Environmental azole fungicide, prochloraz, can induce cross-resistance to medical triazoles in Candida glabrata

Isabel Faria-Ramos, Pedro R. Tavares, Sofia Farinha, João Neves-Maia, Isabel M. Miranda, Raquel M. Silva, Letícia M. Estevinho, Cidalia Pina-Vaz, Acácio G. Rodrigues*

*Autor correspondente para este trabalho

Resultado de pesquisarevisão de pares

21 Citações (Scopus)

Resumo

Acquisition of azole resistance by clinically relevant yeasts in nature may result in a significant, yet undetermined, impact in human health. The main goal of this study was to assess the development of cross-resistance between agricultural and clinical azoles by Candida spp. An in vitro induction assay was performed, for a period of 90 days, with prochloraz (PCZ) - an agricultural antifungal. Afterward, the induced molecular resistance mechanisms were unveiled. MIC value of PCZ increased significantly in all Candida spp. isolates. However, only C. glabrata developed cross-resistance to fluconazole and posaconazole. The increased MIC values were stable. Candida glabrata azole resistance acquisition triggered by PCZ exposure involved the upregulation of the ATP binding cassette multidrug transporter genes and the transcription factor, PDR1. Single mutation previously implicated in azole resistance was found in PDR1 while ERG11 showed several synonymous single nucleotide polymorphisms. These results might explain why C. glabrata is so commonly less susceptible to clinical azoles, suggesting that its exposure to agricultural azole antifungals may be associated to the emergence of cross-resistance. Such studies forward potential explanations for the worldwide increasing clinical prevalence of C. glabrata and the associated worse prognosis of an infection by this species.
Idioma originalEnglish
Páginas (de-até)1119-1123
Número de páginas5
RevistaFEMS Yeast Research
Volume14
Número de emissão7
DOIs
Estado da publicaçãoPublished - 1 nov 2014
Publicado externamenteSim

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