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      Candida albicans: genotyping methods and clade related phenotypic characteristics

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          Abstract

          Several molecular methods, such as Southern blotting hybridization, Multilocus Sequence Typing, and DNA microsatellite analysis, have been employed to genotype Candida albicans. The genotype analysis allows to group strains in clades, that is, a group composed of one ancestor and its descendants. These genotype studies demonstrate that clades distribution is influenced by geographic area as well as that antifungal resistance is associated with particular clades. These findings suggested that C. albicans reproduces mainly in a clonal manner, with certain degree of DNA microevolution. Additionally, virulence factors and site of isolation have also been associated with clade specificity. The present article is a brief review about the methods used for Candida genotyping and the correlated clade systems established. Special emphasis is given to Ca3 hybridization, MLST, and Microsatellites. The present work is also focused on the phenotypic and physiological traits associated with Candida clades.

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          Most cited references71

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          Attributable mortality of nosocomial candidemia, revisited.

          We reexamined the attributable mortality of nosocomial candidemia 15 years after a retrospective cohort study performed at our hospital demonstrated an attributable mortality of 38%. For all episodes of nosocomial candidemia between 1 July 1997 and 30 June 2001, we matched control patients with case patients by age, sex, date of hospital admission, underlying disease(s), length of time at risk, and surgical procedure(s). We analyzed 108 matched pairs. There were no statistically significant differences in age, sex, underlying disease(s), time at risk, surgical procedure, or vital signs at admission between cases and controls. The crude mortality among case patients was 61% (66 of 108 patients), compared with 12% (13 of 108) among control patients, for an attributable mortality of 49% (95% CI, 38%-60%). Nosocomial candidemia is still associated with an extremely high crude and attributable mortality--much higher than that expected from underlying disease alone.
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            Multilocus sequence typing of bacteria.

            Multilocus sequence typing (MLST) was proposed in 1998 as a portable, universal, and definitive method for characterizing bacteria, using the human pathogen Neisseria meningitidis as an example. In addition to providing a standardized approach to data collection, by examining the nucleotide sequences of multiple loci encoding housekeeping genes, or fragments of them, MLST data are made freely available over the Internet to ensure that a uniform nomenclature is readily available to all those interested in categorizing bacteria. At the time of writing, over thirty MLST schemes have been published and made available on the Internet, mostly for pathogenic bacteria, although there are schemes for pathogenic fungi and some nonpathogenic bacteria. MLST data have been employed in epidemiological investigations of various scales and in studies of the population biology, pathogenicity, and evolution of bacteria. The increasing speed and reduced cost of nucleotide sequence determination, together with improved web-based databases and analysis tools, present the prospect of increasingly wide application of MLST.
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              Aneuploidy and isochromosome formation in drug-resistant Candida albicans.

              Resistance to the limited number of available antifungal drugs is a serious problem in the treatment of Candida albicans. We found that aneuploidy in general and a specific segmental aneuploidy, consisting of an isochromosome composed of the two left arms of chromosome 5, were associated with azole resistance. The isochromosome forms around a single centromere flanked by an inverted repeat and was found as an independent chromosome or fused at the telomere to a full-length homolog of chromosome 5. Increases and decreases in drug resistance were strongly associated with gain and loss of this isochromosome, which bears genes expressing the enzyme in the ergosterol pathway targeted by azole drugs, efflux pumps, and a transcription factor that positively regulates a subset of efflux pump genes.
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                Author and article information

                Journal
                Braz J Microbiol
                Braz. J. Microbiol
                bjm
                bjm
                Brazilian Journal of Microbiology
                Sociedade Brasileira de Microbiologia
                1517-8382
                1678-4405
                Oct-Dec 2010
                1 December 2010
                : 41
                : 4
                : 841-849
                Affiliations
                Universidade Federal de São João Del Rei , São João Del-Rei, MG, Brasil
                Universidade Federal de Ouro Preto , Ouro Preto, MG, Brasil
                Universidade Camilo Castelo Branco, Núcleo de Engenharia Biomédica , São José dos Campos, SP, Brasil
                Instituto de Ciências Biológicas da Universidade Federal de Minas Gerais , Belo Horizonte, MG, Brasil
                Universidade do Vale do Paraíba , São José dos Campos, SP, Brasil
                Author notes
                * Corresponding Author. Mailing address: Departamento de Ciências Naturais, Universidade Federal de São João Del Rei, Campus Dom Bosco, Praça Dom Helvécio, 74, Fábricas, São João Del Rei, MG, Brazil, CEP: 36301–028.; Tel.: 55 32 33714013.; E-mail: julianalyon@ 123456yahoo.com.br
                Article
                S1517-83822010000400003
                10.1590/S1517-83822010000400003
                3769759
                24031564
                b86e5183-6051-42a9-9269-72b402d6e8c2
                © Sociedade Brasileira de Microbiologia

                All the content of the journal, except where otherwise noted, is licensed under a Creative Commons License

                History
                : 11 September 2009
                : 26 February 2010
                : 26 April 2010
                Categories
                Review

                candida albicans,clonal reproduction,microevolution,genotyping systems,phenotypic characteristics

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