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Yes, It’s True: There’s Fungus Among Us

Posted on by Dr. Francis Collins

A fluorescent pink blob with a blue-green shaft surrounded by purple and blue dots

Caption: A fluorescent microscope image of a human hair shaft in the skin surrounded by bacteria (purple) and fungi (blue).
Credit: Alex Valm, National Human Genome Research Institute, NIH.

Athlete’s foot, ringworm, diaper rash, dandruff, some cases of sinusitis, and vaginal yeast infections are all caused by fungi. These microscopic co-travelers live in the air, water, soil, and, so it happens, on our body. NIH researchers have just completed the first census of the fungi that live on the human body, and it’s quite a diverse collection [1].

The researchers used Q-tips and toenail clippings to sample 14 sites from 10 healthy human volunteers and then analyzed the DNA to determine the identity of the fungi in these locations. They focused on sites—like the back of the head, nostril, feet, and groin, for example—that are frequently plagued with diseases thought to be caused by fungi. (The same team of researchers took a similar approach a few years back to catalog all the bacteria that live on human skin [2].)

Altogether, the DNA sequencing revealed 80 genera of fungi on the surface of our bodies. Fungi belonging to the genus Malassezia are by far the most common on the head and trunk. The hands, which are rich in bacteria, have relatively few types of fungi. But it’s the feet—the heels, the webbed skin between the toes, and the toenails—that harbor the most diverse collection of fungi, with up to 80 genera—including the yeast Saccharomyces that’s used to brew beer and make bread.

Toenail infections are notoriously difficult to eradicate. Interestingly, the researchers discovered that toenails foster unique collections of fungi. Some of these fungi can discolor and break the toenail, creating portals through which other pathogenic bacteria and fungi can enter the body.

Line drawing of a human with pie charts of various degrees of purple fill adjacent to different areas of the body.

Human Skin Fungal Diversity. The fungi Malassezia (purple) dominates the majority of the body sites. The feet harbor the greatest diversity of fungi. Credit: Darryl Leja and Julia Fekecs, National Human Genome Research Institute, NIH.

Together, all of these studies reveal that the skin is an incredibly dynamic and complex ecosystem teeming with bacteria, viruses, and fungi that interact with each other and with us, their hosts! This census gives us the opportunity to investigate how all these microorganisms network, what they do for us, and what we do for them. That’s vital, because certain microbes are needed for healthy skin, while others cause disease or set the stage for them.

The skin isn’t the only location that harbors fungi. Just last year, an NIH-supported team based at Cedars-Sinai Medical Center, Los Angeles, showed that there’s a rich community of fungi co-existing with bacteria in the human intestine [3].

About 29 million Americans suffer from fungal infections. Many of those are just bothersome skin problems—but fungi can also cause life threatening lung problems (like Valley Fever in the Southwest United States) or meningitis (as recently reported in  hundreds of individuals after epidural injections of a contaminated steroid preparation).  Most current oral antifungal medications have serious side effects, including liver and kidney damage. To develop safer drugs and vaccines, we need a better understanding of our fungal friends and foes. The use of genomic sequencing to take the census of these microbes opens a new chapter in understanding health and disease.


[1]  Topographic diversity of fungal and bacterial communities in human skin. Findley K, Oh J, Yang J, Conlan S, Deming C, Meyer JA, Schoenfeld D, Nomicos E, Park M; NIH Intramural Sequencing Center Comparative Sequencing Program, Becker J, Benjamin B, Blakesley R, Bouffard G, Brooks S, Coleman H, Dekhtyar M, Gregory M, Guan X, Gupta J, Han J, Hargrove A, Ho SL, Johnson T, Legaspi R, Lovett S, Maduro Q, Masiello C, Maskeri B, McDowell J, Montemayor C, Mullikin J, Park M, Riebow N, Schandler K, Schmidt B, Sison C, Stantripop M, Thomas J, Thomas P, Vemulapalli M, Young A, Kong HH, Segre JA. Nature. 2013 May 22.

[2] Topographical and temporal diversity of the human skin microbiome. Grice EA, Kong HH, Conlan S, Deming CB, Davis J, Young AC; NISC Comparative Sequencing Program, Bouffard GG, Blakesley RW, Murray PR, Green ED, Turner ML, Segre JA. Science. 2009 May 29;324(5931):1190-2.

[3] Interactions between commensal fungi and the C-type lectin receptor Dectin-1 influence colitis. Iliev ID, Funari VA, Taylor KD, Nguyen Q, Reyes CN, Strom SP, Brown J, Becker CA, Fleshner PR, Dubinsky M, Rotter JI, Wang HL, McGovern DP, Brown GD, Underhill DM. Science. 2012 Jun 8;336(6086):1314-7.

For More Information:

Understanding Microbes; in Sickness and in Health

The Human Microbiome Project

NIH support: National Human Genome Research Institute; National Cancer Institute; Clinical Center; National Institute of Allergy and Infectious Diseases; National Institute of Diabetes and Digestive and Kidney Diseases; Office of the Director/Common Fund



  • Amanda says:

    This article does a great job explaining this facinating issue but does little to discuss how we may prevent ourselves (prevent is probably a bad term, limit ourselves would fit better) from harmful fungal exposure. Wear sandals more often? Bathe more frequently? I wonder if there is anything we can really do to limit our exposure?

    • H Kong says:

      Thank you for your interest in our research and for your questions. Our study examined what fungi were present on the skin of healthy volunteers and does not directly address these questions. Much information about fungi including the definition of ‘beneficial’ versus ‘harmful’ fungi remains unknown. At this time, it is too early to know if limiting exposure is helpful or actually harmful. Further research is needed to understand the function of these skin fungi and how these fungi may be beneficial for human health.

  • Chagai Dubrawsky M.D. says:

    Fungi are integral part of the Microbial Domain: Bacteria, Viruses, Fungi,certain Parasites. As such, it is unicellular–Poikaryaotic. In the world of the multicellular Eukaryotics,the cell defends itself by depositing an abundance of High Density Lipoproteins(HDL) in the membrane and its receptors. To that, the microbes counter by depositing glycolipoproteins (GLPs)in the outer membrane and its receptors. In the “clash” between the “mighty,” the one that is more rich and abundant, wins. Winner take all. All this occur within the complement system. How can we affect the immune system, mainly the innate immunity, this is the question. This is also my answer: invention–how to activate the innate immunity and immune privileges in timely fashion for”survival of the species”

  • Anna Elizabeth Wooten says:

    I am an artist … I am also a would-be scientist as a hobby. … Do you think you could use a way to communicate with the fungi, use mental telepathy or some other way to find something that could excite them to communicate. It is like praying over a plant to get it to let you know you care about it and it grows more profusely….

  • Jenny says:

    The skin being a living organism reacts to different environments (such as humid, hot, dry or wet climate conditions). Did the research indicate which locations fungi may be expected in certain types of environments?

  • mh says:

    you are sharing the best blog regarding the ringworm, it’s very informative.

  • MHC says:

    Great content, great blog, thanks for sharing …

  • Khail says:

    Well … well it seems few have awareness to the cosmos & life of all sizes & dimensions however,
    the one’s who know something get in touch with me.

  • anna says:

    Fungal infections are one of the major burdens of skin diseases across the globe. In humans, fungal infections occur when an invading fungus takes over a part of the body

  • Bonnie says:

    How does the common person, ie.. someone not medical trained, know when they are in the “unhealthy” phase of being overrun by fungi? And what can the person do to get healthy?

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