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1.
Lett Appl Microbiol ; 77(9)2024 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-39257244

RESUMO

Histone acetyltransferase inhibitors (HATi) are mechanism-based inhibitors that show promise in the treatment of several illnesses, including diabetes, hyperlipidemia, cancer, and Alzheimer's disease. The work emphasizes the significance of HATi as a possible treatment strategy against Candida species biofilms. Here, in this study, we found that combining a HATi, anacardic acid (AA), and quercetin, a known flavonoid, significantly prevented biofilm formation by C. tropicalis. We further show that C. tropicalis exhibited a considerable downregulation of drug-resistance gene expression (CDR1 and MDR1) when co-administrated. Additionally, in silico studies revealed that the AA interacts strongly with a histone acetyltransferase, Rtt109, which may account for the observed biofilm inhibitory effect. In conclusion, the study illustrates how HATi may be used to potentiate the inhibitory action of phytoactives or antifungals against drug-resistant yeast infections.


Assuntos
Ácidos Anacárdicos , Antifúngicos , Biofilmes , Candida tropicalis , Sinergismo Farmacológico , Histona Acetiltransferases , Quercetina , Candida tropicalis/efeitos dos fármacos , Quercetina/farmacologia , Biofilmes/efeitos dos fármacos , Antifúngicos/farmacologia , Histona Acetiltransferases/antagonistas & inibidores , Histona Acetiltransferases/metabolismo , Histona Acetiltransferases/genética , Ácidos Anacárdicos/farmacologia , Farmacorresistência Fúngica , Testes de Sensibilidade Microbiana , Inibidores Enzimáticos/farmacologia , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Proteínas Fúngicas/antagonistas & inibidores
2.
Pestic Biochem Physiol ; 204: 106093, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39277419

RESUMO

Colletotrichum gloeosporioides is the causal pathogen for the devastating walnuts anthracnose. A novel quinone inside inhibitor (QiI) fungicide florylpicoxamid has strong inhibitory efficacy against C. gloeosporioides. This study looked into the resistance risk and mechanism of C. gloeosporioides to florylpicoxamid. The basal level sensitivity of C. gloeosporioides isolates (n = 102) to florylpicoxamid was established with an average 50% mycelial growth inhibition concentration (EC50) value of 0.069 ± 0.035 µg/mL. Six stable florylpicoxamid-resistant mutants with resistance factors of >1000 were produced. The fitness of every mutant was much lower than that of their parental isolates. In general, the resistance risk of C. gloeosporioides to florylpicoxamid would be moderate. Molecular docking results revealed that the amino acid substitutions A37V, and S207L in CgCytb lead to a reduction in the binding affinity between florylpicoxamid and CgCytb, indicating that these two mutations (S207L and A37V in CgCytb) indeed confer florylpicoxamid resistance in C. gloeosporioides. These findings offer a fresh viewpoint on the mechanism underlying QiI fungicide resistance and could support the prudent application of florylpicoxamid in the future to combat walnut anthracnose.


Assuntos
Colletotrichum , Farmacorresistência Fúngica , Fungicidas Industriais , Juglans , Simulação de Acoplamento Molecular , Colletotrichum/efeitos dos fármacos , Colletotrichum/genética , Farmacorresistência Fúngica/genética , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Fungicidas Industriais/farmacologia , Juglans/microbiologia , Mutação , Doenças das Plantas/microbiologia
3.
PLoS Pathog ; 20(9): e1012521, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39250486

RESUMO

Invasive fungal infections are associated with high mortality, which is exacerbated by the limited antifungal drug armamentarium and increasing antifungal drug resistance. Echinocandins are a frontline antifungal drug class targeting ß-glucan synthase (GS), a fungal cell wall biosynthetic enzyme. Echinocandin resistance is generally low but increasing in species like Candida glabrata, an opportunistic yeast pathogen colonizing human mucosal surfaces. Mutations in GS-encoding genes (FKS1 and FKS2 in C. glabrata) are strongly associated with clinical echinocandin failure, but epidemiological studies show that other, as yet unidentified factors also influence echinocandin susceptibility. Furthermore, although the gut is known to be an important reservoir for emergence of drug-resistant strains, the evolution of resistance is not well understood. Here, we studied the evolutionary dynamics of C. glabrata colonizing the gut of immunocompetent mice during treatment with caspofungin, a widely-used echinocandin. Whole genome and amplicon sequencing revealed rapid genetic diversification of this C. glabrata population during treatment and the emergence of both drug target (FKS2) and non-drug target mutations, the latter predominantly in the FEN1 gene encoding a fatty acid elongase functioning in sphingolipid biosynthesis. The fen1 mutants displayed high fitness in the gut specifically during caspofungin treatment and contained high levels of phytosphingosine, whereas genetic depletion of phytosphingosine by deletion of YPC1 gene hypersensitized the wild type strain to caspofungin and was epistatic to fen1Δ. Furthermore, high resolution imaging and mass spectrometry showed that reduced caspofungin susceptibility in fen1Δ cells was associated with reduced caspofungin binding to the plasma membrane. Finally, we identified several different fen1 mutations in clinical C. glabrata isolates, which phenocopied the fen1Δ mutant, causing reduced caspofungin susceptibility. These studies reveal new genetic and molecular determinants of clinical caspofungin susceptibility and illuminate the dynamic evolution of drug target and non-drug target mutations reducing echinocandin efficacy in patients colonized with C. glabrata.


