Vulvovaginal Candidiasis: A Current Understanding and Burning Questions

<i>Candida albicans</i>, along with other closely related <i>Candida</i> species, are the primary causative agents of vulvovaginal candidiasis (VVC)&#8212;a multifactorial infectious disease of the lower female reproductive tract resulting in pathologic inflammation. Unli...

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Main Authors: Hubertine M.E. Willems, Salman S. Ahmed, Junyan Liu, Zhenbo Xu, Brian M. Peters
Format: Article
Language:English
Published: MDPI AG 2020-02-01
Series:Journal of Fungi
Subjects:
Online Access:https://www.mdpi.com/2309-608X/6/1/27
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author Hubertine M.E. Willems
Salman S. Ahmed
Junyan Liu
Zhenbo Xu
Brian M. Peters
author_facet Hubertine M.E. Willems
Salman S. Ahmed
Junyan Liu
Zhenbo Xu
Brian M. Peters
author_sort Hubertine M.E. Willems
collection DOAJ
description <i>Candida albicans</i>, along with other closely related <i>Candida</i> species, are the primary causative agents of vulvovaginal candidiasis (VVC)&#8212;a multifactorial infectious disease of the lower female reproductive tract resulting in pathologic inflammation. Unlike other forms of candidiasis, VVC is a disease of immunocompetent and otherwise healthy women, most predominant during their child-bearing years. While VVC is non-lethal, its high global incidence and profound negative impact on quality-of-life necessitates further understanding of the host and fungal factors that drive disease pathogenesis. In this review, we cover the current state of our understanding of the epidemiology, host response, fungal pathogenicity mechanisms, impact of the microbiome, and novel approaches to treatment of this most prevalent human candidal infection. We also offer insight into the latest advancements in the VVC field and identify important questions that still remain.
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spelling doaj.art-8db258a38532433cab275378e123f19a2022-12-22T00:43:06ZengMDPI AGJournal of Fungi2309-608X2020-02-01612710.3390/jof6010027jof6010027Vulvovaginal Candidiasis: A Current Understanding and Burning QuestionsHubertine M.E. Willems0Salman S. Ahmed1Junyan Liu2Zhenbo Xu3Brian M. Peters4Department of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USASchool of Food Science and Engineering, South China University of Technology, Guangzhou 510641, ChinaDepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USADepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USADepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA<i>Candida albicans</i>, along with other closely related <i>Candida</i> species, are the primary causative agents of vulvovaginal candidiasis (VVC)&#8212;a multifactorial infectious disease of the lower female reproductive tract resulting in pathologic inflammation. Unlike other forms of candidiasis, VVC is a disease of immunocompetent and otherwise healthy women, most predominant during their child-bearing years. While VVC is non-lethal, its high global incidence and profound negative impact on quality-of-life necessitates further understanding of the host and fungal factors that drive disease pathogenesis. In this review, we cover the current state of our understanding of the epidemiology, host response, fungal pathogenicity mechanisms, impact of the microbiome, and novel approaches to treatment of this most prevalent human candidal infection. We also offer insight into the latest advancements in the VVC field and identify important questions that still remain.https://www.mdpi.com/2309-608X/6/1/27vaginitisvulvovaginal<i>candida</i>vaginavvcfungalcandidiasis
spellingShingle Hubertine M.E. Willems
Salman S. Ahmed
Junyan Liu
Zhenbo Xu
Brian M. Peters
Vulvovaginal Candidiasis: A Current Understanding and Burning Questions
Journal of Fungi
vaginitis
vulvovaginal
<i>candida</i>
vagina
vvc
fungal
candidiasis
title Vulvovaginal Candidiasis: A Current Understanding and Burning Questions
title_full Vulvovaginal Candidiasis: A Current Understanding and Burning Questions
title_fullStr Vulvovaginal Candidiasis: A Current Understanding and Burning Questions
title_full_unstemmed Vulvovaginal Candidiasis: A Current Understanding and Burning Questions
title_short Vulvovaginal Candidiasis: A Current Understanding and Burning Questions
title_sort vulvovaginal candidiasis a current understanding and burning questions
topic vaginitis
vulvovaginal
<i>candida</i>
vagina
vvc
fungal
candidiasis
url https://www.mdpi.com/2309-608X/6/1/27
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AT salmansahmed vulvovaginalcandidiasisacurrentunderstandingandburningquestions
AT junyanliu vulvovaginalcandidiasisacurrentunderstandingandburningquestions
AT zhenboxu vulvovaginalcandidiasisacurrentunderstandingandburningquestions
AT brianmpeters vulvovaginalcandidiasisacurrentunderstandingandburningquestions