Abstract
The aim of this study is to describe the degree of yeast-colonization in diabetic and hemodialysed-users of dental prostheses. Individuals (306) were examined using an oral rinse technique in order to evaluate the incidence of yeast-carriage, and genotype of C. albicans. Yeasts were isolated from 68.4% (91/133) individual’s dental prostheses users. Dental prostheses were found to be a significant factor for the yeast colonization (P < 0.05). Overall, the intensity of carriage was higher in diabetic patients as compared with health and hemodialysed individuals (P < 0.05). The isolation rates were: C. albicans (51.7%), C. parapsilosis (20.9%), C. tropicalis (14.3%), C. glabrata (6.6%), C. krusei (3.3%), C. rugosa (1.1%), and Pichia (Pichia ohmeri, 2.2%). Ready-To-Go RAPD Analysis Beads were used and primer OPJ 6 distinguished the C. albicans isolates found in prostheses users. All the isolates were grouped into 11 RAPD profiles in four main clusters and, the average S AB for the entire collection of 47 C.␣albicans isolates were 0.779 ± 0.178. Over 85% of isolates had a similarity level higher than or equal to 0.8 reinforcing the idea that the use of dental prostheses, independently of the host’s clinical condition, probably provides the necessary conditions for these strains to gain a growth-specific advantage over others.
Similar content being viewed by others
References
Närhi TO. Salivary yeasts, saliva and oral mucosa in the elderly. J Dent Res 1993;72:1009–14.
Barbeau J, Séguin J, Goulet JP, Koninck L, Avon SL, Lalonde B, Rompré P, Deslauriers N. Reassessing the presence of Candida albicans in denture-related stomatitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:51–9.
Webb BC, Thomas CJ, Willcox MD, Harty DW, Knox KW. Candida-associated denture stomatitis. Aetiology and management: a review. Part1. Factors influencing distribution of Candida species in the oral cavity. Aust Dent J 1998;43:45–50.
Webb BC, Thomas CJ, Willcox MD, Harty DW, Knox KW. Candida-associated denture stomatitis. Aetiology and management: a review. Part 2. Oral diseases caused by Candida species. Aust Dent 1998;43:160–6.
Manfredi M, McCullough MJ, Al-Karaawi ZM, Vescovi P, Porter SR. In vitro evaluation of virulence attributes of Candida spp. Isolated from patients affected by diabetes mellitus. Oral Microbiol Immunol 2006;21:183–9.
Bostock A, Khattak MN, Mathews R, Burnie J. Comparison of PCR fingerprinting, by random amplification of polymorphic DNA, with other molecular typing methods for Candida albicans. J Gen Microbiol 1993;139:2179–84.
Lehmann PF, Lin D, Lasker BA. Genotypic identification and characterization of species and strains within the genus Candida by using random amplified polymorphic DNA. J Clin Microbiol 1992;30:3249–54.
Soll DR. The ins and outs of DNA fingerprinting the infectious fungi. Clin Microbiol Rev 2000;13:332–70.
Samaranayake YH, Samaranayake LP, Dassanayake RS, Yau JY, Tsang WK, Che BP, Yeung KW. “Genotypic shuffing” of sequential clones of Candida albicans in HIV infected individuals with and without symptomatic oral candidiasis. J Med Microbiol 2003;52:349–59.
Xu J, Vilgays R, Mitchell TG. Lack of genetic differentiation between two geographic samples of Candida albicans isolated from patients infected with human immunodeficiency virus. J Bacteriol 1999;181:1369–73.
Xu J, Boyd CM, Livingston E, Meyer W, Madden JF, Mitchell TG. Species and genotypic diversities and similarities of pathogenic yeasts colonizing women. J Clin Microbiol 1999;37:3835–43.
Kleinegger CL, Lockhart SR, Vargas K, Soll DR. Frequency, intensity, species, and strains of oral Candida vary as a function of host age. J Clin Microbiol 1996;34:2246–54.
Schmid J, Rotman M, Reed B, Pierson CL, Soll DR. Genetic similarity of Candida albicans strains from vaginitis patients and their sexual partner. J Clin Microbiol 1993;31:39–46.
