Role of ERG11 and MDR1 genes in cycloheximide and multidrug resistance in Candida species

Candida species are amongst the commensals of the mucosal surfaces of the human body which include the oral cavity, vagina, and intestinal mucosa. Fungal infections are on the rise worldwide. The overall burden of infections due to fungi is difficult to estimate because the majority of them remain u...

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Veröffentlicht in:Brazilian journal of microbiology 2024-09, Vol.55 (3), p.2569-2579
Hauptverfasser: Huma, Zill-e-, Saleem, Sidrah, Imran, Muhammad, Raza, Syed Mohsin, Jabeen, Kokab, Arshad, Faiqa
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container_start_page 2569
container_title Brazilian journal of microbiology
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Saleem, Sidrah
Imran, Muhammad
Raza, Syed Mohsin
Jabeen, Kokab
Arshad, Faiqa
description Candida species are amongst the commensals of the mucosal surfaces of the human body which include the oral cavity, vagina, and intestinal mucosa. Fungal infections are on the rise worldwide. The overall burden of infections due to fungi is difficult to estimate because the majority of them remain undiagnosed. The present study aims to determine the burden of antifungal resistance in low socioeconomic country, Pakistan and the frequency of ERG11 and MDR1 genes involved. A total of 636 Candida isolates were obtained from various tertiary care institutions in Lahore in the form of culture on various culture plates. Sabouraud agar culture plates were used to culture the Candida spp. Antifungal resistance was determined against Fluconazole, Itraconazole, Ketoconazole, and Nystatin via disk diffusion technique. Most resistance was observed against Fluconazole followed by Itraconazole, Ketoconazole, and Nystatin. The Candida isolates recovering from CVP tip and tissue have a high resistance profile. Candida species resistant to at least two antifungals were chosen for further ERG11 and MDR1 detection through real-time PCR. Among 255 Candida isolates, 240 contained ERG11 gene while MDR1 gene is present in 149 Candida isolates. The isolates carrying both genes were tested by the broth microdilution technique for the susceptibility against cycloheximide, all of them were able to grow in cycloheximide. The genetic determinants of antifungal resistance such as ERG11 and MDR1 are as important in the multidrug resistance against a variety of compounds and antifungal drugs.
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subjects Antifungal Agents - pharmacology
ATP Binding Cassette Transporter, Subfamily B - genetics
ATP Binding Cassette Transporter, Subfamily B - metabolism
Biomedical and Life Sciences
Candida
Candida - classification
Candida - drug effects
Candida - genetics
Candida - isolation & purification
Candidiasis - microbiology
Commensals
Cycloheximide
Cycloheximide - pharmacology
Drug resistance
Drug Resistance, Multiple, Fungal - genetics
ERG11 gene
Fluconazole
Food Microbiology
Fungal Proteins - genetics
Fungal Proteins - metabolism
Fungicides
Gene frequency
Genes
High resistance
Humans
Itraconazole
Ketoconazole
Life Sciences
MDR1 protein
Medical Microbiology
Medicine and Public Health - Research Paper
Microbial Ecology
Microbial Genetics and Genomics
Microbial Sensitivity Tests
Microbiology
Multidrug resistance
Mycology
Nystatin
Oral cavity
P-Glycoprotein
Pakistan
Plates
Real time
title Role of ERG11 and MDR1 genes in cycloheximide and multidrug resistance in Candida species
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