Abrantes Ruben A, Refojo Nicolás, Hevia Alejandra I, Fernández Julián, Isla Guillermina, Córdoba Susana, Dávalos María F, Lubovich Silvina, Maldonado Ivana, Davel Graciela O, Stchigel Alberto M
Departamento Micología, Instituto Nacional de Enfermedades Infecciosas, Administración Nacional de Laboratorios e Institutos de Salud 'Dr. C. G. Malbrán', Buenos Aires C1282 AFF, Argentina.
Hospital San Bernardo de la provincia de Salta, Salta A4400, Argentina.
J Fungi (Basel). 2021 Feb 24;7(3):160. doi: 10.3390/jof7030160.
Species of the genus (family Microascaceae, phylum Ascomycota) are responsible for a wide range of opportunistic human infections, and have a low susceptibility to most antifungal drugs. It is well known that the pattern of species distribution varies according to geographic region. To assess the diversity of species in Argentina involved in human infections, we carried out a retrospective study reviewing 49 strains from clinical samples sent for diagnosis to the National Clinical Mycology Reference Laboratory between 1985 and 2019. Then, a phenotypic characterization, a phylogenetic study and and in vitro susceptibility test to antifungals were carried out. An analysis of combined nucleotide sequences dataset of the internal transcribed spacer of the ribosomal DNA (ITS) and of a fragment of the β-tubulin gene () demonstrated that 92 % of the strains belonged to the species , and all them pertaining to species complex. However, two strains (4%) were identified as , a species never reported in clinical settings in the Americas'. Surprisingly, one of them displayed a polycytella-like conidiogenesis, up to date only reported for . In addition, the strain DMic 165285 was phylogenetically located far away from the rest of the species, so is proposed as the novel species . On the other hand, from all seven antifungals tested, voriconazole and posaconazole were the most active drugs against spp.
(微囊菌科,子囊菌门)属的物种可引发多种人类机会性感染,并且对大多数抗真菌药物敏感性较低。众所周知,物种分布模式因地理区域而异。为评估阿根廷参与人类感染的物种多样性,我们开展了一项回顾性研究,回顾了1985年至2019年间送往国家临床真菌学参考实验室进行诊断的49份临床样本中的菌株。然后,进行了表型特征分析、系统发育研究以及对抗真菌药物的体外敏感性测试。对核糖体DNA(ITS)的内部转录间隔区和β-微管蛋白基因()片段的核苷酸序列数据集进行的组合分析表明,92%的菌株属于、物种,且所有这些菌株都属于物种复合体。然而,有两株菌株(4%)被鉴定为,这是一种在美洲临床环境中从未报道过的物种。令人惊讶的是,其中一株表现出类似多胞菌的分生孢子形成,迄今为止仅在中报道过。此外,菌株DMic 165285在系统发育上与其他物种相距甚远,因此被提议为新物种。另一方面,在所有测试的七种抗真菌药物中,伏立康唑和泊沙康唑是对抗 spp. 最有效的药物。