A Novel Environmental Azole Resistance Mutation in <italic toggle="yes">Aspergillus fumigatus</italic> and a Possible Role of Sexual Reproduction in Its Emergence

ABSTRACT This study investigated the dynamics of Aspergillus fumigatus azole-resistant phenotypes in two compost heaps with contrasting azole exposures: azole free and azole exposed. After heat shock, to which sexual but not asexual spores are highly resistant, the azole-free compost yielded 98% (49...

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Autores principales: Jianhua Zhang, Eveline Snelders, Bas J. Zwaan, Sijmen E. Schoustra, Jacques F. Meis, Karin van Dijk, Ferry Hagen, Martha T. van der Beek, Greetje A. Kampinga, Jan Zoll, Willem J. G. Melchers, Paul E. Verweij, Alfons J. M. Debets
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Publicado: American Society for Microbiology 2017
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spelling oai:doaj.org-article:946ea22cd3ba44e9814688dad8dc166a2021-11-15T15:51:28ZA Novel Environmental Azole Resistance Mutation in <italic toggle="yes">Aspergillus fumigatus</italic> and a Possible Role of Sexual Reproduction in Its Emergence10.1128/mBio.00791-172150-7511https://doaj.org/article/946ea22cd3ba44e9814688dad8dc166a2017-07-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.00791-17https://doaj.org/toc/2150-7511ABSTRACT This study investigated the dynamics of Aspergillus fumigatus azole-resistant phenotypes in two compost heaps with contrasting azole exposures: azole free and azole exposed. After heat shock, to which sexual but not asexual spores are highly resistant, the azole-free compost yielded 98% (49/50) wild-type and 2% (1/50) azole-resistant isolates, whereas the azole-containing compost yielded 9% (4/45) wild-type and 91% (41/45) resistant isolates. From the latter compost, 80% (36/45) of the isolates contained the TR46/Y121F/T289A genotype, 2% (1/45) harbored the TR46/Y121F/M172I/T289A/G448S genotype, and 9% (4/45) had a novel pan-triazole-resistant mutation (TR463/Y121F/M172I/T289A/G448S) with a triple 46-bp promoter repeat. Subsequent screening of a representative set of clinical A. fumigatus isolates showed that the novel TR463 mutant was already present in samples from three Dutch medical centers collected since 2012. Furthermore, a second new resistance mutation was found in this set that harbored four TR46 repeats. Importantly, in the laboratory, we recovered the TR463 mutation from a sexual cross between two TR46 isolates from the same azole-containing compost, possibly through unequal crossing over between the double tandem repeats (TRs) during meiosis. This possible role of sexual reproduction in the emergence of the mutation was further implicated by the high level of genetic diversity of STR genotypes in the azole-containing compost. Our study confirms that azole resistance mutations continue to emerge in the environment and indicates compost containing azole residues as a possible hot spot. Better insight into the biology of environmental resistance selection is needed to retain the azole class for use in food production and treatment of Aspergillus diseases. IMPORTANCE Composting of organic matter containing azole residues might be important for resistance development and subsequent spread of resistance mutations in Aspergillus fumigatus. In this article, we show the dominance of azole-resistant A. fumigatus in azole-exposed compost and the discovery of a new resistance mutation with clinical relevance. Furthermore, our study indicates that current fungicide application is not sustainable as new resistance mutations continue to emerge, thereby threatening the use of triazoles in medicine. We provide evidence that the sexual part of the fungal life cycle may play a role in the emergence of resistance mutations because under laboratory conditions, we reconstructed the resistance mutation through sexual crossing of two azole-resistant A. fumigatus isolates derived from the same compost heap. Understanding the mechanisms of resistance selection in the environment is needed to design strategies against the accumulation of resistance mutations in order to retain the azole class for crop protection and treatment of Aspergillus diseases.Jianhua ZhangEveline SneldersBas J. ZwaanSijmen E. SchoustraJacques F. MeisKarin van DijkFerry HagenMartha T. van der BeekGreetje A. KampingaJan ZollWillem J. G. MelchersPaul E. VerweijAlfons J. M. DebetsAmerican Society for MicrobiologyarticleAspergillus fumigatusascosporesazole resistancecompost heapconidiosporeshot spot for resistance developmentMicrobiologyQR1-502ENmBio, Vol 8, Iss 3 (2017)
institution DOAJ
collection DOAJ
language EN
topic Aspergillus fumigatus
ascospores
azole resistance
compost heap
conidiospores
hot spot for resistance development
Microbiology
QR1-502
spellingShingle Aspergillus fumigatus
ascospores
azole resistance
compost heap
conidiospores
hot spot for resistance development
Microbiology
QR1-502
Jianhua Zhang
