Pathogenic Fungi Genomics, Evolu6on and Epidemiology

Size: px
Start display at page:

Download "Pathogenic Fungi Genomics, Evolu6on and Epidemiology"

Transcription

1 Pathogenic Fungi Genomics, Evolu6on and Epidemiology

2 Pathogenic Fungi Genomics, Evolu6on and Epidemiology Richard Benne= Brown University, USA Geraldine Butler Antonis Rokas Li-Jun Ma Guilhem Janbon Norman Pavelka University College Dublin, Ireland Vanderbilt University, USA Umass Amherst, USA Ins6tut Pasteur, Paris, France A*Star, Singapore

3 FUNGI 101 True pathogen Opportunistic Blastomyces dermatitidis Coccidiodes immitis 25 C 37 C Candida albicans Budding yeast Pseudohyphae Hyphae Histoplasma capsulatum Cryptococcus neoformans Capsule Paracoccidioides brasiliensis Aspergillus fumigatus Conidia Adapted from Romani, Nat Rev Immun, 2004

4 FUNGI 101 True pathogen Opportunistic Blastomyces dermatitidis Coccidiodes immitis 25 C 37 C Candida albicans Budding yeast Pseudohyphae Hyphae Histoplasma capsulatum Cryptococcus neoformans Capsule Paracoccidioides brasiliensis Aspergillus fumigatus Conidia Adapted from Romani, Nat Rev Immun, 2004

5 What is the impact of invasive mycoses? Worldwide: Life-threatening Mortality rates infections/yr (%) (1) Cryptococcus >1,000, (=2) Candida >400, (=2) Pneumocystis >400, (4) Aspergillus >200, Brown et al., Sci. Trans. Med., 2012

6 What is the impact of invasive mycoses? Worldwide: Life-threatening Mortality rates infections/yr (%) (=5) Coccidiodomycosis ~25,000 <1-70 (=5) Histoplasmosis ~25, (7) Mucormycosis >10, (8) Penicillosis >8, (9) Paracoccidiodomycosis ~4, (10) Blastomycosis ~3,000 <2-68 Brown et al., Sci. Trans. Med., 2012

7 Phylogeny Cryptococcus neoformans Aspergillus fumigatus Candida albicans Pneumocys7s jirovecii Perez-Nadales et al., Fungal Gene6cs and Biology, 2014

8 Wordle

9

10 Improved sequencing technology has pushed forward our understanding of genomes 1976 Bacteriophage MS2 3.5 kp 1995 H. influenzae 1.8 Mbp 1996 S. cerevisiae 12.1 Mbp 2001 H. sapiens 3.2 Gbp

11 Questions in fungal genomics what are the dynamics of genome change? how often do genomes recombine? how does sex impact genome structure? how are aneuploidies tolerated? how does this impact drug resistance? how does host environment impact genomes? how does heterozygosity impact mutation? can GWAS and QTL mapping be applied?

12 Genome Diversity of Candida Species Geraldine Butler, UCD, Ireland Multiple Origins of the Pathogenic Yeast Candida orthopsilosis by Separate Hybridizations between Two Parental Species Schroder et al., 2016, PloS Gen

13 Hybridization drives emergence of new isolates / species : Saccharomyces pastorianus The interspecific hybrid S. pastorianus is the most commonly used yeast in brewery fermentations worldwide. Diego Libkind et al. PNAS, 2011; Walter et al., G3, 2014; Peris et al., PLoS Gen, 2016

14 Genomics and the making of fungal metabolic diversity Antonis Rokas, Vanderbilt University, Tennessee

15 Reconstructing the Backbone of the Saccharomycotina Yeast Phylogeny Using Genome-Scale Data to uncover the gene.c basis of yeast metabolic diversity. Shen et al., G3, 2016.

16 Fusariosis is the top emerging opportunistic mycosis in immunocompromised individuals* Li-Jun Ma, UMASS Amherst Fusariosis: - Caused by Fusarium species, ubiquitous in environments - Highly invasive, causing disseminated diseases: hepatitis, meningitis - Mostly refractory to existing antifungals resulting in high mortality rate * Severe Fungal Infections, Decision Resources; Montone 2009, AJCP

17 Fusarium wilt of banana, popularly known as Panama disease, is a lethal fungal disease caused by the soil-borne fungus Fusarium oxysporum f. sp. cubense (Foc).

18 Transcriptome dynamics in C. neoformans Guilhem Janbon, Pasteur Virulence factors Transcriptome structure Fungal fitness How is the regula.on of the transcriptome achieved in human fungal pathogens? And how does this regula.on impact their biology and virulence?

19 Recognition of seven species in the Cryptococcus gattii/cryptococcus neoformans species complex Hagen et al., Fung. Gen. Biol., 2015 Hybrids!!! A B Cryptococcus neoformans var. neoformans CBS1930 CBS10865 CBS8684 CBS10089 HEC11102 CBS10090 A1M-R265 A1M-F3016 A1M-F2866 WM178 CBS11687 WM728 WM161 CBS8755 CBS6993 CBS5758 CBS C CBS6996 WM276 CBS7748 RV54130 D WM179 CBS A CBS6998 CBS1622 WM779 E B5742 C16528 A47496 M27055 WM721 ICB176 P152 CBS8336 WM148 CBS8710 F CBS879 AMC CBS9172 Bt130 CBS10512 Bt63 G Bt27 Bt206 Bt1 WM714 H PAH21b AMC RKI-M318/90 CBS6900 CBS6886 CBS918 I BD5 CBS882 CBS5728 CBS10511 C C. deuteroga;i C. deuterogattii C. decagattii C. bacillisporus C. gattii C. tetragattii C. decaga;i C. bacillisporus C. ga;i C. tetraga;i C. neoformans C. neoformans C. deneoformans C. deneoformans

20 Pavelka lab Norman Pavelka, A Star, Singapore The Pavelka lab is focused on understanding the ecological and evolu6onary forces that govern the threeway interac6on between C. albicans, GI bacteria and the immune system. C. albicans GI colonization fecal pellet isolation YPD, 30 C systemic infection kidney isolation

