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Published on: June 22, 2019
Molecular methods for the diagnosis and characterization of Cryptococcus: a review
José Júlio Costa Sidrim1, Ana Karoline Freire Costa, Rossana Aguiar Cordeiro
1Specialized Medical Mycology Center, Federal University of Ceará, Rua Coronel Nunes de Melo, Rodolfo Teófilo, Fortaleza, Ceará, Brazil.
Abstract:
Cryptococcosis is a fungal infection caused by yeasts of the genus Cryptococcus, with Cryptococcus neoformans and Cryptococcus gattii as the primary pathogenic species. This disease is a threat to immunocompromised patients, especially those who have AIDS. However, the disease has also been described in healthy individuals. The tests used to identify these microorganisms have limitations that make final diagnosis difficult. However, currently there are specific gene sequences that can be used to detect C. neoformans and C. gattii from clinical specimens and cultures. These sequences can be used for identification, typing, and the study of population genetics. Among the main identification techniques are hybridization, which was the pioneer in molecular identification and development of specific probes for pathogen detection; PCR and other PCR-based methods, particularly nested PCR and multiplex PCR; and sequencing of specific genomic regions that are amplified through PCR, which is especially useful for diagnosis of cryptococcosis caused by unconventional Cryptococcus sp. Concerning microorganism typing, the following techniques have shown the best ability to differentiate between fungal serotypes and molecular types: PCR fingerprinting, PCR-RFLP, AFLP, and MLST. Thus, the accumulation of data generated by molecular methods can have a positive impact on monitoring resistant strains and treating diseases.
Insights
Molecular methods offer advanced detection and typing for Cryptococcus fungal infections, improving diagnosis and treatment for immunocompromised patients. These techniques aid in identifying Cryptococcus neoformans and Cryptococcus gattii, crucial for managing cryptococcosis.
Area of Science:
- Mycology
- Medical Mycology
- Molecular Biology
Background:
- Cryptococcosis is a serious fungal infection caused by Cryptococcus yeasts, primarily affecting immunocompromised individuals, including those with AIDS.
- Traditional diagnostic methods for Cryptococcus species have limitations, complicating accurate and timely diagnosis.
- Emerging molecular techniques provide enhanced capabilities for identifying and characterizing these pathogenic fungi.
Purpose of the Study:
- To review and highlight the advancements in molecular techniques for the identification and typing of Cryptococcus species.
- To emphasize the utility of specific gene sequences in detecting Cryptococcus neoformans and Cryptococcus gattii.
- To discuss the impact of molecular data on managing cryptococcosis, including monitoring drug resistance.
Main Methods:
- Review of molecular identification techniques including hybridization, PCR-based methods (nested PCR, multiplex PCR), and genomic sequencing.
- Discussion of molecular typing methods such as PCR fingerprinting, PCR-RFLP, AFLP, and multilocus sequence typing (MLST).
- Focus on the application of these methods for clinical specimens and fungal cultures.
Main Results:
- Specific gene sequences enable precise detection and identification of Cryptococcus neoformans and Cryptococcus gattii.
- Molecular typing methods effectively differentiate fungal serotypes and molecular types, aiding in epidemiological studies.
- Advancements in molecular diagnostics facilitate earlier and more accurate diagnosis of cryptococcosis.
Conclusions:
- Molecular methods significantly improve the diagnosis, identification, and typing of Cryptococcus species.
- The application of these techniques is vital for understanding population genetics and monitoring antifungal resistance.
- Enhanced molecular data collection will positively impact patient treatment and disease management strategies for cryptococcosis.
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