Assuntos
Antifúngicos , Candida glabrata , Candidíase , Caspofungina , Farmacorresistência Fúngica , Mutação , Esfingolipídeos , Candida glabrata/genética , Candida glabrata/efeitos dos fármacos , Candida glabrata/metabolismo , Caspofungina/farmacologia , Camundongos , Antifúngicos/farmacologia , Animais , Esfingolipídeos/biossíntese , Esfingolipídeos/metabolismo , Farmacorresistência Fúngica/genética , Candidíase/tratamento farmacológico , Candidíase/microbiologia , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Glucosiltransferases/genética , Glucosiltransferases/metabolismo , Testes de Sensibilidade Microbiana , Equinocandinas/farmacologia , Humanos
4.
Emerg Microbes Infect ; 13(1): 2398596, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-39234778

RESUMO

The global rate of Amphotericin B (AmB) resistance in Candida auris has surpassed 12%. However, there is limited data on available clinical treatments and microevolutionary analyses concerning reduced AmB sensitivity. In this study, we collected 18 C. auris isolates from five patients between 2019 and 2022. We employed clinical data mining, genomic, and transcriptomic analyses to identify genetic evolutionary features linked to reduced AmB sensitivity in these isolates during clinical treatment. We identified six isolates with a minimum inhibitory concentration (MIC) of AmB below 0.5 µg/mL (AmB0.5) and 12 isolates with an AmB-MIC of 1 µg/mL (AmB1) or ≥ 2 µg/mL (AmB2). All five patients received 24-hour AmB (5 mg/L) bladder irrigation treatment. Evolutionary analyses revealed an ERG3 (c923t) mutation in AmB1 C. auris. Additionally, AmB2 C. auris was found to contain a t2831c mutation in the RAD2 gene. In the AmB1 group, membrane lipid-related gene expression (ERG1, ERG2, ERG13, and ERG24) was upregulated, while in the AmB2 group, expression of DNA-related genes (e.g. DNA2 and PRI1) was up-regulated. In a series of C.auris strains with reduced susceptibility to AmB, five key genes were identified: two upregulated (IFF9 and PGA6) and three downregulated (HGT7, HGT13,and PRI32). In this study, we demonstrate the microevolution of reduced AmB sensitivity in vivo and further elucidate the relationship between reduced AmB sensitivity and low-concentration AmB bladder irrigation. These findings offer new insights into potential antifungal drug targets and clinical markers for the "super fungus", C. auris.


Assuntos
Anfotericina B , Antifúngicos , Candida auris , Candidíase , Farmacorresistência Fúngica , Testes de Sensibilidade Microbiana , Humanos , Anfotericina B/farmacologia , Antifúngicos/farmacologia , China/epidemiologia , Farmacorresistência Fúngica/genética , Candidíase/microbiologia , Candidíase/tratamento farmacológico , Candida auris/genética , Candida auris/efeitos dos fármacos , Evolução Molecular , Masculino , Mutação , Feminino , Pessoa de Meia-Idade , Proteínas Fúngicas/genética
5.
Nat Commun ; 15(1): 7722, 2024 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-39242571

RESUMO

In Candida albicans, Cdr1 pumps azole drugs out of the cells to reduce intracellular accumulation at detrimental concentrations, leading to azole-drug resistance. Milbemycin oxime, a veterinary anti-parasitic drug, strongly and specifically inhibits Cdr1. However, how Cdr1 recognizes and exports azole drugs, and how milbemycin oxime inhibits Cdr1 remain unclear. Here, we report three cryo-EM structures of Cdr1 in distinct states: the apo state (Cdr1Apo), fluconazole-bound state (Cdr1Flu), and milbemycin oxime-inhibited state (Cdr1Mil). Both the fluconazole substrate and the milbemycin oxime inhibitor are primarily recognized within the central cavity of Cdr1 through hydrophobic interactions. The fluconazole is suggested to be exported from the binding site into the environment through a lateral pathway driven by TM2, TM5, TM8 and TM11. Our findings uncover the inhibitory mechanism of milbemycin oxime, which inhibits Cdr1 through competition, hindering export, and obstructing substrate entry. These discoveries advance our understanding of Cdr1-mediated azole resistance in C. albicans and provide the foundation for the development of innovative antifungal drugs targeting Cdr1 to combat azole-drug resistance.


