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de Macedo PM, Almeida-Paes R, de Medeiros Muniz M, Oliveira MME, Zancopé-Oliveira RM, Costa RLB, do Valle ACF. Paracoccidioides brasiliensis PS2: First Autochthonous Paracoccidioidomycosis Case Report in Rio de Janeiro, Brazil, and Literature Review. Mycopathologia 2016; 181:701-8. [PMID: 27161127 DOI: 10.1007/s11046-016-0015-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Accepted: 04/25/2016] [Indexed: 01/10/2023]
Abstract
Paracoccidioidomycosis (PCM) is a systemic mycosis caused by pathogenic dimorphic fungi of the Paracoccidioides brasiliensis complex. It is the most important systemic mycosis in Latin America, mainly in Brazil. Despite its severity and high mortality rates, it is considered a neglected disease. Species within the genus Paracoccidioides present genetics and morphological variations with probable clinical, diagnostic and therapeutic consequences. In fact, there are a very small number of detailed case reports with molecular identification of these fungal agents. Here, it is reported a case of PCM due to Paracoccidioides brasiliensis PS2. Molecular identification of the isolate was performed by amplification and sequencing of the arf and gp43 genes. Clinical cases and strain reports with molecular identification in the literature are also reviewed. The case herein presented is the first autochthonous report of PCM due to Paracoccidioides brasiliensis PS2 species in the state of Rio de Janeiro, Brazil, an important endemic area. The patient presented a chronic pulmonary form of PCM and had a satisfactory response to sulfamethoxazole/trimethoprim although sequelae such as adrenal insufficiency and dysphonia were observed. This study may contribute to improve the knowledge about this severe disease, its causative cryptic species and their consequences to patients.
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Affiliation(s)
- Priscila Marques de Macedo
- Laboratório de Pesquisa Clínica em Dermatologia Infecciosa, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, 21045-900, Brazil.
| | - Rodrigo Almeida-Paes
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Mauro de Medeiros Muniz
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | | | - Rosely Maria Zancopé-Oliveira
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Regina Lana Braga Costa
- Coordenação de Pesquisa, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Antonio Carlos Francesconi do Valle
- Laboratório de Pesquisa Clínica em Dermatologia Infecciosa, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, 21045-900, Brazil
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2
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da Silva JDF, de Oliveira HC, Marcos CM, Assato PA, Fusco-Almeida AM, Mendes-Giannini MJS. Advances and challenges in paracoccidioidomycosis serology caused by Paracoccidioides species complex: an update. Diagn Microbiol Infect Dis 2015; 84:87-94. [PMID: 26494541 DOI: 10.1016/j.diagmicrobio.2015.06.004] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2015] [Revised: 06/01/2015] [Accepted: 06/07/2015] [Indexed: 10/23/2022]
Abstract
Understanding the possible methodologies for the rapid and inexpensive identification of fungal infections is essential for disease diagnosis, but there are some limitations. To help with this problem, serological methods that detect antigens or antibodies are widely used and are useful for the diagnosis of paracoccidioidomycosis (PCM) through the detection of gp43, which is the main antigen employed for the immunodiagnosis of this disease caused by Paracoccidioides brasiliensis. However, the use of gp43 has become restricted because it was recently found that this marker is not identified in the infections caused by Paracoccidioides lutzii. Therefore, it is necessary to identify new antigens in both species or antigens specific for P. lutzii to decrease the morbidity and/or mortality associated with PCM. This review provides a discussion of new diagnostic challenges after the recent discoveries regarding the taxonomy of the Paracoccidioides genus.
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Affiliation(s)
- Julhiany de Fátima da Silva
- Faculdade de Ciências Farmacêuticas de Araraquara, FCFAr, UNESP - Univ Estadual Paulista, Araraquara, Departamento de Análises Clínicas, SP, Brazil
| | - Haroldo Cesar de Oliveira
- Faculdade de Ciências Farmacêuticas de Araraquara, FCFAr, UNESP - Univ Estadual Paulista, Araraquara, Departamento de Análises Clínicas, SP, Brazil
| | - Caroline Maria Marcos
- Faculdade de Ciências Farmacêuticas de Araraquara, FCFAr, UNESP - Univ Estadual Paulista, Araraquara, Departamento de Análises Clínicas, SP, Brazil
| | - Patricia Akemi Assato
- Faculdade de Ciências Farmacêuticas de Araraquara, FCFAr, UNESP - Univ Estadual Paulista, Araraquara, Departamento de Análises Clínicas, SP, Brazil
| | - Ana Marisa Fusco-Almeida
- Faculdade de Ciências Farmacêuticas de Araraquara, FCFAr, UNESP - Univ Estadual Paulista, Araraquara, Departamento de Análises Clínicas, SP, Brazil
| | - Maria José Soares Mendes-Giannini
- Faculdade de Ciências Farmacêuticas de Araraquara, FCFAr, UNESP - Univ Estadual Paulista, Araraquara, Departamento de Análises Clínicas, SP, Brazil.
