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申克孢子丝菌复合体致病性的出现。

Emergence of pathogenicity in the Sporothrix schenckii complex.

作者信息

Rodrigues Anderson Messias, de Hoog Sybren, de Camargo Zoilo Pires

机构信息

Department of Microbiology, Immunology and Parasitology, Cellular Biology Division, Federal University of São Paulo, São Paulo, Brazil.

出版信息

Med Mycol. 2013 May;51(4):405-12. doi: 10.3109/13693786.2012.719648. Epub 2012 Sep 19.

Abstract

Sporothrix schenckii sensu lato is a complex of thermally dimorphic species whose natural habitats are soil and plant materials. However, the traumatic implantation of the species into human skin is traditionally thought to be the route leading to the fungal disease sporotrichosis. The complex contains Sporotrhix mexicana, S. globosa, S. brasiliensis, S. luriei, in addition to S. schenckii sensu stricto. In this study we evaluated the differences among these species relative to their frequency in the environment and in human hosts, as well as discuss their remarkable diverse pathogenicity. Today, S. brasiliensis is epidemic in and geographically restricted to Brazil. In contrast, S. mexicana and S. globosa have rarely been reported over the decades. We discovered that the species have been present in collections from clinical cases since 1955 and were able to re-identify six isolates originally classified as S. schenckii as Sporothrix mexicana (three isolates) and Sporothrix globosa (three isolates). Despite their long presence as potential human pathogens they have not shown any increase in frequency as etiologic agents of human infections.

摘要

申克孢子丝菌复合群是一类具有温度双态性的物种,其天然栖息地为土壤和植物材料。然而,传统上认为该物种经外伤植入人体皮肤是导致真菌病孢子丝菌病的途径。该复合群除了狭义的申克孢子丝菌外,还包括墨西哥孢子丝菌、球形孢子丝菌、巴西孢子丝菌和鲁里孢子丝菌。在本研究中,我们评估了这些物种在环境和人类宿主中的出现频率差异,并讨论了它们显著不同的致病性。如今,巴西孢子丝菌在巴西流行且地理分布局限于该国。相比之下,几十年来墨西哥孢子丝菌和球形孢子丝菌很少被报道。我们发现自1955年以来临床病例样本中就存在这些物种,并且能够将6株最初被归类为申克孢子丝菌的分离株重新鉴定为墨西哥孢子丝菌(3株分离株)和球形孢子丝菌(3株分离株)。尽管它们作为潜在的人类病原体已存在很长时间,但作为人类感染病原体的出现频率并未增加。

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