[Characterization of azole resistance mechanisms in Chilean clinical isolates of Candida albicans]. / Caracterización de los mecanismos de resistencia a azoles en aislados clínicos chilenos de Candida albicans.
Rev Chilena Infectol
; 31(5): 511-7, 2014 Oct.
Article
em Es
| MEDLINE
| ID: mdl-25491448
ABSTRACT
INTRODUCTION:
The commensal yeast Candida albicans, can cause superficial or systemic candidiasis in susceptible hosts. In Chile, azole antifungals are the most widely used drugs in the treatment of candidiasis. In a previous study performed at our center, 2.1 and 1.6% of clinical isolates of C. albicans were found to be resistant to fluconazole and voriconazole, respectively.OBJECTIVE:
To characterize the resistance mechanisms involved in azoles resistance in Chilean clinical isolates.METHODOLOGY:
Eight resistant, nine susceptible-dose dependent (SDD) and 10 susceptible strains (n 27) were selected according to the Clinical Laboratory Standards Institute (CLSI) M27-S3 criteria, from vaginal and urine samples. Mutations in the 408-488 region of the ERG11 gene were studied by sequencing, and the relative expression of ERG11 gene and efflux pump genes CDR1, CDR2 and MDR1, was evaluated by quantitative real-time PCR (q-PCR).RESULTS:
No mutations were detected in the ERG11 gene and its overexpression was found only in 12.5% of the resistant strains (1/8). The most prevalent mechanism of resistance was the over-expression of efflux pumps (62.5%; 5/8).CONCLUSION:
The study of the expression of efflux pumps by q-PCR could be a useful diagnostic tool for early detection of azole resistance in C. albicans.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Candida albicans
/
Fluconazol
/
Voriconazol
/
Antifúngicos
Tipo de estudo:
Guideline
/
Screening_studies
Limite:
Female
/
Humans
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev Chilena Infectol
Ano de publicação:
2014
Tipo de documento:
Article