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Background
A relationship has been proposed between increases in oral
Candida
concentrations and host immunity. Therefore, the present study was conducted to investigate the relationship between oral
Candida
mannan concentrations and symptoms/signs of ill health and the immune status and also to examine whether health/the immune status may be evaluated based on oral
Candida
mannan concentrations.
Patients and Methods
The health conditions of 25 healthy individuals and 10 cancer patients receiving cytotoxic chemotherapy were assessed using a questionnaire and oral rinse solutions collected on consecutive days.
Candida
mannan concentrations in oral rinse solutions were measured using a commercial sandwich ELISA kit.
Results
The use of dentures was identified as a significant independent factor increasing
Candida
mannan concentrations. In a stratified analysis based on the use of dentures, significantly increased
Candida
mannan concentrations were detected in healthy volunteers with chills and in cancer patients with slight/moderate fever (37.5–38.4 °C) (multivariate analysis,
p
< 0.01) who were non-denture users. These symptoms/signs may be associated with (pre-)infection, during which the immune system is activated and needs to function well.
Conclusions
The present results suggest that oral
Candida
mannan concentrations are a predictive marker for health/the immune status.