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Malassezia

Genus of fungi

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Through Fungus and Lipid

Some species of Malassezia are found on the skin of animals, including humans. Because malassezia requires fat to grow, it is most common in areas with many sebaceous glands—on the scalp, face, and upper part of the body.

Role in human diseases

Malassezia infections of human skin can cause or aggravate a variety of conditions, including dandruff, seborrheic dermatitis, and acne.

Dermatitis and dandruff

When Malassezia grows too rapidly, the natural renewal of cells is disturbed, and dandruff can appear with itching (a similar process may also occur with other fungi or bacteria).

Identification of Malassezia on skin has been aided by the application of molecular or DNA-based techniques. These investigations show that M. globosa is the species that causes most skin disease in humans, and that it is the most common cause of dandruff and seborrhoeic dermatitis (though M. restricta is also involved).

There can be as many as ten million M. globosa organisms on a human head.

A project in 2007 sequenced the genome of dandruff-causing Malassezia globosa and found it to have 4,285 genes. M. globosa uses eight different types of lipase, along with three phospholipases, to break down the oils on the scalp. Any of these 11 proteins would be a suitable target for dandruff medications.

Prescription and over-the-counter shampoos containing ketoconazole are commonly used to treat dandruff caused by Malassezia.

M. globosa has been predicted to have the ability to reproduce sexually, but this has not been observed.

Skin pigmentation disorders

In occasional opportunistic infections of the trunk and other locations on humans, some species of Malassezia can cause hypopigmentation or hyperpigmentation. Allergy tests for these fungi are available.

The skin rash of tinea versicolor (pityriasis versicolor) is also caused by an infection of this fungus.

Cancer

Translocation of Malassezia species from the intestines into pancreatic neoplasms has been associated with pancreatic ductal adenocarcinoma, and the fungi may promote tumor progression through activation of host complement.

Crohn's and inflammatory bowel disease

M. restricta, which is normally found in the skin, is linked to disorders like Crohn's disease and inflammatory bowel disease when found in the gut. This is especially true for organisms with the N12 CARD9 allele, which provokes a stronger inflammatory response.

Malassezia folliculitis

Malassezia folliculitis (also called pityrosporum folliculitis) is caused by infection with Malassezia.

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