Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-25T13:04:41.545Z Has data issue: false hasContentIssue false

Scanning Electron and Confocal Scanning Laser Microscopy Imaging of the Ultrastructure and Viability of Vaginal Candida albicans and Non-Albicans Species Adhered to an Intrauterine Contraceptive Device

Published online by Cambridge University Press:  31 August 2010

Luciene C. Farias Paiva
Affiliation:
Department of Clinical Analysis, Universidade Estadual de Maringá, Av. Colombo, 5790, 87020-900, Maringá, Paraná, Brazil
Lucélia Donatti
Affiliation:
Department of Cell Biology, Universidade Federal do Paraná, Curitiba, 81531-970, Paraná, Brazil
Eliana V. Patussi
Affiliation:
Department of Clinical Analysis, Universidade Estadual de Maringá, Av. Colombo, 5790, 87020-900, Maringá, Paraná, Brazil
Terezinha I.E. Svizdinski
Affiliation:
Department of Clinical Analysis, Universidade Estadual de Maringá, Av. Colombo, 5790, 87020-900, Maringá, Paraná, Brazil
Márcia E. Lopes-Consolaro*
Affiliation:
Department of Clinical Analysis, Universidade Estadual de Maringá, Av. Colombo, 5790, 87020-900, Maringá, Paraná, Brazil
*
Corresponding author. E-mail: [email protected]
Get access

Abstract

Although bacterial biofilms have been studied in detail, adhesion of Candida albicans and non-albicans species to an intrauterine contraceptive device (IUD) is not clear. The objective of this study was to evaluate aspects of imaging of the ultrastructure and viability of vaginal yeasts adhered to different parts of an IUD, through scanning electron microscopy (SEM) and confocal scanning laser microscopy (CSLM). We studied yeasts isolated from different patients with vulvovaginal candidiasis: C. albicans, C. glabrata, C. guillermondii, C. parapsilosis, C. tropicalis, and Saccharomyces cerevisiae. A suspension of the each yeast was prepared and incubated with IUD parts (tail, without copper, and copper-covered). SEM and CSLM showed that all the vaginal yeasts adhered to all the parts of the IUD and demonstrated viability, including 30 days after contact for C. albicans. Possibly irregularities of IUD surface contribute to the adherence process. Although all of the IUD parts contribute to retention of yeasts in the genital tract, high concentration of yeast cells on the tail may indicate the importance of this segment in maintaining the colonization by yeast cells because the tail forms a bridge between the external environment, the vagina that is colonized by yeast cells, and the upper genital tract where there is no colonization.