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Torres I, Hernandez O, Tamayo D, Muñoz JF, García AM, Gómez BL, Restrepo A, McEwen JG. Paracoccidioides brasiliensis PbP27gene: knockdown procedures and functional characterization. FEMS Yeast Res 2013; 14:270-80. [DOI: 10.1111/1567-1364.12099] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2013] [Revised: 09/16/2013] [Accepted: 09/20/2013] [Indexed: 11/28/2022] Open
Affiliation(s)
- Isaura Torres
- Unidad de Biología Celular y Molecular; Corporación para Investigaciones Biológicas (CIB); Medellín Colombia
- Instituto de Biología; Universidad de Antioquia; Medellín Colombia
| | - Orville Hernandez
- Unidad de Biología Celular y Molecular; Corporación para Investigaciones Biológicas (CIB); Medellín Colombia
- Grupo de Investigación en Biociencias; Facultad de Ciencias de la Salud; Institución Universitaria Colegio Mayor de Antioquia; Medellín Colombia
| | - Diana Tamayo
- Unidad de Biología Celular y Molecular; Corporación para Investigaciones Biológicas (CIB); Medellín Colombia
- Instituto de Biología; Universidad de Antioquia; Medellín Colombia
| | - Jose F. Muñoz
- Unidad de Biología Celular y Molecular; Corporación para Investigaciones Biológicas (CIB); Medellín Colombia
- Instituto de Biología; Universidad de Antioquia; Medellín Colombia
| | - Ana M. García
- Unidad de Biología Celular y Molecular; Corporación para Investigaciones Biológicas (CIB); Medellín Colombia
| | - Beatriz L. Gómez
- Unidad de Biología Celular y Molecular; Corporación para Investigaciones Biológicas (CIB); Medellín Colombia
- School of Medicine and Health Sciences; Universidad del Rosario; Bogotá Colombia
| | - Angela Restrepo
- Unidad de Biología Celular y Molecular; Corporación para Investigaciones Biológicas (CIB); Medellín Colombia
| | - Juan G. McEwen
- Unidad de Biología Celular y Molecular; Corporación para Investigaciones Biológicas (CIB); Medellín Colombia
- Facultad de Medicina; Universidad de Antioquia; Medellín Colombia
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da Silva JDF, de Oliveira HC, Marcos CM, da Silva RAM, da Costa TA, Calich VLG, Almeida AMF, Mendes-Giannini MJS. Paracoccidoides brasiliensis 30 kDa adhesin: identification as a 14-3-3 protein, cloning and subcellular localization in infection models. PLoS One 2013; 8:e62533. [PMID: 23638109 PMCID: PMC3640054 DOI: 10.1371/journal.pone.0062533] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2012] [Accepted: 03/21/2013] [Indexed: 02/04/2023] Open
Abstract
Paracoccidoides brasiliensis adhesion to lung epithelial cells is considered an essential event for the establishment of infection and different proteins participate in this process. One of these proteins is a 30 kDa adhesin, pI 4.9 that was described as a laminin ligand in previous studies, and it was more highly expressed in more virulent P. brasiliensis isolates. This protein may contribute to the virulence of this important fungal pathogen. Using Edman degradation and mass spectrometry analysis, this 30 kDa adhesin was identified as a 14-3-3 protein. These proteins are a conserved group of small acidic proteins involved in a variety of processes in eukaryotic organisms. However, the exact function of these proteins in some processes remains unknown. Thus, the goal of the present study was to characterize the role of this protein during the interaction between the fungus and its host. To achieve this goal, we cloned, expressed the 14-3-3 protein in a heterologous system and determined its subcellular localization in in vitro and in vivo infection models. Immunocytochemical analysis revealed the ubiquitous distribution of this protein in the yeast form of P. brasiliensis, with some concentration in the cytoplasm. Additionally, this 14-3-3 protein was also present in P. brasiliensis cells at the sites of infection in C57BL/6 mice intratracheally infected with P. brasiliensis yeast cells for 72 h (acute infections) and 30 days (chronic infection). An apparent increase in the levels of the 14-3-3 protein in the cell wall of the fungus was also noted during the interaction between P. brasiliensis and A549 cells, suggesting that this protein may be involved in host-parasite interactions, since inhibition assays with the protein and this antibody decreased P. brasiliensis adhesion to A549 epithelial cells. Our data may lead to a better understanding of P. brasiliensis interactions with host tissues and paracoccidioidomycosis pathogenesis.
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Affiliation(s)
- Julhiany de Fatima da Silva
- Department of Clinical Analyses, Faculty of Pharmaceutical Sciences, São Paulo State University - University Estadual Paulista Araraquara, São Paulo, Brazil
| | - Haroldo César de Oliveira
- Department of Clinical Analyses, Faculty of Pharmaceutical Sciences, São Paulo State University - University Estadual Paulista Araraquara, São Paulo, Brazil
| | - Caroline Maria Marcos
- Department of Clinical Analyses, Faculty of Pharmaceutical Sciences, São Paulo State University - University Estadual Paulista Araraquara, São Paulo, Brazil
| | - Rosângela Aparecida Moraes da Silva
- Department of Clinical Analyses, Faculty of Pharmaceutical Sciences, São Paulo State University - University Estadual Paulista Araraquara, São Paulo, Brazil
| | - Tania Alves da Costa
- Department of Immunology, Biomedical Institute, São Paulo University, São Paulo, Brazil
| | | | - Ana Marisa Fusco Almeida
- Department of Clinical Analyses, Faculty of Pharmaceutical Sciences, São Paulo State University - University Estadual Paulista Araraquara, São Paulo, Brazil
| | - Maria José Soares Mendes-Giannini
- Department of Clinical Analyses, Faculty of Pharmaceutical Sciences, São Paulo State University - University Estadual Paulista Araraquara, São Paulo, Brazil
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Gómez IT, Ruiz OH, Muñoz JF, Garcia AM, Restrepo A, McEwen JG. RNAi technology targeting Pb<i>GP</i>43 and Pb<i>P</i>27 in <i>Paracoccidioides brasiliensis</i>. ACTA ACUST UNITED AC 2013. [DOI: 10.4236/ojgen.2013.32a2001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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