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Infecting Mice with Malassezia spp. to Study the Fungus-Host Interaction
Published on: November 6, 2019
Antifungal susceptibility of Malassezia pachydermatis biofilm
Luciana A Figueredo1, Claudia Cafarchia, Domenico Otranto
1Department of Veterinary Medicine, University of Bari , Valenzano , Italy.
Abstract:
Antifungal resistance has been associated with biofilm formation in many microorganisms, but not yet in Malassezia pachydermatis. This saprophytic yeast can cause otitis and dermatitis in dogs and has emerged as an important human pathogen, responsible for systemic infections in neonates in intensive care units. This study aims to evaluate the in vitro antifungal susceptibility of M. pachydermatis strains, in both their planktonic and sessile forms, to fluconazole, miconazole, ketoconazole, itraconazole, posaconazole, terbinafine and voriconazole using the XTT assay and Clinical and Laboratory Standards Institute (CLSI) microdilution method. The minimum inhibitory concentration (MIC) values recorded for each drug were significantly higher for sessile cells relative to planktonic cells to the extent that ≥ 90% of M. pachydermatis strains in their sessile form were classified as resistant to all antifungal agents tested. Data suggest that M. pachydermatis biofilm formation is associated with antifungal resistance, paving the way towards investigating drug resistance mechanisms in Malassezia spp.
Insights
Malassezia pachydermatis biofilms exhibit significant antifungal resistance. This yeast, causing infections in dogs and humans, shows high resistance to common antifungal drugs when in its sessile form.
Area of Science:
- Medical Mycology
- Antimicrobial Resistance
- Yeast Pathogenesis
Background:
- Antifungal resistance is a growing concern in microbial infections.
- Biofilm formation is a known mechanism of antimicrobial resistance in many microbes.
- Malassezia pachydermatis is a yeast implicated in canine otitis/dermatitis and human neonatal infections.
Purpose of the Study:
- To investigate the in vitro antifungal susceptibility of Malassezia pachydermatis.
- To compare antifungal resistance in planktonic versus sessile (biofilm) forms of M. pachydermatis.
- To assess the association between M. pachydermatis biofilm formation and antifungal drug resistance.
Main Methods:
- Evaluated antifungal susceptibility of M. pachydermatis strains.
- Tested planktonic and sessile yeast forms.
- Utilized the XTT assay and Clinical and Laboratory Standards Institute (CLSI) microdilution method.
- Assessed resistance to fluconazole, miconazole, ketoconazole, itraconazole, posaconazole, terbinafine, and voriconazole.
Main Results:
- Minimum inhibitory concentration (MIC) values were significantly higher for sessile cells compared to planktonic cells.
- Over 90% of M. pachydermatis strains in sessile form demonstrated resistance to all tested antifungal agents.
- Biofilm formation in M. pachydermatis is strongly correlated with reduced susceptibility to antifungal drugs.
Conclusions:
- Malassezia pachydermatis biofilm formation is associated with significant antifungal resistance.
- These findings highlight the need for further research into drug resistance mechanisms in Malassezia spp.
- Understanding M. pachydermatis biofilm resistance is crucial for effective treatment strategies.
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