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应颖, 刘发娣, 熊英, 莫冰, 卢婷, 迟利军, 龚甜, 阎燕, 郭晓奎, 黄孝天. 热带假丝酵母菌对氟康唑耐药性分析[J]. 中国公共卫生, 2010, 26(4): 427-428. DOI: 10.11847/zgggws2010-26-04-23
引用本文: 应颖, 刘发娣, 熊英, 莫冰, 卢婷, 迟利军, 龚甜, 阎燕, 郭晓奎, 黄孝天. 热带假丝酵母菌对氟康唑耐药性分析[J]. 中国公共卫生, 2010, 26(4): 427-428. DOI: 10.11847/zgggws2010-26-04-23
YING Ying, LIU Fa-di, XIONG Ying, . Mechanism of fluconazole resistance of Candida tropicalis in clinical isolates[J]. Chinese Journal of Public Health, 2010, 26(4): 427-428. DOI: 10.11847/zgggws2010-26-04-23
Citation: YING Ying, LIU Fa-di, XIONG Ying, . Mechanism of fluconazole resistance of Candida tropicalis in clinical isolates[J]. Chinese Journal of Public Health, 2010, 26(4): 427-428. DOI: 10.11847/zgggws2010-26-04-23

热带假丝酵母菌对氟康唑耐药性分析

Mechanism of fluconazole resistance of Candida tropicalis in clinical isolates

  • 摘要: 目的 研究热带假丝酵母菌分离株对氟康唑的耐药性,并探讨其耐药的分子机制.方法 检测142株热带假丝酵母菌对氟康唑药物的敏感性,PCR扩增热带假丝酵母菌ERG11全基因序列,DNA测序后经生物信息学分析CtERG11基因突变.结果 142株热带假丝酵母菌中,128株对氟康唑敏感,占90.1%;4株为氟康唑剂量依赖(S-DD)株,占2.8%;10株对氟康唑耐药,占7.1%;CtERG11序列分析发现,氟康唑敏感株中未见基因突变;S-DD株中出现G1362A和C1404T沉默突变;耐药株中共出现T225C、A242C、T243C、G264A、A395T、C461T和G1362A等7种点突变,并导致D81A、Y132F和S154F氨基酸突变.结论 D81A、Y132F和S154F氨基酸突变可能与热带假丝酵母菌对氟康唑耐药有关.

     

    Abstract: Objective To investigate fluconazole resistance of C and ida tropica lis and its molecular mechanism.Methods One hundred and forty-two clinical isolates of Candida tropicalis were collected.Fluconazole suscep tibility was tested in vitro wtth broth microdilution method M 27-A2.The CtERG11 genes of Candida tropicalis were am plified and sequenced.Results Of the 142 isolates collected,128(90.1%)were susceptible to fluconaz loe,4(2.8%)we resuscep tible dose-dependent(S-DD)and 10(7.1%)were fluconazo le-resistant.The C tERG11 gene sequences of Candida tropica lisiso lates were compared with that of Candida tropicalis ATCC 750 and the fluconazole-susceptible strains were completely identical with Candida tropicalis ATCC 750.Two silent mutations of G1362A and C1404T were detected in the fluconzaloe S-DD strains;sevennucleo tide substitutions of T225C,A 242C,T243C,G264A,A 395T,C461T and G1362A were found in the four fluconazole-resistant isolates,which resulted in missense mutations of D81A,Y132F and S154F.The nucleotide substitutions of A 242C,T243C,G1362A and C1404T were detected and D81A was a novel aminomutation.Conclusion The fluconazole-resistant rate of Candida tropicalisis 7.1% and the missense mutations of D81A,Y132F,and S154F in CtERG11 geneseem to be associated with the fluconaz loeres is tance of Candida tropic lis.

     

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