Stepwise Development of a Homozygous S80P Substitution in Fks1p, Conferring Echinocandin Resistance in Candida tropicalis

被引:43
作者
Jensen, Rasmus Hare [1 ]
Johansen, Helle Krogh [2 ]
Arendrup, Maiken Cavling [1 ]
机构
[1] Statens Serum Inst, Mycol Unit, DK-2300 Copenhagen, Denmark
[2] Rigshosp, Copenhagen Univ Hosp, Dept Clin Microbiol, DK-2100 Copenhagen, Denmark
关键词
GLOBAL ANTIFUNGAL SURVEILLANCE; EUCAST TECHNICAL NOTE; CASPOFUNGIN RESISTANCE; REDUCED SUSCEPTIBILITY; NATIONAL SURVEILLANCE; DISK DIFFUSION; C-KRUSEI; ALBICANS; GLABRATA; MUTATIONS;
D O I
10.1128/AAC.01193-12
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Three Candida tropicalis isolates were obtained from a patient with acute lymphoblastic leukemia. The first isolate was susceptible to all drug classes, while isolates 2 and 3, obtained after 8 and 8.5 weeks of caspofungin treatment, respectively, were resistant to the three echinocandins. Multilocus sequence genotyping suggested a clonal relation among all isolates. FKS1 sequencing revealed a stepwise development of a heterozygous and finally a homozygous mutation, leading to S80S/P and S80P amino acid substitutions.
引用
收藏
页码:614 / 617
页数:4
相关论文
共 40 条
[1]  
[Anonymous], CLIN MICROBIOL INFEC
[2]  
[Anonymous], CLIN MICROBIOL INFEC
[3]   Semi-national surveillance of fungaemia in Denmark 2004-2006: increasing incidence of fungaemia and numbers of isolates with reduced azole susceptibility [J].
Arendrup, M. C. ;
Fuursted, K. ;
Gahrn-Hansen, B. ;
Schonheyder, H. C. ;
Knudsen, J. D. ;
Jensen, I. M. ;
Bruun, B. ;
Christensen, J. J. ;
Johansen, H. K. .
CLINICAL MICROBIOLOGY AND INFECTION, 2008, 14 (05) :487-494
[4]   EUCAST technical note on anidulafungin [J].
Arendrup, M. C. ;
Rodriguez-Tudela, J-L ;
Lass-Floerl, C. ;
Cuenca-Estrella, M. ;
Donnelly, J. P. ;
Hope, W. .
CLINICAL MICROBIOLOGY AND INFECTION, 2011, 17 (11) :E18-E20
[5]   EUCAST technical note on the EUCAST definitive document EDef 7.2: method for the determination of broth dilution minimum inhibitory concentrations of antifungal agents for yeasts EDef 7.2 (EUCAST-AFST) [J].
Arendrup, Maiken C. ;
Cuenca-Estrella, Manuel ;
Lass-Floerl, Cornelia ;
Hope, William .
CLINICAL MICROBIOLOGY AND INFECTION, 2012, 18 (07) :E246-E247
[6]   Caspofungin Etest Susceptibility Testing of Candida Species: Risk of Misclassification of Susceptible Isolates of C. glabrata and C-krusei when Adopting the Revised CLSI Caspofungin Breakpoints [J].
Arendrup, Maiken Cavling ;
Pfaller, Michael A. .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2012, 56 (07) :3965-3968
[7]   Echinocandin Susceptibility Testing of Candida spp. Using EUCAST EDef 7.1 and CLSI M27-A3 Standard Procedures: Analysis of the Influence of Bovine Serum Albumin Supplementation, Storage Time, and Drug Lots [J].
Arendrup, Maiken Cavling ;
Rodriguez-Tudela, Juan-Luis ;
Park, Steven ;
Garcia-Effron, Guillermo ;
Delmas, Guillaume ;
Cuenca-Estrella, Manuel ;
Gomez-Lopez, Alicia ;
Perlin, David S. .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2011, 55 (04) :1580-1587
[8]   National Surveillance of Fungemia in Denmark (2004 to 2009) [J].
Arendrup, Maiken Cavling ;
Bruun, Brita ;
Christensen, Jens Jorgen ;
Fuursted, Kurt ;
Johansen, Helle Krogh ;
Kjaeldgaard, Poul ;
Knudsen, Jenny Dahl ;
Kristensen, Lise ;
Moller, Jens ;
Nielsen, Lene ;
Rosenvinge, Flemming Schonning ;
Roder, Bent ;
Schonheyder, Henrik Carl ;
Thomsen, Marianne K. ;
Truberg, Kjeld .
JOURNAL OF CLINICAL MICROBIOLOGY, 2011, 49 (01) :325-334
[9]   Breakthrough Aspergillus fumigatus and Candida albicans Double Infection during Caspofungin Treatment: Laboratory Characteristics and Implication for Susceptibility Testing [J].
Arendrup, Maiken Cavling ;
Garcia-Effron, Guillermo ;
Buzina, Walter ;
Mortensen, Klaus Leth ;
Reiter, Nanna ;
Lundin, Christian ;
Jensen, Henrik Elvang ;
Lass-Florl, Cornelia ;
Perlin, David S. ;
Bruun, Brita .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2009, 53 (03) :1185-1193
[10]   Echinocandin Susceptibility Testing of Candida Isolates Collected during a 1-Year Period in Sweden [J].
Axner-Elings, Marlene ;
Botero-Kleiven, Silvia ;
Jensen, Rasmus Hare ;
Arendrup, Maiken Cavling .
JOURNAL OF CLINICAL MICROBIOLOGY, 2011, 49 (07) :2516-2521