Impact of Resistance to Fluconazole on Virulence and Morphological Aspects of Cryptococcus neoformans and

Suélen A Rossi1, Nuria Trevijano-Contador2, Liliana Scorzoni1

  • 1Faculdade de Ciências Farmacêuticas, UNESP - Universidade Estadual Paulista, Campus Araraquara, Departamento de Análises Clíncas São Paulo, Brazil.

Frontiers in Microbiology
|February 25, 2016
PubMed

Insights

Antifungal resistance in Cryptococcus species can reduce their virulence, particularly in Cryptococcus neoformans. Fluconazole resistance may impact fungal growth and morphology, leading to decreased pathogenicity.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Cryptococcus species cause approximately 1 million meningitis cases annually.
  • Fluconazole (FLU) is a primary treatment for cryptococcosis, especially in immunocompromised individuals.
  • Antifungal resistance often emerges after prolonged treatment periods.

Purpose of the Study:

  • To investigate the morphological characteristics and virulence of fluconazole-susceptible and fluconazole-resistant Cryptococcus neoformans and Cryptococcus gattii isolates.
  • To compare virulence profiles in vitro and in vivo using the Galleria mellonella model.
  • To assess the impact of fluconazole resistance on fungal morphology, capsule size, and growth at 37°C.

Main Methods:

  • Morphological characterization of clinical and environmental isolates.
  • Virulence profiling using the Galleria mellonella infection model.
  • In vitro analysis of cell morphology, capsule size, and growth at 37°C.

Main Results:

  • Fluconazole-susceptible Cryptococcus neoformans isolates exhibited significantly higher virulence than resistant isolates.
  • Fluconazole-susceptible Cryptococcus gattii isolates displayed varied virulence; only one environmental isolate was more virulent than resistant ones.
  • Fluconazole-resistant isolates showed reduced growth at 37°C compared to susceptible isolates.
  • No significant changes in cell morphology or capsule size were observed between susceptible and resistant isolates.

Conclusions:

  • Fluconazole resistance can influence fungal morphology and alter virulence profiles.
  • Adaptation to antifungal selective pressure, particularly in Cryptococcus neoformans, can lead to a loss of virulence.
  • Fluconazole resistance may compromise the growth of Cryptococcus species at host physiological temperatures.

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