Development of novel PCR assays to detect azole resistance-mediating mutations of the aspergillus fumigatus cyp51A gene in primary clinical samples from neutropenic patients

The increasing incidence of azole resistance in Aspergillus fumigatus causing invasive aspergillosis (IA) in immunocompromised/hematological patients emphasizes the need to improve the detection of resistance-mediating cyp51A gene mutations from primary clinical samples, particularly as the diagnosi...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Spiess, Birgit (VerfasserIn) , Seifarth, Wolfgang (VerfasserIn) , Merker, Natalia (VerfasserIn) , Reinwald, Mark (VerfasserIn) , Hofmann, Wolf-Karsten (VerfasserIn) , Buchheidt, Dieter (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 23 April 2012
In: Antimicrobial agents and chemotherapy
Year: 2012, Jahrgang: 56, Heft: 7, Pages: 3905-3910
ISSN:1098-6596
DOI:10.1128/AAC.05902-11
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1128/AAC.05902-11
Verlag, Volltext: http://aac.asm.org/content/56/7/3905
Volltext
Verfasserangaben:Birgit Spiess, Wolfgang Seifarth, Natalia Merker, Susan J. Howard, Mark Reinwald, Anne Dietz, Wolf-Karsten Hofmann, and Dieter Buchheidt

MARC

LEADER 00000caa a2200000 c 4500
001 1578242843
003 DE-627
005 20220814205533.0
007 cr uuu---uuuuu
008 180803s2012 xx |||||o 00| ||eng c
024 7 |a 10.1128/AAC.05902-11  |2 doi 
035 |a (DE-627)1578242843 
035 |a (DE-576)508242843 
035 |a (DE-599)BSZ508242843 
035 |a (OCoLC)1341015908 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Spiess, Birgit  |d 1972-  |e VerfasserIn  |0 (DE-588)1028287496  |0 (DE-627)730538699  |0 (DE-576)37578764X  |4 aut 
245 1 0 |a Development of novel PCR assays to detect azole resistance-mediating mutations of the aspergillus fumigatus cyp51A gene in primary clinical samples from neutropenic patients  |c Birgit Spiess, Wolfgang Seifarth, Natalia Merker, Susan J. Howard, Mark Reinwald, Anne Dietz, Wolf-Karsten Hofmann, and Dieter Buchheidt 
264 1 |c 23 April 2012 
300 |a 6 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Published ahead of print 23 April 2012 
500 |a Gesehen am 03.08.2018 
520 |a The increasing incidence of azole resistance in Aspergillus fumigatus causing invasive aspergillosis (IA) in immunocompromised/hematological patients emphasizes the need to improve the detection of resistance-mediating cyp51A gene mutations from primary clinical samples, particularly as the diagnosis of invasive aspergillosis is rarely based on a positive culture yield in this group of patients. We generated primers from the unique sequence of the Aspergillus fumigatus cyp51A gene to establish PCR assays with consecutive DNA sequence analysis to detect and identify the A. fumigatus cyp51A tandem repeat (TR) mutation in the promoter region and the L98H and M220 alterations directly in clinical samples. After testing of the sensitivity and specificity of the assays using serially diluted A. fumigatus and human DNA, A. fumigatus cyp51A gene fragments of about 150 bp potentially carrying the mutations were amplified directly from primary clinical samples and subsequently DNA sequenced. The determined sensitivities of the PCR assays were 600 fg, 6 pg, and 4 pg of A. fumigatus DNA for the TR, L98H, and M220 mutations, respectively. There was no cross-reactivity with human genomic DNA detectable. Sequencing of the PCR amplicons for A. fumigatus wild-type DNA confirmed the cyp51A wild-type sequence, and PCR products from one azole-resistant A. fumigatus isolate showed the L98H and TR mutations. The second azole-resistant isolate revealed an M220T alteration. We consider our assay to be of high epidemiological and clinical relevance to detect azole resistance and to optimize antifungal therapy in patients with IA. 
700 1 |a Seifarth, Wolfgang  |d 1960-  |e VerfasserIn  |0 (DE-588)1042491887  |0 (DE-627)769066453  |0 (DE-576)393988899  |4 aut 
700 1 |a Merker, Natalia  |d 1978-  |e VerfasserIn  |0 (DE-588)1080535055  |0 (DE-627)844777668  |0 (DE-576)453600182  |4 aut 
700 1 |a Reinwald, Mark  |d 1975-  |e VerfasserIn  |0 (DE-588)131809083  |0 (DE-627)514269928  |0 (DE-576)298766515  |4 aut 
700 1 |a Hofmann, Wolf-Karsten  |d 1967-  |e VerfasserIn  |0 (DE-588)114154635  |0 (DE-627)691208751  |0 (DE-576)351568336  |4 aut 
700 1 |a Buchheidt, Dieter  |d 1955-  |e VerfasserIn  |0 (DE-588)1028287461  |0 (DE-627)730538621  |0 (DE-576)375787380  |4 aut 
