High Virulence and Antifungal Resistance in Clinical Strains of Candida albicans

Antifungal resistance and virulence properties of Candida albicans are a growing health problem worldwide. To study the expression of virulence and azole resistance genes in 39 clinical strains of C. albicans, we used a model of infection of human vaginal epithelial cells with C. albicans strains is...

Full description

Saved in:
Bibliographic Details
Main Authors: Eric Monroy-Pérez, Gloria Luz Paniagua-Contreras, Pamela Rodríguez-Purata, Felipe Vaca-Paniagua, Marco Vázquez-Villaseñor, Clara Díaz-Velásquez, Alina Uribe-García, Sergio Vaca
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2016/5930489
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565398572105728
author Eric Monroy-Pérez
Gloria Luz Paniagua-Contreras
Pamela Rodríguez-Purata
Felipe Vaca-Paniagua
Marco Vázquez-Villaseñor
Clara Díaz-Velásquez
Alina Uribe-García
Sergio Vaca
author_facet Eric Monroy-Pérez
Gloria Luz Paniagua-Contreras
Pamela Rodríguez-Purata
Felipe Vaca-Paniagua
Marco Vázquez-Villaseñor
Clara Díaz-Velásquez
Alina Uribe-García
Sergio Vaca
author_sort Eric Monroy-Pérez
collection DOAJ
description Antifungal resistance and virulence properties of Candida albicans are a growing health problem worldwide. To study the expression of virulence and azole resistance genes in 39 clinical strains of C. albicans, we used a model of infection of human vaginal epithelial cells with C. albicans strains isolated from Mexican women with vulvovaginal candidiasis (VVC). The strains were identified by PCR amplification of the ITS1 and ITS2 regions of rRNA. The detection and expression of virulence genes and azole resistance genes MDR1 and CDR1 were performed using PCR and RT-PCR, respectively. All strains were sensitive to nystatin and 38 (97.4%) and 37 (94.9%) were resistant to ketoconazole and fluconazole, respectively. ALS1, SAP4–SAP6, LIP1, LIP2, LIP4, LIP6, LIP7, LIP9, LIP10, and PLB1-PLB2 were present in all strains; SAP1 was identified in 37 (94.8%) isolates, HWP1 in 35 (89.7%), ALS3 in 14 (35.8%), and CDR1 in 26 (66.6%). In nearly all of the strains, ALS1, HWP1, SAP4–SAP6, LIP1–LIP10, PLB1, and PLB2 were expressed, whereas CDR1 was expressed in 20 (51.3%) and ALS3 in 14 (35.8%). In our in vitro model of infection with C. albicans, the clinical strains showed different expression profiles of virulence genes in association with the azole resistance gene CDR1. The results indicate that the strains that infect Mexican patients suffering from VVC are highly virulent and virtually all are insensitive to azoles.
format Article
id doaj-art-9850373c9b5748ea9e477ac5bb7e38dc
institution Kabale University
issn 1712-9532
1918-1493
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-9850373c9b5748ea9e477ac5bb7e38dc2025-02-03T01:07:59ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932016-01-01201610.1155/2016/59304895930489High Virulence and Antifungal Resistance in Clinical Strains of Candida albicansEric Monroy-Pérez0Gloria Luz Paniagua-Contreras1Pamela Rodríguez-Purata2Felipe Vaca-Paniagua3Marco Vázquez-Villaseñor4Clara Díaz-Velásquez5Alina Uribe-García6Sergio Vaca7Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Av. de los Barrios 1, Los Reyes Iztacala, 54090 Tlalnepantla, MEX, MexicoFacultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Av. de los Barrios 1, Los Reyes Iztacala, 54090 Tlalnepantla, MEX, MexicoFacultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Av. de los Barrios 1, Los Reyes Iztacala, 54090 Tlalnepantla, MEX, MexicoFacultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Av. de los Barrios 1, Los Reyes Iztacala, 54090 