21 β-glucan Exposure on the Fungal Cell Wall Tightly Correlates with Competitive Fitness of Candida Species in the Mouse Gastrointestinal Tract XiaoHui Sem, Giang T. T. Le, Alrina S. M. Tan, Gloria Tso, Marina Yurieva, Webber W. P. Liao, Josephine Lum, Kandhadayar G. Srinivasan, Michael Poidinger, Francesca Zolezzi and Norman Pavelka * ORIGINAL RESEARCH published: 22 December 2016 doi: /fcimb C. glabrata C. albicans

22 Genetic and phenotypic intra-species variation in Candida albicans Matthew P. Hirakawa, 1 Diego A. Martinez, 2,5 Sharadha Sakthikumar, 2,5 Matthew Z. Anderson, 1,3 Aaron Berlin, 2 Sharvari Gujja, 2 Qiandong Zeng, 2 Ethan Zisson, 1 Joshua M. Wang, 1 Joshua M. Greenberg, 1 Judith Berman, 3,4 Richard J. Bennett, 1,5 and Christina A. Cuomo 2,5 * Genome Research 21 genomes x SNP/indel muta6ons 8 heterozygous chromosomes in diploid genome Loss of heterozygosity (LOH) Hirakawa et al., 2015, Genome Research Aneuploidy

23 How does intra-species diversity affect phenotypes such as virulence? L26 GC75 P37005 P57072 P60002 Survival (%) 19F P97 12C P94015* P Survival (%) Time (Days) Wu et al., Mol Micro, 2007

24 A P94015 P94015 SC5314 SC5314 B BB % Filamentous Cells % Filamentous Cells The role of EFG1 in P94015? P94015+EFG1 (2) P94015+EFG1 (1) Contains a homozygous, premature stop codon in EFG1 P94015+EFG1(2) (2) P94015+EFG1(1) (1) P94015+EFG1 P94015+EFG1 1 (2) * * 5 DDD ) 00 0 G 1 (2 ) ( Days Days5Post PostInfection Infection 1010 Days Infection Days Post Post Infection Frequency Days 0Po Days Da P94015 P94015 vs.vs. vs.vs.vs P94015 P94015 P94015 P94015+EFG1 (1) P94015+EFG1 (2) s (%)Strain elative StrainFrequency Frequency ative Feces(%) (%) ininfeces y D 0 10 E Restoring EFG1 increased filamentation and virulenceff E E F Hirakawa et al., 2015, Genome Research P94015 P94015 P94015+EFG1 P94015+EFG1(1) (1) P94015 P94015+EFG1 P94015+EFG1(2) (2) P E F G P E F P in Kidney (%) 10 P9 4 P E 15P F +9E4G1 F0G1 (1 15+)E ( Increased Virulence CC % Survival % Filamentous Cells Relative Strain Frequency Relative in Strain KidneyFrequency (%) RelativeinStrain Frequency Kidney (%) Increased Filamentation % Survival Survival % B * P94015 Relative Strain Frequency RelativeinStrain Frequency Organs (%) * train Frequency in Organs (%) rgans (%) aa P9 P P9 4 APSES DNAbinding domain P94015 SC5314 % Filamentous Cells A vs

25 Does reintroduction of a functional EFG1 allele into P94015 alter commensal fitness? Restoring EFG1 reduced fitness in the commensal GI model

26 Natural isolates show preferential specificity for different host niches Strains biased towards a more commensal lifestyle Loss of EFG1 function Strains biased towards a more pathogenic lifestyle A natural polymorphism impacts commensal fitness and virulence Hirakawa et al., Genome Res, 2015

27 A note of caution with genomes! Finding a Missing Gene: EFG1 Regulates Morphogenesis in Candida tropicalis Eugenio Mancera,* Allison M. Porman, Christina A. Cuomo, Richard J. Bennett, and Alexander D. Johnson*, *Department of Microbiology and Immunology and Department of Biochemistry and Biophysics, Unive My data suggests that the genes is located in Supercon6g_3.1 in the gap spanning from 887,643 to 888,943

28 What about sex? opaque opaque C. albicans 2N a α 2N white white 2N a a/α α 2N 4N 2N a 2N+1 a Spo11/ DSBs α 2N+1 α 2N 2N+2 a α 2N+2 Recombinant parasexual products

29 More genomes and genome resources. and tools h=p://1000.fungalgenomes.org/home/about/

30 Pathogenic Fungi Genomics, Evolu6on and Epidemiology Geraldine Butler Antonis Rokas Li-Jun Ma Guilhem Janbon Norman Pavelka University College Dublin, Ireland Vanderbilt University, USA Umass Amherst, USA Ins6tut Pasteur, Paris, France A*Star, Singapore

Fungi. Eucaryotic Rigid cell wall(chitin, glucan) Cell membrane ergosterol Unicellular, multicellular Classic fungus taxonomy:

Fungi. Eucaryotic Rigid cell wall(chitin, glucan) Cell membrane ergosterol Unicellular, multicellular Classic fungus taxonomy: MYCOLOGY Mycology I Fungi Eucaryotic Rigid cell wall(chitin, glucan) Cell membrane ergosterol Unicellular, multicellular Classic fungus taxonomy: Morphology Spore formation FFungi Yeast Mold Yeastlike

More information

Conservation of morphogenesis and virulence in Cryptococcus neoformans. Xiaorong Lin Texas A&M University

Conservation of morphogenesis and virulence in Cryptococcus neoformans. Xiaorong Lin Texas A&M University Conservation of morphogenesis and virulence in Cryptococcus neoformans Xiaorong Lin Texas A&M University Cryptococcus infection Lymphatic and hematogenous dissemination Pulmonary infection Cryptococcal

More information

The Differentiation of Yeast and Yeast-Like Forms in Human Tissues. Introduction. Histochemical Stains Used to Detect Fungi. Histopathologic Diagnoses

The Differentiation of Yeast and Yeast-Like Forms in Human Tissues. Introduction. Histochemical Stains Used to Detect Fungi. Histopathologic Diagnoses The Differentiation of Yeast and Yeast-Like Forms in Human Tissues Gary W. Procop, MD Chair, Clinical Pathology Staff, Anatomic Pathology Director, Molecular Microbiology, Mycology, and Parasitology Cleveland

