Evolutionary trends in antifungal resistance : a meta-analysis

The present paper includes a meta-analysis of literature data on 318 species of fungi belonging to 34 orders in their response to 8 antifungal agents (amphotericin B, caspofungin, fluconazole, itraconazole, ketoconazole, posaconazole, terbinafine, and voriconazole). Main trends of MIC results at the ordinal level were visualized. European Committee on Antimicrobial Susceptibility Testing and Clinical & Laboratory Standards Institute (CLSI) clinical breakpoints were used as the staff gauge to evaluate MIC values ranging from resistance to susceptibility, which were subsequently compared with a phylogenetic tree of the fungal kingdom. Several orders (Hypocreales, Microascales, and Mucorales) invariably showed resistance. Also the basidiomycetous orders Agaricales, Polyporales, Sporidiales, Tremellales, and Trichosporonales showed relatively high degrees of azole multi-resistance, while elsewhere in the fungal kingdom, including orders with numerous pathogenic and opportunistic species, that is, Onygenales, Chaetothyiales, Sordariales, and Malasseziales, in general were susceptible to azoles. In most cases, resistance vs susceptibility was consistently associated with phylogenetic distance, members of the same order showing similar behavior.

IMPORTANCE: A kingdom-wide the largest set of published wild-type antifungal data comparison were analyzed. Trends in resistance in taxonomic groups (monophyletic clades) can be compared with the phylogeny of the fungal kingdom, eventual relationships between fungus-drug interaction and evolution can be described.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Microbiology spectrum - 12(2024), 4 vom: 02. Apr., Seite e0212723

Sprache:

Englisch

Beteiligte Personen:

Niu, Xueke [VerfasserIn]
Al-Hatmi, Abdullah M S [VerfasserIn]
Vitale, Roxana G [VerfasserIn]
Lackner, Michaela [VerfasserIn]
Ahmed, Sarah A [VerfasserIn]
Verweij, Paul E [VerfasserIn]
Kang, Yingqian [VerfasserIn]
de Hoog, Sybren [VerfasserIn]

Links:

Volltext

Themen:

8VZV102JFY
Antifungal Agents
Antifungals
Azoles
Breakpoint
Fluconazole
JFU09I87TR
Journal Article
Meta-Analysis
Phylogeny
Resistance
Voriconazole

Anmerkungen:

Date Completed 08.04.2024

Date Revised 08.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1128/spectrum.02127-23

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369356888