Department of Microbiology and Immunology, University of Nevada, Reno School of Medicine, Reno, NV, 89557, USA.
DxDiscovery, Inc., Reno, NV, 89557, USA.
Med Mycol. 2022 Sep 20;60(9). doi: 10.1093/mmy/myac066.
Detection of fungal cells in infected tissue by procedures such as potassium hydroxide (KOH) microscopy and histopathology are well-established methods in medical mycology. However, microscopy requires skilled personnel, specialized equipment, and may take considerable time to a result. An alternative approach is immunoassay for detection of fungal mannans in tissue as a biomarker for the presence of fungal cells. However, mannan is a component of the fungal cell wall, and detection of mannan would require a facile means for mannan extraction prior to detection by immunoassay. In this study, we evaluated a broad spectrum of extraction reagents using Trichophyton rubrum mycelia and Saccharomyces cerevisiae Mnn2 blastoconidia as model fungi. Oxidative release by treatment with dilute bleach proved to be a novel and highly effective procedure. Complete extraction occurred in as little as 2-4 min. Detergents, chaotropes, and acid were ineffective. Strong base released mannan but was less efficient than oxidative release and required the use of highly corrosive reagents. Oxidative release of cell wall mannans from fungal mycelia and blastoconidia may be an effective first step in immunodetection of fungi in tissues from infected humans, animals, or plants that could be done at or near the diagnostic point of need.
在医学真菌学中,通过氢氧化钾(KOH)显微镜检查和组织病理学等程序检测感染组织中的真菌细胞是成熟的方法。然而,显微镜检查需要熟练的人员、专门的设备,并且可能需要相当长的时间才能得出结果。另一种方法是通过免疫测定法检测组织中的真菌甘露聚糖作为真菌细胞存在的生物标志物。然而,甘露聚糖是真菌细胞壁的组成部分,在通过免疫测定法进行检测之前,需要一种简便的方法从真菌细胞中提取甘露聚糖。在这项研究中,我们使用红色毛癣菌菌丝和酿酒酵母 Mnn2 芽生孢子作为模型真菌,评估了广泛的提取试剂。用稀漂白剂处理产生的氧化释放被证明是一种新颖且非常有效的方法。在短短 2-4 分钟内即可完成完全提取。清洁剂、变构剂和酸无效。强碱释放甘露聚糖,但效率低于氧化释放,并且需要使用腐蚀性很强的试剂。从真菌菌丝和芽生孢子细胞壁甘露聚糖的氧化释放可能是在感染的人类、动物或植物组织中进行真菌免疫检测的有效第一步,并且可以在诊断需求点或附近进行。