Centre for Infectious Diseases and Microbiology, Westmead Hospital, Westmead Millennium Institute, The University of Sydney, Australia.
Med Mycol. 2010 Nov;48 Suppl 1:S45-51. doi: 10.3109/13693786.2010.517224.
Several Scedosporium species are clinically important emerging pathogens. Scedosporium prolificans is reported to be the most virulent of the species, while the recently described species Scedosporium aurantiacum, which accounts for a substantial proportion of Australian clinical isolates is capable of causing a range of serious infections. In addition, environmental surveys have revealed a high prevalence of S. aurantiacum in the urban Sydney region. This study was conducted to assess the virulence of selected S. aurantiacum strains recovered from patients who are colonized or have invasive disease, as well as those from environmental sources, in comparison with S. prolificans. PCR fingerprinting with the primer M13 revealed high genetic variation among the S. aurantiacum strains. We evaluated the virulence of eight S. aurantiacum and two S. prolificans strains in a murine model using an infectious dose of 2 × 10⁵ conidia. S. aurantiacum was noted to be as virulent as S. prolificans, causing death in 60-100% of mice (P > 0.05). There were significant strain-specific virulence differences (P < 0.005), indicating a possible link between genotype and virulence in S. aurantiacum.
几种枝孢属物种是具有临床重要性的新兴病原体。据报道, prolificans 是该属中最具毒力的物种,而最近描述的 aurantiacum 种,占澳大利亚临床分离株的很大一部分,能够引起一系列严重感染。此外,环境调查显示,在悉尼市区环境中枝孢属 aurantiacum 的流行率很高。本研究旨在评估从定植或有侵袭性疾病的患者以及从环境来源中分离出的选定枝孢属 aurantiacum 菌株的毒力,与 prolificans 进行比较。使用引物 M13 的 PCR 指纹图谱显示,枝孢属 aurantiacum 菌株之间存在高度遗传变异。我们使用 2 × 10⁵个分生孢子的感染剂量,在小鼠模型中评估了 8 株枝孢属 aurantiacum 和 2 株枝孢属 prolificans 菌株的毒力。枝孢属 aurantiacum 的毒力与枝孢属 prolificans 相当,导致 60-100%的小鼠死亡(P > 0.05)。存在显著的菌株特异性毒力差异(P < 0.005),表明在枝孢属 aurantiacum 中基因型与毒力之间可能存在联系。