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Taxonomy of the Trichophyton mentagrophytes/T. interdigitale Species Complex Harboring the Highly Virulent,
Chao Tang1,2, Xue Kong3, Sarah A Ahmed2
1Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education of Guizhou & Key Laboratory of Medical Microbiology and Parasitology, School of Basic Medical Sciences, Guizhou Medical University, Guiyang, China.
Abstract:
A severe outbreak of highly virulent and multi-resistant dermatophytosis by species in the Trichophyton mentagrophytes/T. interdigitale complex is ongoing in India. The correct identity of the etiologic agent is a much-debated issue. In order to define species limits, a taxonomic study was undertaken combining molecular, morphological, and physiological characteristics as evidence of classification. Molecular characteristics show that T. mentagrophytes s. str. and T. interdigitale s. str. can be distinguished with difficulty from each other, but are unambiguously different from the Indian genotype, T. indotineae by sequences of the HMG gene. The entities were confirmed by multilocus analysis using tanglegrams. Phenotypic characters of morphology and physiology are not diagnostic, but statistically significant differences are observed between the molecular siblings. These properties may be drivers of separate evolutionary trends. Trichophyton mentagrophytes represents the ancestral, homothallic cloud of genotypes with a probable geophilic lifestyle, while T. indotineae and T. interdigitale behave as anthropophilic, clonal offshoots. The origin of T. indotineae, which currently causes a significant public health problem, is zoonotic, and its emergence is likely due to widespread misuse of antifungals.
Insights
A new fungal species, Trichophyton indotineae, is causing a severe, multi-resistant dermatophytosis outbreak in India. This study clarifies its distinct identity from related Trichophyton species, highlighting its zoonotic origin and antifungal resistance.
Area of Science:
- Medical Mycology
- Fungal Taxonomy
- Molecular Biology
Background:
- A highly virulent and multi-resistant dermatophytosis outbreak caused by the Trichophyton mentagrophytes/T. interdigitale complex is prevalent in India.
- The precise identification of the causative fungal species remains a significant challenge and subject to debate.
Purpose of the Study:
- To delineate species boundaries within the T. mentagrophytes/T. interdigitale complex.
- To definitively identify the etiologic agent responsible for the ongoing dermatophytosis outbreak in India.
Main Methods:
- Combined molecular (HMG gene sequencing, multilocus analysis), morphological, and physiological characteristics for taxonomic classification.
- Utilized tanglegrams for robust confirmation of distinct genetic entities.
Main Results:
- Molecular analyses, particularly HMG gene sequencing, clearly distinguish Trichophyton indotineae from T. mentagrophytes and T. interdigitale.
- While phenotypic traits show statistical differences, they are not diagnostic for species identification.
- T. mentagrophytes appears ancestral and homothallic, whereas T. indotineae and T. interdigitale are anthropophilic, clonal offshoots.
Conclusions:
- Trichophyton indotineae is identified as a distinct species responsible for the current public health crisis in India.
- The emergence of T. indotineae is linked to zoonotic origins and the extensive misuse of antifungal treatments.
- Understanding these evolutionary trends is crucial for managing dermatophytosis outbreaks.
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