Itraconazole resistance of Trichophyton rubrum mediated by the ABC transporter TruMDR2.


Journal

Mycoses
ISSN: 1439-0507
Titre abrégé: Mycoses
Pays: Germany
ID NLM: 8805008

Informations de publication

Date de publication:
Aug 2021
Historique:
revised: 28 03 2021
received: 28 02 2021
accepted: 07 04 2021
pubmed: 26 4 2021
medline: 16 11 2021
entrez: 25 4 2021
Statut: ppublish

Résumé

Dermatophytes showing reduced sensitivity to antifungal agents have emerged in several countries. One terbinafine resistant strain of Trichophyton rubrum, TIMM20092, also showed reduced sensitivity to itraconazole (ITC) and voriconazole (VRC). The expression of two genes (TruMDR2 and TruMDR3) encoding multidrug transporters of the ABC family was found to be highly up-regulated in this strain. Deletion of TruMDR3 in TIMM20092 abolished its resistance to VRC but only slightly reduced its resistance to ITC. We examined the potential of T rubrum to develop resistance to ITC by analysing the mechanism of ITC resistance in TIMM20092. The deletion of TruMDR2 by gene replacement was performed in TIMM20092 and one TruMDR3-lacking mutant (∆TruMDR3) previously generated from TIMM20092. TruMDR2 single and TruMDR2/TruMDR3 double mutants (∆TruMDR2 and ∆TruMDR2/3) were successfully obtained, respectively. The suppression of TruMDR2 was shown to abolish resistance to ITC in TIMM20092 and the TruMDR3-lacking mutant, strongly suggesting that TruMDR2 is a major contributor to ITC resistance in TIMM20092. Our study highlights the possible role of the ABC transporter TruMDR2 in ITC resistance of T. rubrum.

Sections du résumé

BACKGROUND BACKGROUND
Dermatophytes showing reduced sensitivity to antifungal agents have emerged in several countries. One terbinafine resistant strain of Trichophyton rubrum, TIMM20092, also showed reduced sensitivity to itraconazole (ITC) and voriconazole (VRC). The expression of two genes (TruMDR2 and TruMDR3) encoding multidrug transporters of the ABC family was found to be highly up-regulated in this strain. Deletion of TruMDR3 in TIMM20092 abolished its resistance to VRC but only slightly reduced its resistance to ITC.
OBJECTIVES OBJECTIVE
We examined the potential of T rubrum to develop resistance to ITC by analysing the mechanism of ITC resistance in TIMM20092.
METHODS METHODS
The deletion of TruMDR2 by gene replacement was performed in TIMM20092 and one TruMDR3-lacking mutant (∆TruMDR3) previously generated from TIMM20092. TruMDR2 single and TruMDR2/TruMDR3 double mutants (∆TruMDR2 and ∆TruMDR2/3) were successfully obtained, respectively.
RESULTS RESULTS
The suppression of TruMDR2 was shown to abolish resistance to ITC in TIMM20092 and the TruMDR3-lacking mutant, strongly suggesting that TruMDR2 is a major contributor to ITC resistance in TIMM20092.
CONCLUSIONS CONCLUSIONS
Our study highlights the possible role of the ABC transporter TruMDR2 in ITC resistance of T. rubrum.

Identifiants

pubmed: 33896045
doi: 10.1111/myc.13286
doi:

Substances chimiques

ATP Binding Cassette Transporter, Subfamily B 0
Antifungal Agents 0
Itraconazole 304NUG5GF4

Banques de données

GENBANK
['M12304', 'X02390', 'MK787243', 'EAL84894', 'MK787262']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

936-946

Subventions

Organisme : Joint Usage/Research Program of the Medical Mycology Research Center, Chiba University
ID : 20-10

Informations de copyright

© 2021 Wiley-VCH GmbH.

Références

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Auteurs

Tsuyoshi Yamada (T)

Teikyo University Institute of Medical Mycology, Tokyo, Japan.
Asia International Institute of Infectious Disease Control, Teikyo University, Tokyo, Japan.

Takashi Yaguchi (T)

Medical Mycology Research Center, Chiba University, Chiba, Japan.

Takashi Tamura (T)

General Medical Education and Research Center, Teikyo University, Tokyo, Japan.

Christine Pich (C)

Department of Dermatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Karine Salamin (K)

Department of Dermatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Marc Feuermann (M)

Swiss-Prot group, SIB Swiss Institute of Bioinformatics, Geneva, Switzerland.

Michel Monod (M)

Department of Dermatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

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