More information

Epidemiology and ecology of fungal diseases

Epidemiology and ecology of fungal diseases Epidemiology and ecology of fungal diseases Healthcare Focus on: - individual - diagnosis - treatment Public Health Focus on: - population - prevention The nature of fungi Kingdom Fungi (lat. fungus, -i)

More information

Histopathology Description:

Histopathology Description: 2013-2-1 CANINE HEART Ahmed M. Abubakar BOVINE PATHOLOGY CONTRIBUTING INSTITUTION : The Royal Veterinary college, Dept. of Pathology and Biology Signalment: 11-month-old male Border Collie dog (Canis familiaris)

More information

Ali Alabbadi. Sarah Jaar ... Nader

Ali Alabbadi. Sarah Jaar ... Nader 24 Ali Alabbadi Sarah Jaar... Nader Intro to Mycology *underlined text was explained in the lecture but is not found in the slides -mycology: the study of the mycoses of man (fungal infections) -less than

More information

Overview of Microbiology. James D. Dick, PhD Johns Hopkins University

Overview of Microbiology. James D. Dick, PhD Johns Hopkins University This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

More information

Lecture 7: Mycoses Caused by Dimorphic Fungi, Part I

Lecture 7: Mycoses Caused by Dimorphic Fungi, Part I BIOL 4849 Medical Mycology Summer 2006 Histoplasmosis Lecture 7: Mycoses Caused by Dimorphic Fungi, Part I u Most common endemic mycotic disease in the United States u Two different varieties (actually

More information

Epidemiology and Laboratory Diagnosis of Fungal Diseases

Epidemiology and Laboratory Diagnosis of Fungal Diseases Medical Mycology (BIOL 4849) Summer 2007 Dr. Cooper Epidemiology of Mycoses Epidemiology and Laboratory Diagnosis of Fungal Diseases Mycosis (pl., mycoses) - an infection caused by a fungus Two broad categories

More information

Fungi More or Less Obligately Associated with Humans. Requirements for Designating a Mycosis*

Fungi More or Less Obligately Associated with Humans. Requirements for Designating a Mycosis* P Fungi More or Less Obligately Associated with Humans a. a few dermatophytes (the anthropophilic species ) b. Malassezia furfur c. Candida albicans d. + Lacazia (Loboa) loboi*p e. + Pneumocystis jirovecii*p

More information

Mycobacteria and fungal infections of the respiratory tract

Mycobacteria and fungal infections of the respiratory tract Before you start: You must read the slides! The Dr. did not bother to explain them all Mycobacteria and fungal infections of the respiratory tract - TB is a global problem that the WHO is trying to combat.

More information

Rheem Totah, Office H172M, Ph Office hours MWF 11:30 12:20 or by arrangement

Rheem Totah, Office H172M, Ph Office hours MWF 11:30 12:20 or by arrangement Rheem Totah, Office H172M, Ph 206-543-9481 rtotah@uw.edu Office hours MWF 11:30 12:20 or by arrangement Date/Time Topic Readings Mon March 26 Antifungal agents Foye s Chapter 40 Wed March 28 Antifungal

More information

Epidemiology of Fungal Diseases

Epidemiology of Fungal Diseases Lecture 2 Epidemiology of Fungal Diseases Disclaimer: This lecture slide presentation is intended solely for educational purposes. Many of the images contained herein are the property of the original owner,

More information

Fungal biology. Fungal Infections. Fungal cell structure. Pathogenesis

Fungal biology. Fungal Infections. Fungal cell structure. Pathogenesis Fungal Infections Once exotic and rare; now increasingly common Fungi are not virulent But they are good at taking advantage Opportunistic in many senses Fungal biology Eukaryotic (organized nucleus and

More information

Fungal biology. Pathogenesis. Fungal cell structure. Fungal Infections MID 25 & 26. Eukaryotic (organized nucleus and cell structure) Non-motile

Fungal biology. Pathogenesis. Fungal cell structure. Fungal Infections MID 25 & 26. Eukaryotic (organized nucleus and cell structure) Non-motile Fungal Infections Once exotic and rare; now increasingly common Fungi are not virulent But they are good at taking advantage Opportunistic in many senses Fungal biology Eukaryotic (organized nucleus and

More information

Impression smear from a nasal mass on a 2 year old cat Presented with: one month duration of epistaxis

Impression smear from a nasal mass on a 2 year old cat Presented with: one month duration of epistaxis Impression smear from a nasal mass on a 2 year old cat Presented with: one month duration of epistaxis Identify the structures neutrophils macrophages x40 Organisms 8 30 micron in size, with variable capsule

More information

Autopsy findings in 51 year-old man with mantle cell lymphoma

Autopsy findings in 51 year-old man with mantle cell lymphoma Autopsy findings in 51 year-old man with mantle cell lymphoma Bobbi S. Pritt, MD, MSc Professor of Laboratory Medicine and Pathology Mayo Clinic Disclosure of Relevant Financial Relationships USCAP requires

More information

Pulmonary Infections: Fungus. Part I: Background Information and Dimorphic Fungus. Part II: Opportunistic Yeast and Molds

Pulmonary Infections: Fungus. Part I: Background Information and Dimorphic Fungus. Part II: Opportunistic Yeast and Molds Pulmonary Infections: Fungus Part I: Background Information and Dimorphic Fungus Part II: Opportunistic Yeast and Molds Howard J. Sachs, MD www.12daysinmarch.com Classification: Unicellular Budding Yeast,

More information

Fungal update. Liise-anne Pirofski, M.D. Albert Einstein College of Medicine

Fungal update. Liise-anne Pirofski, M.D. Albert Einstein College of Medicine Liise-anne Pirofski, M.D. Albert Einstein College of Medicine Fungal update http://clicks.robertgenn.com/miss-potter.php http://letterfromhere.blogspot.com/2007/06/beatrix-potters-jog-trot-through.html

More information

Introduction. Study of fungi called mycology.

