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Old and New Insights into Sporothrix schenckii Complex Biology and Identification
Elena De Carolis1, Brunella Posteraro2, Maurizio Sanguinetti1
1Dipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Abstract:
Sporothrix schenckii is a worldwide-distributed thermally dimorphic fungus, which usually causes a subacute to chronic infection through traumatic implantation or inoculation of its infectious propagules. The fungus encompasses a group of phylogenetically closely related species, thus named the S. schenckii complex, of which S. schenckiisensu stricto and S. brasiliensis are main causative species of sporotrichosis. Owing to a multifaceted molecular dynamic, the S. schenckii complex can switch between the mycelium and the yeast form. This characteristic along with a varying cell wall composition account for significant species-specific differences in the host range, virulence, and susceptibility to antifungal drugs. While culture remains the gold standard to diagnose sporotrichosis, polymerase chain reaction (PCR) or matrix-assisted laser desorption ionization time-of-flight (MALDI-TOF) mass spectrometry-based methods have become an essential for accurate species identification in many clinical laboratories. If directly applied on tissue samples, molecular methods are helpful to improve both sensitivity of and time to the etiological diagnosis of sporotrichosis. This mini-review aims to put together the old and new knowledge on the S. schenckii complex biology and identification, with particular emphasis on the laboratory diagnosis-related aspects of disease.
Insights
The Sporothrix schenckii complex causes sporotrichosis, with species-specific differences in virulence and drug susceptibility. Accurate laboratory diagnosis using molecular methods like PCR and MALDI-TOF is crucial for effective treatment.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Clinical Microbiology
Background:
- Sporothrix schenckii complex is a thermally dimorphic fungus causing sporotrichosis via traumatic inoculation.
- Key species include S. schenckii sensu stricto and S. brasiliensis, exhibiting species-specific host range, virulence, and antifungal susceptibility.
- Fungal dimorphism and cell wall variations contribute to disease pathogenesis.
Purpose of the Study:
- To review current knowledge on Sporothrix schenckii complex biology and identification.
- To emphasize laboratory diagnosis aspects, including traditional and molecular methods.
- To highlight advancements in etiological diagnosis of sporotrichosis.
Main Methods:
- Literature review of existing studies on Sporothrix schenckii complex.
- Analysis of diagnostic techniques, including culture, PCR, and MALDI-TOF.
- Focus on molecular methods for species identification in clinical samples.
Main Results:
- Culture is the gold standard, but molecular methods (PCR, MALDI-TOF) offer accurate and rapid species identification.
- Molecular techniques applied directly to tissue samples enhance diagnostic sensitivity and timeliness.
- Understanding species-specific characteristics is vital for targeted treatment.
Conclusions:
- Accurate identification of Sporothrix schenckii complex species is essential for managing sporotrichosis.
- Molecular diagnostics significantly improve the speed and accuracy of etiological diagnosis.
- Continued research into the biology and diagnostics of this complex is warranted.
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