Assuntos
Antifúngicos , Azóis , Candida albicans , Microscopia Crioeletrônica , Proteínas Fúngicas , Proteínas de Membrana Transportadoras , Candida albicans/efeitos dos fármacos , Candida albicans/metabolismo , Proteínas Fúngicas/metabolismo , Proteínas Fúngicas/química , Proteínas Fúngicas/antagonistas & inibidores , Antifúngicos/farmacologia , Antifúngicos/química , Azóis/farmacologia , Azóis/química , Proteínas de Membrana Transportadoras/metabolismo , Proteínas de Membrana Transportadoras/química , Proteínas de Membrana Transportadoras/ultraestrutura , Farmacorresistência Fúngica , Fluconazol/farmacologia , Sítios de Ligação
6.
Mycoses ; 67(9): e13802, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39323058

RESUMO

BACKGROUND: Tinea pedis is one of the most prevalent superficial fungal infections. Initial antifungal treatment is often acquired over-the-counter (OTC) without previous consultation with a physician. OBJECTIVE: Lately, increasing antifungal terbinafine resistance has been documented in Denmark and globally and it is therefore of interest to assess how Danish pharmacies advise customers with tinea pedis. METHODS: One hundred Danish pharmacies were randomly selected and an employee interviewed from each. A structured question guide was followed, with the possibility to add further comments. RESULTS: Interviews of 94 pharmacies were conducted. Six pharmacies never replied. Terbinafine as standard dose or cutaneous solution terbinafine one time application (Lamisil Once (R)) were recommended by 99% of the pharmacy employees as first-line treatment. The customer was advised to seek medical attention when tinea pedis was recurring (93%), or when treatment duration was > 2 weeks (77%). The majority (88%) of the pharmacy employees had no knowledge about antifungal resistance. CONCLUSION: Only few pharmacy employees were aware of the current problem of antifungal resistance and the majority advised costumers to initiate treatment using OTC topical terbinafine. The problem of emerging antifungal resistance requires attention in order to provide customers with tinea pedis effective treatment and prevent further societal spread of resistance to antifungals.


Assuntos
Antifúngicos , Farmacorresistência Fúngica , Terbinafina , Tinha dos Pés , Humanos , Antifúngicos/uso terapêutico , Dinamarca , Terbinafina/uso terapêutico , Tinha dos Pés/tratamento farmacológico , Tinha dos Pés/microbiologia , Farmácias , Aconselhamento , Feminino , Masculino , Inquéritos e Questionários , Medicamentos sem Prescrição/uso terapêutico
7.
Arch Dermatol Res ; 316(9): 642, 2024 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-39325271

RESUMO

Candida parapsilosis was introduced as the second most responsible for nail involvement. The colonization of biotic and abiotic surfaces by Candida spp. can result in the formation of biofilms, which possess a high level of resistance to typical antifungal agents. Since Candida spp. can produce biofilm mass on the surface of the nails, dermatologists should consider appropriate antifungals to eliminate both the planktonic and biofilm cells. The aim of this research was to determine the antifungal efficacy of itraconazole against C. parapsilosis sensu lato biofilm formations, in addition to its static effects. Ten C. parapsilosis sensu lato isolates were enrolled in this study. The use of itraconazole results in the accumulation of reactive oxygen species (ROS) during treatment. In order to verify the correlation between ROS and itraconazole-induced cell death, the viability of cells was analyzed by administering the ROS scavenger Ascorbic acid. The apoptotic features of itraconazole were analyzed using the Annexin V-FITC method. Based on current data, it was found that the generation of intracellular stresses by itraconazole is not observed in cells upon ROS inhibition, emphasizing the importance of intracellular ROS in the apoptotic mechanism of itraconazole. Targeting the oxidative defense system is a powerful point to use ROS-inducing antifungals as a superior choice for more effective therapies in case of recalcitrant onychomycosis.


