Galleria mellonella as a host model to study Aspergillus terreus virulence and amphotericin B resistance

Elisabeth Maurer1, Niall Browne2, Carla Surlis2

  • 1a Division of Hygiene and Medical Microbiology; Medical University of Innsbruck ; Innsbruck , Austria.

Virulence
|June 25, 2015
PubMed

Insights

The insect model Galleria mellonella effectively distinguishes the pathogenicity of amphotericin B (AMB)-resistant and susceptible Aspergillus terreus. This model also predicts AMB treatment efficacy and correlates with in vitro data.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Toxicology

Background:

  • Amphotericin B (AMB) is a critical antifungal, but resistance in Aspergillus terreus complicates treatment.
  • In vitro susceptibility testing does not always predict in vivo outcomes.
  • Alternative in vivo models are needed to assess fungal virulence and drug efficacy.

Purpose of the Study:

  • To evaluate Galleria mellonella as a model for determining pathogenicity differences between AMB-resistant and susceptible Aspergillus terreus.
  • To assess the in vivo efficacy of liposomal amphotericin B (L-AMB) against Aspergillus terreus.
  • To correlate in vivo results with in vitro antifungal susceptibility data.

Main Methods:

  • Larvae were infected with AMB-resistant (ATR) and AMB-susceptible (ATS) Aspergillus terreus isolates.
  • Larval survival rates were analyzed and correlated with fungal pathogenicity factors.
  • Infected larvae were treated with varying concentrations of L-AMB, and haemocyte density was measured.

Main Results:

  • Galleria mellonella survival was dependent on inoculum size and temperature.
  • In vitro L-AMB susceptibility correlated with in vivo treatment outcomes, identifying an ATS cluster.
  • L-AMB treatment enhanced the larval immune response by increasing haemocyte density.

Conclusions:

  • Galleria mellonella serves as a valuable and convenient model for in vivo screening of Aspergillus terreus virulence and antifungal treatment strategies.
  • The findings support the use of this model to generate hypotheses for further testing in mammalian systems.
  • This study highlights the potential of G. mellonella to predict antifungal drug efficacy and guide treatment decisions.