Introduction. Study of fungi called mycology. Fungi Introduction Study of fungi called mycology. Some fungi are beneficial: ex a) Important in production of some foods, ex: cheeses, bread. b) Important in production of some antibiotics, ex: penicillin

More information

New, Special Stain for Histopathological Diagnosis of Cryptococcosis

New, Special Stain for Histopathological Diagnosis of Cryptococcosis JOURNAL OF CLINICAL MICROBIOLOGY, Feb. 1981, p. 383-387 0095-1137/81/020383-05$02.00/0 Vol. 13, No. 2 New, Special Stain for Histopathological Diagnosis of Cryptococcosis KYUNG J. KWON-CHUNG,* WILLIAM

More information

Antifungal Resistance in Asia: Mechanisms, Epidemiology, and Consequences

Antifungal Resistance in Asia: Mechanisms, Epidemiology, and Consequences 5th MMTN Conference 5-6 November 2016 Bangkok, Thailand 10:20-10:45, 6 Nov, 2016 Antifungal Resistance in Asia: Mechanisms, Epidemiology, and Consequences Yee-Chun Chen, M.D., PhD. Department of Medicine,

More information

Cellular Pathology of fungal infection

Cellular Pathology of fungal infection Cellular Pathology of fungal infection SCPA610 Cellular Pathology Somphong Narkpinit, M.D. Department of Pathobiology, Faculty of Science, Mahidol University E-mail : somphong.nar@mahidol.ac.th Overview

More information

Fungal Infection Pre-Infusion Data

Fungal Infection Pre-Infusion Data Fungal Infection Pre-Infusion Data Registry Use Only Sequence Number: Date Received: CIBMTR Center Number: Event date: / / CIBMTR Form 2046 revision 5 (page 1 of 5). Last Updated May, 2018. Infection Episode

More information

Pathogens with Intermediate Virulence Dermatophytes opportunistic Pathogens

Pathogens with Intermediate Virulence Dermatophytes opportunistic Pathogens Pathogens with Intermediate Virulence Dermatophytes opportunistic Pathogens Cryptococcus neoformans Candida albicans Aspergillus species Pneumocystis carinii 1 Dermatophytes Named for derma skin Cause

More information

Fungal infections in ICU. Tang Swee Fong Department of Paediatrics Universiti Kebangsaan Malaysia

Fungal infections in ICU. Tang Swee Fong Department of Paediatrics Universiti Kebangsaan Malaysia Fungal infections in ICU Tang Swee Fong Department of Paediatrics Universiti Kebangsaan Malaysia Epidemiology of invasive fungal infections - US +300% Martin GS, et al. N Engl J Med 2003;348:1546-1554

More information

Fungal infection in the immunocompromised patient. Dr Kirsty Dodgson

Fungal infection in the immunocompromised patient. Dr Kirsty Dodgson Fungal infection in the immunocompromised patient Dr Kirsty Dodgson Aims Discuss different types of fungi Overview of types of clinical infections Clinical Manifestations Fungus Includes Moulds Aspergillus

More information

Common Fungi. Catherine Diamond MD MPH

Common Fungi. Catherine Diamond MD MPH Common Fungi Catherine Diamond MD MPH Birth Month and Day & Last Four Digits of Your Cell Phone # BEFORE: http://tinyurl.com/kvfy3ts AFTER: http://tinyurl.com/lc4dzwr Clinically Common Fungi Yeast Mold

More information

number Done by Corrected by Doctor د.حامد الزعبي

number Done by Corrected by Doctor د.حامد الزعبي number Fungi#1 Done by نرجس الس ماك Corrected by مهدي الشعراوي Doctor د.حامد الزعبي Introduction to Mycology -Terms: -Medical Mycology: The study of mycosis and their etiological agents -Mycosis: Disease

More information

Introduction Medical Mycology. Prof. Dr. Asem Shehabi Faculty of Medicine University of Jordan

Introduction Medical Mycology. Prof. Dr. Asem Shehabi Faculty of Medicine University of Jordan Introduction Medical Mycology Prof. Dr. Asem Shehabi Faculty of Medicine University of Jordan General Fungi-1 Medical Mycology deals with fungi cause human diseases directly (mycoses, allergies) or indirectly

More information

Fungal Infections. Fungal Infections

Fungal Infections. Fungal Infections Fungal Infection in the Immune Competent Host Steven L. Primack, MD Fungal Infection in the Immune Competent Host Steven L. Primack, MD Department of Radiology Oregon Health & Science University Fungal

More information

VIRULENCE AS AN EMERGING PROPERTY. Arturo Casadevall Albert Einstein College of Medicine Bronx, NY

VIRULENCE AS AN EMERGING PROPERTY. Arturo Casadevall Albert Einstein College of Medicine Bronx, NY VIRULENCE AS AN EMERGING PROPERTY Arturo Casadevall Albert Einstein College of Medicine Bronx, NY THE PHYLOGENY OF SCIENCE SUPERSTITION PRE-HISTORY RELIGION 1000-0 BCE RELIGION PHILOSOPHY RENE DESCARTES

More information

Use of Antifungal Drugs in the Year 2006"

Use of Antifungal Drugs in the Year 2006 Use of Antifungal Drugs in the Year 2006" Jose G. Montoya, MD Associate Professor of Medicine Associate Chief for Clinical Affairs Division of Infectious Diseases Stanford University School of Medicine

More information

Medical Mycology. Dr. Hala Al Daghistani

Medical Mycology. Dr. Hala Al Daghistani Medical Mycology Dr. Hala Al Daghistani Mycotic Infections GENERAL CONCEPTS A. The fungi represent a diverse, heterogeneous group of eukaryotic B. Most of these organisms are plant pathogens and relatively

More information

Introduction Medical Mycology

Introduction Medical Mycology Introduction Medical Mycology Mycology is the study of fungi and fungus-caused disease (mycology >> mycous in Greek language which means roots) fungi are -widely distributed in the nature - eukaryotic

More information

North American Endemic Fungi

North American Endemic Fungi North American Endemic Fungi Boni Elizabeth Elewski, MD Chair Department of Dermatology University of Alabama at Birmingham James Elder Professor of Graduate Medical Education DISCLOSURE OF FINANCIAL RELATIONSHIPS

More information

MONTGOMERY COUNTY COMMUNITY COLLEGE BIO 140 MYCOLOGY OUTLINE. 1. Type of cell. 2. Fungi may be unicellular or multicellular

MONTGOMERY COUNTY COMMUNITY COLLEGE BIO 140 MYCOLOGY OUTLINE. 1. Type of cell. 2. Fungi may be unicellular or multicellular MONTGOMERY COUNTY COMMUNITY COLLEGE BIO 140 MYCOLOGY OUTLINE I. INTRODUCTION TO THE KINGDOM FUNGI DOMAIN EUKARYA A. General Characteristics 1. Type of cell 2. Fungi may be unicellular or multicellular

