Physiological characterization and molecular identification of some rare yeast species causing onychomycosis

Alexandra M Montoya1, Carolina E Luna-Rodríguez1, Alexandro Bonifaz2

  • 1Departamento de Microbiología, Facultad de Medicina, Universidad Autónoma de Nuevo León, avenue Francisco I. Madero s/n, 64460 Monterrey, México.

Abstract

Insights

Rare yeasts are emerging as onychomycosis agents. Molecular identification confirmed Candida duobushaemulonii, Meyerozyma caribbica, and Cutaneotrichosporon dermatis, revealing distinct enzymatic profiles and antifungal susceptibilities.

Area of Science:

  • Medical Mycology
  • Clinical Microbiology
  • Yeast Pathogenesis

Background:

  • Onychomycosis is increasingly caused by yeasts beyond common dermatophytes.
  • Antifungal use has led to the emergence of rare or novel yeast pathogens.
  • Accurate identification of yeast species is crucial for effective treatment.

Purpose of the Study:

  • To re-identify rare yeast isolates from onychomycosis using advanced molecular techniques.
  • To characterize the enzymatic activities and antifungal susceptibility profiles of these yeasts.
  • To report novel etiological agents of onychomycosis.

Main Methods:

  • Phenotypic characterization including enzymatic activity testing (urease, gelatinase, DNase, phospholipase, protease, esterase, hemolysis).
  • Molecular identification using matrix-assisted laser desorption/ionization time of flight/mass spectrometry (MALDI-TOF/MS).
  • Sequencing of ribosomal DNA (rDNA) internal transcribed spacer (ITS) or intergenic spacer (IGS) 1 regions.
  • Antifungal susceptibility testing against amphotericin B, fluconazole, anidulafungin, and caspofungin.

Main Results:

  • Phenotypic methods were insufficient for isolate identification.
  • MALDI-TOF/MS identified Candida duobushameulonii.
  • Sequence analysis identified Candida duobushaemulonii, Meyerozyma caribbica, and Cutaneotrichosporon dermatis.
  • Specific enzymatic activities were noted for each species.
  • Cutaneotrichosporon dermatis showed resistance to echinocandins but susceptibility to amphotericin B and fluconazole.

Conclusions:

  • Ribosomal DNA sequencing (ITS/IGS1) is superior for identifying cryptic yeast species.
  • Further research is needed to fully define enzymatic and antifungal profiles of these species.
  • This study reports Meyerozyma caribbica and Cutaneotrichosporon dermatis as new etiological agents of onychomycosis.

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