Time and cost-efficient identification of Trichophyton indotineae.


Journal

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

Informations de publication

Date de publication:
Jan 2023
Historique:
revised: 09 09 2022
received: 04 06 2022
accepted: 14 09 2022
pubmed: 18 9 2022
medline: 3 12 2022
entrez: 17 9 2022
Statut: ppublish

Résumé

During the past 5 years, an outbreak of recalcitrant dermatophytosis due to a novel Trichophyton species generally resistant to terbinafine, T. indotineae, has spread out from South Asia to many countries around the World. These isolates cannot be reliably differentiated from other Trichophyton spp. on the basis of morphological traits and the current laboratory diagnostics relies on sequencing of ribosomal DNA ITS region. In this study, we aimed to introduce two inexpensive and rapid PCR-based assays for differentiation between T. indotineae and other dermatophytes. The first introduced assay is based on PCR-restriction fragment length polymorphism (PCR-RFLP) analysis, involving the amplification of TOP2 sequences and the digestion of PCR products by Cfr13I restriction enzyme. The second assay is proposed as conventional endpoint species-specific PCR amplification of the C120-287 intergenic locus. To validate the assays, a total of 191 Trichophyton spp. and 2 Microsporum canis strains with known ITS region sequences were used. From the T. mentagrophytes / T. interdigitale species complex (TMTISC), strains with 18 different ITS genotypes were tested. The sample of TMTISC isolates included 41 T. indotineae strains. TOP2 PCR-RFLP and T. indotineae-specific PCR were positive with testing on DNA of all 41 T. indotineae isolates and two strains of T. mentagrophytes belonging to ITS Types XIII and XVI, but negative with other species and other TMTISC ITS genotypes (n = 152). Therefore, the specificity of both new assays was 99%. The two developed diagnostic assays provide accurate and cost-effective means of identifying cultured T. indotineae isolates.

Sections du résumé

BACKGROUND BACKGROUND
During the past 5 years, an outbreak of recalcitrant dermatophytosis due to a novel Trichophyton species generally resistant to terbinafine, T. indotineae, has spread out from South Asia to many countries around the World. These isolates cannot be reliably differentiated from other Trichophyton spp. on the basis of morphological traits and the current laboratory diagnostics relies on sequencing of ribosomal DNA ITS region.
OBJECTIVES OBJECTIVE
In this study, we aimed to introduce two inexpensive and rapid PCR-based assays for differentiation between T. indotineae and other dermatophytes.
METHODS METHODS
The first introduced assay is based on PCR-restriction fragment length polymorphism (PCR-RFLP) analysis, involving the amplification of TOP2 sequences and the digestion of PCR products by Cfr13I restriction enzyme. The second assay is proposed as conventional endpoint species-specific PCR amplification of the C120-287 intergenic locus. To validate the assays, a total of 191 Trichophyton spp. and 2 Microsporum canis strains with known ITS region sequences were used. From the T. mentagrophytes / T. interdigitale species complex (TMTISC), strains with 18 different ITS genotypes were tested. The sample of TMTISC isolates included 41 T. indotineae strains.
RESULTS RESULTS
TOP2 PCR-RFLP and T. indotineae-specific PCR were positive with testing on DNA of all 41 T. indotineae isolates and two strains of T. mentagrophytes belonging to ITS Types XIII and XVI, but negative with other species and other TMTISC ITS genotypes (n = 152). Therefore, the specificity of both new assays was 99%.
CONCLUSION CONCLUSIONS
The two developed diagnostic assays provide accurate and cost-effective means of identifying cultured T. indotineae isolates.