Type
Biological Applications
Copyright
Copyright © Microscopy Society of America 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Ahmad, S., Khan, Z., Mustafa, A.S. & Khah, Z.U. (2002). Seminested PCR for diagnosis of candidemia: Comparison with cultura, antigen detection, and biochemical methods or species identification. J Clin Microbiol 40, 24832489.CrossRefGoogle ScholarPubMed
Andes, D., Nett, J., Oschel, P., Albrecht, R., Marchillo, K. & Pitula, A. (2004). Development and characterization of an in vivo central venous catheter Candida albicans biofilm model. Infect Immun 72, 60236031.CrossRefGoogle Scholar
Auler, M.E., Morreira, D., Rodrigues, F.F.O., Abrão, M.S., Margarido, P.F.R., Matsumoto, F.E., Silva, E.G., Silva, B.C.M., Schneider, R.P. & Paula, C.R. (2009). Biofilm formation on intrauterine devices in patients with recurrent vulvovaginal candidiasis. Med Mycol 7, 16.CrossRefGoogle Scholar
Barth, T., Broscheit, J., Bussen, S. & Dietl, J. (2002). Maternal sepsis and intrauterine fetal death resulting from Candida tropicalis chorioamnionitis in a woman with retained intrauterine contraceptive device. Acta Obstet Gynecol Scand 81, 981982.CrossRefGoogle Scholar
Chandra, J., Kuhn, D.M., Mukherjee, P.K., Hoyer, L.L., McCormick, T. & Ghannoum, M.A. (2001). Biofilm formation by the fungal pathogen Candida albicans: Development, architecture, and drug resistance. J Bacteriol 183, 53855394.CrossRefGoogle ScholarPubMed
Chassot, F., Negri, M.F.N., Svidzinski, A.E., Gasparetto, A., Peralta, R.M., Svidzinski, T.I.E. & Consolaro, M.E.L. (2008). Can the intrauterine contraceptive devices to be a Candida albicans reservoir? Contraception 77, 355359.CrossRefGoogle ScholarPubMed
Consolaro, M.E.L., Albertoni, T.A., Yoshida, C.S., Mazucheli, J., Peralta, R.M. & Svidzinski, T.I.E. (2004). Correlation of Candida species and symptoms among patients with vulvovaginal candidiasis in Maringá, Paraná, Brazil. Rev Iberoam Micol 21, 202205.Google Scholar
Costerton, J.W., Stewart, P.S. & Greenberg, E.P. (1999). Bacterial biofilms: A common cause of persistent infections. Science 284, 13181322.CrossRefGoogle ScholarPubMed
Damke, E., Storti-Filho, A., Irie, M.M.T., Carrara, M.A., Batista, M.R., Donatti, L., Gunther, L.S.A., Patussi, E.V., Svidzinski, T.I.E. & Consolaro, M.E.L. (2010). Ultrastructural imaging of Candida albicans adhesion to rat genital epithelium through scanning and transmission electron microscopy. Microsc Microanal 16(3), 337345.CrossRefGoogle ScholarPubMed
Darmstadt, G.L., Dinulos, J.G. & Miller, Z. (2000). Congenital cutaneous candidiasis: Clinical presentation, pathogenesis, and management guidelines. Pediatrics 105, 438444.CrossRefGoogle ScholarPubMed
Davey, M.E. & O'Toole, G.A. (2000). Microbial biofilms: From ecology to molecular genetics. Microbiol Mol Biol Rev 64, 847867.CrossRefGoogle ScholarPubMed
Demirezen, S., Dirlik, O.O. & Beksac, M.S. (2005). The association of Candida infection with intrauterine contraceptive device. Cent Eur J Public Health 13, 3234.Google ScholarPubMed
Donlan, R.M. (2001). Biofilm formation: A clinically relevant microbiological process. Clin Infect Dis 33, 13871392.CrossRefGoogle ScholarPubMed
Donlan, R.M. & Costerton, J.W. (2002). Biofilms: Survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev 15, 167193.CrossRefGoogle ScholarPubMed
Duguid, H.L., Parrat, D. & Traynor, R. (1980). Actinomyces-like organisms in cervical smears from women using intrauterine contraceptive devices. Brit Med J 281, 534536.CrossRefGoogle ScholarPubMed
El-Badrawi, H.H. & Hafez, E.S. (1981). Mechanism of action of IUDs: An ultrastructural view. Contracept Deliv Syst 2, 201217.Google ScholarPubMed
Horn, L.C., Nenoff, P., Ziegert, M. & Hockel, M. (2001). Missed abortion complicated by Candida infection in a woman with rested IUD. Arch Gynecol Obstet 264, 215217.CrossRefGoogle Scholar
Hsu, W.C., Lee, Y.H. & Chang, D.Y. (2007). Tuboovarian abscess caused by Candida in a woman with an intrauterine device. Gynecol Obstet Invest 64, 1416.CrossRefGoogle Scholar
