Analysis of Microbiota and Mycobiota in Fungal Ball Rhinosinusitis: Specific Interaction between <i>Aspergillus fumigatus</i> and <i>Haemophilus influenza</i>?

Fungal ball (FB) rhinosinusitis (RS) is the main type of non-invasive fungal RS. Despite positive direct examination (DE) of biopsies, culture remains negative in more than 60% of cases. The aim of the study was to evaluate the performance/efficacy of targeted metagenomics (TM) to analyze microbiota...

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Main Authors: Sarah Dellière, Eric Dannaoui, Maxime Fieux, Pierre Bonfils, Guillaume Gricourt, Vanessa Demontant, Isabelle Podglajen, Paul-Louis Woerther, Cécile Angebault, Françoise Botterel
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Journal of Fungi
Subjects:
Online Access:https://www.mdpi.com/2309-608X/7/7/550
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author Sarah Dellière
Eric Dannaoui
Maxime Fieux
Pierre Bonfils
Guillaume Gricourt
Vanessa Demontant
Isabelle Podglajen
Paul-Louis Woerther
Cécile Angebault
Françoise Botterel
author_facet Sarah Dellière
Eric Dannaoui
Maxime Fieux
Pierre Bonfils
Guillaume Gricourt
Vanessa Demontant
Isabelle Podglajen
Paul-Louis Woerther
Cécile Angebault
Françoise Botterel
author_sort Sarah Dellière
collection DOAJ
description Fungal ball (FB) rhinosinusitis (RS) is the main type of non-invasive fungal RS. Despite positive direct examination (DE) of biopsies, culture remains negative in more than 60% of cases. The aim of the study was to evaluate the performance/efficacy of targeted metagenomics (TM) to analyze microbiota and mycobiota in FB and find microbial associations. Forty-five sinus biopsies from patients who underwent surgery for chronic RS were included. After DE and culture, DNA was extracted, then fungal ITS1–ITS2 and bacterial V3–V4 16S rDNA loci were sequenced (MiSeq<sup>TM</sup> Illumina). Operational taxonomic units (OTUs) were defined via QIIME and assigned to SILVA (16S) and UNITE (ITS) databases. Statistical analyses were performed using SHAMAN. Thirty-eight patients had FB and seven had non-fungal rhinosinusitis (NFRS). DE and culture of FB were positive for fungi in 97.3 and 31.6% of patients, respectively. TM analysis of the 38 FB yielded more than one fungal genus in 100% of cases, with <i>Aspergillus</i> in 89.5% (34/38). <i>Haemophilus</i> was over-represented in FB with >1000 reads/sample in 47.3% (18/38) compared to NFRS (<i>p</i> < 0.001). TM allowed fungal identification in biopsies with negative culture. <i>Haemophilus</i> was associated with FB. Pathogenesis could result from fungi–bacteria interactions in a mixed biofilm-like structure.
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spelling doaj.art-24153266644444bf8e0ef6e82157370b2023-11-22T04:09:55ZengMDPI AGJournal of Fungi2309-608X2021-07-017755010.3390/jof7070550Analysis of Microbiota and Mycobiota in Fungal Ball Rhinosinusitis: Specific Interaction between <i>Aspergillus fumigatus</i> and <i>Haemophilus influenza</i>?Sarah Dellière0Eric Dannaoui1Maxime Fieux2Pierre Bonfils3Guillaume Gricourt4Vanessa Demontant5Isabelle Podglajen6Paul-Louis Woerther7Cécile Angebault8Françoise Botterel9Unité de Parasitologie-Mycologie, Département de Prévention, Diagnostic et Traitement des Infections, APHP, GHU Hôpitaux Universitaires Henri-Mondor, 94010 Créteil, FranceUR DYNAMiC 7380, Faculté de Santé, Université Paris-Est Créteil, 94010 Créteil, FranceDépartement d’Otorhinolaryngologie, Hôpital Européen George Pompidou, APHP, Université de Paris, 75015 Paris, FranceDépartement d’Otorhinolaryngologie, Hôpital Européen George Pompidou, APHP, Université de Paris, 75015 Paris, FrancePlate-Forme Genomiques, APHP-IMRB, GHU Hôpitaux Universitaires Henri-Mondor, UPEC, 94010 Créteil, FrancePlate-Forme Genomiques, APHP-IMRB, GHU Hôpitaux Universitaires Henri-Mondor, UPEC, 