Characterization of Yeast Isolated from the Gut Microbiota of Tunisian Children with Autism Spectrum Disorder

Research on the microbiota–gut–brain axis in autism has primarily focused on bacteria, with limited attention to fungi. There is a growing interest in understanding the involvement of fungi, particularly <i>Candida</i>, in patients with autism spectrum disorder. The aim of this study was...

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Main Authors: Mariem Chamtouri, Abderrahmen Merghni, Katherine Miranda-Cadena, Nabil Sakly, Naoufel Gaddour, Clara G. de Los Reyes-Gavilán, Maha Mastouri, Elena Eraso, Guillermo Quindós
Format: Article
Language:English
Published: MDPI AG 2024-10-01
Series:Journal of Fungi
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Online Access:https://www.mdpi.com/2309-608X/10/11/730
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author Mariem Chamtouri
Abderrahmen Merghni
Katherine Miranda-Cadena
Nabil Sakly
Naoufel Gaddour
Clara G. de Los Reyes-Gavilán
Maha Mastouri
Elena Eraso
Guillermo Quindós
author_facet Mariem Chamtouri
Abderrahmen Merghni
Katherine Miranda-Cadena
Nabil Sakly
Naoufel Gaddour
Clara G. de Los Reyes-Gavilán
Maha Mastouri
Elena Eraso
Guillermo Quindós
author_sort Mariem Chamtouri
collection DOAJ
description Research on the microbiota–gut–brain axis in autism has primarily focused on bacteria, with limited attention to fungi. There is a growing interest in understanding the involvement of fungi, particularly <i>Candida</i>, in patients with autism spectrum disorder. The aim of this study was to assess the prevalence, antifungal susceptibility profiles and virulence factors of <i>Candida</i> isolates from the guts of Tunisian children with autism. Twenty-eight children with autism and forty-six controls were enrolled. <i>Candida</i> isolates from the faecal samples were identified using biochemical and molecular methods; antifungal susceptibility testing was determined by the EUCAST broth microdilution method and virulence factors, including biofilm formation, cell surface hydrophobicity and phospholipase and proteinase activities, were assessed in vitro. As a result, <i>Candida</i> was detected in 13 children with autism (46.4%) and 14 control children (30.4%). <i>Candida albicans</i> was found to be the most common species isolate in the faeces of both groups of children. Antifungal susceptibility profiles showed that one <i>Candida</i> isolate was resistant to amphotericin B and anidulafungin (3.7%), six were resistant to micafungin (22.2%) and five were resistant to fluconazole (18.5%). All <i>Candida</i> isolates were biofilm producers. Of the twenty-seven isolates, only four showed phospholipase activity (14.8%), eight showed aspartyl-proteinase activity (29.6%) and nine were hydrophobic (33.3%). These results highlight the presence of <i>Candida</i> in the guts of children with autism, as well as the ability to express multiple virulence factors and the antifungal resistance, and they emphasize the need for further studies to confirm intestinal <i>Candida</i> colonization and its potential role in autism.
