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1.
Expert Rev Mol Diagn ; 22(2): 169-184, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35130460

RESUMO

INTRODUCTION: Fungal PCR has undergone considerable standardization and, together with the availability of commercial assays, external quality assessment schemes, and extensive performance validation data, is ready for widespread use for the screening and diagnosis of invasive fungal disease (IFD). AREAS COVERED: Drawing on the experience and knowledge of the leads of the various working parties of the Fungal PCR initiative, this review will address general considerations concerning the use of molecular tests for the diagnosis of IFD, before focusing specifically on the technical and clinical aspects of molecular testing for the main causes of IFD and recent technological developments. EXPERT OPINION: For infections caused by Aspergillus, Candida, and Pneumocystis jirovecii, PCR testing is recommended, and combination with serological testing will likely enhance the diagnosis. For other IFD (e.g. mucormycosis), molecular diagnostics represent the only non-classical mycological approach toward diagnoses, and continued performance validation and standardization have improved confidence in such testing. The emergence of antifungal resistance can be diagnosed, in part, through molecular testing. Next-generation sequencing has the potential to significantly improve our understanding of fungal phylogeny, epidemiology, pathogenesis, mycobiome/microbiome, and interactions with the host, while identifying novel and existing mechanisms of antifungal resistance and novel diagnostic/therapeutic targets.


Assuntos
Infecções Fúngicas Invasivas , DNA Fúngico/genética , Fungos/genética , Humanos , Infecções Fúngicas Invasivas/diagnóstico , Técnicas de Diagnóstico Molecular , Reação em Cadeia da Polimerase
2.
Sci Rep ; 9(1): 17231, 2019 11 21.
Artigo em Inglês | MEDLINE | ID: mdl-31754120

RESUMO

Invasive aspergillosis (IA) is a life-threatening complication among allogeneic hematopoietic stem cell transplant (alloSCT) recipients. Despite well known risk factors and different available assays, diagnosis of invasive aspergillosis remains challenging. 103 clinical variables from patients with hematological malignancies and subsequent alloSCT were collected. Associations between collected variables and patients with (n = 36) and without IA (n = 36) were investigated by applying univariate and multivariable logistic regression. The predictive power of the final model was tested in an independent patient cohort (23 IA cases and 25 control patients). Findings were investigated further by in vitro studies, which analysed the effect of etanercept on A. fumigatus-stimulated macrophages at the gene expression and cytokine secretion. Additionally, the release of C-X-C motif chemokine ligand 10 (CXCL10) in patient sera was studied. Low monocyte concentration (p = 4.8 × 10-06), severe GvHD of the gut (grade 2-4) (p = 1.08 × 10-02) and etanercept treatment of GvHD (p = 3.5 × 10-03) were significantly associated with IA. Our studies showed that etanercept lowers CXCL10 concentrations in vitro and ex vivo and down-regulates genes involved in immune responses and TNF-alpha signaling. Our study offers clinicians new information regarding risk factors for IA including low monocyte counts and administration of etanercept. After necessary validation, such information may be used for decision making regarding antifungal prophylaxis or closely monitoring patients at risk.


Assuntos
Aspergilose/tratamento farmacológico , Aspergilose/imunologia , Etanercepte/farmacologia , Infecções Fúngicas Invasivas/tratamento farmacológico , Infecções Fúngicas Invasivas/imunologia , Monócitos/imunologia , Adulto , Idoso , Estudos de Coortes , Citocinas/imunologia , Feminino , Doença Enxerto-Hospedeiro/tratamento farmacológico , Doença Enxerto-Hospedeiro/imunologia , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Transplante Homólogo/efeitos adversos , Adulto Jovem
3.
Int J Med Microbiol ; 308(8): 1009-1017, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30197238

RESUMO

Interactions between fungal pathogens such as Aspergillus fumigatus with host alveolar epithelium and innate immune cells are crucial in the defense against opportunistic fungal infections. In this study a simplified Transwell® system with a confluent layer of A549 cells acted as a model for the alveolar surface. A. fumigatus and dendritic cells were added to simulate the spatial and cellular complexity in the alveolus. Fungal growth into the lower chamber was validated by galactomannan assays. Addition of moDCs to the upper chamber led to a reduced GM signal and fungal growth, indicating moDC antifungal activity. Minimal cell death was documented by analyses of lactate dehydrogenase concentrations and pro-apoptotic gene expression. Measurement of trans-epithelial dextran blue movement confirmed tightness of the epithelial barrier even in presence of A. fumigatus. Cytokine measurements in supernatants from both chambers of the Transwell® system documented distinct response patterns during early and late stages of epithelial invasion, with A549 cells appearing to make a minimal contribution to cytokine release. Concentrations of cytokines in the lower chamber varied distinctly from the upper chamber, depending on the molecular weight of the cytokines. Low inter-assay variability of fungal biomarkers and cytokines was confirmed, highlighting that in vitro models closely mimicking conditions in the human lung can facilitate reproducible measurement of the dynamics of cytokine release and fungal penetration of host epithelia.