More information

New insights in the diagnosis of Candida infections

New insights in the diagnosis of Candida infections New insights in the diagnosis of Candida infections Maurizio Sanguinetti Institute of Microbiology Fondazione Policlinico Universitario «A. Gemelli» - Rome - Italy Improving microbiology diagnostic methods

More information

APX001 A novel broad spectrum antifungal agent in development for the treatment of invasive fungal infections

APX001 A novel broad spectrum antifungal agent in development for the treatment of invasive fungal infections APX001 A novel broad spectrum antifungal agent in development for the treatment of invasive fungal infections TIMM, Belgrade, Serbia October, 2017 New antifungal drugs in the pipeline S15 Dr. Michael Hodges

More information

Fungal Diseases of the Respiratory System

Fungal Diseases of the Respiratory System Fungal Diseases of the Respiratory System Histoplasmosis(cave disease) Dr. Hala Al Daghistani Histoplasmosis is a disease caused by the fungus Histoplasma capsulatum. Histoplasma capsulatum, is usually

More information

Fungal infections and critically ill adults

Fungal infections and critically ill adults Martin Beed FRCA FFICM DM Richard Sherman MRCP FRCA FFICM Stephen Holden MSc FRCPath 1A02,2C03 Key points The incidence of fungal diseases in critically ill patients is thought to be increasing, most commonly

More information

Update from the Laboratory: Clinical Identification and Susceptibility Testing of Fungi and Trends in Antifungal Resistance 13

Update from the Laboratory: Clinical Identification and Susceptibility Testing of Fungi and Trends in Antifungal Resistance 13 Fungal Infections Preface: Fungal Infections Luis Ostrosky-Zeichner and Jack D. Sobel xiii The Global Burden of Fungal Diseases 1 Snigdha Vallabhaneni, Rajal K. Mody, Tiffany Walker, and Tom Chiller Fungal

More information

About the Editor Gerri S. Hall, Ph.D.

About the Editor Gerri S. Hall, Ph.D. About the Editor Gerri S. Hall, Ph.D. Dr. Hall s professional career has been focused on clinical microbiology: direct clinical activities of various areas such as bacteriology, mycobacteria, STD testing,

More information

2046: Fungal Infection Pre-Infusion Data

2046: Fungal Infection Pre-Infusion Data 2046: Fungal Infection Pre-Infusion Data Fungal infections are significant opportunistic infections affecting transplant patients. Because these infections are quite serious, it is important to collect

More information

VPM 201: Veterinary Bacteriology and Mycology 23-24/11/2011 LABORATORY 11: MYCOLOGY

VPM 201: Veterinary Bacteriology and Mycology 23-24/11/2011 LABORATORY 11: MYCOLOGY VPM 201: Veterinary Bacteriology and Mycology 23-24/11/2011 LABORATORY 11: MYCOLOGY I. Overview of Major Groups of Pathogenic Fungi. Although the Kingdom Fungi have been undergoing considerable phylogenetic

More information

Fungal Infection Post-Infusion Data

Fungal Infection Post-Infusion Data Fungal Infection Post-Infusion Data Registry Use Only Sequence Number: Date Received: CIBMTR Center Number: Event date: / / Visit: 100 day 6 months 1 year 2 years >2 years. Specify: CIBMTR Form 2146 revision

More information

Fungi. CLS 311 Mrs. Ohoud alhumaidan

Fungi. CLS 311 Mrs. Ohoud alhumaidan Fungi CLS 311 Mrs. Ohoud alhumaidan Outlines Intruduc8on General Characteris8cs of Fungi beneficial & harmful effect of fungi Classifica8on of fungi structure of fungi Reproduc8on of fungi important terms

More information

Comparative In Vitro Antifungal Activity of Amphotericin B and Amphotericin B Methyl Ester

Comparative In Vitro Antifungal Activity of Amphotericin B and Amphotericin B Methyl Ester ANTIMICROBiAL AGENTS AND CHEMOTHERAY, Jan. 975, P. 58-63 Copyright 0 975 American Society for Microbiology Vol. 7, No. Printed in U.S.A. Comparative In Vitro Antifungal Activity of Amphotericin B and Amphotericin

More information

Fungi are eukaryotic With rigid cell walls composed largely of chitin rather than peptidoglycan (a characteristic component of most bacterial cell

Fungi are eukaryotic With rigid cell walls composed largely of chitin rather than peptidoglycan (a characteristic component of most bacterial cell Antifungal Drugs Fungal infections (Mycoses) Often chronic in nature. Mycotic infections may be superficial and involve only the skin (cutaneous mycoses extending into the epidermis) Others may penetrate

More information

Potential etiologies of infection in these patients are diverse, including common and uncommon opportunistic infections.

Potential etiologies of infection in these patients are diverse, including common and uncommon opportunistic infections. In the name of God Principles of post Tx infections 1: Potential etiologies of infection in these patients are diverse, including common and uncommon opportunistic infections. Infection processes can progress

More information

Value o f Immunodiffusion Tests in the Diagnosis o f Systemic M ycotic Diseases

Value o f Immunodiffusion Tests in the Diagnosis o f Systemic M ycotic Diseases A n n a l s of C l i n i c a l L a b o r a t o r y S c i e n c e, Vol. 3, N o. 2 Copyright 1 9 7 3, Institute for Clinical Science Value o f Immunodiffusion Tests in the Diagnosis o f Systemic M ycotic

More information

Staphylococci. Gram stain: gram positive cocci arranged in clusters.