94010 Créteil, FranceUnité de Bactériologie, Département de Microbiologie, Hôpital Européen George Pompidou, APHP, Université de Paris, 75015 Paris, FranceUR DYNAMiC 7380, Faculté de Santé, Université Paris-Est Créteil, 94010 Créteil, FranceUnité de Parasitologie-Mycologie, Département de Prévention, Diagnostic et Traitement des Infections, APHP, GHU Hôpitaux Universitaires Henri-Mondor, 94010 Créteil, FranceUnité de Parasitologie-Mycologie, Département de Prévention, Diagnostic et Traitement des Infections, APHP, GHU Hôpitaux Universitaires Henri-Mondor, 94010 Créteil, FranceFungal ball (FB) rhinosinusitis (RS) is the main type of non-invasive fungal RS. Despite positive direct examination (DE) of biopsies, culture remains negative in more than 60% of cases. The aim of the study was to evaluate the performance/efficacy of targeted metagenomics (TM) to analyze microbiota and mycobiota in FB and find microbial associations. Forty-five sinus biopsies from patients who underwent surgery for chronic RS were included. After DE and culture, DNA was extracted, then fungal ITS1–ITS2 and bacterial V3–V4 16S rDNA loci were sequenced (MiSeq<sup>TM</sup> Illumina). Operational taxonomic units (OTUs) were defined via QIIME and assigned to SILVA (16S) and UNITE (ITS) databases. Statistical analyses were performed using SHAMAN. Thirty-eight patients had FB and seven had non-fungal rhinosinusitis (NFRS). DE and culture of FB were positive for fungi in 97.3 and 31.6% of patients, respectively. TM analysis of the 38 FB yielded more than one fungal genus in 100% of cases, with <i>Aspergillus</i> in 89.5% (34/38). <i>Haemophilus</i> was over-represented in FB with >1000 reads/sample in 47.3% (18/38) compared to NFRS (<i>p</i> < 0.001). TM allowed fungal identification in biopsies with negative culture. <i>Haemophilus</i> was associated with FB. Pathogenesis could result from fungi–bacteria interactions in a mixed biofilm-like structure.https://www.mdpi.com/2309-608X/7/7/550<i>Aspergillus fumigatus</i><i>Haemophilus influenzae</i>mycobiotamicrobiotamicrobial interactionsfungal–bacterial biofilm
spellingShingle Sarah Dellière
Eric Dannaoui
Maxime Fieux
Pierre Bonfils
Guillaume Gricourt
Vanessa Demontant
Isabelle Podglajen
Paul-Louis Woerther
Cécile Angebault
Françoise Botterel
Analysis of Microbiota and Mycobiota in Fungal Ball Rhinosinusitis: Specific Interaction between <i>Aspergillus fumigatus</i> and <i>Haemophilus influenza</i>?
Journal of Fungi
<i>Aspergillus fumigatus</i>
<i>Haemophilus influenzae</i>
mycobiota
microbiota
microbial interactions
fungal–bacterial biofilm
title Analysis of Microbiota and Mycobiota in Fungal Ball Rhinosinusitis: Specific Interaction between <i>Aspergillus fumigatus</i> and <i>Haemophilus influenza</i>?
title_full Analysis of Microbiota and Mycobiota in Fungal Ball Rhinosinusitis: Specific Interaction between <i>Aspergillus fumigatus</i> and <i>Haemophilus influenza</i>?
title_fullStr Analysis of Microbiota and Mycobiota in Fungal Ball Rhinosinusitis: Specific Interaction between <i>Aspergillus fumigatus</i> and <i>Haemophilus influenza</i>?
title_full_unstemmed Analysis of Microbiota and Mycobiota in Fungal Ball Rhinosinusitis: Specific Interaction between <i>Aspergillus fumigatus</i> and <i>Haemophilus influenza</i>?
title_short Analysis of Microbiota and Mycobiota in Fungal Ball Rhinosinusitis: Specific Interaction between <i>Aspergillus fumigatus</i> and <i>Haemophilus influenza</i>?
title_sort analysis of microbiota and mycobiota in fungal ball rhinosinusitis specific interaction between i aspergillus fumigatus i and i haemophilus influenza i
topic <i>Aspergillus fumigatus</i>
<i>Haemophilus influenzae</i>
mycobiota
microbiota
microbial interactions
fungal–bacterial biofilm
url https://www.mdpi.com/2309-608X/7/7/550
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