[Study on experimental induction of fluconazole resistance in Candida albicans].

Shi yan sheng wu xue bao Pub Date : 2004-10-01
Yu Ning Zhu, Shi Ming Lu
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Abstract

To investigate the phenotype and genotype variation between the Fluconazole resistant C. albicans isolates and the corresponding susceptible ones, our research established a resistance-induction mode in vitro. Comparisons were done on drug resistance maintainability, metabolic profile and the doubling time in the logarithmic growth phase. Genotypes were determined by ERIC-PCR. The Fluconazole resistant isolates appeared in strain 435, A06, B07 and C01 from total 22 clinical Fluconazole susceptible isolates after being incubated for 45-80 days in YEPD broth with increasing Fluconazole concentration. The parent isolates had a same metabolic profile and a similar growth doubling time to their filial generation. The same ERIC-PCR profiles were also found between the susceptible parents and their resistant filial isolates. The resistant isolates maintained drug resistance for 24 days after growing on drug-free medium. It was supposed that candida albicans had a latent capacity to evolve resistance to azoles under a certain antifungal drug selective pressure, and the acquired resistance could maintain in drug-free media for a certain period. The resistant isolate with no adaptive cost may be prone to vogue among people. ERIC-PCR could be used in epidemiological study as a stable marker.

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白色念珠菌氟康唑耐药的实验诱导研究
为了研究氟康唑耐药白色念珠菌与相应的敏感念珠菌的表型和基因型差异,本研究建立了体外耐药诱导模式。比较了对数生长期的耐药可维护性、代谢谱和倍增时间。采用ERIC-PCR法测定基因型。随着氟康唑浓度的增加,在YEPD培养液中培养45 ~ 80 d,从22株氟康唑临床敏感菌株中筛选出435株、A06株、B07株和C01株出现耐药菌株。亲本分离物与子代具有相同的代谢谱和相似的生长倍增时间。在敏感亲本和抗性亲本之间也发现了相同的ERIC-PCR图谱。耐药分离株在无药培养基上生长后可维持24 d耐药。推测在一定的抗真菌药物选择压力下,白色念珠菌具有进化出对唑类药物耐药的潜在能力,并且这种获得性耐药在无药培养基中可维持一定时间。没有适应成本的耐药菌株可能容易在人群中流行。ERIC-PCR作为一种稳定的标记物可用于流行病学研究。
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