Identification of the major molecular types of Cryptococcus neoformans and C. gattii by Hyperbranched rolling circle

Luciana Trilles1, Bin Wang2, Carolina Firacative3

  • 1Molecular Mycology Research Laboratory, Centre for Infectious Diseases and Microbiology, Sydney Medical School - Westmead Hospital, Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Westmead Millennium Institute for Infectious Diseases and Biosecurity, Sydney, Australia; Instituto de Pesquisa Clínica Evandro Chagas, FIOCRUZ, Laboratório de Micologia, Rio de Janeiro, Brazil.

Plos One
|April 17, 2014
PubMed

Insights

Rapid identification of Cryptococcus neoformans and Cryptococcus gattii molecular types is now possible. A new method using hyperbranched rolling circle amplification (HRCA) accurately detects fungal strains and hybrids for tailored treatment.

Area of Science:

  • Mycology
  • Molecular Biology
  • Infectious Diseases

Background:

  • Cryptococcosis is caused by Cryptococcus neoformans and Cryptococcus gattii, leading to meningoencephalitis in various hosts.
  • These fungal species are classified into eight major molecular types (VNI-VNIV for C. neoformans, VGI-VGIV for C. gattii) and hybrids, which exhibit distinct epidemiological and clinical characteristics.
  • Accurate molecular typing is crucial for understanding disease transmission and guiding patient treatment.

Purpose of the Study:

  • To develop a rapid and specific method for identifying the major molecular types and hybrid strains of Cryptococcus neoformans and Cryptococcus gattii.
  • To evaluate the efficacy of a novel diagnostic approach for cryptococcosis agents.

Main Methods:

  • Development of specific probes targeting the PLB1 gene.
  • Application of hyperbranched rolling circle amplification (HRCA) for initial strain identification.
  • Incorporation of a semi-nested PCR step to enhance sensitivity for low DNA quantities (down to 40 copies).

Main Results:

  • HRCA alone correctly identified all 76 tested cryptococcal strains to their major molecular or hybrid type.
  • The combined HRCA and semi-nested PCR method demonstrated high specificity and sensitivity.
  • The developed methodology successfully identified low DNA copy numbers, indicating potential for clinical sample analysis.

Conclusions:

  • HRCA based on the PLB1 locus, with or without semi-nested PCR, is a specific and sensitive diagnostic tool.
  • This method holds significant potential for direct diagnosis of cryptococcosis agents, including hybrid strains, from clinical specimens.
  • Enables rapid and personalized treatment strategies for patients with cryptococcosis.