Determination of MICING: a new assay for assessing minimal inhibitory concentration for invasive growth

J Zupan1, Z Tomičić, P Raspor

  • 1Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, 1000, Ljubljana, Slovenia, jure.zupan@fvz.upr.si.

Insights

A new assay identifies virulent yeast strains by assessing their invasive growth, antimycotic resistance, and heat tolerance. This method aids in diagnosing challenging yeast infections caused by non-albicans species.

Area of Science:

  • Medical Mycology
  • Clinical Microbiology
  • Diagnostic Assays

Background:

  • Non-albicans yeasts like Saccharomyces cerevisiae and Candida glabrata are emerging pathogens.
  • Species-level identification is insufficient for assessing yeast virulence.
  • New diagnostic methods are needed to identify virulent yeast strains.

Purpose of the Study:

  • To develop a novel assay for characterizing clinically important yeast virulence traits.
  • To combine multiple virulence factor assessments into a single, efficient test.
  • To improve the identification of potentially virulent and drug-resistant yeast strains.

Main Methods:

  • Developed a quantitative agar invasion assay combined with antimycotic susceptibility testing.
  • Defined MICING (minimal inhibitory concentration of antimycotic for invasive growth).
  • Tested the assay using common antimycotics (fluconazole, itraconazole, amphotericin B) against yeast strains.

Main Results:

  • The assay effectively assesses yeast invasive growth, antimycotic resistance, and heat tolerance (37°C).
  • MICING values were determined for fluconazole, itraconazole, and amphotericin B.
  • Yeast strain responses to antimycotics revealed characteristic invasion patterns and mechanisms of action.

Conclusions:

  • The developed assay provides a comprehensive method for identifying clinically significant yeast.
  • It aids in detecting azole-resistant and invasive strains of S. cerevisiae and C. glabrata.
  • This assay enhances diagnostic capabilities for challenging yeast infections.