Assuntos
Antifúngicos , Biofilmes , Candida parapsilosis , Farmacorresistência Fúngica , Itraconazol , Onicomicose , Espécies Reativas de Oxigênio , Itraconazol/farmacologia , Humanos , Biofilmes/efeitos dos fármacos , Espécies Reativas de Oxigênio/metabolismo , Onicomicose/tratamento farmacológico , Onicomicose/microbiologia , Antifúngicos/farmacologia , Farmacorresistência Fúngica/efeitos dos fármacos , Candida parapsilosis/efeitos dos fármacos , Candida parapsilosis/isolamento & purificação , Apoptose/efeitos dos fármacos , Testes de Sensibilidade Microbiana , Feminino , Unhas/microbiologia , Unhas/efeitos dos fármacos
8.
Clinics (Sao Paulo) ; 79: 100497, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39284275

RESUMO

INTRODUCTION: Candida auris is a globally disseminated invasive ascomycetous yeast, that imposes a substantial burden on healthcare systems. It has been documented to have spread to over 40 countries across six continents, necessitating in-depth comprehension through advanced techniques like Whole-Genome Sequencing. METHOD: This study entailed the isolation and Whole-Genome Sequencing of a fluconazole-resistant C. auris strain (CA01) obtained from a patient's blood in Beijing. Genome analysis was conducted to classify the strain, and molecular docking was performed to understand the impact of mutations on drug resistance. RESULTS: Genome analysis revealed that CA01 belongs to the South Asia Clade (I) and shares the closest genetic relationship with previously reported strains BJCA001 and BJCA002. Notably, unlike BJCA001, CA01 exhibits significant resistance to fluconazole primarily due to the A395T mutation in the ERG11 gene. Molecular docking studies demonstrated that this mutation leads to geometric changes in the active site where fluconazole binds, resulting in decreased binding affinity. Additionally, the present findings have identified several core virulence genes in C. auris, such as RBF1. DISCUSSION: The findings from this study expand the understanding of the genetic diversity and adaptive mechanisms of C. auris within the South Asia Clade (I). The observed fluconazole resistance driven by the ERG11 mutation A395T highlights the need for heightened awareness and adaptation in clinical treatment strategies in China. This study provides critical insights into drug resistance and virulence profiles at a genetic level, which could guide future therapeutic and management strategies for C. auris infections.


Assuntos
Antifúngicos , Candida auris , Farmacorresistência Fúngica , Fluconazol , Humanos , Farmacorresistência Fúngica/genética , Antifúngicos/farmacologia , Antifúngicos/uso terapêutico , Fluconazol/farmacologia , Fluconazol/uso terapêutico , Virulência/genética , Candida auris/genética , Candida auris/efeitos dos fármacos , Candida auris/patogenicidade , Testes de Sensibilidade Microbiana , Mutação , Pequim , Simulação de Acoplamento Molecular , Candidíase/microbiologia , Candidíase/tratamento farmacológico , Sequenciamento Completo do Genoma , Ásia Meridional
9.
Front Cell Infect Microbiol ; 14: 1426791, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39268490

RESUMO

Background: In the face of increasing antifungal resistance among Candida albicans biofilms, this study explores the efficacy of a combined treatment using Kangbainian lotion (KBN) and miconazole nitrate (MN) to address this challenge. Methods: Using UPLC-Q-TOF/MS Analysis for Identification of Active Compounds in KBN Lotion; FICI for synergy evaluation, XTT and ROS assays for biofilm viability and oxidative stress, fluorescence and confocal laser scanning microscopy (CLSM) for structural and viability analysis, and real-time fluorescence for gene expression. Conclusion: Our study indicates that the combined application of KBN and MN somewhat impacts the structural integrity of Candida albicans biofilms and affects the expression of several key genes involved in biofilm formation, including ALS1, ALS3, HWP1, HSP90, and CSH1. These preliminary findings suggest that there may be a synergistic effect between KBN and MN, potentially influencing not only the structural aspects of fungal biofilms but also involving the modulation of genetic pathways during their formation.


Assuntos
Antifúngicos , Biofilmes , Candida albicans , Farmacorresistência Fúngica , Sinergismo Farmacológico , Miconazol , Testes de Sensibilidade Microbiana , Biofilmes/efeitos dos fármacos , Candida albicans/efeitos dos fármacos , Antifúngicos/farmacologia , Miconazol/farmacologia , Espécies Reativas de Oxigênio/metabolismo , Viabilidade Microbiana/efeitos dos fármacos , Estresse Oxidativo/efeitos dos fármacos , Extratos Vegetais/farmacologia , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Regulação Fúngica da Expressão Gênica/efeitos dos fármacos , Humanos
10.
Science ; 385(6715): eads3473, 2024 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-39298606

RESUMO

This month, the United Nations (UN) General Assembly will convene its second High-Level Meeting on antimicrobial resistance, urging UN member states to take decisive action against this growing threat. The US Centers for Disease Control and Prevention (CDC) has released a list of the drug-resistant bacterial and fungal infections that pose the greatest concern to public health. Yet, despite increasing warnings from infectious disease experts, the public remains largely unaware of the true scale of the problem. In a world where antibiotics still protect us from bacterial infections, we are shielded from experiencing antimicrobial resistance as an immediate threat to our daily lives.


