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Mechanisms of Resistance

Molecular Confirmation of the Linkage between the Rhizopus oryzae CYP51A Gene Coding Region and Its Intrinsic Voriconazole and Fluconazole Resistance

Daiana Macedo, Florencia Leonardelli, Catiana Dudiuk, Laura Theill, Matías S. Cabeza, Soledad Gamarra, Guillermo Garcia-Effron
Daiana Macedo
aLaboratorio de Micología y Diagnóstico Molecular, Cátedra de Parasitología y Micología, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina
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Florencia Leonardelli
aLaboratorio de Micología y Diagnóstico Molecular, Cátedra de Parasitología y Micología, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina
bConsejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), CCT, Santa Fe, Argentina
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Catiana Dudiuk
aLaboratorio de Micología y Diagnóstico Molecular, Cátedra de Parasitología y Micología, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina
bConsejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), CCT, Santa Fe, Argentina
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Laura Theill
aLaboratorio de Micología y Diagnóstico Molecular, Cátedra de Parasitología y Micología, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina
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Matías S. Cabeza
aLaboratorio de Micología y Diagnóstico Molecular, Cátedra de Parasitología y Micología, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina
bConsejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), CCT, Santa Fe, Argentina
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Soledad Gamarra
aLaboratorio de Micología y Diagnóstico Molecular, Cátedra de Parasitología y Micología, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina
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Guillermo Garcia-Effron
aLaboratorio de Micología y Diagnóstico Molecular, Cátedra de Parasitología y Micología, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina
bConsejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), CCT, Santa Fe, Argentina
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DOI: 10.1128/AAC.00224-18
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  • FIG 1
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    FIG 1

    Agarose gel (1.5% agarose) electrophoresis at 40 V for 3 h showing the detection of R. oryzae CYP51 transcripts using genomic DNA (lanes 1 and 3) and cDNA (lanes 2 and 4) as the templates. Lanes 1 and 2, amplification of RoCYP51A (RO3G_16595) 1,626-nt and 1,524-nt bands, respectively; lanes 3 and 4, the resolved PCR bands of RoCYP51B (RO3G_11790) at 1,755 nt and 1,533 nt, respectively.

  • FIG 2
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    FIG 2

    Neighbor-joining phylogenetic tree of 55 different fungal 14-α sterol demethylases, including enzymes from 9 Ascomycetes yeast species, 20 Ascomycetes mold species, 9 Basidiomycetes species, and 7 Mucorales species. GenBank accession numbers appear after the species names. Some fungal genus names were abbreviated as follows to esthetically improve the figure: A., Aspergillus; S., Saccharomyces; C., Candida; F., Fusarium; R., Rhizopus.

  • FIG 3
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    FIG 3

    (A, B) Selection plates using FLC (100 μg/ml) where LMDM-1229 (A) and LMDM-1230 (B) transformants were obtained. (C, D) Replica plates used minimal medium (C) and minimal medium with 450 μg/ml hygromycin B (D).

  • FIG 4
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    FIG 4

    (A) Scheme of the LMDM-p134 vector generation process used in this work. Striped and black boxes represent the 5′ and 3′ UTRs of the AfCYP51A included and not included in the transformation vector, respectively. Light gray boxes denote the RoCYP51A (RO3G_16595) complete coding sequence obtained from cDNA. Dark gray boxes show the C- and N-terminal fractions of AfCYP51A (12, 32). Thin lines in LMDM-p125 and LMDM-p134 symbolize the pGEM-T Easy vector. Arrows represent primers, and their coloring shows where they hybridized to each of the genomic or vector DNAs. (B) Integration and homologous recombination confirmation by using PCRs. Lane M, 100-nt ladder (numbers on the left are in nucleotides); lanes 1 to 4, RoCYP51A (RO3G_16595) exon 3 amplifications using the P-RoCYP51F3 and P-RoCYP51R3 primers (1,374 nt); lanes 5 to 8, multiplex PCR with the A13, A5R and P-RoCYP51R1 primers to confirm homologous recombination (by the presence of the 1,286-nt band) or the lack of existence of RoCYP51A (RO3G_16595) in the A. fumigatus genome (by the presence of the 1,461-nt band); lane 1, LMDM-p134; lanes 2 and 5, R. oryzae ATCC 11886; lanes 3 and 6, A. fumigatus LMDM-1229; lane 7, A. fumigatus LMDM-1230; lanes 4 and 8, A. fumigatus LMDM-32.

  • FIG 5
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    FIG 5

    Disk diffusion susceptibility testing using fluconazole (FLC) and voriconazole (VRC) paper disks for LMDM-31 (parental strain akuBKU80Δ) (31), LMDM-32 (recipient strain akuBKU80Δ CYP51AΔ) (12), R. oryzae ATCC 11886, and A. fumigatus chimera LMDM-1229 (akuBKU80Δ RoCYP51A).

