Several genes involved in sterol synthesis have been cloned from C. glabrata. and C. albicans. The ERG3 gene, which encodes the 5,6 desaturase, has been cloned and sequenced from both species. The gene has been deleted from C. glabrata. The deletion has been confirmed by PRC, Southern and Northern analysis. The major sterol of this deletion mutant is fecosterol, which is consistent with a lack of desaturase activity. The deletion of this gene in C. glabrata does not, however, affect susceptibility to triazole antifungal agents. This differs from what has been observed in the closely related yeast S. cerevisiae and C. albicans, suggesting that the sterol requirement of C. glabrata differs from other related yeast. The C. glabrata ERG11 gene, encoding the cytochrome P-450-dependent x-14 demethylase, has been cloned and sequenced. Ura3 auxotrophic mutants in both the parent C. glabrata strain and it's erg3 deletion mutant were created by plating on 5-fluoro- orotic acid. Transformation with the S. cerevisiae URA3 gene revealed it to be functional in C. glabrata. A deletion construct using URA3 as a selectable marker has been made in order to disrupt this gene in C. glabrata and its' erg3 mutant. We have enrolled two patients in our clinical study: High Dose Fluconazole in the Treatment of Oropharyngeal Candidiasis Resistant to Low Dose Fluconazole. WE have no data to report at this time.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Intramural Research (Z01)
Project #
1Z01AI000654-03
Application #
3746635
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
3
Fiscal Year
1994
Total Cost
Indirect Cost
City
State
Country
United States
Zip Code
Bennett, John E (2009) The changing face of febrile neutropenia-from monotherapy to moulds to mucositis. Management of mycoses in neutropenic patients: a brief history, 1960-2008. J Antimicrob Chemother 63 Suppl 1:i23-6
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Miyazaki, Taiga; Miyazaki, Yoshitsugu; Izumikawa, Koichi et al. (2006) Fluconazole treatment is effective against a Candida albicans erg3/erg3 mutant in vivo despite in vitro resistance. Antimicrob Agents Chemother 50:580-6
Stevens, Wesley T; Bolan, Charles D; Oblitas, Jaime M et al. (2006) Streptococcus agalactiae sepsis after transfusion of a plateletpheresis concentrate: benefit of donor evaluation. Transfusion 46:649-51
Tsai, Huei-Fung; Krol, Anna A; Sarti, Kelly E et al. (2006) Candida glabrata PDR1, a transcriptional regulator of a pleiotropic drug resistance network, mediates azole resistance in clinical isolates and petite mutants. Antimicrob Agents Chemother 50:1384-92
Miyazaki, Taiga; Tsai, Huei-Fung; Bennett, John E (2006) Kre29p is a novel nuclear protein involved in DNA repair and mitotic fidelity in Candida glabrata. Curr Genet 50:11-22
Bennett, John E (2006) Echinocandins for candidemia in adults without neutropenia. N Engl J Med 355:1154-9
Bennett, John E (2006) The debate: a case for randomized controls in invasive aspergillosis. Med Mycol 44 Suppl 1:S305-8

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