Identifiants

pubmed: 36114817
doi: 10.1111/myc.13530
doi:

Substances chimiques

DNA, Fungal 0
DNA, Ribosomal 0

Banques de données

RefSeq
['MH708282', 'MK313072', 'KT253559', 'MH708281', 'KT253564', 'MK313029', 'MK312972', 'MH708283', 'JN134101', 'KT253558', 'KY761968', 'MK313036', 'MK312948', 'MK313039', 'MK313048', 'MK312735', 'MK312917', 'MK312950', 'MK312929', 'MK312987', 'MK313031', 'MK313044', 'JN134094', 'MN808777', 'KT253557', 'MK312723', 'JN134102', 'MK312816', 'FM992674', 'JN134068', 'JN134106', 'MN808790', 'MN808783', 'JN134099', 'JN134086', 'JN134083', 'NR_103706', 'MH858749', 'MN808787', 'Z97996', 'LT969629', 'MK631953', 'LR794237', 'LR794135', 'MF850250', 'LR794239', 'JN134108']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

75-81

Subventions

Organisme : Ahvaz Jundishapur University of Medical Sciences
ID : CMRC-0056

Informations de copyright

© 2022 Wiley-VCH GmbH.

Références

Taghipour S, Shamsizadeh F, Pchelin IM, et al. Emergence of terbinafine resistant Trichophyton mentagrophytes in Iran, harboring mutations in the squalene epoxidase (SQLE) gene. Infect Drug Resist. 2020;13:845-850.
Yamada T, Maeda M, Alshahni MM, et al. Terbinafine resistance of Trichophyton clinical isolates caused by specific point mutations in the squalene epoxidase gene. Antimicrob Agents Chemother. 2017;61(7):e00115-e00117.
Bishnoi A, Vinay K, Dogra S. Emergence of recalcitrant dermatophytosis in India. Lancet Infect Dis. 2018;18(3):250-251.
Nenoff P, Verma SB, Vasani R, et al. The current Indian epidemic of superficial dermatophytosis due to Trichophyton mentagrophytes-A molecular study. Mycoses. 2019;62(4):336-356.
Saunte D, Pereiro-Ferreirós M, Rodríguez-Cerdeira C, et al. Emerging antifungal treatment failure of dermatophytosis in Europe: take care or it may become endemic. J Eur Acad Dermatol Venereol. 2021;35(7):1582-1586.
Verma SB, Zouboulis C. Indian irrational skin creams and steroid-modified dermatophytosis-an unholy nexus and alarming situation. J Eur Acad Dermatol Venereol. 2018;32(11):e426-e427.
Schøsler L, Andersen LK, Arendrup MC, Sommerlund M. Recurrent terbinafine resistant Trichophyton rubrum infection in a child with congenital ichthyosis. Pediatr Dermatol. 2018;35(2):259-260.
Nenoff P, Verma SB, Uhrlaß S, Burmester A, Gräser Y. A clarion call for preventing taxonomical errors of dermatophytes using the example of the novel Trichophyton mentagrophytes genotype VIII uniformly isolated in the Indian epidemic of superficial dermatophytosis. Mycoses. 2019;62(1):6-10.
Chowdhary A, Singh A, Singh PK, Khurana A, Meis JF. Perspectives on misidentification of Trichophyton interdigitale/Trichophyton mentagrophytes using internal transcribed spacer region sequencing: urgent need to update the sequence database. Mycoses. 2019;62(1):11-15.
Kano R, Kimura U, Kakurai M, et al. Trichophyton indotineae sp. nov.: a new highly terbinafine-resistant anthropophilic dermatophyte species. Mycopathologia. 2020;185(6):947-958.
Nenoff P, Verma SB, Ebert A, et al. Spread of terbinafine-resistant Trichophyton mentagrophytes type VIII (India) in Germany-“the tip of the iceberg?”. J Fungi. 2020;6(4):207.
Siopi M, Efstathiou I, Theodoropoulos K, Pournaras S, Meletiadis J. Molecular epidemiology and antifungal susceptibility of Trichophyton isolates in Greece: emergence of terbinafine-resistant Trichophyton mentagrophytes type VIII locally and globally. J Fungi. 2021;7(6):419.