Assuntos
Células Epiteliais Alveolares/imunologia , Aspergilose/microbiologia , Aspergillus fumigatus/imunologia , Interações Hospedeiro-Patógeno/imunologia , Imunidade Inata/imunologia , Células A549 , Células Epiteliais Alveolares/microbiologia , Aspergillus fumigatus/crescimento & desenvolvimento , Permeabilidade da Membrana Celular , Técnicas de Cocultura , Citocinas/metabolismo , Células Dendríticas/imunologia , Células Dendríticas/microbiologia , Galactose/análogos & derivados , Humanos , L-Lactato Desidrogenase/metabolismo , Mananas/metabolismo , Modelos Imunológicos , Cultura Primária de Células
4.
Med Mycol ; 56(suppl_1): 60-72, 2018 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-29087518

RESUMO

Standardization of Aspergillus polymerase chain reaction (PCR) protocols has progressed, and analytical validity of blood-based assays has been formally established. It remains necessary to consider how the tests can be used in practice to maximize clinical utility. To determine the optimal diagnostic strategies and influence on patient management, several factors require consideration, including the patient population, incidence of invasive aspergillosis (and other fungal disease), and the local antifungal prescribing policy. Technical issues such as specimen type, ease of sampling, frequency of testing, access to testing centers, and time to reporting will also influence the use of PCR in clinical practice. Interpretation of all diagnostic tests is dependent on the clinical context and molecular assays are no exception, but with the proposal to incorporate Aspergillus PCR into the second revision of the consensus guidelines for defining invasive fungal disease the acceptance and understanding of molecular tests should improve.


Assuntos
Aspergilose/diagnóstico , Reação em Cadeia da Polimerase , Aspergilose/microbiologia , Aspergillus/genética , DNA Fúngico , Humanos , Técnicas de Diagnóstico Molecular/normas , Técnicas de Diagnóstico Molecular/tendências , Sensibilidade e Especificidade , Manejo de Espécimes
5.
BMC Res Notes ; 10(1): 364, 2017 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-28764751

RESUMO

OBJECTIVE: Recent studies into the antifungal activity of NK-cells against the Aspergillus fumigatus have presented differing accounts on their mode of antifungal activity. One of these mechanisms proposed that NK-cells may kill the fungus via the direct effects of exposure to Interferon gamma (IFN-γ). RESULTS: In this study we investigated the direct antifungal effects of recombinant human IFN-γ against a range of pathogenic fungi by measuring cellular damage using an XTT-based assay and cell viability through plate counts. It was found that 32 pg/ml of IFN-γ exhibited a significant but small antifungal effect on A. fumigatus (p = 0.02), Aspergillus flavus (p = 0.04) and Saccharomyces cerevisiae (p = 0.03), inhibiting growth by 6, 11 and 17% respectively. No significant inhibitory effects were observed in Candida species (p > 0.05 for all species tested) or Cryptococus neoformans (p = 0.98). Short term exposure (3 h) to a combination of amphotericin B (1 µg/ml) and IFN-γ (32 pg/ml) increased the effectiveness of amphotericin B against A. fumigatus and S. cerevisiae but not Candida albicans. These data suggest that IFN-γ does not possess strong antifungal activity but can enhance the effect of amphotericin B under some testing conditions against Aspergillus species.


Assuntos
Anfotericina B/farmacologia , Antifúngicos/farmacologia , Aspergillus fumigatus/efeitos dos fármacos , Candida albicans/efeitos dos fármacos , Interferon gama/farmacologia , Aspergillus flavus/efeitos dos fármacos , Aspergillus flavus/crescimento & desenvolvimento , Aspergillus fumigatus/crescimento & desenvolvimento , Candida albicans/crescimento & desenvolvimento , Cryptococcus neoformans , Combinação de Medicamentos , Sinergismo Farmacológico , Humanos , Testes de Sensibilidade Microbiana , Proteínas Recombinantes/farmacologia , Saccharomyces cerevisiae/efeitos dos fármacos , Saccharomyces cerevisiae/crescimento & desenvolvimento
6.
Med Mycol ; 55(4): 402-413, 2017 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-28339744

