Published online Sep 14, 2026. doi: 10.3748/wjg.119605
Revised: March 17, 2026
Accepted: April 24, 2026
Published online: September 14, 2026
Processing time: 199 Days and 14.4 Hours
Gut mycobiota dysbiosis contributes to visceral hypersensitivity (VH) in irritable bowel syndrome (IBS); however, the roles of colony-specific fungi in IBS-VH de
To investigate the effects of mucosal mycobiota in IBS-VH pathogenesis in vitro and in vivo along with the underlying mechanisms.
In this study, 36 patients with diarrhea-predominant IBS and 29 healthy controls were enrolled for screening of biomarker fungi using internal transcribed spacer region sequencing. The relationship between fungal abundance and VH in pa
The results showed that Cladosporium was a characteristic fungal genus in the colonic mucosa of patients with diarrhea-predominant IBS. Oral gavage of Cla
Cladosporium, a characteristic colony-specific fungal genus enriched in IBS patients, improved TNBS-induced IBS-VH in mice by inhibiting dectin-1/NF-κB signaling and mast cell activation. C. cladosporioides is a promising fungal species that protects against the IBS-VH.
Core Tip: Gut mycobiota are linked to visceral hypersensitivity (VH) in irritable bowel syndrome (IBS); however, the specific role of fungi in IBS remains unexplored. This study explored the role of the gut mycobiota in VH associated with diarrhea-predominant IBS. We identified Cladosporium as a key fungal genus enriched in diarrhea-predominant IBS patients and demonstrated that Cladosporium cladosporioides (C. cladosporioides) alleviates IBS-VH in mice. Mechanistically, C. cladosporioides reduces inflammatory cytokine levels, inhibits mast cell activation, and downregulates dectin-1/nuclear factor kappa B signaling. These findings suggest C. cladosporioides as a potential therapeutic probiotic for IBS-VH, high