Related Experiment Video
Updated: Jul 27, 2026

Biolistic Transformation of a Fluorescent Tagged Gene into the Opportunistic Fungal Pathogen Cryptococcus neoformans
Published on: March 19, 2015
Sterol compositions and susceptibilities to amphotericin B of environmental Cryptococcus neoformans isolates are
B Currie1, H Sanati, A S Ibrahim
1Department of Medicine, Albert Einstein College of Medicine, Bronx, New York 10461, USA.
Abstract:
Previous studies have shown that sequential isolates from patients with persistent Cryptococcus neoformans meningoencephalitis can vary in sterol composition and susceptibility to antifungal drugs. To investigate the potential of host factors as mediators of this phenomenon, we compared fungal susceptibilities of environmental and clinical isolates from a limited geographic area. Clinical isolates were less susceptible to amphotericin B than environmental isolates. Five environmental isolates were passaged through BALB/c murine hosts; the passaged isolates had changes in sterol composition and reduced amphotericin B susceptibilities relative to those of the parent isolates. In contrast, murine passage of these isolates did not alter their susceptibilities to fluconazole. The results confirm that changes in sterol composition and antifungal susceptibility can occur in vivo as a result of host factors and suggest that human infection can result in selection of variants with reduced susceptibilities to amphotericin B.
Insights
Host factors in persistent Cryptococcus neoformans meningoencephalitis can alter fungal sterol composition and reduce susceptibility to amphotericin B. This suggests human infection may select for drug-resistant fungal variants.
Area of Science:
- Mycology
- Infectious Diseases
- Pharmacology
Background:
- Sequential isolates of *Cryptococcus neoformans* from patients with persistent meningoencephalitis exhibit variability in sterol composition and antifungal drug susceptibility.
- Host factors may mediate these observed changes in fungal properties.
Purpose of the Study:
- To investigate the role of host factors in mediating changes in fungal sterol composition and antifungal susceptibility.
- To compare the antifungal susceptibilities of environmental and clinical isolates of *Cryptococcus neoformans*.
Main Methods:
- Comparison of antifungal susceptibilities between environmental and clinical isolates.
- In vivo passage of environmental isolates through BALB/c murine hosts.
- Analysis of sterol composition and antifungal susceptibility of parent and passaged isolates.
Main Results:
- Clinical isolates demonstrated lower susceptibility to amphotericin B compared to environmental isolates.
- Murine passage of environmental isolates led to alterations in sterol composition and reduced amphotericin B susceptibility.
- Fluconazole susceptibility remained unchanged after murine passage.
Conclusions:
- Host factors can induce in vivo changes in fungal sterol composition and antifungal susceptibility.
- Human infection with *Cryptococcus neoformans* may select for variants with diminished susceptibility to amphotericin B.
Related Concept Videos
Fungal Phylum Microsporidia
Cryptococcal Meningitis
Antifungal Agents

