Competitive fungal commensalism mitigates candidiasis pathology

J Exp Med. 2024 May 6;221(5):e20231686. doi: 10.1084/jem.20231686. Epub 2024 Mar 18.

Abstract

The mycobiota are a critical part of the gut microbiome, but host-fungal interactions and specific functional contributions of commensal fungi to host fitness remain incompletely understood. Here, we report the identification of a new fungal commensal, Kazachstania heterogenica var. weizmannii, isolated from murine intestines. K. weizmannii exposure prevented Candida albicans colonization and significantly reduced the commensal C. albicans burden in colonized animals. Following immunosuppression of C. albicans colonized mice, competitive fungal commensalism thereby mitigated fatal candidiasis. Metagenome analysis revealed K. heterogenica or K. weizmannii presence among human commensals. Our results reveal competitive fungal commensalism within the intestinal microbiota, independent of bacteria and immune responses, that could bear potential therapeutic value for the management of C. albicans-mediated diseases.

MeSH terms

  • Animals
  • Candidiasis*
  • Gastrointestinal Microbiome*
  • Humans
  • Immunosuppression Therapy
  • Mice
  • Symbiosis