Molecular Detection of Resistance to Echinocandins

Methods Mol Biol. 2017:1508:413-421. doi: 10.1007/978-1-4939-6515-1_23.

Abstract

In the last years, life-threatening fungal diseases have increased significantly, due to the rising number of human individuals susceptible to fungal infections, which are in part complicated by the emergence of antifungal drug-resistant pathogens. Among yeasts, Candida albicans and Candida glabrata are the most common organisms responsible for invasive fungal diseases. The molecular detection of echinocandin resistance in Candida species may represent a useful means of monitoring the incidence of clinical isolates with antifungal resistance-associated gene alterations. Here, we describe the current methods that enable researchers and/or clinical microbiologists to accurately detect echinocandin-resistant isolates of C. albicans and C. glabrata.

Keywords: Antifungal drug resistance; Fungal pathogens; Gene sequencing; Molecular analysis; Quantitative real-time RT-PCR.

MeSH terms

  • Antifungal Agents / pharmacology*
  • Candida / drug effects
  • Candida / genetics*
  • Candidiasis / diagnosis
  • Candidiasis / drug therapy
  • Candidiasis / microbiology*
  • Drug Resistance, Fungal / genetics*
  • Echinocandins / pharmacology*
  • Genes, Fungal
  • Humans
  • Microbial Sensitivity Tests
  • Molecular Diagnostic Techniques
  • Real-Time Polymerase Chain Reaction
  • Sequence Analysis, DNA

Substances

  • Antifungal Agents
  • Echinocandins