Tables

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  • TABLE 1

    Antifungal susceptibility testing results for the strains used in this study

    StrainMIC or MEC value (μg/ml)a
    FLCPSCITCVRCAMBCSFANF
    LMDM-31>320.00 (0)0.250.120.12 (32)0.500.060.03
    LMDM-3216.00 (19)0.120.030.03 (48)0.500.060.03
    ATCC 11886>320.00 (0)1.001.00>8.00 (0)2.00>8.00>8.00
    LMDM-1229>320.00 (0)1.001.00>8.00 (0)0.500.060.03
    LMDM-1230>320.00 (0)1.001.00>8.00 (0)0.500.060.03
    • ↵a MIC values were obtained on three different days by using the protocol published by CLSI (document M38-A2) (17) and are presented as geometric means. Inhibition diameters (in millimeters) for fluconazole and voriconazole are displayed in parentheses and were obtained by the agar diffusion method following the procedures described in CLSI document M51-A (37). The values are presented as the arithmetic means for three repetitions. FLC, fluconazole; PSC, posaconazole; ITC, itraconazole; VRC, voriconazole; AMB, amphotericin B; CSF, caspofungin; ANF, anidulafungin. MEC values were obtained for CSF and ANF.

  • TABLE 2

    Primers used in this work

    PrimerTarget organism(s)Sequence (5′-3′)aOrientationUse
    R-RoCYP51F1A. fumigatusGAATATATACGTCGATCTGTGTGSenseLMDM-p134 construction
    R-RoCYP51R1A. fumigatusGTAAGGTGGATATGATGGCCATTTCGAGGAGACACAGGGAGGAntisenseLMDM-p134 construction
    R-RoCYP51F2A. fumigatus/R. oryzaeCCCTCCCTGTGTCTCCTCGAAATGGCCATCATATCCACCTTACSenseLMDM-p134 construction
    R-RoCYP51R2A. fumigatus/R. oryzaeGTCCTCGATGGTTACAACAGTCTTATTGCTTTCTAGCTCTATAACGAntisenseLMDM-p134 construction
    R-RoCYP51F3A. fumigatusCGTTATAGAGCTAGAAAGCAATAAGACTGTTGTAACCATCGAGGACSenseLMDM-p134 construction
    R-RoCYP51R3A. fumigatusATCCCAGCAGATACGCTGGTCAntisenseLMDM-p134 construction
    P-RoCYP51F1R. oryzaeCCCCATATGGCCATCATATCCACCTTACTTSenseR. oryzae CYP51A amplification
    P-RoCYP51R3R. oryzaeGGGGTCGACTTAAAGCTTTTGCTTTCTAGCTCTATAACGAAntisenseR. oryzae CYP51A amplification, evaluation of LMDM-p134 integration
    P-RoCYP51FBR. oryzaeCCCCATATGGCTGTCATCTCCACTTTACTCCSenseR. oryzae CYP51B amplification
    P-RoCYP51RBR. oryzaeGGGGTCGACCTAAAGCTTTTCTCTCCAAGTGTATTTGATGAntisenseR. oryzae CYP51B amplification
    P-RoCYP51F3R. oryzaeCGATCGAATTTGGAAAAAACCCCATCGAATTCCTTCASenseEvaluation of LMDM-p134 integration
    A13A. fumigatusCTTCCCACATCCATCTTCTSenseEvaluation of LMDM-p134 homologous recombination
    A5RA. fumigatusTCTCTGCACGCAAAGAAGAntisenseEvaluation of LMDM-p134 homologous recombination
    P-RoCYP51R1R. oryzaeGGATCTTTGGGTTGAATAAACTGAGATAAAAGATGAATGACAntisenseEvaluation of LMDM-p134 homologous recombination
    • ↵a Letters in bold indicate the start and stop codon of R. oryzae CYP51s.

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Molecular Confirmation of the Linkage between the Rhizopus oryzae CYP51A Gene Coding Region and Its Intrinsic Voriconazole and Fluconazole Resistance
Daiana Macedo, Florencia Leonardelli, Catiana Dudiuk, Laura Theill, Matías S. Cabeza, Soledad Gamarra, Guillermo Garcia-Effron
Antimicrobial Agents and Chemotherapy Jul 2018, 62 (8) e00224-18; DOI: 10.1128/AAC.00224-18

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Molecular Confirmation of the Linkage between the Rhizopus oryzae CYP51A Gene Coding Region and Its Intrinsic Voriconazole and Fluconazole Resistance
Daiana Macedo, Florencia Leonardelli, Catiana Dudiuk, Laura Theill, Matías S. Cabeza, Soledad Gamarra, Guillermo Garcia-Effron
Antimicrobial Agents and Chemotherapy Jul 2018, 62 (8) e00224-18; DOI: 10.1128/AAC.00224-18
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    • ABSTRACT
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KEYWORDS

azole
CYP51
intrinsic resistance
molecular mechanism
resistance
Rhizopus
fluconazole
Mucorales
voriconazole

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