Assuntos
Antibacterianos , Farmacorresistência Bacteriana , Farmacorresistência Fúngica , Humanos , Antibacterianos/efeitos adversos , Antibacterianos/farmacologia , Infecções Bacterianas/tratamento farmacológico , Infecções Bacterianas/microbiologia , Centers for Disease Control and Prevention, U.S. , Micoses/tratamento farmacológico , Micoses/microbiologia , Nações Unidas , Estados Unidos
11.
Cell ; 187(19): 5121-5127, 2024 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-39303681

RESUMO

Fungi play critical roles in the homeostasis of ecosystems globally and have emerged as significant causes of an expanding repertoire of devastating diseases in plants, animals, and humans. In this Commentary, we highlight the importance of fungal pathogens and argue for concerted research efforts to enhance understanding of fungal virulence, antifungal immunity, novel drug targets, antifungal resistance, and the mycobiota to improve human health.


Assuntos
Fungos , Micoses , Fungos/patogenicidade , Humanos , Micoses/microbiologia , Micoses/imunologia , Animais , Farmacorresistência Fúngica , Antifúngicos/farmacologia , Virulência
12.
Mycoses ; 67(9): e13795, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39304967

RESUMO

BACKGROUND: Terbinafine is widely used to treat onychomycosis caused by dermatophyte fungi. Terbinafine resistance in recent years is causing concern. Resistance has so far been associated with single-nucleotide substitutions in the DNA sequence of the enzyme squalene epoxidase (SQLE) but how this affects SQLE functionality is not understood. OBJECTIVES: The aim of this study was to understand newly discovered resistance in two Australian strains of Trichophyton interdigitale. PATIENTS/METHODS: Resistance to terbinafine was tested in four newly isolated strains. Three-dimensional SQLE models were prepared to investigate how the structure of their SQLE affected the binding of terbinafine. RESULTS: This study found the first Australian occurrences of terbinafine resistance in two T. interdigitale strains. Both strains had novel deletion mutations in erg1 and frameshifts during translation. Three-dimensional models had smaller SQLE proteins and open reading frames as well as fewer C-terminal α-helices than susceptible strains. In susceptible strains, the lipophilic tail of terbinafine was predicted to dock stably into a hydrophobic pocket in SQLE lined by over 20 hydrophobic amino acids. In resistant strains, molecular dynamics simulations showed that terbinafine docking was unstable and so terbinafine did not block squalene metabolism and ultimately ergosterol production. The resistant reference strain ATCC MYA-4438 T. rubrum showed a single erg1 mutation that resulted in frameshift during translation, leading to C-terminal helix deletion. CONCLUSIONS: Modelling their effects on their SQLE proteins will aid in the design of potential new treatments for these novel resistant strains, which pose clinical problems in treating dermatophyte infections with terbinafine.


Assuntos
Antifúngicos , Arthrodermataceae , Farmacorresistência Fúngica , Esqualeno Mono-Oxigenase , Terbinafina , Terbinafina/farmacologia , Esqualeno Mono-Oxigenase/genética , Esqualeno Mono-Oxigenase/metabolismo , Farmacorresistência Fúngica/genética , Austrália , Antifúngicos/farmacologia , Humanos , Arthrodermataceae/efeitos dos fármacos , Arthrodermataceae/genética , Arthrodermataceae/enzimologia , Testes de Sensibilidade Microbiana , Onicomicose/microbiologia , Onicomicose/tratamento farmacológico , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Modelos Moleculares
13.
Mol Plant Pathol ; 25(9): e13498, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39305021

RESUMO

We examined the molecular basis of triazole resistance in Blumeria graminis f. sp. tritici (wheat mildew, Bgt), a model organism among powdery mildews. Four genetic models for responses to triazole fungicides were identified among US and UK isolates, involving multiple genetic mechanisms. Firstly, only two amino acid substitutions in CYP51B lanosterol demethylase, the target of triazoles, were associated with resistance, Y136F and S509T (homologous to Y137F and S524T in the reference fungus Zymoseptoria tritici). As sequence variation did not explain the wide range of resistance, we also investigated Cyp51B copy number and expression, the latter using both reverse transcription-quantitative PCR and RNA-seq. The second model for resistance involved higher copy number and expression in isolates with a resistance allele; thirdly, however, moderate resistance was associated with higher copy number of wild-type Cyp51B in some US isolates. A fourth mechanism was heteroallelism with multiple alleles of Cyp51B. UK isolates, with significantly higher mean resistance than their US counterparts, had higher mean copy number, a high frequency of the S509T substitution, which was absent from the United States, and in the most resistant isolates, heteroallelism involving both sensitivity residues Y136+S509 and resistance residues F136+T509. Some US isolates were heteroallelic for Y136+S509 and F136+S509, but this was not associated with higher resistance. The obligate biotrophy of Bgt may constrain the tertiary structure and thus the sequence of CYP51B, so other variation that increases resistance may have a selective advantage. We describe a process by which heteroallelism may be adaptive when Bgt is intermittently exposed to triazoles.