RESUMO

A wide array of PCR tests has been developed to aid the diagnosis of invasive aspergillosis (IA), providing technical diversity but limiting standardisation and acceptance. Methodological recommendations for testing blood samples using PCR exist, based on achieving optimal assay sensitivity to help exclude IA. Conversely, when testing more invasive samples (BAL, biopsy, CSF) emphasis is placed on confirming disease, so analytical specificity is paramount. This multicenter study examined the analytical specificity of PCR methods for detecting IA by blind testing a panel of DNA extracted from a various fungal species to explore the range of Aspergillus species that could be detected, but also potential cross reactivity with other fungal species. Positivity rates were calculated and regression analysis was performed to determine any associations between technical specifications and performance. The accuracy of Aspergillus genus specific assays was 71.8%, significantly greater (P < .0001) than assays specific for individual Aspergillus species (47.2%). For genus specific assays the most often missed species were A. lentulus (25.0%), A. versicolor (24.1%), A. terreus (16.1%), A. flavus (15.2%), A. niger (13.4%), and A. fumigatus (6.2%). There was a significant positive association between accuracy and using an Aspergillus genus PCR assay targeting the rRNA genes (P = .0011). Conversely, there was a significant association between rRNA PCR targets and false positivity (P = .0032). To conclude current Aspergillus PCR assays are better suited for detecting A. fumigatus, with inferior detection of most other Aspergillus species. The use of an Aspergillus genus specific PCR assay targeting the rRNA genes is preferential.


Assuntos
Aspergillus/isolamento & purificação , Aspergilose Pulmonar Invasiva/diagnóstico , Técnicas de Diagnóstico Molecular/métodos , Reação em Cadeia da Polimerase/métodos , Aspergillus/classificação , Aspergillus/genética , Humanos , Sensibilidade e Especificidade
7.
J Proteome Res ; 15(5): 1580-91, 2016 05 06.
Artigo em Inglês | MEDLINE | ID: mdl-26974881

RESUMO

Aspergillus fumigatus is the species that most commonly causes the opportunistic infection invasive aspergillosis (IA) in patients being treated for hematological malignancies. Little is known about the A. fumigatus proteins that trigger the production of Aspergillus-specific IgG antibodies during the course of IA. To characterize the serological response to A. fumigatus protein antigens, mycelial proteins were separated by 2-D gel electrophoresis. The gels were immunoblotted with sera from patients with probable and proven IA and control patients without IA. We identified 49 different fungal proteins, which gave a positive IgG antibody signal. Most of these antigens play a role in primary metabolism and stress responses. Overall, our analysis identified 18 novel protein antigens from A. fumigatus. To determine whether these antigens can be used as diagnostic or prognostic markers or exhibit a protective activity, we employed supervised machine learning with decision trees. We identified two candidates for further analysis, the protein antigens CpcB and Shm2. Heterologously produced Shm2 induced a strongly proinflammatory response in human peripheral blood mononuclear cells after in vitro stimulation. In contrast, CpcB did not activate the immune response of PBMCs. These findings could serve as the basis for the development of an immunotherapy of IA.


Assuntos
Antígenos de Fungos/análise , Aspergillus fumigatus/imunologia , Proteômica/métodos , Aspergilose/imunologia , Estudos de Casos e Controles , Células Cultivadas , Proteínas Fúngicas/análise , Proteínas Fúngicas/imunologia , Humanos , Imunoglobulina G/biossíntese , Leucócitos Mononucleares/imunologia , Infecções Oportunistas/imunologia , Aprendizado de Máquina Supervisionado
8.
J Clin Microbiol ; 53(9): 2838-45, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26085614

RESUMO

The use of serum or plasma for Aspergillus PCR testing facilitates automated and standardized technology. Recommendations for serum testing are available, and while serum and plasma are regularly considered interchangeable for use in fungal diagnostics, differences in galactomannan enzyme immunoassay (GM-EIA) performance have been reported and are attributed to clot formation. Therefore, it is important to assess plasma PCR testing to determine if previous recommendations for serum are applicable and also to compare analytical performance with that of serum PCR. Molecular methods testing serum and plasma were compared through multicenter distribution of quality control panels, with additional studies to investigate the effect of clot formation and blood fractionation on DNA availability. Analytical sensitivity and time to positivity (TTP) were compared, and a regression analysis was performed to identify variables that enhanced plasma PCR performance. When testing plasma, sample volume, preextraction-to-postextraction volume ratio, PCR volume, duplicate testing, and the use of an internal control for PCR were positively associated with performance. When whole-blood samples were spiked and then fractionated, the analytical sensitivity and TTP were superior when testing plasma. Centrifugation had no effect on DNA availability, whereas the presence of clot material significantly lowered the concentration (P = 0.028). Technically, there are no major differences in the molecular processing of serum and plasma, but the formation of clot material potentially reduces available DNA in serum. During disease, Aspergillus DNA burdens in blood are often at the limits of PCR performance. Using plasma might improve performance while maintaining the methodological simplicity of serum testing.


