Cordeiro Rossana de Aguiar, de Oliveira Jonathas Sales, Castelo-Branco Débora de Souza Collares Maia, Teixeira Carlos Eduardo Cordeiro, Marques Francisca Jakelyne de Farias, Bittencourt Paula Vago, Carvalho Vitor Luz, Bandeira Tereza de Jesus Pinheiro Gomes, Brilhante Raimunda Sâmia Nogueira, Moreira José Luciano Bezerra, Pereira-Neto Waldemiro de Aquino, Sidrim José Júlio Costa, Rocha Marcos Fábio Gadelha
Specialized Medical Mycology Center, Postgraduate Program in Medical Microbiology, Federal University of Ceará, Fortaleza-CE, Brazil
Specialized Medical Mycology Center, Postgraduate Program in Medical Microbiology, Federal University of Ceará, Fortaleza-CE, Brazil.
Med Mycol. 2015 Feb 1;53(2):145-52. doi: 10.1093/mmy/myu081. Epub 2014 Dec 30.
Candida tropicalis has been associated with invasive candidiasis, being the first or second most common non-Candida albicans Candida species isolated in humans with candidemia and candiduria, as well as being frequently isolated from healthy animals. This study aimed to characterize C. tropicalis isolates (n = 64) obtained from several animal species regarding antifungal susceptibility and production of virulence factors. The isolates were obtained from the microbiota of healthy animals (goats, n = 25; sheep, n = 6; psittacines, n = 14; rheas, n = 6; horses, n = 2; sirenians, n = 5; shrimp, n = 1), as well as from aquatic mammals found dead in the environment (cetaceans, n = 5). The isolates were subjected to in vitro susceptibility testing by broth microdilution according to the CLSI M27-A3 protocol against amphotericin B, caspofungin, itraconazole, and fluconazole. We also evaluated the virulence attributes, such as proteases and phospholipases, as well as biofilm formation. Resistance to itraconazole (n = 29) and fluconazole (n = 30) was detected among isolates from every source; resistance to both azoles was detected in 24 isolates, but none of them were resistant to amphotericin B and caspofungin. Protease production was detected in the majority of the isolates (n = 59), but phospholipase was produced by only a few of them (n = 6). The isolates showed different patterns in biofilm production, being considered strong producers (n = 41), moderate producers (n = 11), weak producers (n = 9) or non-producers (n = 3). In summary, C. tropicalis isolated from animals showed high rate of resistance to azoles, expressed virulence factors and therefore may represent a potential threat to human and animal health.
热带念珠菌与侵袭性念珠菌病有关,是念珠菌血症和念珠菌尿患者中分离出的第一或第二常见的非白色念珠菌,并且经常从健康动物中分离出来。本研究旨在对从几种动物物种中获得的热带念珠菌分离株(n = 64)的抗真菌药敏性和毒力因子产生情况进行表征。这些分离株来自健康动物的微生物群(山羊,n = 25;绵羊,n = 6;鹦鹉,n = 14;美洲鸵鸟,n = 6;马,n = 2;海牛,n = 5;虾,n = 1),以及在环境中发现死亡的水生哺乳动物(鲸目动物,n = 5)。根据CLSI M27 - A3方案,通过肉汤微量稀释法对分离株进行体外药敏试验,检测其对两性霉素B、卡泊芬净、伊曲康唑和氟康唑的敏感性。我们还评估了毒力属性(如蛋白酶和磷脂酶)以及生物膜形成情况。在来自各个来源的分离株中均检测到对伊曲康唑(n = 29)和氟康唑(n = 30)的耐药性;在24株分离株中检测到对两种唑类药物均耐药,但它们均未对两性霉素B和卡泊芬净耐药。大多数分离株(n = 59)检测到蛋白酶产生,但只有少数分离株(n = 6)产生磷脂酶。分离株在生物膜产生方面表现出不同模式,被认为是强产生者(n = 41)、中等产生者(n = 11)、弱产生者(n = 9)或非产生者(n = 3)。总之,从动物中分离出的热带念珠菌对唑类药物耐药率高,表达毒力因子,因此可能对人类和动物健康构成潜在威胁。