Dellière S, Joannard B, Mazouz Benderdouche AM, et al. Emergence of difficult-to-treat tinea corporis caused by Trichophyton mentagrophytes complex isolates, Paris, France. Emerg Infect Dis. 2022;28(1):224-228.
Posso-De Los Rios CJ, Tadros E, Summerbell RC, Scott JA. Terbinafine resistant Trichophyton indotineae isolated in patients with superficial dermatophyte infection in Canadian patients. J Cutan Med Surg. 2022;26:371-376.
Jabet A, Brun S, Normand A-C, et al. Extensive dermatophytosis caused by terbinafine-resistant Trichophyton indotineae, France. Emerg Infect Dis. 2022;28(1):229-233.
Verma SB, Panda S, Nenoff P, et al. The unprecedented epidemic-like scenario of dermatophytosis in India: II. Diagnostic methods and taxonomical aspects. Indian J Dermatol Venereol. 2021;87(3):326-332.
Tang C, Ahmed SA, Deng S, et al. Detection of emerging genotypes in Trichophyton mentagrophytes species complex: a proposal for handlin g biodiversity in dermatophytes. Front Microbiol. 2022;2981:960190.
Taghipour S, Pchelin IM, Zarei Mahmoudabadi A, et al. Trichophyton mentagrophytes and T interdigitale genotypes are associated with particular geographic areas and clinical manifestations. Mycoses. 2019;62(11):1084-1091.
Shamsizadeh F, Pchelin IM, Makimura K, et al. DNA topoisomerase 2 gene polymorphism in dermatophytes. Mycoses. 2020;63(7):694-703.
Pchelin IM, Mochalov YV, Azarov DV, et al. Genotyping of Russian isolates of fungal pathogen Trichophyton rubrum, based on simple sequence repeat and single nucleotide polymorphism. Mycoses. 2020;63(11):1244-1254.
Pchelin IM, Azarov DV, Churina MA, et al. Species boundaries in the Trichophyton mentagrophytes/T. interdigitale species complex. Med Mycol. 2019;57(6):781-789.
Kumar P, Das S, Tigga R, Pandey R, Bhattacharya S, Taneja B. Whole genome sequences of two trichophyton indotineae clinical isolates from India emerging as threats during therapeutic treatment of dermatophytosis. 3 Biotech. 2021;11(9):1-10.
Rezaei-Matehkolaei A, Rafiei A, Makimura K, Gräser Y, Gharghani M, Sadeghi-Nejad B. Epidemiological aspects of dermatophytosis in Khuzestan, Southwestern Iran, an update. Mycopathologia. 2016;181(7):547-553.
White TJ, Bruns T, Lee S, Taylor J. Amplification and direct sequencing of fungal ribosomal RNA genes for phylogenetics. PCR Protoc: Guide Methods Appl. 1990;18(1):315-322.
Kumar S, Stecher G, Tamura K. MEGA7: molecular evolutionary genetics analysis version 7.0 for bigger datasets. Mol Biol Evol. 2016;33(7):1870-1874.
Spiess B, Seifarth W, Merker N, et al. Development of novel PCR assays to detect azole resistance-mediating mutations of the Aspergillus fumigatus cyp51A gene in primary clinical samples from neutropenic patients. Antimicrob Agents Chemother. 2012;56(7):3905-3910.
Yu L-S, Rodriguez-Manzano J, Moser N, et al. Rapid detection of azole-resistant aspergillus fumigatus in clinical and environmental isolates by use of a lab-on-a-chip diagnostic system. J Clin Microbiol. 2020;58(11):e00843-e00820.
Hayette M-P, Seidel L, Adjetey C, et al. Clinical evaluation of the DermaGenius® nail real-time PCR assay for the detection of dermatophytes and Candida albicans in nails. Med Mycol. 2019;57(3):277-283.
Trovato L, Domina M, Calvo M, De Pasquale R, Scalia G, Oliveri S. Use of real time multiplex PCR for the diagnosis of dermatophytes onychomycosis in patients with empirical antifungal treatments. J Infect Public Health. 2022;15(5):539-544.