773 0 8 |i Enthalten in  |t Antimicrobial agents and chemotherapy  |d Washington, DC : Soc., 1972  |g 56(2012), 7, Seite 3905-3910  |h Online-Ressource  |w (DE-627)306316919  |w (DE-600)1496156-8  |w (DE-576)09718859X  |x 1098-6596  |7 nnas  |a Development of novel PCR assays to detect azole resistance-mediating mutations of the aspergillus fumigatus cyp51A gene in primary clinical samples from neutropenic patients 
773 1 8 |g volume:56  |g year:2012  |g number:7  |g pages:3905-3910  |g extent:6  |a Development of novel PCR assays to detect azole resistance-mediating mutations of the aspergillus fumigatus cyp51A gene in primary clinical samples from neutropenic patients 
856 4 0 |u http://dx.doi.org/10.1128/AAC.05902-11  |x Verlag  |x Resolving-System  |3 Volltext 
856 4 0 |u http://aac.asm.org/content/56/7/3905  |x Verlag  |3 Volltext 
951 |a AR 
992 |a 20180803 
993 |a Article 
994 |a 2012 
998 |g 1028287461  |a Buchheidt, Dieter  |m 1028287461:Buchheidt, Dieter  |d 60000  |d 61200  |e 60000PB1028287461  |e 61200PB1028287461  |k 0/60000/  |k 1/60000/61200/  |p 8  |y j 
998 |g 114154635  |a Hofmann, Wolf-Karsten  |m 114154635:Hofmann, Wolf-Karsten  |d 60000  |d 61200  |e 60000PH114154635  |e 61200PH114154635  |k 0/60000/  |k 1/60000/61200/  |p 7 
998 |g 131809083  |a Reinwald, Mark  |m 131809083:Reinwald, Mark  |d 60000  |d 61200  |e 60000PR131809083  |e 61200PR131809083  |k 0/60000/  |k 1/60000/61200/  |p 5 
998 |g 1080535055  |a Merker, Natalia  |m 1080535055:Merker, Natalia  |d 60000  |d 61200  |e 60000PM1080535055  |e 61200PM1080535055  |k 0/60000/  |k 1/60000/61200/  |p 3 
998 |g 1042491887  |a Seifarth, Wolfgang  |m 1042491887:Seifarth, Wolfgang  |d 60000  |d 61200  |e 60000PS1042491887  |e 61200PS1042491887  |k 0/60000/  |k 1/60000/61200/  |p 2 
998 |g 1028287496  |a Spiess, Birgit  |m 1028287496:Spiess, Birgit  |d 60000  |d 61200  |e 60000PS1028287496  |e 61200PS1028287496  |k 0/60000/  |k 1/60000/61200/  |p 1  |x j 
999 |a KXP-PPN1578242843  |e 3020193079 
BIB |a Y 
SER |a journal 
JSO |a {"note":["Published ahead of print 23 April 2012","Gesehen am 03.08.2018"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"recId":"1578242843","language":["eng"],"title":[{"title":"Development of novel PCR assays to detect azole resistance-mediating mutations of the aspergillus fumigatus cyp51A gene in primary clinical samples from neutropenic patients","title_sort":"Development of novel PCR assays to detect azole resistance-mediating mutations of the aspergillus fumigatus cyp51A gene in primary clinical samples from neutropenic patients"}],"person":[{"roleDisplay":"VerfasserIn","display":"Spiess, Birgit","role":"aut","family":"Spiess","given":"Birgit"},{"roleDisplay":"VerfasserIn","display":"Seifarth, Wolfgang","role":"aut","family":"Seifarth","given":"Wolfgang"},{"family":"Merker","given":"Natalia","display":"Merker, Natalia","roleDisplay":"VerfasserIn","role":"aut"},{"roleDisplay":"VerfasserIn","display":"Reinwald, Mark","role":"aut","family":"Reinwald","given":"Mark"},{"role":"aut","roleDisplay":"VerfasserIn","display":"Hofmann, Wolf-Karsten","given":"Wolf-Karsten","family":"Hofmann"},{"family":"Buchheidt","given":"Dieter","display":"Buchheidt, Dieter","roleDisplay":"VerfasserIn","role":"aut"}],"physDesc":[{"extent":"6 S."}],"relHost":[{"id":{"zdb":["1496156-8"],"eki":["306316919"],"issn":["1098-6596"]},"origin":[{"publisherPlace":"Washington, DC","publisher":"Soc.","dateIssuedKey":"1972","dateIssuedDisp":"1972-"}],"name":{"displayForm":["publ. by the American Society for Microbiology"]},"physDesc":[{"extent":"Online-Ressource"}],"title":[{"title_sort":"Antimicrobial agents and chemotherapy","subtitle":"AAC","title":"Antimicrobial agents and chemotherapy"}],"part":{"pages":"3905-3910","issue":"7","year":"2012","extent":"6","volume":"56","text":"56(2012), 7, Seite 3905-3910"},"titleAlt":[{"title":"AAC"}],"pubHistory":["1.1972 -"],"language":["eng"],"corporate":[{"role":"isb","display":"American Society for Microbiology","roleDisplay":"Herausgebendes Organ"}],"recId":"306316919","type":{"media":"Online-Ressource","bibl":"periodical"},"disp":"Development of novel PCR assays to detect azole resistance-mediating mutations of the aspergillus fumigatus cyp51A gene in primary clinical samples from neutropenic patientsAntimicrobial agents and chemotherapy","note":["Gesehen am 09.06.21"]}],"origin":[{"dateIssuedDisp":"23 April 2012","dateIssuedKey":"2012"}],"id":{"eki":["1578242843"],"doi":["10.1128/AAC.05902-11"]},"name":{"displayForm":["Birgit Spiess, Wolfgang Seifarth, Natalia Merker, Susan J. Howard, Mark Reinwald, Anne Dietz, Wolf-Karsten Hofmann, and Dieter Buchheidt"]}} 
SRT |a SPIESSBIRGDEVELOPMEN2320