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CANDIDA The following study shows that candida albicans has a higher resistance to elevated concentrations of copper than baker's yeast. This may mean that in hypothyroidism, when zinc is low and copper is high, candida growth will not be suppressed by copper, which is normally toxic to fungal infections. Proc Natl Acad Sci U S A 2000 Mar 28;97(7):3520-5 The high copper tolerance of Candida albicans is mediated
by a P-type ATPase.
The response of selenium-deficient mice to Candida albicans infection. Boyne R, Arthur JR The effects of selenium deficiency on the responses to Candida albicans infection were examined in mice. When selenium-deficient and selenium-supplemented mice were given i.v. injections of 0.1 ml suspensions of 1 X 10(5) or 5 X 10(4) C. albicans in 0.9% sterile saline, deaths in the selenium-deficient animals started after 2.5-3.5 d compared with 7-8.5 d in the selenium-supplemented animals. Further studies demonstrated that 3 d after an i.v. injection of 1 X 10(5) C. albicans, significantly more of the microorganisms were found in the kidneys (P less than 0.001), livers (P less than 0.025) and spleens (P less than 0.01) of the selenium-deficient mice compared with the same organs of selenium-supplemented animals. Selenium deficiency was also demonstrated to impair the ability of mouse neutrophils to kill C. albicans in in vitro tests. The possible relationships of this defect in function to decreased resistance to C. albicans infection is discussed.
An in vivo and in vitro study of selenium deficiency and infection in rats. Boyne R, Arthur JR, Wilson AB Selenium deficiency in rats impairs the ability of neutrophils and peritoneal macrophages to kill Candida albicans organisms in vitro. In contrast, killing of Salmonella typhimurium and Staphylococcus aureus organisms is unaffected by the deficiency. Survival of rats after intraperitoneal injection of 8 X 10(7) S. aureus organisms was not affected by Se deficiency, but a 5-fold increase in the dose (4 X 10(8) S. aureus organisms) led to a significantly greater mortality in the Se deficient rats.
Effect of experimental selenium deficiency and its supplementation on the candidacidal activity of neutrophils in albino rats. Kukreja R, Khan A Department of Biochemistry, Nagpur University. The role of selenium in the diet of rats has been examined with respect to the neutrophil functions. Feeding of Se-deficient diet for 75 days resulted in reduction in candidacidal activity, superoxide production, oxygen consumption, glucose utilisation and glutathione peroxidase activity. Supplementing the diet with Se for 30 days resulted in partial restoration of all the activities.
Skin manifestations of biotin deficiency. Mock DM Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City 52242. This article reviews current knowledge concerning the dermatologic manifestations of biotin deficiency. Biotin is a water-soluble vitamin that acts as an essential cofactor for four carboxylases, each of which catalyzes an essential step in intermediary metabolism. For example, acetyl-CoA carboxylase catalyzes the rate-limiting step in fatty acid elongation. In infants, children, and adults, deficiency of biotin causes alopecia and a characteristic scaly, erythematous dermatitis distributed around body orifices. The rash closely resembles that of zinc deficiency. Candida albicans often can be cultured from the skin lesions. Biotinidase deficiency, an inborn error, causes biotin deficiency, probably as a consequence of unpaired intestinal absorption, cellular salvage, and renal reclamation of biotin; biotinidase deficiency causes dermatologic manifestations similar to biotin deficiency. There is evidence that impaired fatty acid metabolism secondary to reduced activities of the biotin-dependent carboxylases (especially acetyl-CoA carboxylase) plays an etiologic role in the dermatologic manifestations of biotin deficiency. Candida infections secondary to impaired immune function might also contribute to the dermatitis of biotin deficiency.
Zinc status in women with recurrent vulvovaginal candidiasis. Edman J, Sobel JD, Taylor ML Zinc status has been shown to influence various cell-mediated immunologic mechanisms. These cell-mediated mechanisms are important in preventing mucocutaneous infections caused by Candida albicans. This study evaluated the relationship between zinc status and recurrent vaginal candidiasis by comparing plasma and erythrocyte zinc in 29 patients with recurrent vaginal candidiasis and 20 control subjects matched for age, race, and parity. The results indicated that there was a significantly lower level of plasma zinc in women with recurrent vaginal candidiasis (81 + 11.6 mg/dl) than in the control subjects (91 +/- 14.2 mg/dl) with a significant value of p = 0.015. These differences in plasma zinc levels were even greater when adjusted for dietary zinc and supplemental zinc with the use of analyses of covariance. No differences in erythrocyte zinc measurements were found between the two groups. These results suggest that mild zinc deficiency is associated with recurrent vaginal candidiasis and may play a role in the susceptibility of women to recurrent vaginal candidiasis.
The role of iron deficiency in experimentally-induced oral candidosis in the rat. Rennie JS, Hutcheon AW, MacFarlane TW, MacDonald DG In comparison with normal rats, those with iron deficiency anaemia showed no significant difference in susceptibility to experimental infection with Candida albicans although anaemic rats had a significantly greater incidence of persistent infection. These findings support the suggestion that patients with chronic candidosis should be investigated for iron deficiency.
Experimental oral infection with the yeast Candida albicans in mice with or without inherited iron-deficiency anaemia (sla). Sofaer JA, Holbrook WP, Southam JC The role of iron deficiency in the development of oral candidosis was investigated using the mouse mutant sex-linked anaemia (sla). Susceptibility was assessed in terms of the recovery of organisms, particularly from oral swabs, and histological evidence of infection approximately 10 days after the last exposure to Candida albicans. The influence of three factors was studied in mixed groups of normal and anaemic mice: mode of inoculation, treatment with tetracycline and treatment with hydrocortisone. The most susceptible group had received drinking water containing tetracycline (1 mg/ml), hydrocortisone (0.1 mg/ml) and candida (5 X 10(4) c.f.u./ml for 6 days). Anaemic mice showed a rather higher rate of recovery of organisms and more frequent histological evidence of infection than normal mice in certain groups. Neither of these tendencies was statistically significant alone but, taken together, they suggest that some small difference of susceptibility may exist between normal mice and mice with sla. The mouse model could be of value in studying the influence of several other inherited disorders on susceptibility to candidosis.
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