Assuntos
Ascomicetos , Farmacorresistência Fúngica , Fungicidas Industriais , Dosagem de Genes , Farmacorresistência Fúngica/genética , Ascomicetos/efeitos dos fármacos , Ascomicetos/genética , Fungicidas Industriais/farmacologia , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Triazóis/farmacologia , Doenças das Plantas/microbiologia , Triticum/microbiologia , Triticum/genética , Regulação Fúngica da Expressão Gênica/efeitos dos fármacos , Sistema Enzimático do Citocromo P-450/genética , Sistema Enzimático do Citocromo P-450/metabolismo , Esterol 14-Desmetilase/genética , Esterol 14-Desmetilase/metabolismo
14.
Elife ; 132024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39255191

RESUMO

There is growing interest in designing multidrug therapies that leverage tradeoffs to combat resistance. Tradeoffs are common in evolution and occur when, for example, resistance to one drug results in sensitivity to another. Major questions remain about the extent to which tradeoffs are reliable, specifically, whether the mutants that provide resistance to a given drug all suffer similar tradeoffs. This question is difficult because the drug-resistant mutants observed in the clinic, and even those evolved in controlled laboratory settings, are often biased towards those that provide large fitness benefits. Thus, the mutations (and mechanisms) that provide drug resistance may be more diverse than current data suggests. Here, we perform evolution experiments utilizing lineage-tracking to capture a fuller spectrum of mutations that give yeast cells a fitness advantage in fluconazole, a common antifungal drug. We then quantify fitness tradeoffs for each of 774 evolved mutants across 12 environments, finding these mutants group into classes with characteristically different tradeoffs. Their unique tradeoffs may imply that each group of mutants affects fitness through different underlying mechanisms. Some of the groupings we find are surprising. For example, we find some mutants that resist single drugs do not resist their combination, while others do. And some mutants to the same gene have different tradeoffs than others. These findings, on one hand, demonstrate the difficulty in relying on consistent or intuitive tradeoffs when designing multidrug treatments. On the other hand, by demonstrating that hundreds of adaptive mutations can be reduced to a few groups with characteristic tradeoffs, our findings may yet empower multidrug strategies that leverage tradeoffs to combat resistance. More generally speaking, by grouping mutants that likely affect fitness through similar underlying mechanisms, our work guides efforts to map the phenotypic effects of mutation.


Mutations in an organism's DNA make the individual more likely to survive and reproduce in its environment, passing on its mutations to the next generation. Mutations can alter the proteins that a gene codes for in many ways. This leads to a situation where seemingly similar mutations ­ such as two mutations in the same gene ­ can have different effects. For example, two different mutations could affect the primary function of the encoded protein in the same way but have different side effects. One mutation might also cause the protein to interact with a new molecule or protein. Organisms possessing one or the other mutation will thus have similar odds of surviving and reproducing in some environments, but differences in environments where the new interaction is important. In microorganisms, mutations can lead to drug resistance. If drug-resistant mutations have different side effects, it can be challenging to treat microbial infections, as drug-resistant pathogens are often treated with sequential drug strategies. These strategies rely on mutations that cause resistance to the first drug all having susceptibility to the second drug. But if similar seeming mutations can have diverse side effects, predictions about how they will respond to a second drug are more complicated. To address this issue, Schmidlin, Apodaca et al. collected a diverse group of nearly a thousand mutant yeast strains that were resistant to a drug called fluconazole. Next, they asked to what extent the fitness ­ the ability to survive and reproduce ­ of these mutants responded similarly to environmental change. They used this information to cluster mutations into groups that likely have similar effects at the molecular level, finding at least six such groups with unique trade-offs across environments. For example, some groups resisted only low drug concentrations, and others were unique in that they resisted treatment with two single drugs but not their combination. These diverse types of fluconazole-resistant yeast lineages highlight the challenges of designing a simple sequential drug treatment that targets all drug-resistant mutants. However, the results also suggest some predictability in how drug-resistant infections can evolve and be treated.


