Zhao Ming-dan, Zhou Xun, Liu Ting-ting, Yang Zhi-bang
Department of Dermatology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Department of Dermatology and Cosmetology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing 400021, China.
J Zhejiang Univ Sci B. 2015 Nov;16(11):940-7. doi: 10.1631/jzus.B1500055.
Based on recent molecular data, it has been suggested that Sporothrix globosa is the main causal agent of sporotrichosis in China. The objective of this study was to compare the morphology, growth characteristics, patterns of carbon source usage, and susceptibility to antifungal agents among Sporothrix strains. A total of 15 clinical strains confirmed to be S. globosa, from three different regions of China, and 11 ex-type strains from the CBS-KNAW biodiversity center were obtained. The elongated conidia of S. pallida, S. variecibatus, S. schenckii, and S. schenckii luriei were clearly different from the subglobose and globose conidia of S. globosa strains. S. schenckii is able to assimilate sucrose, raffinose, and ribitol. Susceptibility profiles of these Sporothrix species were evaluated by measuring minimum inhibitory concentrations (MICs). Fluconazole, itraconazole, terbinafine, and amphotericin B showed good activity against most S. globosa clinical isolates from China. Potassium iodide also showed a low MIC against S. pallida, while fluconazole showed a high MIC for S. mexicana, S. humicola, S. globosa, S. schenckii, and S. inflata; these strains might be considered tolerant. The species showed differences in susceptibility to antifungal drugs and should therefore be properly identified during diagnosis prior to designing therapeutic strategies.
基于最近的分子数据,有人提出球形孢子丝菌是中国孢子丝菌病的主要病原体。本研究的目的是比较孢子丝菌菌株之间的形态、生长特性、碳源利用模式以及对抗真菌药物的敏感性。从中国三个不同地区共获得了15株经确认的球形孢子丝菌临床菌株,以及来自CBS-KNAW生物多样性中心的11株模式菌株。苍白孢子丝菌、杂色孢子丝菌、申克孢子丝菌和卢里申克孢子丝菌的细长分生孢子与球形孢子丝菌菌株的近球形和球形分生孢子明显不同。申克孢子丝菌能够同化蔗糖、棉子糖和核糖醇。通过测量最低抑菌浓度(MIC)来评估这些孢子丝菌物种的药敏谱。氟康唑、伊曲康唑、特比萘芬和两性霉素B对大多数来自中国的球形孢子丝菌临床分离株显示出良好的活性。碘化钾对苍白孢子丝菌也显示出低MIC,而氟康唑对墨西哥孢子丝菌、土生孢子丝菌、球形孢子丝菌、申克孢子丝菌和膨胀孢子丝菌显示出高MIC;这些菌株可能被认为具有耐受性。这些物种对抗真菌药物的敏感性存在差异,因此在设计治疗策略之前的诊断过程中应进行正确鉴定。