<i>Candida auris</i> Antifungal Resistance, Virulence and Susceptibility to a Novel Nitric Oxide-Releasing Microparticle and Its Correlations to Clade Identification

<i>Candida auris</i> is a globally emerging pathogenic fungus described in Japan in 2009. This fungus has been identified mainly in nosocomial environments, associated with a high frequency of multidrug-resistant strains, and mortality rates reach 60%. <i>C. auris</i> is divi...

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Main Authors: Alessandro F. Valdez, Flora Bohner, Joshua P. Goldman, Ali B. Jaquiery, Eduardo V. C. do Amaral, Dario Correa-Junior, Andrew Draganski, Leonardo Nimrichter, Joshua D. Nosanchuk, Daniel Zamith-Miranda
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Language:English
Published: MDPI AG 2025-01-01
Series:Microbiology Research
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Online Access:https://www.mdpi.com/2036-7481/16/1/15
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author Alessandro F. Valdez
Flora Bohner
Joshua P. Goldman
Ali B. Jaquiery
Eduardo V. C. do Amaral
Dario Correa-Junior
Andrew Draganski
Leonardo Nimrichter
Joshua D. Nosanchuk
Daniel Zamith-Miranda
author_facet Alessandro F. Valdez
Flora Bohner
Joshua P. Goldman
Ali B. Jaquiery
Eduardo V. C. do Amaral
Dario Correa-Junior
Andrew Draganski
Leonardo Nimrichter
Joshua D. Nosanchuk
Daniel Zamith-Miranda
author_sort Alessandro F. Valdez
collection DOAJ
description <i>Candida auris</i> is a globally emerging pathogenic fungus described in Japan in 2009. This fungus has been identified mainly in nosocomial environments, associated with a high frequency of multidrug-resistant strains, and mortality rates reach 60%. <i>C. auris</i> is divided into 6 biogeographic clades, and there is a correlation between the clades and resistance against antifungals. In the current report, 8 strains of <i>C. auris</i> isolated in the Montefiore Medical Center, Bronx were analyzed to assess their clade (via ClaID) and common molecular determinants of antifungal resistance. We assessed antifungal resistance as well as the efficacy of a novel nitric oxide-donating microparticle as an alternative approach against <i>C. auris</i> in vitro through microplate susceptibility tests. Virulence was also determined in a <i>Galleria mellonella</i> model. Our results indicate that 7 out of 8 strains, belonging to clade 1, were resistant to fluconazole, while clade 2 was susceptible. Additionally, the clade 2 strain was more susceptible to treatment with the microparticle, while also being more virulent in an invertebrate model of infection. Our findings were then correlated to visualize parallels between clade identification and resistance/virulence patterns.
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spelling doaj-art-2ded9b3a6cf84f7aaab1262a77cdeae62025-01-24T13:41:44ZengMDPI AGMicrobiology Research2036-74812025-01-011611510.3390/microbiolres16010015<i>Candida auris</i> Antifungal Resistance, Virulence and Susceptibility to a Novel Nitric Oxide-Releasing Microparticle and Its Correlations to Clade IdentificationAlessandro F. Valdez0Flora Bohner1Joshua P. Goldman2Ali B. Jaquiery3Eduardo V. C. do Amaral4Dario Correa-Junior5Andrew Draganski6Leonardo Nimrichter7Joshua D. Nosanchuk8Daniel Zamith-Miranda9Departments of Medicine (Division of Infectious Diseases) and Microbiology and Immunology, Albert Einstein College of Medicine, Bronx 10461, NY, USADepartments of Medicine (Division of Infectious Diseases) and Microbiology and Immunology, Albert Einstein College of Medicine, Bronx 10461, NY, USADepartments of Medicine (Division of Infectious Diseases) and Microbiology and Immunology, Albert Einstein College of Medicine, Bronx 10461, NY, USADepartments of Medicine (Division of Infectious Diseases) and Microbiology and Immunology, Albert Einstein College of Medicine, Bronx 