Assuntos
Antifúngicos , Farmacorresistência Fúngica , Fluconazol , Aptidão Genética , Mutação , Saccharomyces cerevisiae , Fluconazol/farmacologia , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/efeitos dos fármacos , Antifúngicos/farmacologia , Farmacorresistência Fúngica/genética
16.
Mycoses ; 67(9): e13791, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39239666

RESUMO

BACKGROUND: Cystic fibrosis (CF), an inherited autosomal recessive disorder, is linked with high morbidity and mortality rates due to bacteria, filamentous, yeast and black yeast-like fungi colonisation in the upper respiratory tract. Although Candida species are the most common fungi isolated from CF patients, azole-resistant Aspergillus fumigatus (ARAf) is a big concern for invasive aspergillosis. Notably, the exact prevalences of Aspergillus species and the prevalence of ARAf isolates among Iranian CF patients have yet to be previously reported and are unknown. We aimed to investigate the prevalence of ARAf isolates in CF patients among Iranian populations by focusing on molecular mechanisms of the mutations in the target gene. METHODS: The 1 year prospective study recovered 120 sputum samples from 103 CF patients. Of these, 55.1% (86/156) yielded Aspergillus species, screened for ARAf using plates containing itraconazole (4 mg/L) and voriconazole (1 mg/L). According to the CLSI-M38 guidelines, antifungal susceptibility testing was performed using the broth microdilution method. In all phenotypically resistant isolates, the target of azole agents, the cyp51A gene, was sequenced to detect any possible single nucleotide polymorphisms (SNP) mediating resistance. RESULTS: Of 120 samples, 101 (84.2%) were positive for filamentous fungi and yeast-like relatives, with 156 fungal isolates. The most common colonising fungi were Aspergillus species (55.1%, 86/156), followed by Candida species (39.8%, 62/156), Exophiala species (3.8%, 6/156) and Scedosporium species (1.3%, 2/156). Forty out of 86 (46.5%) were identified for section Fumigati, 36 (41.9%) for section Flavi, 6 (7%) for section Nigri and 4 (4.6%) for section Terrei. Fourteen out of 40 A. fumigatus isolates were phenotypically resistant. The overall proportion of ARAf in total fungal isolates was 9% (14/156). cyp51A gene analysis in resistant isolates revealed that 13 isolates harboured G448S, G432C, T289F, D255E, M220I, M172V, G138C, G54E and F46Y mutations and one isolate carried G448S, G432C, T289F, D255E, M220I, G138C, G54E and F46Y mutations. Additionally, this study detects two novel cyp51A single-nucleotide polymorphisms (I242V and D490E). CONCLUSIONS: This study first investigated ARAf isolates in Iranian CF patients. Due to a resistance rate of up to 9%, it is recommended that susceptibility testing of Aspergillus isolates from CF patients receiving antifungal treatment be a part of the routine diagnostic workup. However, extensive multicentre studies with a high volume of CF patients are highly warranted to determine the impact of ARAf on CF patients.


Assuntos
Antifúngicos , Aspergillus fumigatus , Azóis , Fibrose Cística , Sistema Enzimático do Citocromo P-450 , Farmacorresistência Fúngica , Proteínas Fúngicas , Testes de Sensibilidade Microbiana , Humanos , Fibrose Cística/microbiologia , Fibrose Cística/complicações , Irã (Geográfico)/epidemiologia , Aspergillus fumigatus/efeitos dos fármacos , Aspergillus fumigatus/genética , Aspergillus fumigatus/isolamento & purificação , Farmacorresistência Fúngica/genética , Antifúngicos/farmacologia , Antifúngicos/uso terapêutico , Estudos Prospectivos , Prevalência , Sistema Enzimático do Citocromo P-450/genética , Azóis/farmacologia , Azóis/uso terapêutico , Proteínas Fúngicas/genética , Masculino , Feminino , Aspergilose/microbiologia , Aspergilose/epidemiologia , Aspergilose/tratamento farmacológico , Adulto , Criança , Adolescente , Polimorfismo de Nucleotídeo Único , Adulto Jovem , Escarro/microbiologia , Itraconazol/farmacologia , Voriconazol/farmacologia , Voriconazol/uso terapêutico , Pré-Escolar , Mutação
17.
Med Mycol J ; 65(3): 59-65, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39218648

RESUMO

Chronic pulmonary aspergillosis (CPA) represents a spectrum of lung disorders caused by local proliferation of Aspergillus hyphae in individuals with non-systemic or mildly systemic immunodepression or altered pulmonary integrity due to underlying disease. While long-term systemic antifungal treatment is still the mainstay for management, surgery is considered mainly in rarer invasive disease manifestations such as sinusitis and osteomyelitis. Optimal application of existing antifungal agents with suitable pharmacokinetic properties is important for the treatment of diseases such as CPA, which requires long-term use. Appropriate management of side effects by therapeutic drug monitoring, maintenance of adherence, and assessment of drug resistance to Aspergillus can provide safe and effective treatment in the future. Most available antifungal agents for the management of mycoses in humans have disadvantages that can limit their use in clinical practice. By contrast, second generation antifungals such as triazoles have advantages of extended antifungal spectrum and availability in both oral and intravenous formulations. Isavuconazole, a new extended spectrum triazole, has been shown to be effective against Aspergillus. The safety profile and excellent pharmacokinetic characteristics of isavuconazole make it an attractive option for treatment of invasive fungal infections including CPA. With this drug now available in Japan, new evidence is expected to expand treatment options. This review focuses on the selection of antifungal agents based on national and international guidelines and the characteristics of each agent for their appropriate use in CPA.