Staphylococci. Gram stain: gram positive cocci arranged in clusters. Microbiology lab Respiratory system Third medical year Lab contents: Gram positive bacteria (Staphylococcus and Streptococcus spp), two types of filamentous fungi (Aspergillus and Penicillium spp), and

More information

Candida albicans. Habitat, Morphology, Cultural Characteristics, Life Cycle, Pathogenesis, Lab Diagnosis, Treatments, Prevention and Control

Candida albicans. Habitat, Morphology, Cultural Characteristics, Life Cycle, Pathogenesis, Lab Diagnosis, Treatments, Prevention and Control Candida albicans Habitat, Morphology, Cultural Characteristics, Life Cycle, Pathogenesis, Lab Diagnosis, Treatments, Prevention and Control Habitat of Candida albicans - Normal Habitat: mucosal membranes

More information

Appropriate utilization of the microbiology laboratory. 11 April 2013

Appropriate utilization of the microbiology laboratory. 11 April 2013 Appropriate utilization of the microbiology laboratory 11 April 2013 Lecture Plan Revision of infectious disease Triad of infectious disease Interaction between host and infectious agent Pathogenesis Phases

More information

Bloodborne Pathogens. Introduction to Fungi. Next >> COURSE 2 MODULE 4

Bloodborne Pathogens. Introduction to Fungi. Next >> COURSE 2 MODULE 4 Bloodborne Pathogens COURSE 2 MODULE 4 to is a general term used to encompass the diverse morphologic forms of yeasts and molds. Originally classified as primitive plants without chlorophyll, the fungi

More information

Cryptococcal Cell Morphology Affects Host Cell Interactions and Pathogenicity

Cryptococcal Cell Morphology Affects Host Cell Interactions and Pathogenicity Cryptococcal Cell Morphology Affects Host Cell Interactions and Pathogenicity Laura H. Okagaki 1., Anna K. Strain 1., Judith N. Nielsen 2, Caroline Charlier 3, Nicholas J. Baltes 1, Fabrice Chrétien 3,4,

More information

OPPORTUNISTIC MYCOSES

OPPORTUNISTIC MYCOSES OPPORTUNISTIC MYCOSES Candida yeasts that is, fungi that exist predominantly in a unicellular form. small (4-6 µm), thin-walled, ovoid cells (blastospores) that reproduce by budding. do not require special

More information

ANA ESPINEL-INGROFF* Division of Infectious Diseases, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia

ANA ESPINEL-INGROFF* Division of Infectious Diseases, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia JOURNAL OF CLINICAL MICROBIOLOGY, Jan. 1998, p. 198 202 Vol. 36, No. 1 0095-1137/98/$04.00 0 Copyright 1998, American Society for Microbiology In Vitro Activity of the New Triazole Voriconazole (UK-109,496)

More information

Histopathologic Diagnosis of Fungal Infections in the 21st Century

Histopathologic Diagnosis of Fungal Infections in the 21st Century CLINICAL MICROBIOLOGY REVIEWS, Apr. 2011, p. 247 280 Vol. 24, No. 2 0893-8512/11/$12.00 doi:10.1128/cmr.00053-10 Copyright 2011, American Society for Microbiology. All Rights Reserved. Histopathologic

More information

Current Status of Nonculture Methods for Diagnosis of Invasive Fungal Infections

Current Status of Nonculture Methods for Diagnosis of Invasive Fungal Infections CLINICAL MICROBIOLOGY REVIEWS, July 2002, p. 465 484 Vol. 15, No. 3 0893-8512/02/$04.00 0 DOI: 10.1128/CMR.15.3.465 484.2002 Copyright 2002, American Society for Microbiology. All Rights Reserved. Current

More information

Med Chem 401: Mycology (www.doctorfungus.org) Mycology

Med Chem 401: Mycology (www.doctorfungus.org) Mycology Med Chem 401: Mycology (www.doctorfungus.org) Mycology is the Study of Fungi (Monera, Protoctista, Fungi, Plantae, Animalia). Fungi are eukaryotic cells and as such contain nuclei, mitochondria, ER, golgi,

More information

Fungi and their pathogenesis

Fungi and their pathogenesis Fungi and their pathogenesis -Important -Extra -Notes -In boy s slides -In girl s slides In this link, you will find any correction or notes unmentioned in the team s work. Please check the link below

More information

Chapter 12. Characterizing and Classifying Eukaryotes. Part 2

Chapter 12. Characterizing and Classifying Eukaryotes. Part 2 Chapter 12 Characterizing and Classifying Eukaryotes Part 2 Chapter 12 includes the fungal pathogens section from chapter 22 and Helminths from chapter 23 Fungi Chemoheterotrophic Have cell walls typically

More information

Antifungal Prophylaxis during Neutropenia and Immunodeficiency

Antifungal Prophylaxis during Neutropenia and Immunodeficiency CLINICAL MICROBIOLOGY REVIEWS, July 1997, p. 477 504 Vol. 10, No. 3 0893-8512/97/$04.00 0 Copyright 1997, American Society for Microbiology Antifungal Prophylaxis during Neutropenia and Immunodeficiency

More information

ECMM Excellence Centers Quality Audit

ECMM Excellence Centers Quality Audit ECMM Excellence Centers Quality Audit Person in charge: Department: Head of Department: Laboratory is accredited according to ISO 15189 (Medical Laboratories Requirements for quality and competence) Inspected

More information

Bethesda, Maryland Received for publication July 11, 1951

Bethesda, Maryland Received for publication July 11, 1951 ISOLATION OF CRYPTOCOCCUS NEOFORMANS FROM SOIL CHESTER W. EMMONS National Microbiological Institute, National Institutes of Health, Public Health Service, Bethesda, Maryland Received for publication July

More information

Medical Mycology. Dr. Hala Al Daghistani

Medical Mycology. Dr. Hala Al Daghistani Medical Mycology Dr. Hala Al Daghistani FAre eukaryotes that grow in two basic forms, a yeasts and molds (or moulds). Growth in the mold form occurs by production of multicellular filamentous colonies.