Samaranayake LP, MacFarlane TW, Lamey PJ, Ferguson MM. A comparison of oral rinse and imprint sampling techniques for the detection of yeast, coliform and Staphylococcus aureus carriage in the oral cavity. J Oral Pathol 1986;15:386–8.
Kurtzman CP, Fell JW. The yeasts: a taxonomic study. Amsterdam: Elsevier; 1998.
Gales AC, Pfaller MA, Houston AK, Joly S, Sullivan DJ, Coleman DC, Soll DR. Identification of Candida dubliniensis based on temperature and utilization of xylose and α-methyl-d-glucoside as determined with API 20C AUX and Vitek YBC Systems. J Clin Microbiol 1999;37:3804–8.
Matsumoto MT, Fusco-Almeida AM, Baeza LC, Melhem Mde S, Mendes-Giannini MJ. Genotyping, serotyping and determination of mating-type of Cryptococcus neoformans clinical isolates from Sao Paulo State, Brazil. Rev Inst Med Trop Sao Paulo 2007;49:41–7.
Zar JH. Biostatistical analysis, 4th ed. New Jersey: Prentice Hall; 1999.
Chong PP, Lee YL, Tan BC, Ng KP. Genetic relatedness of Candida strains isolated from women with vaginal candididasis in Malaysia. J Med Microbiol 2003;52:657–66.
Odds FC. Candida and Candidosis: a review and bibliography, 2nd ed. London: Ballière Tindall; 1988.
Hossain H, Ansari F, Schulz-Weidner N, Wetzel WE, Chakraborty T, Domann E. Clonal identity of Candida albicans in the oral cavity and gastrointestinal tract of pre-school children. Oral Microbiol Immunol 2003;18:302–8.
Gonçalves RH, Miranda ET, Zaia JE, Giannini MJ. Species diversity of yeast in oral colonization of insulin-treated diabetes mellitus patients. Mycopathologia 2006;162:83–89.
Soysa NS, Samaranayake LP, Ellepola AN. Diabetes mellitus as a contributory factor in oral candidosis. Diabet Med 2006;23:455–9.
Abu-Elteen KH, Abu-Alteen RM. The prevalence of Candida albicans populations in the mouth of complete denture wearers. New Microbiol 1998;21:41–8.
Al-Karaawi ZM, Manfredi M, Waugh ACW, McCullough MJ, Jorge J, Scully C, Porter SR. Molecular characterization of Candida spp isolated from the oral cavities of patients from diverse clinical settings. Oral Microbiol Immunol 2002;17:44–9.
Ghannoum MA, Abu-Elteen KH. Pathogenicity determinants of Candida. Mycoses 1990;6:265–282.
Budtz-Jörgensen E, Stenderup A, Grabowski M. An epidemiologic study of yeasts in elderly denture wearers. Community Dent Oral Epidemiol 1975;3:115–8.
Coulter WA, Strawbridge JL, Clifford T. Denture induced changes in palatal plaque microflora. Microbiol Ecol Health Dis 1990;3:77–85.
Cannon RD. Colonization is a crucial factor in oral candidiasis. J Dent Educ 2001;65:785–7.
Triantos D. Intra-oral findings and general health conditions among institutionalized and non-institutionalized elderly in Greece. J Oral Pathol Med 2005;34:577–82.
Fanello S, Bouchara JP, Sauteron M, Delbos V, Parot E, Marot-Leblond A, Moalic E, Le Flohicc AM, Brangerd B. Predictive value of oral colonization by Candida yeasts for the onset of a nosocomial infection in elderly hospitalized patients. J Med Microbiol 2006;55:223–8.
Baena-Monroy T, Moreno-Maldonado V, Franco-Martinez F, Aldape-Barrios B, Quindos G, Sanchez-Vargas LO. Candida albicans, Staphylococcus aureus and Streptococcus mutans colonization in patients wearing dental prosthesis. Med Oral Pathol Oral Cir Bucal 2005;10:27–39.
Calderone RA. Candida and Candidiasis. Washington DC: ASM Press; 2002.
Aly FZ, Blackwell C, Mackenzie DA, Weir DM. Identification of oral yeast species isolated from individuals with diabetes mellitus. Mycoses 1995;38:107–10.
Manfredi M, Al-Karaawi Z, McCullough MJ, Hurel S, Porter SR. The isolation, identification and molecular analysis of Candida spp. isolated from the oral cavities of patients with diabetes mellitus. Oral Microbiol Immunol 2002;17:181–5.