Assuntos
Aspergilose/diagnóstico , Aspergillus fumigatus/isolamento & purificação , DNA Fúngico/sangue , Técnicas de Diagnóstico Molecular/métodos , Plasma/microbiologia , Reação em Cadeia da Polimerase/métodos , Manejo de Espécimes/métodos , Aspergilose/microbiologia , Aspergillus fumigatus/genética , Humanos , Modelos Biológicos , Sensibilidade e Especificidade , Fatores de Tempo
9.
J Clin Microbiol ; 53(9): 2832-7, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26085618

RESUMO

Aspergillus PCR testing of serum provides technical simplicity but with potentially reduced sensitivity compared to whole-blood testing. With diseases for which screening to exclude disease represents an optimal strategy, sensitivity is paramount. The associated analytical study confirmed that DNA concentrations were greater in plasma than those in serum. The aim of the current investigation was to confirm analytical findings by comparing the performance of Aspergillus PCR testing of plasma and serum in the clinical setting. Standardized Aspergillus PCR was performed on plasma and serum samples concurrently obtained from hematology patients in a multicenter retrospective anonymous case-control study, with cases diagnosed according to European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) consensus definitions (19 proven/probable cases and 42 controls). Clinical performance and clinical utility (time to positivity) were calculated for both kinds of samples. The sensitivity and specificity for Aspergillus PCR when testing serum were 68.4% and 76.2%, respectively, and for plasma, they were 94.7% and 83.3%, respectively. Eighty-five percent of serum and plasma PCR results were concordant. On average, plasma PCR was positive 16.8 days before diagnosis and was the earliest indicator of infection in 13 cases, combined with other biomarkers in five cases. On average, serum PCR was positive 10.8 days before diagnosis and was the earliest indicator of infection in six cases, combined with other biomarkers in three cases. These results confirm the analytical finding that the sensitivity of Aspergillus PCR using plasma is superior to that using serum. PCR positivity occurs earlier when testing plasma and provides sufficient sensitivity for the screening of invasive aspergillosis while maintaining methodological simplicity.


Assuntos
Aspergilose/diagnóstico , Aspergillus/isolamento & purificação , Técnicas de Diagnóstico Molecular/métodos , Plasma/microbiologia , Reação em Cadeia da Polimerase/métodos , Manejo de Espécimes/métodos , Adulto , Idoso , Aspergilose/microbiologia , Aspergillus/genética , Estudos de Casos e Controles , DNA Fúngico/sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Sensibilidade e Especificidade , Fatores de Tempo , Adulto Jovem
10.
BMC Microbiol ; 14: 261, 2014 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-25316407

RESUMO

BACKGROUND: Superficial infections of the skin and mucous membranes caused by dermatophyte fungi are amongst the most common and challenging infections to treat. Previously we demonstrated the phototoxic effects of photodynamic therapy (PDT) towards Trichophyton rubrum, using a green laser to photoactivate Rose Bengal (RB). The aim of this study was to evaluate whether we could; (1) achieve a similar effect using an inexpensive light-emitting diode (LED) to photoactivate RB and (2) to evaluate whether our PDT regime could be combined with standard antifungal drug therapy and increase its effectiveness. METHODS: We designed and built our own inexpensive green (530 nm) LED source and tested its efficacy as part our RB-PDT regime in vitro against T. rubrum. We also examined the potential benefits of incorporating PDT as part of combination therapy and whether the order in which this was done had an impact. First we subjected spore suspensions to sub-inhibitory concentrations of a number of antifungal agents (CLT, MCZ and TRB) for 72 hours followed by RB-PDT. Secondly we subjected spore suspensions to sub-inhibitory PDT followed by drug treatment and evaluated if there were any changes to the minimum inhibitory concentrations (MICs) of the drugs tested. RESULTS: The optimal conditions for photoinactivation of T. rubrum using RB-PDT alone were 140 µM of RB and 24 J/cm2 of LED (equating to a 30-minute exposure). These parameters also caused a 100% reduction in the viability of the pathogenic yeast Candida albicans and the model fungus Saccharomyces cerevisiae. By combining our RB-PDT regime as an adjunct to antifungal drugs we were able to dramatically reduce the exposure times. Treatment of spore suspensions using a sub-inhibitory dose of clotrimazole (CLT) followed by RB-PDT, this order was critical, significantly reduced the exposure times required to achieve 100% inhibition of T. rubrum to 15 minutes as compared to RB-PDT alone. CONCLUSIONS: The combination of antifungal drug and RB-PDT represents an attractive alternative to the current antifungal therapies used to treat superficial fungal diseases. Our approach has the potential to reduce treatment times and drug dosages which can also reduce drug toxicity and improve patient compliance.


