Clonal Strain Persistence of Candida albicans Isolates from Chronic Mucocutaneous Candidiasis Patients

Chronic mucocutaneous candidiasis (CMC) is a primary immunodeficiency disorder characterised by susceptibility to chronic Candida and fungal dermatophyte infections of the skin, nails and mucous membranes. Molecular epidemiology studies of CMC infection are limited in number and scope and it is not...

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Veröffentlicht in:PloS one 2016-02, Vol.11 (2), p.e0145888-e0145888
Hauptverfasser: Moorhouse, Alexander J, Rennison, Claire, Raza, Muhammad, Lilic, Desa, Gow, Neil A R
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Raza, Muhammad
Lilic, Desa
Gow, Neil A R
description Chronic mucocutaneous candidiasis (CMC) is a primary immunodeficiency disorder characterised by susceptibility to chronic Candida and fungal dermatophyte infections of the skin, nails and mucous membranes. Molecular epidemiology studies of CMC infection are limited in number and scope and it is not clear whether single or multiple strains inducing CMC persist stably or are exchanged and replaced. We subjected 42 C. albicans individual single colony isolates from 6 unrelated CMC patients to multilocus sequence typing (MLST). Multiple colonies were typed from swabs taken from multiple body sites across multiple time points over a 17-month period. Among isolates from each individual patient, our data show clonal and persistent diploid sequence types (DSTs) that were stable over time, identical between multiple infection sites and exhibit azole resistant phenotypes. No shared origin or common source of infection was identified among isolates from these patients. Additionally, we performed C. albicans MLST SNP genotype frequency analysis to identify signatures of past loss of heterozygosity (LOH) events among persistent and azole resistant isolates retrieved from patients with autoimmune disorders including CMC.
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susceptibility to chronic Candida and fungal dermatophyte infections of the skin, nails and mucous membranes. Molecular epidemiology studies of CMC infection are limited in number and scope and it is not clear whether single or multiple strains inducing CMC persist stably or are exchanged and replaced. We subjected 42 C. albicans individual single colony isolates from 6 unrelated CMC patients to multilocus sequence typing (MLST). Multiple colonies were typed from swabs taken from multiple body sites across multiple time points over a 17-month period. Among isolates from each individual patient, our data show clonal and persistent diploid sequence types (DSTs) that were stable over time, identical between multiple infection sites and exhibit azole resistant phenotypes. No shared origin or common source of infection was identified among isolates from these patients. Additionally, we performed C. albicans MLST SNP genotype frequency analysis to identify signatures of past loss of heterozygosity (LOH) events among persistent and azole resistant isolates retrieved from patients with autoimmune disorders including CMC.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26849050</pmid><doi>10.1371/journal.pone.0145888</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Analysis
Antifungal agents
Antifungal Agents - pharmacology
Autoimmune diseases
Biology and Life Sciences
Candida
Candida albicans
Candida albicans - classification
Candida albicans - drug effects
Candida albicans - genetics
Candida albicans - isolation & purification
Candidiasis
Candidiasis, Chronic Mucocutaneous - microbiology
Causes of
Chronic Disease
Chronic mucocutaneous candidiasis
Colonies
Datasets as Topic
Epidemiology
Female
Frequency analysis
Fungi
Genetic aspects
Genetic variation
Genetics
Health aspects
Heterozygosity
Humans
Immunodeficiency
Infections
Loss of heterozygosity
Male
Medicine and Health Sciences
Membranes
Microbial Sensitivity Tests
Middle Aged
Multilocus Sequence Typing
Mutation
Nails (Anatomy)
Nosocomial infections
Patients
Phylogeny
Physical Sciences
Physiological aspects
Polymorphism, Single Nucleotide
Population
Primary immunodeficiencies
Research and Analysis Methods
Skin
Studies
Transcription factors
title Clonal Strain Persistence of Candida albicans Isolates from Chronic Mucocutaneous Candidiasis Patients
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