Qi QG, Hu T, Zhou XD. Frequency, species and molecular characterization of oral Candida in hosts of different age in China. J Oral Pathol Med 2005;34:352–6.
Vandenbussche M, Swinne D. Yeasts oral carriage in denture wearers. Mykosen 1984;27:431–5.
Willis AM, Coulter WA, Sullivan DJ, Coleman DC, Hayes JR, Bell PM, Lamey PJ. Isolation of C. dubliniensis from insulin-using diabetes mellitus patients. J Oral Pathol Med 2000;29:86–90.
Torres SR, Peixoto CB, Caldas DM, Silva EB, Magalhães FA, Uzeda M, Nucci M. Clinical aspects of Candida species carriage in saliva of xerostomics subjects. Med Mycol 2003;41:411–5.
Clemons KV, Feroze F, Holmberg K, Stevens DA. Comparative analysis of genetic variability among Candida albicans isolates from different geographic locales by three genotypic methods. J Clin Microbiol 1997;35:1332–6.
Pujol C, Joly S, Lockhart S, Noel S, Tibayrenc M, Soll DR. Parity of MLEE, RAPD and Ca3 hybridization as fingerprinting methods for Candida albicans. J Clin Microbiol 1997;35:2348–58.
Boerlin P, Boerlin-Petzold F, Goudet J, Durussel C, Pagani JL, Chave JP, Bille J. Typing Candida albicans oral isolates from human immunodeficiency virus-infected patients by multilocus enzyme electrophoresis and DNA fingerprinting. J Clin Microbiol 1996;34:1235–48.
Metzgar D, Van Belkum A, Field D, Haubrich R, Willis C. Random amplification of polymorphic DNA and microsatellite genotyping of pre-and posttreatment isolates of Candida spp. From human immunodeficiency virus-infected patients on different fluconazole regimens. J Clin Microbiol 1998;36:2308–13.
Schmid J, Herd S, Hunter PR, Cannon RD, Yasin M, Salleh M, Samad S, Carr M, Parr D, McKinney W, Schousboe M, Harris B, Ikram R, Harris M, Restrepo A, Hoyos G, Singh KP. Evidence for a general-purpose genotype in Candida albicans, highly prevalent in multiple geographical regions, patient types and types of infection. Microbiology 1999;45:2405–13.
Xu J, Mitchell TG, Vilgalys R. PCR-RFLP analyses reveal both extensive clonality and local genetic differentiation in Candida albicans. Mol Ecol 1999;8:59–73.
Caugant DA, Sandven P. Epidemiological analysis of Candida albicans strains by multilocus enzyme electrophoresis. J Clin Microbiol 1993;31:215–20.
Pujol C, Reynes J, Renaud F, Raymond M, Tibayrenc M, Ayala FJ, Janbon F, Mallié M, Bastide JM. The yeast Candida albicans has a clonal mode of reproduction in a population of infected human immunodeficiency virus-positive patients. Proc Nat Acad Sci USA 1993;90:9456–9.
Tibayrenc M. Are Candida albicans natural populations subdivided? Trends Microbiol 1997;5:253–7.
Soll DR, Galask R, Schimd J, Hanna C, Mac K, Morrow B. Genetic dissimilarity of commensal strains of Candida spp carried in different anatomical locations of the same healty women. J Clin Microbiol 1991;29:1702–10.
Song X, Sun J, Store G, Eribe ERK, Hansen BF, Olsen I. Genotypic relatedness of yeasts in thrush and denture stomatitis. Oral Microbiol Immunol 2006;21:301–8.
Acknowledgments
This study was supported by CNPq (process 476595/2003). We are most grateful to Dr Aníbal Moysés Simão Júnior, Dr José Vaner Pedigone and Dr Marco Antônio Benedetti Filho and their teams for their contributions to this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Pires-Gonçalves, R.H., Miranda, E.T., Baeza, L.C. et al. Genetic relatedness of commensal strains of Candida albicans carried in the oral cavity of patients’ dental prosthesis users in Brazil. Mycopathologia 164, 255–263 (2007). https://doi.org/10.1007/s11046-007-9052-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11046-007-9052-5