Molecular epidemiology of seborrheic dermatitis/dandruff associated Malassezia species from northern India

Med Mycol. 2024 Oct 4;62(10):myae104. doi: 10.1093/mmy/myae104.

Abstract

Malassezia is a commensal that sometimes becomes pathogenic under the influence of diverse factors. Several species of Malassezia are difficult to culture, making traditional methods of identification challenging. The problem with molecular typing of Malassezia in association with seborrheic dermatitis/dandruff (SD/D) arises due to the unavailability of these fastidious yeast cultures. The aim of the study was to investigate the association between fluorescent amplified fragment length polymorphism (FAFLP) genotypes, disease state (SD/D), and the geographic distribution of M. globosa, M. restricta, and M. arunalokei. In total, 154 isolates representing M. globosa (n = 85), M. restricta (n = 55), and M. arunalokei (n = 14) from lesional/non-lesional areas of SD/D patients and healthy controls residing in the rural (n = 77) and urban (n = 77) areas of northern India were included. A strategy based on the FAFLP methodology was developed using two endonuclease enzymes (EcoRI and HindIII). M. globosa, M. restricta, and M. arunalokei formed 11, 3, and 2 FAFLP clusters, respectively. Disease-specific strains of M. restricta and M. arunalokei preferentially tend to cause SD/D. M. restricta and M. arunalokei showed less genetic variation. M.globosa showed higher genetic diversity. FAFLP clusters revealed the existence of geographically specific strains in M. restricta, M. arunalokei, and M. globosa. Our findings suggest that certain Malassezia strains are not only disease-specific but also geographically distinct.

Keywords: Malassezia; FAFLP; molecular epidemiology; seborrheic dermatitis.

Plain language summary

The association of Malassezia with dandruff appears to be certain. Using the advanced technique, we determined that M. restricta and M. arunalokei are major species causing dandruff. There is also a difference in the specific molecular types affecting the rural and urban populations of India.

MeSH terms

  • Adult
  • Amplified Fragment Length Polymorphism Analysis*
  • DNA, Fungal / genetics
  • Dandruff / epidemiology
  • Dandruff / microbiology
  • Dermatitis, Seborrheic* / epidemiology
  • Dermatitis, Seborrheic* / microbiology
  • Dermatomycoses / epidemiology
  • Dermatomycoses / microbiology
  • Female
  • Genotype*
  • Humans
  • India / epidemiology
  • Malassezia* / classification
  • Malassezia* / genetics
  • Malassezia* / isolation & purification
  • Male
  • Molecular Epidemiology*
  • Molecular Typing
  • Mycological Typing Techniques
  • Rural Population

Substances

  • DNA, Fungal