543
container_issue 3
container_start_page 537
container_title Mycopathologia (1975)
container_volume 185
creator Maranhão, Fernanda Cristina de Albuquerque
Mendonça, Nayara Maciel
Teixeira, Thamires Costa
Lages, Gilvonete Alves da Costa Sobrinha
de Melo, Jacqueline Araújo
Porciuncula, Carlos Guilherme Gaelzer
da Silva Filho, Eurípedes Alves
Silva, Denise Maria Wanderlei
description Candida species are common in the human oral microbiota and may cause oral candidiasis (OC) when the microbiota equilibrium is disturbed. Immunosuppressed individuals are susceptible to oral infections as individuals with Down syndrome (IDS) due to particularities of their mouth morphoanatomy, saliva and comorbidities. This study aimed to analyze the molecular epidemiology of Candida spp. from the oral cavity of IDS and their relatives. A case–control study with 80 IDS and 80 non-syndromic (non-DS) was evaluated by oral swab collection for culture on Sabouraud dextrose agar, selection of yeast colonies to Gram staining and culturing on chromogenic media. DNA extraction was performed with the phenol/chloroform method for screening of 6 Candida species medically important in PCR, applying SPSS for statistics. We confirmed four species in 46 IDS without use of antimicrobials (57.54%), with a high prevalence of C. albicans/Ca (93.48%/43) and 3 C. glabrata/Cg (6.52%), being 25 of these IDS (31.25%) colonized by species other than C. albicans: Ca  +  Cg (16), Ca  +  C. tropicalis/Ct (7) and Ca  +  C. krusei/Ck (2). Only 10 non-DS were colonized by one species (11.25%): 6 C. albicans, 2 C. glabrata , 1 C. tropicalis and 1 C. krusei . Previous OC was reported by 39 IDS (48.75%), being 33 positives for Candida spp. (84.61%) and 17 with active OC (21.25%). Five non-DS reported OC previously and had no active lesions. Behavioral changes and buccal health programs directed to IDS may help prevent OC and its recurrence, providing information on oral hygiene for self-care.
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Immunosuppressed individuals are susceptible to oral infections as individuals with Down syndrome (IDS) due to particularities of their mouth morphoanatomy, saliva and comorbidities. This study aimed to analyze the molecular epidemiology of Candida spp. from the oral cavity of IDS and their relatives. A case–control study with 80 IDS and 80 non-syndromic (non-DS) was evaluated by oral swab collection for culture on Sabouraud dextrose agar, selection of yeast colonies to Gram staining and culturing on chromogenic media. DNA extraction was performed with the phenol/chloroform method for screening of 6 Candida species medically important in PCR, applying SPSS for statistics. We confirmed four species in 46 IDS without use of antimicrobials (57.54%), with a high prevalence of C. albicans/Ca (93.48%/43) and 3 C. glabrata/Cg (6.52%), being 25 of these IDS (31.25%) colonized by species other than C. albicans: Ca  +  Cg (16), Ca  +  C. tropicalis/Ct (7) and Ca  +  C. krusei/Ck (2). 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source SpringerLink Journals
subjects Analysis
Anti-infective agents
Antimicrobial agents
Biomedical and Life Sciences
Candida
Candida krusei
Candidiasis
Chloroform
Culture media
Dextrose
Disease susceptibility
Down syndrome
Down's syndrome
Epidemiology
Eukaryotic Microbiology
Health aspects
Life Sciences
Medical Microbiology
Medical research
Medicine, Experimental
Microbial Ecology
Microbiology
Microbiota
Microbiota (Symbiotic organisms)
Microorganisms
Mycoses
Oral cavity
Oral hygiene
Original Article
Phenols
Plant Sciences
Prenatal diagnosis
Saliva
Species
Toiletries industry
title Molecular Identification of Candida Species in the Oral Microbiota of Individuals with Down Syndrome: A Case–Control Study
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