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Published on: May 28, 2012
Development of rapid and specific molecular discrimination methods for pathogenic emericella species
Tetsuhiro Matsuzawa1, Reiko Tanaka, Yoshikazu Horie
1Medical Mycology Research Center, Chiba University.
Abstract:
Aspergillosis is an important mycosis caused primarily by Aspergillus fumigatus and its relatives. The genus Emericella is a teleomorph related to the Aspergillus section Nidulantes. The typical anamorphic stage species in this genus is Aspergillus nidulans, which is sometimes a significant agent in chronic granulomatous disease (CGD) patients. The mortality rate of osteomyelitis in CGD patients due to A. nidulans ( E. nidulans ) is very high compared to that due to A. fumigatus. Moreover, two Emericella species ( E. nidulans and E. quadrilineata ) from clinical specimens exhibit different sensitivities against several antifungal drugs. In aspergillosis, correct species identification is important for antifungal therapy. We attempted to develop rapid and specific molecular discrimination by polymerase chain reaction (PCR) and loop-mediated isothermal amplification (LAMP) methods in the principal pathogenic Emericella species, and succeeded in establishing species-specific primers corresponding to the hydrophobin gene. These primers discriminate E. nidulans and E. quadrilineata rapidly and specifically. These methods and primers make it possible to diagnose etiological agents in aspergillosis quickly and easily.
Insights
Accurate identification of Emericella species is crucial for treating aspergillosis, especially in chronic granulomatous disease patients. New molecular methods using hydrophobin gene primers rapidly and specifically distinguish between E. nidulans and E. quadrilineata.
Area of Science:
- Medical Mycology
- Molecular Diagnostics
- Infectious Diseases
Background:
- Aspergillosis is a significant fungal infection, often caused by Aspergillus species.
- Emericella, a teleomorph related to Aspergillus, includes species like E. nidulans, a potential pathogen in chronic granulomatous disease (CGD).
- Osteomyelitis mortality in CGD patients is higher with E. nidulans compared to A. fumigatus, and Emericella species show varied antifungal sensitivities.
Purpose of the Study:
- To develop rapid and specific molecular methods for discriminating principal pathogenic Emericella species.
- To aid in accurate species identification for effective antifungal therapy in aspergillosis.
Main Methods:
- Development of species-specific primers targeting the hydrophobin gene.
- Application of Polymerase Chain Reaction (PCR) and Loop-Mediated Isothermal Amplification (LAMP) techniques.
Main Results:
- Successfully established species-specific primers for E. nidulans and E. quadrilineata.
- Demonstrated rapid and specific discrimination between these two Emericella species using PCR and LAMP.
Conclusions:
- The developed molecular methods and primers enable quick and easy diagnosis of etiological agents in aspergillosis.
- This facilitates timely and appropriate antifungal treatment, potentially improving patient outcomes, especially in immunocompromised individuals.
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