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Environmental fungicides and triazole resistance in Aspergillus
1National Aspergillosis Centre, University Hospital of South Manchester; Institute of Inflammation and Repair, University of Manchester; Manchester Academic Health Science Centre, Manchester, UK.
Abstract:
Fungal diseases are problematic in both human health and agriculture. Treatment options are limited and resistance may emerge. The relatively recent recognition of triazole resistance in Aspergillus fumigatus has prompted questioning of the origin of resistance. While multiple mechanisms are described in clinical isolates from triazole-treated patients, some de novo resistance is also recognised, especially attributable to TR34 /L98H. Such strains probably arose in the environment, and, indeed, multiple studies have now demonstrated TR(34) /L98H triazole resistance strains of A. fumigatus from soil. Docking and other in vitro studies are consistent with environmental resistance induction through exposure to certain triazole fungicides, notably difenoconazole, propiconazole, epoxiconazole, bromuconazole and tebuconazole. This article addresses the potential implications of this issue for both human health and food security.
Insights
Environmental exposure to triazole fungicides may induce resistance in Aspergillus fumigatus. This emergence of antifungal resistance poses risks to human health and food security.
Area of Science:
- Mycology
- Environmental Science
- Antimicrobial Resistance
Background:
- Fungal infections, particularly those caused by Aspergillus fumigatus, present significant challenges in human health and agriculture.
- Limited treatment options and the emergence of antifungal resistance necessitate understanding resistance origins.
- Triazole resistance in A. fumigatus, notably the TR34/L98H mutation, has been increasingly recognized.
Purpose of the Study:
- To investigate the environmental origins of triazole resistance in Aspergillus fumigatus.
- To explore the role of environmental triazole fungicide exposure in the development of antifungal resistance.
- To assess the implications of environmental resistance for human health and food security.
Main Methods:
- Review of existing studies on triazole resistance mechanisms in A. fumigatus.
- Analysis of environmental sampling data identifying resistant strains.
- In vitro studies, including molecular docking, to assess fungicide-environment interactions.
Main Results:
- TR34/L98H triazole resistance strains of A. fumigatus have been identified in environmental soil samples.
- In vitro studies suggest that exposure to specific triazole fungicides (e.g., difenoconazole, propiconazole) can induce resistance.
- Clinical resistance mechanisms are diverse, but environmental de novo resistance is a significant factor.
Conclusions:
- The environment is a likely origin for de novo triazole resistance in A. fumigatus.
- Agricultural triazole fungicide use may contribute to the selection of resistant fungal strains.
- Emerging environmental resistance has critical implications for managing fungal diseases in humans and agriculture, impacting food security.
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