Tlalnepantla, MEX, MexicoFacultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Av. de los Barrios 1, Los Reyes Iztacala, 54090 Tlalnepantla, MEX, MexicoFacultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Av. de los Barrios 1, Los Reyes Iztacala, 54090 Tlalnepantla, MEX, MexicoFacultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Av. de los Barrios 1, Los Reyes Iztacala, 54090 Tlalnepantla, MEX, MexicoFacultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Av. de los Barrios 1, Los Reyes Iztacala, 54090 Tlalnepantla, MEX, MexicoAntifungal resistance and virulence properties of Candida albicans are a growing health problem worldwide. To study the expression of virulence and azole resistance genes in 39 clinical strains of C. albicans, we used a model of infection of human vaginal epithelial cells with C. albicans strains isolated from Mexican women with vulvovaginal candidiasis (VVC). The strains were identified by PCR amplification of the ITS1 and ITS2 regions of rRNA. The detection and expression of virulence genes and azole resistance genes MDR1 and CDR1 were performed using PCR and RT-PCR, respectively. All strains were sensitive to nystatin and 38 (97.4%) and 37 (94.9%) were resistant to ketoconazole and fluconazole, respectively. ALS1, SAP4–SAP6, LIP1, LIP2, LIP4, LIP6, LIP7, LIP9, LIP10, and PLB1-PLB2 were present in all strains; SAP1 was identified in 37 (94.8%) isolates, HWP1 in 35 (89.7%), ALS3 in 14 (35.8%), and CDR1 in 26 (66.6%). In nearly all of the strains, ALS1, HWP1, SAP4–SAP6, LIP1–LIP10, PLB1, and PLB2 were expressed, whereas CDR1 was expressed in 20 (51.3%) and ALS3 in 14 (35.8%). In our in vitro model of infection with C. albicans, the clinical strains showed different expression profiles of virulence genes in association with the azole resistance gene CDR1. The results indicate that the strains that infect Mexican patients suffering from VVC are highly virulent and virtually all are insensitive to azoles.http://dx.doi.org/10.1155/2016/5930489
spellingShingle Eric Monroy-Pérez
Gloria Luz Paniagua-Contreras
Pamela Rodríguez-Purata
Felipe Vaca-Paniagua
Marco Vázquez-Villaseñor
Clara Díaz-Velásquez
Alina Uribe-García
Sergio Vaca
High Virulence and Antifungal Resistance in Clinical Strains of Candida albicans
Canadian Journal of Infectious Diseases and Medical Microbiology
title High Virulence and Antifungal Resistance in Clinical Strains of Candida albicans
title_full High Virulence and Antifungal Resistance in Clinical Strains of Candida albicans
title_fullStr High Virulence and Antifungal Resistance in Clinical Strains of Candida albicans
title_full_unstemmed High Virulence and Antifungal Resistance in Clinical Strains of Candida albicans
title_short High Virulence and Antifungal Resistance in Clinical Strains of Candida albicans
title_sort high virulence and antifungal resistance in clinical strains of candida albicans
url http://dx.doi.org/10.1155/2016/5930489
work_keys_str_mv AT ericmonroyperez highvirulenceandantifungalresistanceinclinicalstrainsofcandidaalbicans
AT glorialuzpaniaguacontreras highvirulenceandantifungalresistanceinclinicalstrainsofcandidaalbicans
AT pamelarodriguezpurata highvirulenceandantifungalresistanceinclinicalstrainsofcandidaalbicans
AT felipevacapaniagua highvirulenceandantifungalresistanceinclinicalstrainsofcandidaalbicans
AT marcovazquezvillasenor highvirulenceandantifungalresistanceinclinicalstrainsofcandidaalbicans
AT claradiazvelasquez highvirulenceandantifungalresistanceinclinicalstrainsofcandidaalbicans
AT alinauribegarcia highvirulenceandantifungalresistanceinclinicalstrainsofcandidaalbicans
AT sergiovaca highvirulenceandantifungalresistanceinclinicalstrainsofcandidaalbicans