Irie, M.M.T., Consolaro, M.E.L., Guedes, T.A., Donatti, L., Patussi, E.V. & Svidzinski, T.I.E. (2006). A simplified technique for evaluating the adherence of yeasts to human vaginal epithelial cells. J Clin Lab Anal 20, 195203.CrossRefGoogle Scholar
Jarvela, S. & Allonen, H. (1986). Copper-silver T: The classic T resuscitated. Contracept Fertil Sex 14, 4547.Google ScholarPubMed
Karnovsky, M.J. (1965). A formaldehyde-glutaraldehyde fixative of high osmolality for use in eletron microscopy. J Cell Biol 27, 137138.Google Scholar
Kosonen, A. (1980). Copper in the uterus. Br J Sex Med 7, 4043.Google ScholarPubMed
Kurtzman, C.P. & Fell, F.W. (1998). The Yeast. A Taxonomia Study. Amsterdam, NL: Elsevier, Inc.Google Scholar
Mardh, P.A., Rodrigues, A.G., Genc, M., Nivikova, N., Martinez-De-Oliveira, J. & Guaschino, S. (2002). Facts and myths on recurrent vulvovaginal candidosis: A review on epidemiology, clinical manifestations, diagnosis, pathogenesis and therapy. Int J STD AIDS 13, 522539.CrossRefGoogle ScholarPubMed
Mukherjee, P.K. & Chandra, J. (2004). Candida biofilm resistance. Drug Resist Updat 7, 301309.CrossRefGoogle ScholarPubMed
Mukherjee, P.K., Chandra, J., Kuhn, D. & Ghannoum, M.A. (2003). Mechanism of fluconazole resistance in Candida albicans biofilms: Phase-specific role of efflux pumps and membrane sterols. Infect Immun 71, 43334340.CrossRefGoogle ScholarPubMed
O'Toole, G., Kaplan, H.B. & Kolter, R. (2000). Biofilm formation as microbial development. Annu Rev Microbiol 54, 4979.CrossRefGoogle ScholarPubMed
Pál, Z., Urbán, E., Dósa, E., Pál, A. & Nagy, E. (2005). Biofilm formation on intrauterine devices in relation to duration of use. J Med Microbiol 54, 11991203.CrossRefGoogle ScholarPubMed
Parewijck, W., Claeys, G., Thiery, M. & Van Kets, H. (1988). Candidiasis in women fitted with an intrauterine contraceptive device. Br J Obstet Gynaecol 95, 408410.CrossRefGoogle ScholarPubMed
Peterson, H.B., Xia, Z., Hughes, J.M., Wilcox, L.S., Tylor, L.R. & Trussell, J. (1996). The risk of pregnancy after tubal sterilization: Findings from the US collaborative preview of sterilization. Am J Obstet Gynecol 174, 11611170.CrossRefGoogle Scholar
Polaquini, S.R.B., Svidzinski, T.I.E., Kemmelmeir, C. & Gasparetto, A. (2006). Effect of aqueous extract from Neem (Azadirachta indica A. Juss) on hydrophobicity, biofilm formation and adhesion in composite resin by Candida albicans. Arch Oral Biol 24, 482490.CrossRefGoogle Scholar
Segal, D., Gohar, J., Huleihel, M. & Mazor, M. (2001). Fetal death associated with asymptomatic intrauterine Candida albicans infection and a retained intrauterine contraceptive device. Scand J Infect Dis 33, 7778.Google Scholar
Shin, J.H., Kee, S.J., Shin, M.G., Kim, S.H., Shin, D.H., Lee, S.K., Suh, S.P. & Ryang, D.W. (2002). Biofilm production by isolates of Candida species recovered from nonneutropenic patiens: Comparison of bloodstream isolates with isolates from others sources. J Clin Microbiol 40, 12441256.CrossRefGoogle Scholar
Sobel, J.D. (2007). Candidiasis vulvovaginal. Lancet 369, 19611971.CrossRefGoogle Scholar
Soper, D.E. (1996). Genitourinary infections and sexually transmitted diseases. In Novak's Gynecology, Berek, J.S. (Ed.), pp. 432436. Baltimore, MD: Williams & Williams.Google Scholar
Souza, P.C., Storti-Filho, A., Souza, R.J., Damke, E., Mello, I.C., Pereira, M.W., Svidizinski, T.I. & Lopes-Consolaro, M.E. (2009). Prevalence of Candida sp. in the cervical-vaginal cytology stained by Harris-Shorr. Arch Gynecol Obstet 279, 625629.CrossRefGoogle ScholarPubMed
Walker, J.T., Bradshaw, D.J., Bennet, A.M. & Fulford, M.R. (2000). Microbial biofilm formation and contamination of Dental-Init water systems in general dental practice. Appl Environ Microbiol 66, 33633367.CrossRefGoogle ScholarPubMed
Zipper, J.A., Tatum, H.J., Pastane, L., Medel, M. & Rivera, M. (1969). Metallic copper as an intrauterine contraceptive adjunct to the “T” device. Am J Obstet Gynecol 105, 12741278.CrossRefGoogle Scholar