{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T17:58:26Z","timestamp":1781632706023,"version":"3.54.5"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Microbiol."],"abstract":"<jats:p>\n                    Helicobacter pylori (H. pylori) is a key pathogen in gastritis and gastric ulcers, noted for its high recurrence rates.\n                    <jats:italic>H. pylori<\/jats:italic>\n                    internalization into\n                    <jats:italic>Candida<\/jats:italic>\n                    vacuoles may enhance its survival and pathogenicity. In this study, we investigated the intrinsic association between\n                    <jats:italic>H. pylori<\/jats:italic>\n                    and\n                    <jats:italic>Candida<\/jats:italic>\n                    by performing\n                    <jats:italic>H. pylori<\/jats:italic>\n                    -related assays on\n                    <jats:italic>Candida<\/jats:italic>\n                    isolates obtained from clinical fecal samples, gastric mucosal tissues, and vaginal secretions. About 399 isolates of\n                    <jats:italic>Candida<\/jats:italic>\n                    were isolated from fecal samples of patients with digestive diseases.\n                    <jats:italic>H. pylori<\/jats:italic>\n                    antigens in feces and 16S rDNA within\n                    <jats:italic>Candida<\/jats:italic>\n                    isolates were detected, showing a significant correlation. After co-culturing\n                    <jats:italic>H. pylori<\/jats:italic>\n                    and\n                    <jats:italic>Candida in vitro<\/jats:italic>\n                    ,\n                    <jats:italic>H. pylori<\/jats:italic>\n                    16S rDNA-positive\n                    <jats:italic>Candida<\/jats:italic>\n                    (CacoHp) were obtained.\n                    <jats:italic>In vitro<\/jats:italic>\n                    , the CacoHp strain showed enhanced inhibitory and adhesive effects on GES-1 cells than standard\n                    <jats:italic>Candida<\/jats:italic>\n                    strain.\n                    <jats:italic>H. pylori<\/jats:italic>\n                    16S rDNA was detected in CacoHp and\n                    <jats:italic>Candida<\/jats:italic>\n                    isolates obtained from gastric mucosal tissue and vaginal secretions. CacoHp and\n                    <jats:italic>H. pylori<\/jats:italic>\n                    16S rDNA-positive clinical isolates exhibited urease activity, as evidenced by the color change of urea containing Sabouraud glucose agar medium from yellow to red. Gene expression analysis indicated that the\n                    <jats:italic>H. pylori ureA<\/jats:italic>\n                    gene was expressed at low levels in the CacoHp and\n                    <jats:italic>H. pylori<\/jats:italic>\n                    16S rDNA-positive clinical isolates under the experimental conditions. Using direct immunofluorescence and fluorescence\n                    <jats:italic>in situ<\/jats:italic>\n                    hybridization,\n                    <jats:italic>H. pylori<\/jats:italic>\n                    antigens and genes were detected in\n                    <jats:italic>Candida<\/jats:italic>\n                    . Fluorescent staining indicated the potential presence of viable bacteria within\n                    <jats:italic>Candida<\/jats:italic>\n                    , suggesting that viable\n                    <jats:italic>H. pylori<\/jats:italic>\n                    might be present intracellularly within these\n                    <jats:italic>Candida<\/jats:italic>\n                    cells. These findings suggest that\n                    <jats:italic>H. pylori<\/jats:italic>\n                    may persist within\n                    <jats:italic>Candida<\/jats:italic>\n                    , with potential implications for human health.\n                  <\/jats:p>","DOI":"10.3389\/fmicb.2026.1774342","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T06:46:57Z","timestamp":1770706017000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Candida serves as a reservoir associating with facilitating the survival and pathogenesis of Helicobacter pylori"],"prefix":"10.3389","volume":"17","author":[{"given":"Jianchao","family":"Sun","sequence":"first","affiliation":[{"name":"Guizhou Key Laboratory of Microbio and Infectious Disease Prevention and Control, School of Basic Medical Science, Guizhou Medical University, Guiyang","place":["Guizhou, China"]},{"name":"Key Laboratory of Endemic and Ethnic Diseases, Ministry of Education and Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang","place":["Guizhou, China"]},{"name":"Guizhou Provincial Center for Clinical Laboratory, Guiyang","place":["Guizhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingxiu","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Hospital Infection and Management, Guizhou Provincial People\u2019s Hospital, Guiyang","place":["Guizhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Luo","sequence":"additional","affiliation":[{"name":"The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang","place":["Guizhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang","place":["Guizhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang","place":["Guizhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenghong","family":"Chen","sequence":"additional","affiliation":[{"name":"Guizhou Key Laboratory of Microbio and Infectious Disease Prevention and Control, School of Basic Medical Science, Guizhou Medical University, Guiyang","place":["Guizhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"101297","DOI":"10.1016\/j.funeco.2023.101297","article-title":"Mr. Toad\u2019s wild fungi: Fungal isolate diversity on colorado boreal toads and their capacity for pathogen inhibition.","volume":"66","author":"Alexiev","year":"2023","journal-title":"Fungal Ecol."},{"key":"B2","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1053\/j.gastro.2007.11.009","article-title":"Host-bacterial interactions in Helicobacter pylori infection.","volume":"134","author":"Amieva","year":"2008","journal-title":"Gastroenterology"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e1009515","DOI":"10.1371\/journal.ppat.1009515","article-title":"The cross-kingdom interaction between Helicobacter pylori and Candida albicans.","volume":"17","author":"Chen","year":"2021","journal-title":"PLoS Pathogens"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1730","DOI":"10.14309\/ajg.0000000000002968","article-title":"ACG clinical guideline: Treatment of Helicobacter pylori infection.","volume":"119","author":"Chey","year":"2024","journal-title":"Am. 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