Assuntos
Antifúngicos , Aspergilose Pulmonar , Triazóis , Humanos , Antifúngicos/farmacocinética , Antifúngicos/administração & dosagem , Antifúngicos/uso terapêutico , Aspergilose Pulmonar/tratamento farmacológico , Doença Crônica , Triazóis/farmacocinética , Triazóis/administração & dosagem , Triazóis/uso terapêutico , Aspergillus/efeitos dos fármacos , Piridinas/uso terapêutico , Piridinas/administração & dosagem , Piridinas/farmacocinética , Nitrilas/uso terapêutico , Nitrilas/administração & dosagem , Nitrilas/farmacocinética , Farmacorresistência Fúngica
19.
Pestic Biochem Physiol ; 204: 106029, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39277357

RESUMO

Dollar spot, a highly destructive turfgrasses disease worldwide, is caused by multiple species within the genus Clarireedia. Previous research indicated varying sensitivity to boscalid among Clarireedia populations not historically exposed to succinate dehydrogenase inhibitors (SDHIs). This study confirms that the differential sensitivity pattern is inherent among different Clarireedia spp., utilizing a combination of phylogenetic analyses, in vitro cross-resistance assays, and genetic transformation of target genes with different mutations. Furthermore, greenhouse inoculation experiments revealed that the differential boscalid sensitivity did not lead to pathogenicity issues or fitness penalties, thereby not resulting in control failure by boscalid. This research underscores the importance of continuous monitoring of fungicide sensitivity trends and highlights the complexity of chemical control of dollar spot due to the inherent variability in fungicide sensitivity among different Clarireedia spp.


Assuntos
Compostos de Bifenilo , Fungicidas Industriais , Niacinamida , Doenças das Plantas , Fungicidas Industriais/farmacologia , Compostos de Bifenilo/farmacologia , Doenças das Plantas/microbiologia , Niacinamida/análogos & derivados , Niacinamida/farmacologia , Poaceae/microbiologia , Filogenia , Farmacorresistência Fúngica/genética , Succinato Desidrogenase/genética , Succinato Desidrogenase/antagonistas & inibidores , Basidiomycota/genética , Basidiomycota/efeitos dos fármacos
20.
Pestic Biochem Physiol ; 204: 106028, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39277356

RESUMO

The destructive disease gray leaf spot, caused by Stemphylium solani, is prevalent in tomato plants in China. A variety of fungicides have been extensively used for controlling the disease, with a particular focus on succinate dehydrogenase inhibitors (SDHIs) and quinone outside inhibitors (QoIs). However, there was a lack of information regarding the resistance of S. solani to boscalid (SDHI) and pyraclostrobin (QoI) in China. In this study, the sensitivity of S. solani to boscalid and pyraclostrobin was monitored. The EC50 values for boscalid ranged from 0.02 to 3.0 µg∙mL-1, with an average value of 0.62 µg∙mL-1, while the EC50 values for pyraclostrobin ranged from 0.21 to 14.71 µg∙mL-1, with an average value of 6.03 µg∙mL-1. Based on these findings, the frequencies of observed resistance were as follows: 36.7% for boscalid and 50% for pyraclostrobin; while the resistance frequency to both boscalid and pyraclostrobin in S. solani was 19.4%. The mutation associated with boscalid resistance in S. solani within tomato fields was identified as SdhB-H277Y, while the mutation related to pyraclostrobin resistance was found in cytochrome b, specifically Cytb-G143A. The resistant mutants displayed diminished fitness in terms of mycelial growth, yet their pathogenicity exhibited no significant disparities. To delay the development of resistance, it is advisable to employ a rotation strategy using alternative fungicides with different modes of action or mix with fungicides with multi-site-contact activity for disease management.


Assuntos
Ascomicetos , Compostos de Bifenilo , Farmacorresistência Fúngica , Fungicidas Industriais , Niacinamida , Doenças das Plantas , Solanum lycopersicum , Estrobilurinas , Estrobilurinas/farmacologia , Solanum lycopersicum/microbiologia , Fungicidas Industriais/farmacologia , Doenças das Plantas/microbiologia , Niacinamida/farmacologia , Niacinamida/análogos & derivados , Farmacorresistência Fúngica/genética , China , Compostos de Bifenilo/farmacologia , Ascomicetos/efeitos dos fármacos , Ascomicetos/patogenicidade
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