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Med Mycol ; 56(1): 117-120, 2018 Jan 01.
Article in English | MEDLINE | ID: mdl-28340175

ABSTRACT

Therapy of invasive aspergillosis is becoming more difficult due to the emergence of azole resistance in Aspergillus fumigatus. A majority of resistant strains carries mutations in the CYP51A gene. Due to a lack of sensitivity of culture-based methods, molecular detection of A. fumigatus has become an important diagnostic tool. We set up the database FunResDB (www.nrz-myk.de/funresdb) to gather all available information about CYP51A-dependent azole resistance from published literature. In summary, the screening resulted in 79 CYP51A variants, which are linked to 59 nonsynonymous mutations. A tailor-made online sequence analysis tool allows for genotypic susceptibility testing of A. fumigatus.


Subject(s)
Antifungal Agents/pharmacology , Aspergillus fumigatus/drug effects , Aspergillus fumigatus/genetics , Databases, Genetic , Genotyping Techniques/methods , Internet , Microbial Sensitivity Tests/methods , Alleles , Azoles/pharmacology , Cytochrome P-450 Enzyme System/genetics , Fungal Proteins/genetics , Genotype , Humans , Polymorphism, Genetic
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