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Azole resistance in Aspergillus fumigatus isolates from the ARTEMIS global surveillance study is primarily due to the TR/L98H mutation in the cyp51A gene
Journal article   Open access   Peer reviewed

Azole resistance in Aspergillus fumigatus isolates from the ARTEMIS global surveillance study is primarily due to the TR/L98H mutation in the cyp51A gene

Shawn R Lockhart, João P Frade, Kizee A Etienne, Michael A Pfaller, Daniel J Diekema and S Arunmozhi Balajee
Antimicrobial agents and chemotherapy, Vol.55(9), pp.4465-4468
09/2011
DOI: 10.1128/AAC.00185-11
PMCID: PMC3165364
PMID: 21690285
url
https://doi.org/10.1128/AAC.00185-11View
Published (Version of record) Open Access

Abstract

We surveyed 497 isolates of Aspergillus fumigatus collected from 2008 to 2009 as part of the ARTEMIS global surveillance study for elevated MIC values to itraconazole, voriconazole, and posaconazole. Sequencing of the cyp51A gene revealed that 8/29 isolates with elevated MIC values to one or more triazoles, all originating in China, contained the TR/L98H mutation associated with resistant European isolates of A. fumigatus. This is the first time the TR/L98H mutation has been identified outside Europe.
Antifungal Agents - pharmacology Aspergillus fumigatus - drug effects Microbial Sensitivity Tests Cytochrome P-450 Enzyme System - genetics Drug Resistance, Fungal - genetics Fungal Proteins - genetics Mutation Aspergillus fumigatus - genetics Itraconazole - pharmacology

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