10461, NY, USADepartamento de Microbiologia Geral, Instituto de Microbiologia Paulo de Goés, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-902, RJ, BrazilDepartments of Medicine (Division of Infectious Diseases) and Microbiology and Immunology, Albert Einstein College of Medicine, Bronx 10461, NY, USAZylö Therapeutics, Greenville, SC 29607, USADepartamento de Microbiologia Geral, Instituto de Microbiologia Paulo de Goés, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-902, RJ, BrazilDepartments of Medicine (Division of Infectious Diseases) and Microbiology and Immunology, Albert Einstein College of Medicine, Bronx 10461, NY, USADepartments of Medicine (Division of Infectious Diseases) and Microbiology and Immunology, Albert Einstein College of Medicine, Bronx 10461, NY, USA<i>Candida auris</i> is a globally emerging pathogenic fungus described in Japan in 2009. This fungus has been identified mainly in nosocomial environments, associated with a high frequency of multidrug-resistant strains, and mortality rates reach 60%. <i>C. auris</i> is divided into 6 biogeographic clades, and there is a correlation between the clades and resistance against antifungals. In the current report, 8 strains of <i>C. auris</i> isolated in the Montefiore Medical Center, Bronx were analyzed to assess their clade (via ClaID) and common molecular determinants of antifungal resistance. We assessed antifungal resistance as well as the efficacy of a novel nitric oxide-donating microparticle as an alternative approach against <i>C. auris</i> in vitro through microplate susceptibility tests. Virulence was also determined in a <i>Galleria mellonella</i> model. Our results indicate that 7 out of 8 strains, belonging to clade 1, were resistant to fluconazole, while clade 2 was susceptible. Additionally, the clade 2 strain was more susceptible to treatment with the microparticle, while also being more virulent in an invertebrate model of infection. Our findings were then correlated to visualize parallels between clade identification and resistance/virulence patterns.https://www.mdpi.com/2036-7481/16/1/15<i>Candida auris</i>resistanceantifungalscladesmicroparticles
spellingShingle Alessandro F. Valdez
Flora Bohner
Joshua P. Goldman
Ali B. Jaquiery
Eduardo V. C. do Amaral
Dario Correa-Junior
Andrew Draganski
Leonardo Nimrichter
Joshua D. Nosanchuk
Daniel Zamith-Miranda
<i>Candida auris</i> Antifungal Resistance, Virulence and Susceptibility to a Novel Nitric Oxide-Releasing Microparticle and Its Correlations to Clade Identification
Microbiology Research
<i>Candida auris</i>
resistance
antifungals
clades
microparticles
title <i>Candida auris</i> Antifungal Resistance, Virulence and Susceptibility to a Novel Nitric Oxide-Releasing Microparticle and Its Correlations to Clade Identification
title_full <i>Candida auris</i> Antifungal Resistance, Virulence and Susceptibility to a Novel Nitric Oxide-Releasing Microparticle and Its Correlations to Clade Identification
title_fullStr <i>Candida auris</i> Antifungal Resistance, Virulence and Susceptibility to a Novel Nitric Oxide-Releasing Microparticle and Its Correlations to Clade Identification
title_full_unstemmed <i>Candida auris</i> Antifungal Resistance, Virulence and Susceptibility to a Novel Nitric Oxide-Releasing Microparticle and Its Correlations to Clade Identification
title_short <i>Candida auris</i> Antifungal Resistance, Virulence and Susceptibility to a Novel Nitric Oxide-Releasing Microparticle and Its Correlations to Clade Identification
title_sort i candida auris i antifungal resistance virulence and susceptibility to a novel nitric oxide releasing microparticle and its correlations to clade identification
topic <i>Candida auris</i>
resistance
antifungals
clades
microparticles
url https://www.mdpi.com/2036-7481/16/1/15
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