Assuntos
Antifúngicos/farmacologia , Clotrimazol/farmacologia , Fármacos Fotossensibilizantes/farmacologia , Rosa Bengala/farmacologia , Trichophyton/efeitos dos fármacos , Trichophyton/efeitos da radiação , Candida albicans/efeitos dos fármacos , Candida albicans/fisiologia , Candida albicans/efeitos da radiação , Terapia Combinada/métodos , Tratamento Farmacológico/métodos , Luz , Testes de Sensibilidade Microbiana , Viabilidade Microbiana/efeitos dos fármacos , Viabilidade Microbiana/efeitos da radiação , Fotoquimioterapia/métodos , Saccharomyces cerevisiae/efeitos dos fármacos , Saccharomyces cerevisiae/fisiologia , Saccharomyces cerevisiae/efeitos da radiação , Trichophyton/fisiologia
11.
Int J Med Microbiol ; 304(8): 1160-8, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25200858

RESUMO

The mould Aspergillus fumigatus is primarily an opportunistic pathogen of immunocompromised patients. Once fungal spores have been inhaled they encounter cells of the innate immune system, which include dendritic cells (DCs). DCs are the key antigen-presenting cells of the immune system and distinct subtypes, which differ in terms of origin, morphology and function. This study has systematically compared the interactions between A. fumigatus and myeloid DCs (mDCs), plasmacytoid DCs (pDCs) and monocyte-derived DCs (moDCs). Analyses were performed by time-lapse video microscopy, scanning electron microscopy, plating assays, flow cytometry, 25-plex ELISA and transwell assays. The three subsets of DCs displayed distinct responses to the fungus with mDCs and moDCs showing the greatest similarities. mDCs and moDCs both produced rough convolutions and occasionally phagocytic cups upon exposure to A. fumigatus whereas pDCs maintained a smooth appearance. Both mDCs and moDCs phagocytosed conidia and germ tubes, while pDCs did not phagocytose any fungi. Analysis of cytokine release and maturation markers revealed specific differences in pro- and anti-inflammatory patterns between the different DC subsets. These distinct characteristics between the DC subsets highlight their differences and suggest specific roles of moDCs, mDCs and pDCs during their interaction with A. fumigatus in vivo.


Assuntos
Aspergillus fumigatus/imunologia , Células Dendríticas/imunologia , Interações Hospedeiro-Patógeno , Ensaios de Migração Celular , Células Cultivadas , Ensaio de Imunoadsorção Enzimática , Citometria de Fluxo , Humanos , Microscopia Eletrônica de Varredura , Microscopia de Vídeo , Fagocitose , Imagem com Lapso de Tempo
12.
Med Mycol ; 52(4): 438-44, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24713403

RESUMO

In immunocompromised patients, invasive aspergillosis (IA) is the most frequent disease caused by the pathogenic mould Aspergillus fumigatus. Fever is one of the most common yet nonspecific clinical symptoms of IA. To evaluate the role of hyperthermia in the innate immune response to A. fumigatus in vitro, human monocyte-derived dendritic cells (DCs) were stimulated with germ tubes of A. fumigatus or the fungal cell wall component zymosan at 37°C or 40°C, followed by characterization of specific DC functions. While maturation of DCs was enhanced and DC phagocytic capacity was reduced at 40°C, we observed that DC viability and cytokine release were unaffected. Thus, our results suggest that hyperthermia has substantial impacts on DC function in vitro, which might also influence the course and outcome of IA in immunocompromised patients.


Assuntos
Aspergillus fumigatus/imunologia , Células Dendríticas/imunologia , Células Dendríticas/efeitos da radiação , Diferenciação Celular/efeitos da radiação , Sobrevivência Celular/efeitos da radiação , Citocinas/metabolismo , Temperatura Alta , Humanos , Fagocitose/efeitos da radiação
13.
Lasers Med Sci ; 29(1): 157-63, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23525830

RESUMO

Fungal infection of nails, onychomycosis, is predominantly caused by Trichophyton rubrum. This infection is an important public health concern due to its persistent nature and high recurrence rates. Alternative treatments are urgently required. One such alternative is phototherapy involving the action of photothermal or photochemical processes. The aim of this novel study was to assess which wavelengths within the ultraviolet (UV) spectrum were inhibitory and equally important nail transmissible. Initial irradiations of T. rubrum spore suspensions were carried out using a tunable wavelength lamp system (fluence ≤3.1 J/cm(2)) at wavelengths between 280 and 400 nm (UVC to UVA) to evaluate which wavelengths prevented fungal growth. Light-emitting diodes (LEDs) of defined wavelengths were subsequently chosen with a view to evaluate and potentially implement this technology as a low-cost "in-home" treatment. Our experiments demonstrated that exposure at 280 nm using an LED with a fluence as low as 0.5 J/cm(2) was inhibitory, i.e., no growth following a 2-week incubation (p < 0.05; one-way ANOVA), while exposure to longer wavelengths was not. A key requirement for the use of phototherapy in the treatment of onychomycosis is that it must be nail transmissible. Our results indicate that the treatment with UVC is not feasible given that there is no overlap between the antifungal activity observed at 280 nm and transmission through the nail plate. However, a potential indirect application of this technology could be the decontamination of reservoirs of infection such as the shoes of infected individuals, thus preventing reinfection.


