Evidence map›Paper›PMID 42371250›Full record

ArticleFolia microbiologica2026

Anti-Candida albicans and anti-virulence activities of vaginal Lactobacillus strains from asymptomatic women: phenotypic characterization and prediction of antimicrobial peptide gene clusters.

Carmem Duarte Lima Campos, Camila Itapary Dos Santos, Ennio Patrezzi Sousa Costa, Amanda Graziela Gonçalves Mendes, Cinara Regina Aragão Vieira Monteiro, Eduarda Gomes Bogéa, Paulo Xavier de Castro Moreira, Patrícia Cristina Ribeiro Conceição, Sirlei Garcia Marques, Julliana Ribeiro Alves Dos Santos and 3 more

Abstract read
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In one paragraph

Article in Folia microbiologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Carmem Duarte Lima CamposCenter for Biological and Health Sciences, Federal University of Maranhão, Bacanga Campus, São Luís, MA, Brazil.
Camila Itapary Dos SantosCenter for Biological and Health Sciences, Federal University of Maranhão, Bacanga Campus, São Luís, MA, Brazil.
Ennio Patrezzi Sousa CostaCenter for Biological and Health Sciences, Federal University of Maranhão, Bacanga Campus, São Luís, MA, Brazil.
Amanda Graziela Gonçalves MendesCenter for Biological and Health Sciences, Federal University of Maranhão, Bacanga Campus, São Luís, MA, Brazil.
Cinara Regina Aragão Vieira MonteiroCenter for Biological and Health Sciences, Federal University of Maranhão, Bacanga Campus, São Luís, MA, Brazil.
Eduarda Gomes BogéaCenter for Biological and Health Sciences, Federal University of Maranhão, Bacanga Campus, São Luís, MA, Brazil.
Paulo Xavier de Castro MoreiraCEUMA University, São Luís, MA, Brazil.
Patrícia Cristina Ribeiro ConceiçãoCedro Laboratory Ltda, São Luís, MA, Brazil.
Sirlei Garcia MarquesCedro Laboratory Ltda, São Luís, MA, Brazil.
Julliana Ribeiro Alves Dos SantosInstitute of Biological Sciences of Recife, University of Pernambuco, Recife, PE, Brazil.
Mayara Cristina Pinto da SilvaCenter for Biological and Health Sciences, Federal University of Maranhão, Bacanga Campus, São Luís, MA, Brazil.
Cristina de Andrade MonteiroFederal Institute of Education Science and Technology of Maranhão, São Luís, MA, Brazil.
Valério Monteiro-NetoCenter for Biological and Health Sciences, Federal University of Maranhão, Bacanga Campus, São Luís, MA, Brazil. valerio.monteiro@ufma.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vulvovaginal candidiasis (VVC) is a prevalent mucosal infection primarily caused by Candida albicans, affecting up to 75% of women of reproductive age. VVC therapeutic management is increasingly challenged by antifungal resistance, host toxicity, and high recurrence rates. Lactobacillus species, the dominant members of healthy vaginal microbiota, are known to antagonize pathogens and maintain mucosal homeostasis by producing antimicrobial metabolites and modulating epithelial responses. However, few studies have explored the antagonistic and anti-virulence properties of Lactobacillus strains isolated from asymptomatic women, particularly their activity against clinical C. albicans isolates. This study aimed to characterize vaginal Lactobacillus strains and their cell-free supernatants (CFS) isolated from asymptomatic women and evaluate their antifungal and anti-virulence activities against clinical isolates of C. albicans. Forty-two clinical Lactobacillus isolates were identified, of which eight inhibited the growth of the tested pathogens. However, among the clinical isolates, only L. fermentum JAC 231 and Lactiplantibacillus plantarum MDBL 269 inhibited all the fungal isolates tested. Based on these results, L. fermentum ATCC 23271 (positive control) and the clinical strains L. fermentum JAC 231 and L. plantarum MDBL 269 were selected for detailed analyses of their ability to interfere with key virulence factors of C. albicans, including hyphal morphogenesis, biofilm formation and disruption, adhesion, and the secretion of extracellular enzymes. The selected strains and their CFS displayed antagonistic activity: they reduced pathogen adhesion, co-aggregated with yeast cells, impaired biofilm formation, and destabilized preformed biofilms. In addition, whole-genome sequencing combined with antimicrobial peptide gene-cluster prediction using BAGEL4 and antiSMASH revealed two biosynthetic gene clusters in L. fermentum JAC 231 and seven in L. plantarum MDBL 269, providing a plausible genetic basis for the antimicrobial effects observed.

Indexed as

Anti-virulenceAsymptomatic womenCandida albicansLactobacillusProbioticsVulvovaginal candidiasis

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.