Background:Inflammation is supposed to play a key role in the pathophysiological processes of intestinal ischemia-reperfusion injury (IIRI),and Candida albicans in human gut commonly elevates inflammatory cytokines in intestinal mucosa.This study aimed to explore the effect of C albicans on IIRI.Methods:Fifty female Wistar rats were divided into five groups according to the status of C albicans infection and IIRI operation:group blank and sham;group blank and IIRI;group cefoperazone plus IIRI;group C.albicans plus cefoperazone and IIRI (CCI);and group C.albicans plus cefoperazone and sham.The levels of inflammatory factors tumor necrosis factor (TNF)-α,interleukin (IL)-6,IL-1β,and diamine oxidase (DAO) measured by enzyme-linked immunosorbent assay were used to evaluate the inflammation reactivity as well as the integrity of small intestine.Histological scores were used to assess the mucosal damage,and the C albicans blood translocation was detected to judge the permeability of intestinal mucosal barrier.Results:The levels of inflammatory factors TNF-α,IL-6,and IL-1β in serum and intestine were higher in rats undergone both C.albicans infection and IIRI operation compared with rats in other groups.The levels of DAO (serum:44.13 ± 4.30 pg/ml,intestine:346.21 ± 37.03 pg/g) and Chiu scores (3.41 ± 1.09) which reflected intestinal mucosal disruption were highest in group CCI after the operation.The number of C.albicans translocated into blood was most in group CCI ([33.80 ± 6.60] × 102 colony forming unit (CFU)/ml).Conclusion:Intestinal C.albicans infection worsened the IIRI-induced disruption of intestinal mucosal barrier and facilitated the subsequent C.albicans translocation and dissemination.