Assuntos
Onicomicose/radioterapia , Trichophyton/efeitos da radiação , Terapia Ultravioleta/métodos , Dermatoses do Pé/microbiologia , Dermatoses do Pé/radioterapia , Humanos , Unhas/microbiologia , Unhas/efeitos da radiação , Onicomicose/microbiologia , Fenômenos Ópticos , Fototerapia/métodos , Esporos Fúngicos/efeitos da radiação , Trichophyton/patogenicidade , Raios Ultravioleta
14.
J Immunol ; 187(3): 1369-76, 2011 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-21697457

RESUMO

Despite the strong interest in the NK cell-mediated immunity toward malignant cells and viruses, there is a relative lack of data on the interplay between NK cells and filamentous fungi, especially Aspergillus fumigatus, which is the major cause of invasive aspergillosis. By studying the in vitro interaction between human NK cells and A. fumigatus, we found only germinated morphologies to be highly immunogenic, able to induce a Th1-like response, and capable of upregulating cytokines such as IFN-γ and TNF-α. Moreover, priming NK cells with human rIL-2 and stimulating NK cells by direct NK cell-pathogen contact were essential to induce damage against A. fumigatus. However, the most interesting finding was that NK cells did not mediate anti-Aspergillus cytotoxicity through degranulation of their cytotoxic proteins (perforin, granzymes, granulysine), but via an alternative mechanism involving soluble factor(s). To our knowledge, our study is the first to demonstrate that IFN-γ, released by NK cells, directly damages A. fumigatus, attributing new properties to both human NK cells and IFN-γ and suggesting them as possible therapeutic tools against IA.


Assuntos
Antifúngicos/farmacologia , Aspergilose/imunologia , Aspergilose/microbiologia , Aspergillus fumigatus/imunologia , Testes Imunológicos de Citotoxicidade , Interferon gama/metabolismo , Células Matadoras Naturais/imunologia , Células Matadoras Naturais/microbiologia , Antifúngicos/química , Antifúngicos/metabolismo , Aspergilose/prevenção & controle , Aspergillus fumigatus/crescimento & desenvolvimento , Degranulação Celular/imunologia , Células Cultivadas , Técnicas de Cocultura , Humanos , Interferon gama/toxicidade , Células K562 , Células Matadoras Naturais/metabolismo , Esporos Fúngicos/crescimento & desenvolvimento , Esporos Fúngicos/imunologia
15.
J Med Microbiol ; 60(Pt 7): 913-919, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21436369

RESUMO

The central nervous system (CNS) is the most common site of dissemination during Aspergillus infection. PCR has the potential to facilitate early diagnosis of CNS aspergillosis, which could assist in reducing disease mortality. In two experiments, neutropenic CD-1 male mice were infected intracranially with 5×106 conidia of Aspergillus fumigatus. At time points up to 120 h after infection, mice were euthanized and samples of blood, brain, spinal cord and cerebrospinal fluid (CSF) were taken. The brain fungal burden was determined by quantitative culture, and fungal DNA was detected by quantitative PCR. Plating for A. fumigatus from the brain confirmed that all mice had burdens of log10>3 from 4 to 120 h after infection. A. fumigatus DNA was detected in blood (88 %), brain (96 %), CSF (52 %) and spinal cord (92 %) samples. The brain and spinal cord contained the highest concentrations of fungal DNA. Adapting the extraction protocol to maximize yield from small sample volumes (10 µl CSF or 200 µl blood) allowed PCR detection of A. fumigatus in infected mice, suggesting the use of CSF and blood as diagnostic clinical samples for CNS aspergillosis.