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spelling doaj-art-6f0c117a1cc846079bf72df74ef5ceac2025-08-20T02:48:02ZengMDPI AGJournal of Fungi2309-608X2024-10-01101173010.3390/jof10110730Characterization of Yeast Isolated from the Gut Microbiota of Tunisian Children with Autism Spectrum DisorderMariem Chamtouri0Abderrahmen Merghni1Katherine Miranda-Cadena2Nabil Sakly3Naoufel Gaddour4Clara G. de Los Reyes-Gavilán5Maha Mastouri6Elena Eraso7Guillermo Quindós8Department of Microbiology and Biochemistry of Dairy Products, Instituto de Productos Lácteos de Asturias (IPLA-CSIC), 33300 Villaviciosa, SpainLaboratory of Antimicrobial Resistance LR99ES09, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, TunisiaDepartment of Immunology, Microbiology and Parasitology, Faculty of Medicine and Nursing, University of the Basque Country, UPV/EHU, 48080 Bilbao, SpainLaboratory of Medical and Molecular Parasitology-Mycology (code LR12ES08), Department of Clinical Biology B, Faculty of Pharmacy, University of Monastir, Monastir 5000, TunisiaUnit of Child Psychiatry, Monastir University Hospital, Monastir 5000, TunisiaDepartment of Microbiology and Biochemistry of Dairy Products, Instituto de Productos Lácteos de Asturias (IPLA-CSIC), 33300 Villaviciosa, SpainLaboratory of Transmissible Diseases and Biologically Active Substances LR99ES27, Faculty of Pharmacy, University of Monastir, Monastir 5000, TunisiaDepartment of Immunology, Microbiology and Parasitology, Faculty of Medicine and Nursing, University of the Basque Country, UPV/EHU, 48080 Bilbao, SpainDepartment of Immunology, Microbiology and Parasitology, Faculty of Medicine and Nursing, University of the Basque Country, UPV/EHU, 48080 Bilbao, SpainResearch on the microbiota–gut–brain axis in autism has primarily focused on bacteria, with limited attention to fungi. There is a growing interest in understanding the involvement of fungi, particularly <i>Candida</i>, in patients with autism spectrum disorder. The aim of this study was to assess the prevalence, antifungal susceptibility profiles and virulence factors of <i>Candida</i> isolates from the guts of Tunisian children with autism. Twenty-eight children with autism and forty-six controls were enrolled. <i>Candida</i> isolates from the faecal samples were identified using biochemical and molecular methods; antifungal susceptibility testing was determined by the EUCAST broth microdilution method and virulence factors, including biofilm formation, cell surface hydrophobicity and phospholipase and proteinase activities, were assessed in vitro. As a result, <i>Candida</i> was detected in 13 children with autism (46.4%) and 14 control children (30.4%). <i>Candida albicans</i> was found to be the most common species isolate in the faeces of both groups of children. Antifungal susceptibility profiles showed that one <i>Candida</i> isolate was resistant to amphotericin B and anidulafungin (3.7%), six were resistant to micafungin (22.2%) and five were resistant to fluconazole (18.5%). All <i>Candida</i> isolates were biofilm producers. Of the twenty-seven isolates, only four showed phospholipase activity (14.8%), eight showed aspartyl-proteinase activity (29.6%) and nine were hydrophobic (33.3%). These results highlight the presence of <i>Candida</i> in the guts of children with autism, as well as the ability to express multiple virulence factors and the antifungal resistance, and they emphasize the need for further studies to confirm intestinal <i>Candida</i> colonization and its potential role in autism.https://www.mdpi.com/2309-608X/10/11/730autism<i>Candida</i>gut microbiotaantifungal susceptibilityvirulence
spellingShingle Mariem Chamtouri
Abderrahmen Merghni
Katherine Miranda-Cadena
Nabil Sakly
Naoufel Gaddour
Clara G. de Los Reyes-Gavilán
Maha Mastouri
Elena Eraso
Guillermo Quindós
Characterization of Yeast Isolated from the Gut Microbiota of Tunisian Children with Autism Spectrum Disorder
Journal of Fungi
autism
<i>Candida</i>
gut microbiota
antifungal susceptibility
virulence
title Characterization of Yeast Isolated from the Gut Microbiota of Tunisian Children with Autism Spectrum Disorder
title_full Characterization of Yeast Isolated from the Gut Microbiota of Tunisian Children with Autism Spectrum Disorder
title_fullStr Characterization of Yeast Isolated from the Gut Microbiota of Tunisian Children with Autism Spectrum Disorder
title_full_unstemmed Characterization of Yeast Isolated from the Gut Microbiota of Tunisian Children with Autism Spectrum Disorder
title_short Characterization of Yeast Isolated from the Gut Microbiota of Tunisian Children with Autism Spectrum Disorder
title_sort characterization of yeast isolated from the gut microbiota of tunisian children with autism spectrum disorder
topic autism
<i>Candida</i>
gut microbiota
antifungal susceptibility
virulence
url https://www.mdpi.com/2309-608X/10/11/730
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