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Updated: Aug 7, 2026

Whole Genome Sequencing of Candida glabrata for Detection of Markers of Antifungal Drug Resistance
Published on: December 28, 2017
Transcription initiation of genes associated with azole resistance in Candida albicans
J B Harry1, J L Song, C N Lyons
1Department of Pathobiology, School of Public Health and Community Medicine, University of Washington and the Seattle Biomedical Research Institute, 98109-1651, USA.
Abstract:
Oral infections with the opportunistic pathogenic yeast Candida albicans are one of the earliest and most frequent infections in immunosuppressed individuals. In these populations, drug-resistant isolates have emerged with the widespread use of antifungal azole drugs. Many molecular mechanisms of resistance have been identified, including overexpression of two types of efflux pumps, the major facilitator MDR1 and the ABC-transporters (CDR1 and CDR2), and the overexpression or mutation of the target enzyme, ERG11. With overexpression of these four genes implicated in multidrug resistance, identification of regulatory regions of the promoters is important. 5' rapid amplification of cDNA ends (RACE) was used to identify transcription initiation sites for genes associated with multidrug resistance (CDR1, CDR2, MDR1 and ERG11). These results were confirmed by cloning and sequencing of 5' RACE products and by primer extension. This research will allow further analysis of the regulation of transcription for these genes.
Insights
Drug-resistant Candida albicans oral infections are increasing in immunosuppressed patients. Researchers identified transcription initiation sites for key multidrug resistance genes (CDR1, CDR2, MDR1, ERG11) to understand resistance mechanisms.
Area of Science:
- Mycology
- Molecular Biology
- Infectious Diseases
Background:
- Oral infections by Candida albicans are common in immunosuppressed individuals.
- Emergence of drug-resistant strains due to azole antifungal use is a significant clinical challenge.
- Multidrug resistance in Candida albicans is linked to efflux pumps (MDR1, CDR1, CDR2) and target enzyme alterations (ERG11).
Purpose of the Study:
- To identify transcription initiation sites for genes (CDR1, CDR2, MDR1, ERG11) involved in Candida albicans multidrug resistance.
- To facilitate further investigation into the transcriptional regulation of these resistance-associated genes.
- To provide foundational data for developing strategies against azole-resistant fungal infections.
Main Methods:
- Utilized 5' rapid amplification of cDNA ends (RACE) to map transcription start sites.
- Confirmed identified transcription initiation sites through cloning and sequencing of 5' RACE products.
- Employed primer extension assays to validate the transcription start sites.
Main Results:
- Successfully identified the transcription initiation sites for CDR1, CDR2, MDR1, and ERG11 genes.
- Confirmed the accuracy of these findings through complementary molecular techniques.
- Established precise locations of gene promoters critical for multidrug resistance.
Conclusions:
- The identification of transcription initiation sites is crucial for understanding the regulatory mechanisms of multidrug resistance in Candida albicans.
- This research provides essential data for future studies on gene expression control in antifungal resistance.
- Understanding transcriptional regulation can pave the way for novel therapeutic approaches against resistant fungal pathogens.
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