Assuntos
Aspergillus fumigatus/isolamento & purificação , Encéfalo/microbiologia , Neuroaspergilose/microbiologia , Neutropenia/complicações , Reação em Cadeia da Polimerase/métodos , Animais , Aspergillus fumigatus/genética , Aspergillus fumigatus/metabolismo , Encéfalo/patologia , DNA Fúngico/líquido cefalorraquidiano , Galactose/análogos & derivados , Masculino , Mananas/metabolismo , Camundongos , Sensibilidade e Especificidade , Células-Tronco
16.
Antimicrob Agents Chemother ; 51(11): 3948-59, 2007 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17846143

RESUMO

Dermaseptin S3(1-16) [DsS3(1-16)] and magainin 2 (Mag 2) are two unrelated, amphibian-derived cationic peptides that adopt an alpha-helical structure within microbial membranes and have been proposed to kill target organisms via membrane disruption. Using a combination of global deletion mutant library phenotypic screening, expression profiling, and physical techniques, we have carried out a comprehensive in vitro analysis of the inhibitory action of these two peptides on the model fungus Saccharomyces cerevisiae. Gene ontology profiling (of biological processes) was used to identify both common and unique effects of each peptide. Resistance to both peptides was conferred by genes involved in telomere maintenance, chromosome organization, and double-strand break repair, implicating a common inhibitory action of DNA damage. Crucially, each peptide also required unique genes for maintaining resistance; for example, DsS3(1-16) required genes involved in protein targeting to the vacuole, and Mag 2 required genes involved in DNA-dependent DNA replication and DNA repair. Thus, DsS3(1-16) and Mag 2 have both common and unique antifungal actions that are not simply due to membrane disruption. Physical techniques revealed that both peptides interacted with DNA in vitro but in subtly different ways, and this observation was supported by the functional genomics experiments that provided evidence that both peptides also interfered with DNA integrity differently in vivo. This implies that both peptides are able to pass through the cytoplasmic membrane of yeast cells and damage DNA, an inhibitory action that has not been previously attributed to either of these peptides.


Assuntos
Proteínas de Anfíbios/farmacologia , Anfíbios/metabolismo , Antifúngicos/farmacologia , Peptídeos Catiônicos Antimicrobianos/farmacologia , Magaininas/farmacologia , Saccharomyces cerevisiae/efeitos dos fármacos , Proteínas de Anfíbios/química , Animais , Antifúngicos/química , Peptídeos Catiônicos Antimicrobianos/química , Reparo do DNA/efeitos dos fármacos , Replicação do DNA/efeitos dos fármacos , DNA Fúngico/metabolismo , Regulação Fúngica da Expressão Gênica/efeitos dos fármacos , Genoma Fúngico/genética , Magaininas/química , Fenótipo , Estrutura Secundária de Proteína , Saccharomyces cerevisiae/genética
17.
Mol Microbiol ; 65(2): 494-507, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17587229

RESUMO

The dermaseptins are a family of antimicrobial peptides from the tree-frog Phyllomedusa sauvagii. Yeast exposed to dermaseptin S3(1-16), a truncated derivative of dermaseptin S3 with full activity, showed diagnostic markers of yeast apoptosis: the appearance of reactive oxygen species and fragmentation of nuclear DNA. This process was independent of the yeast caspase, Yca1p. Screening of a non-essential gene deletion collection in yeast identified genes that conferred resistance to dermaseptin S3(1-16): izh2Delta, izh3Delta, stm1Delta and aif1Delta, all known to be involved in regulating yeast apoptosis. The appearance of apoptotic markers was reduced in these strains when exposed to the peptide. Dermaseptin S3(1-16) was shown to interact with DNA, and cause DNA damage in vivo, a process known to trigger apoptosis. Supporting this, a dermaseptin S3(1-16) affinity column specifically purified Stm1p, Mre11p and Htb2p; DNA-binding proteins implicated in yeast apoptosis and DNA repair. Thus, amphibians may have evolved a mechanism to induce cell suicide in invading fungal pathogens.


Assuntos
Proteínas de Anfíbios/farmacologia , Antifúngicos/farmacologia , Peptídeos Catiônicos Antimicrobianos/farmacologia , Fator de Indução de Apoptose/metabolismo , Apoptose , Saccharomyces cerevisiae/efeitos dos fármacos , Sequência de Aminoácidos , Proteínas de Anfíbios/química , Animais , Antifúngicos/química , Antifúngicos/metabolismo , Peptídeos Catiônicos Antimicrobianos/química , Fator de Indução de Apoptose/genética , Caspases/metabolismo , Membrana Celular/enzimologia , Dano ao DNA , DNA Fúngico/química , DNA Fúngico/efeitos dos fármacos , Farmacorresistência Fúngica/genética , Deleção de Genes , Genes Fúngicos , Histonas/metabolismo , Dados de Sequência Molecular , Fosfatidilserinas/metabolismo , Estrutura Secundária de Proteína , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Proteínas de Saccharomyces cerevisiae/química , Proteínas de Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/metabolismo
18.
Mycol Res ; 107(Pt 2): 198-205, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12747331