More information

Study of systemic fungal infections in renal transplant recipients

Study of systemic fungal infections in renal transplant recipients Original Research Article Study of systemic fungal infections in renal transplant recipients N.D. Srinivasaprasad 1*, G. Chandramohan 1, M. Edwin Fernando 2 1 DM (Nephrology), Assistant Professor, 2 DM

More information

Voriconazole. Voriconazole VRCZ ITCZ

Voriconazole. Voriconazole VRCZ ITCZ 7 7 8 7 8 fluconazole itraconazole in vitro in vivo Candida spp. C. glabrata C. krusei Cryptococcus neoformans in vitro Aspergillus spp. in vitro in vivo Aspergillus fumigatus Candida albicans C. krusei

More information

TEPZZ Z9Z74_A_T EP A1 (19) (11) EP A1 (12) EUROPEAN PATENT APPLICATION

TEPZZ Z9Z74_A_T EP A1 (19) (11) EP A1 (12) EUROPEAN PATENT APPLICATION (19) TEPZZ Z9Z74_A_T (11) EP 3 090 741 A1 (12) EUROPEAN PATENT APPLICATION (43) Date of publication: 09.11.2016 Bulletin 2016/4 (21) Application number: 1642039.1 (1) Int Cl.: A61K 31/203 (2006.01) A61K

More information

L11 Fungal Infection. Introduction. Outline. Fungi. Site of infection

L11 Fungal Infection. Introduction. Outline. Fungi. Site of infection Outline SCPA501: GENERAL PATHOLOGY L11 Fungal Infection Niwat Kangwanrangsan, Ph.D. Department of Pathobiology Faculty of Science, Mahidol University Introduction Pathogenesis of fungal infection Pathology

More information

Itraconazole DIGICON. Composition: MOLECULAR INTRODUCTION

Itraconazole DIGICON. Composition: MOLECULAR INTRODUCTION Itraconazole DIGICON Composition: Itraconazole 100 mg MOLECULAR INTRODUCTION Itraconazole is a triazole medicine used to treat fungal infections. It is effective against a broad spectrum of fungi including:

More information

L11 Fungal Infection SCBM341: GENERAL PATHOLOGY. Niwat Kangwanrangsan, Ph.D. Department of Pathobiology Faculty of Science, Mahidol University

L11 Fungal Infection SCBM341: GENERAL PATHOLOGY. Niwat Kangwanrangsan, Ph.D. Department of Pathobiology Faculty of Science, Mahidol University SCBM341: GENERAL PATHOLOGY L11 Fungal Infection Niwat Kangwanrangsan, Ph.D. Department of Pathobiology Faculty of Science, Mahidol University Outline Introduction Pathogenesis

More information

Management of fungal infection

Management of fungal infection Management of fungal infection HKDU symposium 17 th May 2015 Speaker: Dr. Thomas Chan MBBS (Hons), MRCP, FHKCP, FHKAM Synopsis Infection caused by fungus mycoses Skin infection by fungus is common in general

More information

Case Studies in Fungal Infections and Antifungal Therapy

Case Studies in Fungal Infections and Antifungal Therapy Case Studies in Fungal Infections and Antifungal Therapy Wayne L. Gold MD, FRCPC Annual Meeting of the Canadian Society of Internal Medicine November 4, 2017 Disclosures No financial disclosures or industry

More information

Immunity to Malaria Immunity to sporozoites injected by mosquito Mediated by antibody that prevents infection of liver cells

Immunity to Malaria Immunity to sporozoites injected by mosquito Mediated by antibody that prevents infection of liver cells IMMUNITY TO PARASITIC AND FUNGAL INFECTIONS Chapter 20 Topics Covered Overview of parasitic diseases Immune response to parasitic infections Immunity to malaria Immunity to schistosomiasis Immune effectors

More information

Opportunistic Mycoses

Opportunistic Mycoses CANDIDIASIS SOFYAN LUBIS DEPARTEMEN MIKROBIOLOGI FAK.KEDOKTERAN USU MEDAN 2009 Opportunistic Mycoses Opportunistic mycoses are fungal infections that do not normally cause disease in healthy people, but

More information

Advance laboratory diagnosis of fungal meningitis: A mini review

Advance laboratory diagnosis of fungal meningitis: A mini review INT J CURR SCI 2013, 6: E 46-50 REVIEW ISSN 2250-1770 Advance laboratory diagnosis of fungal meningitis: A mini review *Biswajit Batabyal a, Bappa Mandal b, Dwaipayan Saha c and Sukanta Chakraborty d a

More information

Mycology Reference Centre, Leeds Information for Service Users 2017

Mycology Reference Centre, Leeds Information for Service Users 2017 The Leeds Teaching Hospitals NHS Trust NHS Mycology Reference Centre, Leeds Information for Service Users 2017 Contents Contents...1 The Mycology Reference Centre...1 Request Forms... 1 Specimen Transportation...

More information

ANTIMYCOTIC DRUGS Modes of Action

ANTIMYCOTIC DRUGS Modes of Action ANTIMYCOTIC DRUGS Modes of Action Prapasarakul Nuvee, D.V.M., Ph.D. Department of Veterinary Microbiology, Faculty of Veterinary Science, Chulalongkorn University 1 What drugs act as antifungal agents?

More information

High coverage in planta RNA sequencing identifies Fusarium oxysporum effectors and Medicago truncatularesistancemechanisms

High coverage in planta RNA sequencing identifies Fusarium oxysporum effectors and Medicago truncatularesistancemechanisms High coverage in planta RNA sequencing identifies Fusarium oxysporum effectors and Medicago truncatularesistancemechanisms Louise Thatcher Gagan Garg, Angela Williams, Judith Lichtenzveig and Karam Singh

More information

Prevalence of Cryptococcus neoformans in domestic birds referred to veterinary clinics in Tehran

Prevalence of Cryptococcus neoformans in domestic birds referred to veterinary clinics in Tehran Available online at www.pelagiaresearchlibrary.com European Journal of Experimental Biology, 2014, 4(1):482-486 ISSN: 2248 9215 CODEN (USA): EJEBAU Prevalence of Cryptococcus neoformans in domestic birds

More information

Mycological Profile of Bronchial Wash Specimens in Patients with Lower Respiratory Tract Infections

Mycological Profile of Bronchial Wash Specimens in Patients with Lower Respiratory Tract Infections International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 6 Number 11 (2017) pp. 176-182 Journal homepage: http://www.ijcmas.com Original Research Article https://doi.org/10.20546/ijcmas.2017.611.022

More information

Fighting Coccidioidomycosis Prevention: Vaccine Treatment: Nikkomycin Z. Valley Fever Vaccine Project

Fighting Coccidioidomycosis Prevention: Vaccine Treatment: Nikkomycin Z. Valley Fever Vaccine Project Fighting Coccidioidomycosis Prevention: Vaccine Treatment: Nikkomycin Z Valley Fever Vaccine Project A brief history Epidemic of early 90 s spawned renewed interest in a vaccine Bakersfield locals created

More information

Supplementary Materials to the Manuscript: Polymorphisms in TNF-α Increase Susceptibility to

Supplementary Materials to the Manuscript: Polymorphisms in TNF-α Increase Susceptibility to Supplementary Materials to the Manuscript: Polymorphisms in TNF-α Increase Susceptibility to Intra-abdominal Candida Infection in High Risk Surgical ICU Patients A. Wójtowicz, Ph.D. 1, F. Tissot, M.D.

