Antifungal Susceptibility of <i>Saccharomyces cerevisiae</i> Isolated from Clinical Specimens

(1) Background: Despite being considered a non-pathogenic yeast, recently, a growing occurrence of <i>Saccharomyces cerevisiae</i> infections has been noted. There is little knowledge about the drug susceptibility of this species. Therefore, the objective of this research was to expand i...

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Main Authors: Aleksandra Górzyńska, Kamila Kondracka, Agnieszka Korzeniowska-Kowal, Urszula Nawrot
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/13/3/248
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author Aleksandra Górzyńska
Kamila Kondracka
Agnieszka Korzeniowska-Kowal
Urszula Nawrot
author_facet Aleksandra Górzyńska
Kamila Kondracka
Agnieszka Korzeniowska-Kowal
Urszula Nawrot
author_sort Aleksandra Górzyńska
collection DOAJ
description (1) Background: Despite being considered a non-pathogenic yeast, recently, a growing occurrence of <i>Saccharomyces cerevisiae</i> infections has been noted. There is little knowledge about the drug susceptibility of this species. Therefore, the objective of this research was to expand it and determine the drug susceptibility profile of a local collection of clinical isolates of this species. (2) Methods: This study contained 55 clinical isolates identified as <i>Saccharomyces cerevisiae</i> using the MALDI-TOF method. The susceptibility of <i>Saccharomyces cerevisiae</i> was tested to 10 antifungals (amphotericin B, flucytosine, fluconazole, voriconazole, posaconazole, micafungin, anidulafungin, caspofungin, and itraconazole) using MICRONAUT-AT tests and manogepix, a new drug, using the microdilution method according to EUCAST. (3) Results: Overall, most strains were classified as sensitive to amphotericin B and flucytosine (MIC ranges of ≤0.03–1 and ≤0.06–0.125, respectively) and also to echinocandins. However, five isolates expressed high MIC values for all of the tested azoles, indicating cross-resistance. The MIC range for manogepix was 0.001–0.125 mg/L, with an MIC<sub>50</sub> of 0.03 mg/L and an MIC<sub>90</sub> of 0.06 mg/L. (4) Conclusions: The occurrence of resistance to azoles may be a concerning problem and therefore should be investigated further. However, the new antifungal manogepix appears to be an interesting new therapeutic option for treating such infections.
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spelling doaj.art-0bc805b6af99407bbb87a03f77cbe1582024-03-27T13:58:57ZengMDPI AGPathogens2076-08172024-03-0113324810.3390/pathogens13030248Antifungal Susceptibility of <i>Saccharomyces cerevisiae</i> Isolated from Clinical SpecimensAleksandra Górzyńska0Kamila Kondracka1Agnieszka Korzeniowska-Kowal2Urszula Nawrot3Department of Pharmaceutical Microbiology and Parasitology, Wroclaw Medical University, 50-556 Wroclaw, PolandDepartment of Pharmaceutical Microbiology and Parasitology, Wroclaw Medical University, 50-556 Wroclaw, PolandDepartment of Immunology of Infectious Diseases, Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, St. Weigla 12, 53-114 Wroclaw, PolandDepartment of Pharmaceutical Microbiology and Parasitology, Wroclaw Medical University, 50-556 Wroclaw, Poland(1) Background: Despite being considered a non-pathogenic yeast, recently, a growing occurrence of <i>Saccharomyces cerevisiae</i> infections has been noted. There is little knowledge about the drug susceptibility of this species. Therefore, the objective of this research was to expand it and determine the drug susceptibility profile of a local collection of clinical isolates of this species. (2) Methods: This study contained 55 clinical isolates identified as <i>Saccharomyces cerevisiae</i> using the MALDI-TOF method. The susceptibility of <i>Saccharomyces cerevisiae</i> was tested to 10 antifungals (amphotericin B, flucytosine, fluconazole, voriconazole, posaconazole, micafungin, anidulafungin, caspofungin, and itraconazole) using MICRONAUT-AT tests and manogepix, a new drug, using the microdilution method according to EUCAST. (3) Results: Overall, most strains were classified as sensitive to amphotericin B and flucytosine (MIC ranges of ≤0.03–1 and ≤0.06–0.125, respectively) and also to echinocandins. However, five isolates expressed high MIC values for all of the tested azoles, indicating cross-resistance. The MIC range for manogepix was 0.001–0.125 mg/L, with an MIC<sub>50</sub> of 0.03 mg/L and an MIC<sub>90</sub> of 0.06 mg/L. (4) Conclusions: The occurrence of resistance to azoles may be a concerning problem and therefore should be investigated further. However, the new antifungal manogepix appears to be an interesting new therapeutic option for treating such infections.https://www.mdpi.com/2076-0817/13/3/248<i>Saccharomyces cerevisiae</i>azolesechinocandinsamphotericin Bflucytosinemanogepix
spellingShingle Aleksandra Górzyńska
Kamila Kondracka
Agnieszka Korzeniowska-Kowal
Urszula Nawrot
Antifungal Susceptibility of <i>Saccharomyces cerevisiae</i> Isolated from Clinical Specimens
Pathogens
<i>Saccharomyces cerevisiae</i>
azoles
echinocandins
amphotericin B
flucytosine
manogepix
title Antifungal Susceptibility of <i>Saccharomyces cerevisiae</i> Isolated from Clinical Specimens
title_full Antifungal Susceptibility of <i>Saccharomyces cerevisiae</i> Isolated from Clinical Specimens
title_fullStr Antifungal Susceptibility of <i>Saccharomyces cerevisiae</i> Isolated from Clinical Specimens
title_full_unstemmed Antifungal Susceptibility of <i>Saccharomyces cerevisiae</i> Isolated from Clinical Specimens
title_short Antifungal Susceptibility of <i>Saccharomyces cerevisiae</i> Isolated from Clinical Specimens
title_sort antifungal susceptibility of i saccharomyces cerevisiae i isolated from clinical specimens
topic <i>Saccharomyces cerevisiae</i>
azoles
echinocandins
amphotericin B
flucytosine
manogepix
url https://www.mdpi.com/2076-0817/13/3/248
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AT kamilakondracka antifungalsusceptibilityofisaccharomycescerevisiaeiisolatedfromclinicalspecimens
AT agnieszkakorzeniowskakowal antifungalsusceptibilityofisaccharomycescerevisiaeiisolatedfromclinicalspecimens
AT urszulanawrot antifungalsusceptibilityofisaccharomycescerevisiaeiisolatedfromclinicalspecimens