RESUMO

The mitosporic fungus Pochonia chlamydosporia is a potential biocontrol agent for cyst (Heterodera spp. and Globodera spp.) and root knot (Meloidogyne spp.) nematodes, which are important agricultural plant pests. 54 isolates from diverse geographical regions and several nematode hosts were used in this study. Genetic variation was examined using enterobacterial repetitive intergenic consensus (ERIC) primed PCR and sequences from the internal transcribed spacer (ITS) rRNA region. ERIC PCR yielded 35 scorable binary characters from all the fungi tested and cluster analysis of the data showed that isolates from cyst nematodes were more genetically variable than those from root knot nematodes. The ITS regions were highly conserved, the only significant difference being an extra thymidine in isolates from Meloidogyne spp. Assays with nematode eggs indicated that isolates differ in their ability to infect different nematode genera. The results indicate host related variation in P. chlamydosporia. This finding has significant implications for the application of P. chlamydosporia as a biocontrol agent.


Assuntos
Impressões Digitais de DNA/métodos , DNA Espaçador Ribossômico/análise , Variação Genética , Controle Biológico de Vetores , Tylenchoidea/microbiologia , Verticillium/classificação , Animais , DNA Fúngico/análise , Interações Hospedeiro-Parasita , Dados de Sequência Molecular , Filogenia , Reação em Cadeia da Polimerase/métodos , Análise de Sequência de DNA , Tylenchoidea/crescimento & desenvolvimento , Verticillium/genética , Verticillium/isolamento & purificação
19.
Mycol Res ; 107(Pt 2): 206-12, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12747332

RESUMO

Pochonia chlamydosporia var. catenulata is a potential biocontrol agent against root-knot nematodes. Diagnosis of isolates has relied on morphological identification, and is both time-consuming and difficult. beta-tubulin primers have been developed for the identification of this fungus that were specific enough to distinguish between varieties of the fungus within the same species. Separate primers have been developed for the specific detection of P. chlamydosporia var. catenulata based on ITS sequences, which were able to detect the fungus in soil from various sites in Cuba where the biocontrol agent had been added. When the PCR diagnosis was combined with serial dilution of soil samples on selective medium, colonies were rapidly identified. The fungus was still present, albeit at low densities, in soils inoculated five years previously. The development of a baiting method allowed quick in situ screening of the isolates' ability to infect nematode eggs, and when combined with PCR diagnosis both varieties of the fungus could be detected in infected eggs. RFLP analysis of ITS sequences from P. chlamydosporia provided an extra level of discrimination between isolates.


Assuntos
Controle Biológico de Vetores , Microbiologia do Solo , Tylenchoidea/microbiologia , Verticillium/classificação , Verticillium/isolamento & purificação , Animais , Cuba , Meios de Cultura , DNA Fúngico/análise , Óvulo/parasitologia , Raízes de Plantas/parasitologia , Reação em Cadeia da Polimerase/métodos , Polimorfismo de Fragmento de Restrição , Tylenchoidea/crescimento & desenvolvimento , Verticillium/genética , Verticillium/patogenicidade
20.
Mycol Res ; 107(Pt 1): 38-46, 2003 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12735242

RESUMO

The fungus Pochonia chlamydosporia is a biocontrol agent with commercial potential for root knot and cyst nematodes. It produces an alkaline serine protease, VCP1, during infection of nematode eggs. The gene encoding VCP1 was sequenced and the sequences of cDNAs from six isolates from different nematode hosts were compared. The gene encoding VCP1 was similar to PR1 from Metarhizium anisopliae with similar regulatory elements. Comparison of translated cDNA sequences revealed two amino acid polymorphisms at positions 65 and 99, indicating a difference between isolates from cyst and root nematodes. The positions and nature of the polymorphisms indicated that the two forms of VCP1 might have different properties and this was tested with five chromogenic polypeptide substrates. Enzyme assays revealed the two forms differed in their abilities to utilise Succ-Ala-Ala-Pro-Phe-pNa and Succ-Ala-Val-Pro-Phe-pNa, suggesting different amino acid affinities at the S3 binding region. This indicates host related genetic variation in VCP1 between isolates of P. chlamydosporia isolated from different nematode hosts, which might contribute to host preference. Such differences may be important in future exploitation of P. chlamydosporia as a nematode biocontrol agent.


Assuntos
Proteínas Fúngicas/genética , Genoma Fúngico , Fungos Mitospóricos/genética , Nematoides/microbiologia , Polimorfismo Genético , Serina Endopeptidases/genética , Sequência de Aminoácidos , Animais , Sítios de Ligação , Compostos Cromogênicos/metabolismo , Clonagem Molecular , DNA Complementar , Fungos Mitospóricos/enzimologia , Modelos Moleculares , Dados de Sequência Molecular , Plantas/parasitologia , Alinhamento de Sequência
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