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. 内形态学、毒力和抗真菌药敏特性的比较

Comparison of Morphological, Virulence, and Antifungal Susceptibility Characteristics Within .

作者信息

Wang Xiaodong, Gao Cuirong, Yusufu Aikedai, Nuermaimait Xiyidan, Abliz Paride

机构信息

Department of Dermatology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.

Rheumatism and Immunology Department, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.

出版信息

Infect Drug Resist. 2025 Jul 30;18:3761-3769. doi: 10.2147/IDR.S532973. eCollection 2025.

Abstract

BACKGROUND

The emerging pathogenic species , within the complex, poses a significant threat to patient health owing to its high rates of drug resistance and mortality. The aim of this study was to characterize the intraspecies morphology, virulence, and in vitro antifungal susceptibility of .

METHODS

We cultured isolates from different sources (three clinical isolates and one environmental isolate), along with (n=1) and (n=1), to observe colony color, diameter, sporulation timing, and spore production. Virulence was assessed using a infection model, and survival curves were generated to evaluate strain pathogenicity. Antifungal susceptibility was determined using the colorimetric microdilution method with Sensititre YeastOne® panels.

RESULTS

Compared to and , exhibited whitish colonies with pale green overtones, delayed sporulation initiation, and reduced spore yield. The four isolates showed intrastrain variability in the timing of colony color transition, growth rates, sporulation onset, and spore quantification. Virulence experiments demonstrated that all isolates successfully infected larvae and exhibited concentration- and time-dependent survival patterns. Clinical isolates consistently showed significantly lower larval survival rates than the environmental isolates at all infection concentrations. Antifungal susceptibility testing revealed the following minimum inhibitory concentration (MIC) ranges for : posaconazole 0.5-2 μg/mL, itraconazole 1-2 μg/mL, and voriconazole 2-8 μg/mL. Specifically, the clinical isolate 10199 and environmental isolate 10201 exhibited elevated voriconazole MICs (8 μg/mL). All strains demonstrated high MICs for amphotericin B (≥4 μg/mL) and caspofungin (≥8 μg/mL).

CONCLUSION

exhibited both interstrain and intrastrain variations in growth rate and sporulation characteristics. Clinical isolates demonstrated greater virulence potential than environmental isolates. displayed favorable susceptibility to posaconazole but reduced susceptibility to voriconazole, amphotericin B, and caspofungin.

摘要

背景

该复合体中新兴的致病物种因其高耐药率和死亡率,对患者健康构成重大威胁。本研究的目的是对该物种的种内形态、毒力和体外抗真菌药敏性进行表征。

方法

我们培养了来自不同来源的该物种分离株(三株临床分离株和一株环境分离株),以及烟曲霉(n = 1)和黄曲霉(n = 1),以观察菌落颜色、直径、产孢时间和孢子产量。使用秀丽隐杆线虫感染模型评估毒力,并生成生存曲线以评估菌株致病性。使用Sensititre YeastOne®平板通过比色微量稀释法测定抗真菌药敏性。

结果

与烟曲霉和黄曲霉相比,该物种表现出带淡绿色调的白色菌落、产孢起始延迟和孢子产量降低。这四株该物种分离株在菌落颜色转变时间、生长速率、产孢起始和孢子定量方面表现出菌株内变异性。毒力实验表明,所有该物种分离株均成功感染秀丽隐杆线虫幼虫,并呈现浓度和时间依赖性生存模式。在所有感染浓度下,临床分离株的幼虫存活率始终显著低于环境分离株。抗真菌药敏试验显示该物种的以下最低抑菌浓度(MIC)范围:泊沙康唑0.5 - 2μg/mL,伊曲康唑1 - 2μg/mL,伏立康唑2 - 8μg/mL。具体而言,临床分离株10199和环境分离株10201的伏立康唑MIC升高(8μg/mL)。所有菌株对两性霉素B(≥4μg/mL)和卡泊芬净(≥8μg/mL)均表现出高MIC。

结论

该物种在生长速率和产孢特征方面表现出菌株间和菌株内变异。临床分离株显示出比环境分离株更大的毒力潜力。该物种对泊沙康唑表现出良好的敏感性,但对伏立康唑、两性霉素B和卡泊芬净的敏感性降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1196/12318521/a83564470062/IDR-18-3761-g0001.jpg

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