Impact of Morphological Sectors on Antifungal Susceptibility Testing and Virulence Studies

Antimicrob Agents Chemother. 2017 Nov 22;61(12):e00755-17. doi: 10.1128/AAC.00755-17. Print 2017 Dec.

Abstract

Morphological heterogeneity of Aspergillus terreus cultures was observed during continued cultivation of amphotericin B (AMB)-resistant isolates on drug-free medium. Outgrowth leads to the emergence of multiple sectors that might result from increased growth rates at drug-free conditions. We evaluated the differences in AMB susceptibility and virulence between sector subcultures (ATSec), AMB-resistant (ATR) strains, and AMB-susceptible (ATS) strains. By comparing A. terreus AMB-resistant (ATR) strains and A. terreus sector (ATSec) cultures we observed a highly significant reduction of AMB MICs in ATSec (ATR MIC, 2 to 32 μg/ml; ATSec MIC, 0.12 to 5 μg/ml). Furthermore, Galleria mellonella survival studies revealed an enhanced virulence of ATSec, which was comparable with that of AMB-sensitive Aspergillus terreus strains (median survival rates for ATS isolates, 72 h; for ATSec isolate ATSecG1, 84 h; for ATR isolates, 144 h). Our findings clearly demonstrate that spontaneous culture degeneration occurs in A. terreus and, most importantly, crucially impacts drug efficacy and virulence.

Keywords: Aspergillus terreus; Galleria mellonella; fitness; growth conditions; heterogeneity; heterokaryon; morphology; outgrowth; sector; sporulation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amphotericin B / pharmacology*
  • Animals
  • Antifungal Agents / pharmacology*
  • Aspergillus / drug effects*
  • Aspergillus / growth & development
  • Aspergillus / pathogenicity*
  • Drug Resistance, Fungal / physiology*
  • Larva / microbiology
  • Microbial Sensitivity Tests
  • Moths / microbiology*
  • Triazoles / pharmacology
  • Voriconazole / pharmacology

Substances

  • Antifungal Agents
  • Triazoles
  • posaconazole
  • Amphotericin B
  • Voriconazole