Ndiaye M, Sacheli R, Diongue K, et al. Evaluation of the multiplex real-time PCR DermaGenius® assay for the detection of dermatophytes in hair samples from Senegal. J Fungi. 2021;8(1):11.
Piri F, Zarei Mahmoudabadi A, Ronagh A, Ahmadi B, Makimura K, Rezaei-Matehkolaei A. Assessment of a pan-dermatophyte nested-PCR compared with conventional methods for direct detection and identification of dermatophytosis agents in animals. Mycoses. 2018;61(11):837-844.
Motamedi M, Mirhendi H, Zomorodian K, et al. Clinical evaluation of β-tubulin real-time PCR for rapid diagnosis of dermatophytosis, a comparison with mycological methods. Mycoses. 2017;60(10):692-696.
Bergman A, Heimer D, Kondori N, Enroth H. Fast and specific dermatophyte detection by automated DNA extraction and real-time PCR. Clin Microbiol Infect. 2013;19(4):E205-E211.
Luk N, Hui M, Cheng T, Tang L, Ho K. Evaluation of PCR for the diagnosis of dermatophytes in nail specimens from patients with suspected onychomycosis. Clin Exp Dermatol. 2012;37(3):230-234.
Arendrup MC, Jørgensen KM, Guinea J, et al. Multicentre validation of a EUCAST method for the antifungal susceptibility testing of microconidia-forming dermatophytes. J Antimicrob Chemother. 2020;75(7):1807-1819.
Singh A, Masih A, Monroy-Nieto J, et al. A unique multidrug-resistant clonal Trichophyton population distinct from Trichophyton mentagrophytes/Trichophyton interdigitale complex causing an ongoing alarming dermatophytosis outbreak in India: genomic insights and resistance profile. Fungal Genet Biol. 2019;133:103266.
Tang C, Kong X, Ahmed SA, et al. Taxonomy of the Trichophyton mentagrophytes/T. interdigitale species complex harboring the highly virulent, multiresistant genotype T. indotineae. Mycopathologia. 2021;186(3):315-326.
Heidemann S, Monod M, Gräser Y. Signature polymorphisms in the internal transcribed spacer region relevant for the differentiation of zoophilic and anthropophilic strains of Trichophyton interdigitale and other species of T. mentagrophytes sensu lato. Br J Dermatol. 2010;162(2):282-295.
Symoens F, Jousson O, Planard C, et al. Molecular analysis and mating behaviour of the Trichophyton mentagrophytes species complex. Int J Med Microbiol. 2011;301(3):260-266.
Kano R, Noguchi H, Harada K, Hiruma M. Rapid molecular detection of terbinafine-resistant dermatophytes. Med Mycol J. 2021;62(2):41-44.
Singh A, Singh P, Dingemans G, Meis JF, Chowdhary A. Evaluation of DermaGenius® resistance real-time polymerase chain reaction for rapid detection of terbinafine-resistant Trichophyton species. Mycoses. 2021;64(7):721-726.

Auteurs

Abolfazl Batvandi (A)

Cellular and Molecular Research Center, Medical Basic Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Ivan M Pchelin (IM)

Laboratory of Innovative Methods in Microbiological Monitoring, Research Centre for Personalized Medicine, Institute of Experimental Medicine, Saint Petersburg, Russia.

Neda Kiasat (N)

Cellular and Molecular Research Center, Medical Basic Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Mahboobeh Kharazi (M)

Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Rasoul Mohammadi (R)

Department of Medical Parasitology and Mycology, Infectious Diseases and Tropical Medicine Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Kamiar Zomorodian (K)

Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Ali Rezaei-Matehkolaei (A)

Cellular and Molecular Research Center, Medical Basic Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

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