|
|
||||||||
Research Paper |
Department of Pathobiology, School of Public Health and Community Medicine, University of Washington, Seattle, WA 98195, USA1
Seattle Biomedical Research Institute, 4 Nickerson St Suite 200, Seattle, WA 98109-1651, USA2
Department of Medicine, Santa Clara Valley Medical Center and California Institute for Medical Research, San Jose, CA 95128, USA3
Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA 52242, USA4
Department of Pathology, University of Iowa, Iowa City, IA 52242, USA5
Author for correspondence: Theodore C. White. Tel: +1 206 284 8846 ext. 344. Fax: +1 206 284 0313. e-mail: tedwhite{at}u.washington.edu
Antifungal drug resistance in the pathogenic fungus Candida albicans is a serious threat to the growing population of immunocompromised patients. This study describes a significant correlation between loss of heterozygosity at the C. albicans mating-type-like (MTL) locus and resistance to azole antifungals. A pool of 96 clinical isolates consisting of 50 azole-resistant or susceptible dose-dependent isolates and 46 azole-susceptible isolates was screened by PCR for the presence of MTLa1 and MTL
1. These genes were used as markers for the MTLa and MTL
loci. Both loci were present in 84 of the isolates. Six isolates failed to amplify MTLa1 and six failed to amplify MTL
1. Further PCR analysis demonstrated that loss of the MTLa1 and MTL
1 genes corresponded to loss of all of the loci-specific genes, resulting in homozygosity at the MTL locus. Southern analysis and single nucleotide polymorphism (SNP) analysis were used to determine that this loss of heterogeneity was due to replacement of one of the MTL loci with a duplicate of the other locus resulting in two homozygous copies of the MTL locus. Of the 12 homozygous isolates, one isolate was sensitive to azole drugs. Statistical analysis of the data demonstrates a strong correlation between homozygosity at the MTL locus and azole resistance (P<0·003). In a set of serial isolates, an increase in azole resistance correlated with the loss of heterozygosity at the MTL locus, lending further strength to the correlation. Gene disruptions of the MTL loci were found to have no effect on azole susceptibility.
Keywords: pathogenic fungi, mating locus, drug resistance
Abbreviations: CHEF, contour-clamped homogeneous electric field; chr, chromosome; EtBr, ethidium bromide; SNP, single nucleotide polymorphism
This article has been cited by other articles:
![]() |
A. R. Holmes, Y.-H. Lin, K. Niimi, E. Lamping, M. Keniya, M. Niimi, K. Tanabe, B. C. Monk, and R. D. Cannon ABC Transporter Cdr1p Contributes More than Cdr2p Does to Fluconazole Efflux in Fluconazole-Resistant Candida albicans Clinical Isolates Antimicrob. Agents Chemother., November 1, 2008; 52(11): 3851 - 3862. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. S. Richards, B. G. Oliver, and T. C. White Micafungin activity against Candida albicans with diverse azole resistance phenotypes J. Antimicrob. Chemother., August 1, 2008; 62(2): 349 - 355. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Coste, A. Selmecki, A. Forche, D. Diogo, M.-E. Bougnoux, C. d'Enfert, J. Berman, and D. Sanglard Genotypic Evolution of Azole Resistance Mechanisms in Sequential Candida albicans Isolates Eukaryot. Cell, October 1, 2007; 6(10): 1889 - 1904. [Abstract] [Full Text] [PDF] |
||||
![]() |
C.-Y. Lin, Y.-C. Chen, H.-J. Lo, K.-W. Chen, and S.-Y. Li Assessment of Candida glabrata Strain Relatedness by Pulsed-Field Gel Electrophoresis and Multilocus Sequence Typing J. Clin. Microbiol., August 1, 2007; 45(8): 2452 - 2459. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. C. Odds, M.-E. Bougnoux, D. J. Shaw, J. M. Bain, A. D. Davidson, D. Diogo, M. D. Jacobsen, M. Lecomte, S.-Y. Li, A. Tavanti, et al. Molecular Phylogenetics of Candida albicans Eukaryot. Cell, June 1, 2007; 6(6): 1041 - 1052. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. MacPherson, M. Larochelle, and B. Turcotte A Fungal Family of Transcriptional Regulators: the Zinc Cluster Proteins Microbiol. Mol. Biol. Rev., September 1, 2006; 70(3): 583 - 604. [Abstract] [Full Text] [PDF] |
||||
![]() |
M.-E. Bougnoux, D. Diogo, N. Francois, B. Sendid, S. Veirmeire, J. F. Colombel, C. Bouchier, H. Van Kruiningen, C. d'Enfert, and D. Poulain Multilocus Sequence Typing Reveals Intrafamilial Transmission and Microevolutions of Candida albicans Isolates from the Human Digestive Tract. J. Clin. Microbiol., May 1, 2006; 44(5): 1810 - 1820. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Coste, V. Turner, F. Ischer, J. Morschhauser, A. Forche, A. Selmecki, J. Berman, J. Bille, and D. Sanglard A Mutation in Tac1p, a Transcription Factor Regulating CDR1 and CDR2, Is Coupled With Loss of Heterozygosity at Chromosome 5 to Mediate Antifungal Resistance in Candida albicans Genetics, April 1, 2006; 172(4): 2139 - 2156. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Chauhan, T. Ciudad, A. Rodriguez-Alejandre, G. Larriba, R. Calderone, and E. Andaluz Virulence and Karyotype Analyses of rad52 Mutants of Candida albicans: Regeneration of a Truncated Chromosome of a Reintegrant Strain (rad52/RAD52) in the Host Infect. Immun., December 1, 2005; 73(12): 8069 - 8078. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Tavanti, A. D. Davidson, M. J. Fordyce, N. A. R. Gow, M. C. J. Maiden, and F. C. Odds Population Structure and Properties of Candida albicans, as Determined by Multilocus Sequence Typing J. Clin. Microbiol., November 1, 2005; 43(11): 5601 - 5613. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. T. Coste, M. Karababa, F. Ischer, J. Bille, and D. Sanglard TAC1, Transcriptional Activator of CDR Genes, Is a New Transcription Factor Involved in the Regulation of Candida albicans ABC Transporters CDR1 and CDR2 Eukaryot. Cell, December 1, 2004; 3(6): 1639 - 1652. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. L. Pendrak, S. S. Yan, and D. D. Roberts Hemoglobin Regulates Expression of an Activator of Mating-Type Locus {alpha} Genes in Candida albicans Eukaryot. Cell, June 1, 2004; 3(3): 764 - 775. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Pujol, S. A. Messer, M. Pfaller, and D. R. Soll Drug Resistance Is Not Directly Affected by Mating Type Locus Zygosity in Candida albicans Antimicrob. Agents Chemother., April 1, 2003; 47(4): 1207 - 1212. [Abstract] [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| INT J SYST EVOL MICROBIOL | MICROBIOLOGY | J GEN VIROL |
| J MED MICROBIOL | ALL SGM JOURNALS | |