Gene Amplification of CYP51B: a New Mechanism of Resistance to Azole Compounds in Trichophyton indotineae.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_05785D0F47A2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Gene Amplification of CYP51B: a New Mechanism of Resistance to Azole Compounds in Trichophyton indotineae.
Journal
Antimicrobial agents and chemotherapy
Author(s)
Yamada T., Yaguchi T., Maeda M., Alshahni M.M., Salamin K., Guenova E., Feuermann M., Monod M.
ISSN
1098-6596 (Electronic)
ISSN-L
0066-4804
Publication state
Published
Issued date
21/06/2022
Peer-reviewed
Oui
Volume
66
Number
6
Pages
e0005922
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Trichophyton indotineae causes dermatophytosis that is resistant to terbinafine and azole compounds. The aim of this study was to determine the mechanisms of resistance to itraconazole (ITC) and voriconazole (VRC) in strains of T. indotineae. Two azole-sensitive strains (ITC MIC < 0.125 μg/mL; VRC MIC < 0.06 μg/mL) and four azole-resistant strains (ITC MIC ≥ 0.5 μg/mL; VRC MIC ≥ 0.5 μg/mL) were used for the investigation. The expression of MDR genes encoding multidrug transporters of the ABC family for which orthologs have been identified in Trichophyton rubrum and those of CYP51A and CYP51B encoding the targets of azole antifungal compounds were compared between susceptible and resistant strains. TinMDR3 and TinCYP51B were overexpressed in T. indotineae resistant strains. Only small differences in susceptibility were observed between TinMDR3 disruptants and parental strains overexpressing TinMDR3. Whole-genome sequencing of resistant strains revealed the creation of a variable number of TinCYP51B tandem repeats at the specific position of their genomes in three resistant strains. Downregulation of TinCYP51B by RNA interference (RNAi) restored the susceptibility of azole-resistant strains. In contrast, overexpression of TinCYP51B cDNA conferred resistance to a susceptible strain of T. indotineae. In conclusion, the reduced sensitivity of T. indotineae strains to azoles is mainly due to the overexpression of TinCYP51B resulting from additional copies of this gene.
Keywords
Antifungal Agents/pharmacology, Azoles/pharmacology, Drug Resistance, Fungal/genetics, Gene Amplification, Itraconazole/pharmacology, Microbial Sensitivity Tests, Sterol 14-Demethylase/genetics, Trichophyton/genetics, Voriconazole, ABC transporters, CYP51B, Trichophyton indotineae, Trichophyton mentagrophytes type VIII, dermatophytes, itraconazole, resistance, voriconazole
Pubmed
Web of science
Create date
17/05/2022 9:15
Last modification date
23/11/2022 7:08
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