Molecular characterization and antifungal susceptibility of Cryptococcus neoformans strains collected from a single institution in Lima, Peru

Rev Iberoam Micol. 2015 Apr-Jun;32(2):88-92. doi: 10.1016/j.riam.2014.01.005. Epub 2014 Aug 29.

Abstract

Background: Cryptococcosis is a fungal infection with a worldwide distribution, mainly caused by Cryptococcus neoformans and Cryptococcus gattii.

Aims: To molecularly characterize the mating-types, serotypes, genotypes and antifungal susceptibility profiles of a set of retrospectively isolated C. neoformans strains from Lima, Peru.

Methods: A set of 32 Cryptococcus spp. strains from the Institute of Tropical Medicine of the National University of San Marcos, Lima, Peru, were included in this retrospective study. Twenty-four strains were isolated from patients, while the remaining 8 were isolated from the environment.

Results: Using conventional PCR, 27 (84.4%) of the isolates were identified as C. neoformans var. grubii mating-type alpha and serotype A. Using the AFLP fingerprinting, it was shown that 16 (50%) of the C. neoformans strains were genotype AFLP1, 13 (40.6%) were genotype AFLP1B, 2 (6.3%) were genotype AFLP2, and 1 (3.1%) was found to be a hybrid between both C. neoformans varieties (genotype AFLP3). The antifungal susceptibility profiles for amphotericin B, fluconazole and voriconazole showed that all the 32 C. neoformans are sensitive to these antifungal compounds.

Conclusions: In this study we observed that C. neoformans var. grubii (AFLP1 and AFLP1B) and C. neoformans var. neoformans (AFLP2) were the only cryptococcal varieties involved. All strains were found to be sensitive to the antifungals tested, results that are consistent with those found in the international literature.

Keywords: Cryptococcus neoformans; Genes del tipo sexual de los hongos; Genotipo; Genotype; Mating-type; Serotipificación; Serotyping.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Academies and Institutes
  • Amplified Fragment Length Polymorphism Analysis
  • Antifungal Agents / pharmacology*
  • Cryptococcosis / epidemiology
  • Cryptococcosis / microbiology
  • Cryptococcus neoformans / classification
  • Cryptococcus neoformans / drug effects
  • Cryptococcus neoformans / genetics
  • Cryptococcus neoformans / isolation & purification*
  • DNA Fingerprinting
  • DNA, Fungal / genetics
  • DNA, Fungal / isolation & purification
  • Disk Diffusion Antimicrobial Tests
  • Genes, Mating Type, Fungal
  • Genotype
  • Humans
  • Mycological Typing Techniques
  • Peru / epidemiology
  • Polymerase Chain Reaction
  • Retrospective Studies
  • Serotyping
  • Tropical Medicine

Substances

  • Antifungal Agents
  • DNA, Fungal