Eveline Snelders
Bas J. Zwaan
Sijmen E. Schoustra
Jacques F. Meis
Karin van Dijk
Ferry Hagen
Martha T. van der Beek
Greetje A. Kampinga
Jan Zoll
Willem J. G. Melchers
Paul E. Verweij
Alfons J. M. Debets
A Novel Environmental Azole Resistance Mutation in <italic toggle="yes">Aspergillus fumigatus</italic> and a Possible Role of Sexual Reproduction in Its Emergence
description ABSTRACT This study investigated the dynamics of Aspergillus fumigatus azole-resistant phenotypes in two compost heaps with contrasting azole exposures: azole free and azole exposed. After heat shock, to which sexual but not asexual spores are highly resistant, the azole-free compost yielded 98% (49/50) wild-type and 2% (1/50) azole-resistant isolates, whereas the azole-containing compost yielded 9% (4/45) wild-type and 91% (41/45) resistant isolates. From the latter compost, 80% (36/45) of the isolates contained the TR46/Y121F/T289A genotype, 2% (1/45) harbored the TR46/Y121F/M172I/T289A/G448S genotype, and 9% (4/45) had a novel pan-triazole-resistant mutation (TR463/Y121F/M172I/T289A/G448S) with a triple 46-bp promoter repeat. Subsequent screening of a representative set of clinical A. fumigatus isolates showed that the novel TR463 mutant was already present in samples from three Dutch medical centers collected since 2012. Furthermore, a second new resistance mutation was found in this set that harbored four TR46 repeats. Importantly, in the laboratory, we recovered the TR463 mutation from a sexual cross between two TR46 isolates from the same azole-containing compost, possibly through unequal crossing over between the double tandem repeats (TRs) during meiosis. This possible role of sexual reproduction in the emergence of the mutation was further implicated by the high level of genetic diversity of STR genotypes in the azole-containing compost. Our study confirms that azole resistance mutations continue to emerge in the environment and indicates compost containing azole residues as a possible hot spot. Better insight into the biology of environmental resistance selection is needed to retain the azole class for use in food production and treatment of Aspergillus diseases. IMPORTANCE Composting of organic matter containing azole residues might be important for resistance development and subsequent spread of resistance mutations in Aspergillus fumigatus. In this article, we show the dominance of azole-resistant A. fumigatus in azole-exposed compost and the discovery of a new resistance mutation with clinical relevance. Furthermore, our study indicates that current fungicide application is not sustainable as new resistance mutations continue to emerge, thereby threatening the use of triazoles in medicine. We provide evidence that the sexual part of the fungal life cycle may play a role in the emergence of resistance mutations because under laboratory conditions, we reconstructed the resistance mutation through sexual crossing of two azole-resistant A. fumigatus isolates derived from the same compost heap. Understanding the mechanisms of resistance selection in the environment is needed to design strategies against the accumulation of resistance mutations in order to retain the azole class for crop protection and treatment of Aspergillus diseases.
format article
author Jianhua Zhang
Eveline Snelders
Bas J. Zwaan
Sijmen E. Schoustra
Jacques F. Meis
Karin van Dijk
Ferry Hagen
Martha T. van der Beek
Greetje A. Kampinga
Jan Zoll
Willem J. G. Melchers
Paul E. Verweij
Alfons J. M. Debets
author_facet Jianhua Zhang
Eveline Snelders
Bas J. Zwaan
Sijmen E. Schoustra
Jacques F. Meis
Karin van Dijk
Ferry Hagen
Martha T. van der Beek
Greetje A. Kampinga
Jan Zoll
Willem J. G. Melchers
Paul E. Verweij
Alfons J. M. Debets
author_sort Jianhua Zhang
title A Novel Environmental Azole Resistance Mutation in <italic toggle="yes">Aspergillus fumigatus</italic> and a Possible Role of Sexual Reproduction in Its Emergence
title_short A Novel Environmental Azole Resistance Mutation in <italic toggle="yes">Aspergillus fumigatus</italic> and a Possible Role of Sexual Reproduction in Its Emergence
title_full A Novel Environmental Azole Resistance Mutation in <italic toggle="yes">Aspergillus fumigatus</italic> and a Possible Role of Sexual Reproduction in Its Emergence
title_fullStr A Novel Environmental Azole Resistance Mutation in <italic toggle="yes">Aspergillus fumigatus</italic> and a Possible Role of Sexual Reproduction in Its Emergence
title_full_unstemmed A Novel Environmental Azole Resistance Mutation in <italic toggle="yes">Aspergillus fumigatus</italic> and a Possible Role of Sexual Reproduction in Its Emergence
title_sort novel environmental azole resistance mutation in <italic toggle="yes">aspergillus fumigatus</italic> and a possible role of sexual reproduction in its emergence
publisher American Society for Microbiology
publishDate 2017
url https://doaj.org/article/946ea22cd3ba44e9814688dad8dc166a
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