More information

Nervous System Defenses

Nervous System Defenses Chapter 19 Infectious Diseases: Nervous System Topics - Nervous System Defenses - Nervous System Diseases Nervous System Defenses Nervous system Normal flora 1 2 Nervous system Central nervous system (CNS)

More information

A class IIa medical device intended for mild-to-moderate fungal nail infection PRODUCT MONOGRAPH

A class IIa medical device intended for mild-to-moderate fungal nail infection PRODUCT MONOGRAPH A class IIa medical device intended for mild-to-moderate fungal nail infection PRODUCT MONOGRAPH AWB-2052628721 Date of Preparation March 2017 Introduction to Bayer Bayer is a Life Science company with

More information

Treatment of rare and emerging fungal infections. EFISG Educational Workshop 15 th ECCMID April 2, 2005, Copenhagen

Treatment of rare and emerging fungal infections. EFISG Educational Workshop 15 th ECCMID April 2, 2005, Copenhagen Treatment of rare and emerging fungal infections EFISG Educational Workshop 15 th ECCMID April 2, 2005, Copenhagen Helen Sambatakou Lecturer in Medicine and Infectious Diseases, University of Athens, Greece

More information

Interaction between genetic background and the mating type locus in Cryptococcus neoformans virulence potential

Interaction between genetic background and the mating type locus in Cryptococcus neoformans virulence potential Genetics: Published Articles Ahead of Print, published on June 18, 2005 as 10.1534/genetics.105.045039 Interaction between genetic background and the mating type locus in Cryptococcus neoformans virulence

More information

Antifungal Susceptibility Testing

Antifungal Susceptibility Testing Infect Dis Clin N Am 20 (2006) 699 709 Antifungal Susceptibility Testing Annette W. Fothergill, MA, MBA, MT(ASCP), CLS(NCA) a, Michael G. Rinaldi, PhD a,b, Deanna A. Sutton, PhD, MT, SM(ASCP), SM, RM(NRM)

More information

New antifungal agents

New antifungal agents New antifungal agents Dr Atul Patel, MD, FIDSA Chief Consultant and Director Infectious Diseases Clinic Vedanta Institute of Medical Sciences Ahmedabad, India Presented at MMTN Malaysia Conference 5 6

More information

ON PREDICTION. Mycology in the Future 5/15/ FIN DE SIECLE: FUNGAL DISEASES DISTRESSINGLY COMMON

ON PREDICTION. Mycology in the Future 5/15/ FIN DE SIECLE: FUNGAL DISEASES DISTRESSINGLY COMMON ON PREDICTION Mycology in the Future Arturo Casadevall Johns Hopkins Bloomberg School of Public Health "It's tough making predictions, especially about the future Yogi Berra 1899 FIN DE SIECLE: FUNGAL

More information

Chapter 18. Fungal Diseases of the Lung. Mosby items and derived items 2011, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.

Chapter 18. Fungal Diseases of the Lung. Mosby items and derived items 2011, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 18 Fungal Diseases of the Lung 1 YLS S M AC Figure 18-1. Fungal disease of the lung. Cross-sectional view of alveoli infected with Histoplasma capsulatum. AC, alveolar consolidation; M, alveolar

More information

Fungal (Aspergillus and Candida) infections in Cystic fibrosis

Fungal (Aspergillus and Candida) infections in Cystic fibrosis Fungal (Aspergillus and Candida) infections in Cystic fibrosis Malena Cohen-Cymberknoh, MD CF Center Hadassah-Hebrew University Medical Center Jerusalem, Israel Israeli Annual CF Conference, Herzlyia,

More information

Chapter 19: The Genetics of Viruses and Bacteria

Chapter 19: The Genetics of Viruses and Bacteria Chapter 19: The Genetics of Viruses and Bacteria What is Microbiology? Microbiology is the science that studies microorganisms = living things that are too small to be seen with the naked eye Microorganisms

More information

Immunohistochemical Confirmation of Infections

Immunohistochemical Confirmation of Infections Immunohistochemical Confirmation of Infections Danny A. Milner, Jr, MD, MSc, FCAP The Brigham and Women s Hospital Harvard Medical School Boston, Masschusetts USA Judicious Use of Immunohistochemistry

More information

Research priorities in medical mycology

Research priorities in medical mycology Research priorities in medical mycology David W. Denning National Aspergillosis Centre University Hospital of South Manchester The University of Manchester Agenda How many patients are there with serious

More information

MEDICAL MYCOLOGY Fungi

MEDICAL MYCOLOGY Fungi MEDICAL MYCOLOGY Fungi In contrast to the bacteria and viruses, the fungi are eukaryotes (like animals and plants). This is medically relevant in that it impacts how fungal infections are attacked by the

More information

CURRENT AND NEWER ANTI-FUNGAL THERAPIES- MECHANISMS, INDICATIONS, LIMITATIONS AND PROBLEMS. Dr AMIT RAODEO DM SEMINAR

CURRENT AND NEWER ANTI-FUNGAL THERAPIES- MECHANISMS, INDICATIONS, LIMITATIONS AND PROBLEMS. Dr AMIT RAODEO DM SEMINAR CURRENT AND NEWER ANTI-FUNGAL THERAPIES- MECHANISMS, INDICATIONS, LIMITATIONS AND PROBLEMS Dr AMIT RAODEO DM SEMINAR Introduction The incidence of invasive fungal infections in critically ill intensive

More information

Rapid Methods for the Diagnosis of Fungal Infections

Rapid Methods for the Diagnosis of Fungal Infections CE Update Microbiology I B. Laurel Elder, PhD, and Glenn D. Roberts, PhD Rapid, accurate identification of fungal agents has become essential for the laboratory, particularly in those serving the increasingly

More information