Candida tropicalis distribution and drug resistance correlated to ERG11 and UPC2 expression
Abstract Objective: This study is to analyze the distribution characteristics and drug resistance of Candida tropicalis, and the relationship between ERG11 and UPC2 expression and the resistance to azole.Methods: The Candida tropicalis were cultured and identified by the Sabouraud Agar Medium, CHROM Agar Candida and France Bio-Mérieux ATB test. The total RNA of the collected strains was extracted, and the ERG11 and UPC2 mRNA expression levels were analyzed by the quantitative real-time PCR. Results: Totally 2872 clinical isolates of Candida, including 319 strains of Candida tropicalis were analyzed herein, which were mainly distributed in the Departments of Respiratory Medicine and ICU. The specimen type was mainly based on the airway secretion, and the detection trend in four years was mainly related to the type of the departments and specimens. The resistance rates of Candida tropicalis to fluconazole, itraconazole and voriconazole have been increasing year by year. The mRNA expression levels of ERG11 and UPC2 in the fluconazole resistant group were significantly higher than the sensitive group. In addition, there was a significant linear positive correlation between these two genes in the fluconazole resistant group.Conclusions: Over-expression of ERG11 and UPC2 genes in Candida tropicalis could increase the resistance to antifungal drugs. The routine detection of ERG11 and UPC2 for high-risk patients in the key departments would provide theoretical basis for the rational application of antifungal drugs.