Synergistic interactions between <i>Candida albicans</i> and <i>Enterococcus faecalis</i> promote toxin-dependent host cell damage

M Mario Kapitan (Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute) M Maria Joanna Niemiec (Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute) N Nicolas Millet (Division of Infectious Diseases, Harbor-UCLA Medical Center) P Philipp Brandt (Friedrich-Schiller-University Jena) M Md Estiak Khan Chowdhury (Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute) A Anna Czapka (Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute) K Ketema Abdissa (Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute) F Franziska Hoffmann (Research Group MALDI Imaging, Innovative Biophotonics, Department of Othorhynolaryngology, University Hospital Jena) A Anna Lange (Institute of Medical Microbiology and Hygiene, University of Tübingen) M Mark Veleba (Singapore Centre for Environmental Life Sciences Engineering, School of Biological Sciences, Nanyang Technological University) S Sandor Nietzsche A Alexander S. Mosig (Institute of Biochemistry II, University Hospital Jena) B Bettina Löffler (Center for Sepsis Control and Care, University Hospital Jena) M Mike Marquet (Institute for Infectious Diseases and Infection Control, Jena University Hospital) O Oliwia Makarewicz (Institute for Infectious Diseases and Infection Control, Jena University Hospital) K Kimberly A. Kline (Singapore Centre for Environmental Life Sciences Engineering, School of Biological Sciences, Nanyang Technological University) S Slavena Vylkova (Septomics Research Center, Friedrich Schiller University and Leibniz Institute for Natural Product Research and Infection Biology–Hans Knöll Institute) M Marc Swidergall (Division of Infectious Diseases, Harbor-UCLA Medical Center) I Ilse D. Jacobsen (Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute)

Abstract

The fungus Candida albicans and the Gram-positive bacterium Enterococcus faecalis share mucosal niches in the human body. As opportunistic pathogens, both are found to expand population size during dysbiosis, and can cause severe systemic infections in susceptible individuals. Here, we show that the presence of C. albicans results in increased host cell damage by E. faecalis . Furthermore, E. faecalis aggravates oropharyngeal candidiasis in mice. Increased damage is mediated by enterococcal cytolysin, and involves both physical interaction and altered glucose availability. Physical interaction promotes accumulation of bacteria on host cells, facilitating contact of cytolysin with host cells. Glucose depletion by the metabolic activity of the fungus sensitized host cells to cytolysin. This work illustrates how a complex interplay between fungi and bacteria can result in detrimental consequences for the host.

Article Details

Volume / Issue Vol. 122, Issue 46
Published November 18, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (19)

M

Mario Kapitan

Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute

M

Maria Joanna Niemiec

Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute

N

Nicolas Millet

Division of Infectious Diseases, Harbor-UCLA Medical Center

P

Philipp Brandt

Friedrich-Schiller-University Jena

M

Md Estiak Khan Chowdhury

Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute

A

Anna Czapka

Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute

K

Ketema Abdissa

Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute

F

Franziska Hoffmann

Research Group MALDI Imaging, Innovative Biophotonics, Department of Othorhynolaryngology, University Hospital Jena

A

Anna Lange

Institute of Medical Microbiology and Hygiene, University of Tübingen

M

Mark Veleba

Singapore Centre for Environmental Life Sciences Engineering, School of Biological Sciences, Nanyang Technological University

S

Sandor Nietzsche

A

Alexander S. Mosig

Institute of Biochemistry II, University Hospital Jena

B

Bettina Löffler

Center for Sepsis Control and Care, University Hospital Jena

M

Mike Marquet

Institute for Infectious Diseases and Infection Control, Jena University Hospital

O

Oliwia Makarewicz

Institute for Infectious Diseases and Infection Control, Jena University Hospital

K

Kimberly A. Kline

Singapore Centre for Environmental Life Sciences Engineering, School of Biological Sciences, Nanyang Technological University

S

Slavena Vylkova

Septomics Research Center, Friedrich Schiller University and Leibniz Institute for Natural Product Research and Infection Biology–Hans Knöll Institute

M

Marc Swidergall

Division of Infectious Diseases, Harbor-UCLA Medical Center

I

Ilse D. Jacobsen

Research Group Microbial Immunology, Leibniz Institute for Natural Product Research and Infection Biology-Hans Knöll Institute