Two different types of tandem sequences mediate the overexpression of TinCYP51B in azole-resistant Trichophyton indotineae.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_E2FBBBDB640E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Two different types of tandem sequences mediate the overexpression of TinCYP51B in azole-resistant Trichophyton indotineae.
Journal
Antimicrobial agents and chemotherapy
Author(s)
Yamada T., Maeda M., Nagai H., Salamin K., Chang Y-T, Guenova E., Feuermann M., Monod M.
ISSN
1098-6596 (Electronic)
ISSN-L
0066-4804
Publication state
Published
Issued date
15/11/2023
Peer-reviewed
Oui
Volume
67
Number
11
Pages
e0093323
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Trichophyton indotineae is an emerging dermatophyte that causes severe tinea corporis and tinea cruris. Numerous cases of terbinafine- and azole-recalcitrant T. indotineae-related dermatophytosis have been observed in India over the past decade, and cases are now being recorded worldwide. Whole genome sequencing of three azole-resistant strains revealed a variable number of repeats of a 2,404 base pair (bp) sequence encoding TinCYP51B in tandem specifically at the CYP51B locus position. However, many other resistant strains (itraconazole MIC ≥0.25 µg/mL; voriconazole MIC ≥0.25 µg/mL) did not contain such duplications. Whole-genome sequencing of three of these strains revealed a variable number of 7,374 bp tandem repeat blocks harboring TinCYP51B. Consequently, two types of T. indotineae azole-resistant strains were found to host TinCYP51B in tandem sequences (type I with 2,404 bp TinCYP51B blocks and type II with 7,374 bp TinCYP51B blocks). Using the CRISPR/Cas9 genome-editing tool, the copy number of TinCYP51B within the genome of types I and II strains was brought back to a single copy. The azole susceptibility of these modified strains was similar to that of strains without TinCYP51B duplication, showing that azole resistance in T. indotineae strains is mediated by one of two types of TinCYP51B amplification. Type II strains were prevalent among 32 resistant strains analyzed using a rapid and reliable PCR test.
Keywords
Antifungal Agents/pharmacology, Azoles/pharmacology, Microbial Sensitivity Tests, Terbinafine/pharmacology, Trichophyton, Drug Resistance, Fungal/genetics, Arthrodermataceae, TinCYP51B, Trichophyton indotineae, antifungal resistance, dermatophytes, gene duplication, itraconazole, voriconazole
Pubmed
Web of science
Open Access
Yes
Create date
16/10/2023 15:11
Last modification date
09/02/2024 9:54
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