Kunyeit Lohith, K A Anu-Appaiah, Rao Reeta P
Department of Microbiology and Fermentation Technology, CSIR- Central Food Technological Research Institute (CFTRI), Mysuru 570020, India.
Academy of Scientific and Innovative Research (AcSIR), Ghaziabad 201002, India.
J Fungi (Basel). 2020 Sep 25;6(4):189. doi: 10.3390/jof6040189.
Superficial and life-threatening invasive infections are a major clinical challenge in hospitalized and immuno-compromised patients. Emerging drug-resistance among species is exacerbated by the limited availability of antifungals and their associated side-effects. In the current review, we discuss the application of probiotic yeasts as a potential alternative/ combination therapy against infections. Preclinical studies have identified several probiotic yeasts that effectively inhibit virulence of species, including , , , , and However, var. is the only probiotic yeast commercially available. In addition, clinical studies have further confirmed the in vitro and in vivo activity of the probiotic yeasts against species. Probiotics use a variety of protective mechanisms, including posing a physical barrier, the ability to aggregate pathogens and render them avirulent. Secreted metabolites such as short-chain fatty acids effectively inhibit the adhesion and morphological transition of species. Overall, the probiotic yeasts could be a promising effective alternative or combination therapy for infections. Additional studies would bolster the application of probiotic yeasts.
浅表性和危及生命的侵袭性感染是住院患者和免疫功能低下患者面临的主要临床挑战。抗真菌药物的有限供应及其相关副作用加剧了真菌物种中不断出现的耐药性。在本综述中,我们讨论了益生菌酵母作为治疗感染的潜在替代/联合疗法的应用。临床前研究已鉴定出几种能有效抑制真菌物种毒力的益生菌酵母,包括白色念珠菌、热带念珠菌、光滑念珠菌、近平滑念珠菌、克柔念珠菌和季也蒙念珠菌。然而,酿酒酵母变种是唯一可商购的益生菌酵母。此外,临床研究进一步证实了益生菌酵母对念珠菌属物种的体外和体内活性。益生菌利用多种保护机制,包括形成物理屏障、聚集病原体并使其无毒的能力。分泌的代谢产物如短链脂肪酸可有效抑制念珠菌属物种的粘附和形态转变。总体而言,益生菌酵母可能是治疗念珠菌感染的一种有前景的有效替代或联合疗法。更多研究将支持益生菌酵母的应用。