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Clarifying the Candida-cancer connection

Updated: Jan 7, 2022

Graduate student Easter Ndlovu is exploring the connection between cancer and Candida and hopes her work could eventually pave the way for treatments that prevent the fungus from killing immunocompromised patients.

By Greg Basky for SHRF and the University of Regina

Because cancer patients' immune systems are weakened by chemotherapy, they are more susceptible to bacterial and yeast infections. Studies have found that up to 80 per cent of cancer patients who pick up a microbial infection while in the hospital receiving treatment die not from the cancer their body is battling, but from the microbial infection.

Two people working in a chemical laboratory
Research associate Dr. Taranum Sultana and Easter Ndlovu, a doctoral candidate in chemistry and biochemistry, working in a U of R lab. (Photo by Trevor Hopkin)

Easter Ndlovu, a doctoral candidate in the University of Regina's Department of Chemistry and Biochemistry, is exploring the connection between cancer and one of the most common forms of yeast infection. Her work could eventually pave the way for treatments that prevent the fungus from killing immunocompromised patients.



For the past two years, Ndlovu has been studying how strongly Candida binds to human cells and how much force is needed to separate the two. The young researcher, who was born and raised in Zimbabwe, has shown that the yeast Candida, which causes candidiasis (also known as thrush), adheres to different types of human cells with differing amounts of force.

“For example, it binds more to vaginal cells as compared to skin cells,” says Ndlovu. “And it actually binds more to cancerous cells than to normal human cells.”

Biochemist Dr. Tanya Dahms is Ndlovu's PhD supervisor at the U of R. (Photo by Trevor Hopikin)

Last year, while preparing for a research visit to Toulouse, France, Ndlovu stumbled upon the idea that Candida not only takes advantage of cancer patients’ weakened defenses, but might actually contribute to cancer development in the first place. She worked with her co-supervisor, Etienne Dague, at the Centre National de la Recherche Scientifique (CNRS), using an atomic force microscope (AFM) with a special module that allowed her to quickly measure – at the nanoscale – how strongly Candida attaches to healthy and cancerous cells. Their finding – that Candida binds more forcefully to cancer cells – suggests it’s not just cancer patients’ compromised immune systems that make them more susceptible to the fungal infection.

Her trip abroad was made possible through a Mitacs graduate research award.

Biochemist Dr. Tanya Dahms, Ndlovu's PhD supervisor at the U of R, feels strongly that established researchers must support up-and-coming scientists, to help equip them to find solutions to the big, complex problems facing our world today—challenges like climate change and pandemics. "They are our hope," says Dahms, who holds a Collaborative Innovation Development grant from the Saskatchewan Health Research Foundation (SHRF). "We are helping build skills for the next generation, so that they can tackle these huge problems."



Understanding how and why Candida attaches to cancer cells is a critical first step in finding ways to defend against the fungus, as this connection serves as the beachhead from which it mounts its attack, colonizing and infecting cells. It also may provide insight into how Candida might help transform normal cells into cancerous ones.

Ndlovu believes Candida latches on to cancer cells because they're "stickier" than normal healthy cells. "When cells become cancerous, they undergo a rearrangement of their cytoskeleton—the network of protein filaments that exist within all cells," she says. "Because the cytoskeleton provides support to the cell, when it's disrupted the cell changes shape, its surface area grows, and it becomes softer, which makes it easier for Candida to adhere to the proteins and molecules than when the cytoskeleton is rigid." Her focus now is on figuring out what macromolecules are responsible for making Candida stick more strongly to cancer cells.

"One can never know everything in the world of science. As genes mutate and new diseases emerge, there is always something to research." Cancer research has been underway for decades, but scientists are still searching for answers, says Ndlovu. "It would be very satisfying to contribute something positive to finding a cure."

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