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Evaluation of fluconazole resistance mechanisms in candida albicans clinical isolates from HIV-infected patients in Brazil. | LitMetric

AI Article Synopsis

  • * Key resistance mechanisms include mutations in the ERG11 gene and overexpression of certain genes related to efflux pumps, with some strains showing multiple resistance strategies.
  • * Notably, the research uncovers four known mutations and fourteen new mutations associated with resistance, along with a consistent pattern of homozygosity at mating-type loci in all resistant isolates, marking an important molecular assessment in South America.

Article Abstract

In this study, we describe resistance mechanisms in fluconazole-resistant isolates of C. albicans isolated from AIDS patients from nine Brazilian hospitals. These mechanisms include the presence of point mutations in the ERG11 gene and overexpression of ERG11, and several genes encoding efflux pumps, as measured by quantitative real-time reverse transcriptase polymerase chain reaction. Several fluconazole-resistant strains had multiple mechanisms of resistance. Four mutations previously described, Y132F, K143R, E266D, and V437I, were identified among the strains, whereas some isolates contained more than one mutation. Fourteen novel mutations were identified. Interestingly, all Brazilian fluconazole-resistant isolates showed homozygosity at mating-type loci (MTL) associated with fluconazole resistance. This is the first comprehensive assessment at molecular level of mechanisms of fluconazole resistance in C. albicans isolates from South America.

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Source
http://dx.doi.org/10.1016/j.diagmicrobio.2004.04.009DOI Listing

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