Vaginal homeostasis features of Vulvovaginal Candidiasis through vaginal metabolic profiling.

Abstract

Vulvovaginal candidiasis (VVC) is an inflammatory disease primarily infected by Candida albicans. The condition has good short-term treatment effects, high recurrence, and seriously affects the quality of life of women. Metabolomics has been applied to research a variety of inflammatory diseases. In the present study, the vaginal metabolic profiles of VVC patients and healthy populations (Cnotrol (CTL)) were explored by a non-targeted metabolomics approach. In total, 211 differential metabolites were identified, with the VVC group having 128 over-expressed and 83 under-expressed metabolites compared with healthy individuals. Functional analysis showed that these metabolites were mainly involved in amino acid metabolism and lipid metabolism. In addition, network software analysis indicated that the differential metabolites were associated with mitogen-activated protein kinase (MAPK) signaling and NF-κB signaling. Further molecular docking suggested that linoleic acid can bind to the acyl-CoA synthetase 1 (ACSL1) protein, which has been shown to be associated with multiple inflammatory diseases and is an upstream regulator of the MAPK and NF-κB signaling pathways that mediate inflammation. Therefore, our preliminary analysis results suggest that VVC has a unique metabolic profile. Linoleic acid, a significantly elevated unsaturated fatty acid in the VVC group, may promote VVC development through the ACSL1/MAPK and ACSL1/NF-κB signaling pathways. This study's findings contribute to further exploring the mechanism of VVC infection and providing new perspectives for the treatment of Candida albicans vaginal infection.

• Authors: Xinyi Chen, Jinbo Wang, Jing Chen, Guanghua Wang, Runjie Zhang, Jin Qiu
• Journal: Medical mycology (Med Mycol) Vol. 61 Issue 8 (Aug 02 2023) ISSN: 1460-2709 [Electronic] England
• PMID: 37573133 (Publication Type: Journal Article)
• Copyright: © The Author(s) 2023. Published by Oxford University Press on behalf of The International Society for Human and Animal Mycology.

Chemical References

• NF-kappa B
• Linoleic Acid
• Antifungal Agents

Topics

• Female
• Animals
• Candidiasis, Vulvovaginal (drug therapy, veterinary)
• NF-kappa B
• Linoleic Acid
• Molecular Docking Simulation
• Quality of Life
• Candida albicans
• Candidiasis (drug therapy, veterinary)
• Metabolomics
• Homeostasis
• Antifungal Agents (pharmacology, therapeutic use)