Whole Genome Sequencing of Australian Candida glabrata Isolates Reveals Genetic Diversity and Novel Sequence Types

Candida glabrata is a pathogen with reduced susceptibility to azoles and echinocandins. Analysis by traditional multilocus sequence typing (MLST) has recognized an increasing number of sequence types (STs), which vary with geography. Little is known about STs of C. glabrata in Australia. Here, we ut...

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Main Authors: Chayanika Biswas, Vanessa R. Marcelino, Sebastiaan Van Hal, Catriona Halliday, Elena Martinez, Qinning Wang, Sarah Kidd, Karina Kennedy, Deborah Marriott, C. Orla Morrissey, Ian Arthur, Kerry Weeks, Monica A. Slavin, Tania C. Sorrell, Vitali Sintchenko, Wieland Meyer, Sharon C.-A. Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-12-01
Series:Frontiers in Microbiology
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Online Access:https://www.frontiersin.org/article/10.3389/fmicb.2018.02946/full
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author Chayanika Biswas
Chayanika Biswas
Vanessa R. Marcelino
Vanessa R. Marcelino
Vanessa R. Marcelino
Sebastiaan Van Hal
Catriona Halliday
Elena Martinez
Elena Martinez
Qinning Wang
Qinning Wang
Sarah Kidd
Karina Kennedy
Deborah Marriott
C. Orla Morrissey
Ian Arthur
Kerry Weeks
Monica A. Slavin
Tania C. Sorrell
Tania C. Sorrell
Tania C. Sorrell
Vitali Sintchenko
Vitali Sintchenko
Vitali Sintchenko
Vitali Sintchenko
Wieland Meyer
Wieland Meyer
Wieland Meyer
Wieland Meyer
Sharon C.-A. Chen
Sharon C.-A. Chen
Sharon C.-A. Chen
Sharon C.-A. Chen
Sharon C.-A. Chen
author_facet Chayanika Biswas
Chayanika Biswas
Vanessa R. Marcelino
Vanessa R. Marcelino
Vanessa R. Marcelino
Sebastiaan Van Hal
Catriona Halliday
Elena Martinez
Elena Martinez
Qinning Wang
Qinning Wang
Sarah Kidd
Karina Kennedy
Deborah Marriott
C. Orla Morrissey
Ian Arthur
Kerry Weeks
Monica A. Slavin
Tania C. Sorrell
Tania C. Sorrell
Tania C. Sorrell
Vitali Sintchenko
Vitali Sintchenko
Vitali Sintchenko
Vitali Sintchenko
Wieland Meyer
Wieland Meyer
Wieland Meyer
Wieland Meyer
Sharon C.-A. Chen
Sharon C.-A. Chen
Sharon C.-A. Chen
Sharon C.-A. Chen
Sharon C.-A. Chen
author_sort Chayanika Biswas
collection DOAJ
description Candida glabrata is a pathogen with reduced susceptibility to azoles and echinocandins. Analysis by traditional multilocus sequence typing (MLST) has recognized an increasing number of sequence types (STs), which vary with geography. Little is known about STs of C. glabrata in Australia. Here, we utilized whole genome sequencing (WGS) to study the genetic diversity of 51 Australian C. glabrata isolates and sought associations between STs over two time periods (2002–2004, 2010–2017), and with susceptibility to fluconazole by principal component analysis (PCA). Antifungal susceptibility was determined using Sensititre YeastOneTM Y010 methodology and WGS performed on the NextSeq 500 platform (Illumina) with in silico MLST STs inferred by WGS data. Single nucleotide polymorphisms (SNPs) in genes linked to echinocandin, azole and 5-fluorocytosine resistance were analyzed. Of 51 isolates, WGS identified 18 distinct STs including four novel STs (ST123, ST124, ST126, and ST127). Four STs accounted for 49% of isolates (ST3, 15.7%; ST83, 13.7%; ST7, 9.8%; ST26, 9.8%). Split-tree network analysis resolved isolates to terminal branches; many of these comprised multiple isolates from disparate geographic settings but four branches contained Australian isolates only. ST3 isolates were common in Europe, United States and now Australia, whilst ST8 and ST19, relatively frequent in the United States, were rare/absent amongst our isolates. There was no association between ST distribution (genomic similarity) and the two time periods or with fluconazole susceptibility. WGS identified mutations in the FKS1 (S629P) and FKS2 (S663P) genes in three, and one, echinocandin-resistant isolate(s), respectively. Both mutations confer phenotypic drug resistance. Twenty-five percent (13/51) of isolates were fluconazole-resistant (MIC ≥ 64 μg/ml) of which 9 (18%) had non wild-type MICs to voriconazole and posaconazole. Multiple SNPs were present in genes linked to azole resistance such as CgPDR1 and CgCDR1, as well as several in MSH2; however, SNPs occurred in both azole-susceptible and azole-resistant isolates. Although no particular SNP in these genes was definitively associated with resistance, azole-resistant/non-wild type isolates had a propensity to harbor SNPs resulting in amino acid substitutions in Pdr1 beyond the first 250 amino acid positions. The presence of SNPs may be markers of STs. Our study shows the value of WGS for high-resolution sequence typing of C. glabrata, discovery of novel STs and potential to monitor trends in genetic diversity. WGS assessment for echinocandin resistance augments phenotypic susceptibility testing.
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spelling doaj.art-56838ef0ee7e40f7902febcb37bc77662022-12-21T17:31:24ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2018-12-01910.3389/fmicb.2018.02946424436Whole Genome Sequencing of Australian Candida glabrata Isolates Reveals Genetic Diversity and Novel Sequence TypesChayanika Biswas0Chayanika Biswas1Vanessa R. Marcelino2Vanessa R. Marcelino3Vanessa R. Marcelino4Sebastiaan Van Hal5Catriona Halliday6Elena Martinez7Elena Martinez8Qinning Wang9Qinning Wang10Sarah Kidd11Karina Kennedy12Deborah Marriott13C. Orla Morrissey14Ian Arthur15Kerry Weeks16Monica A. Slavin17Tania C. Sorrell18Tania C. Sorrell19Tania C. Sorrell20Vitali Sintchenko21Vitali Sintchenko22Vitali Sintchenko23Vitali Sintchenko24Wieland Meyer25Wieland Meyer26Wieland Meyer27Wieland Meyer28Sharon C.-A. Chen29Sharon C.-A. Chen30Sharon C.-A. Chen31Sharon C.-A. Chen32Sharon C.-A. Chen33Centre for Infectious Diseases and Microbiology-Public Health, Westmead Hospital, Sydney, NSW, AustraliaWestmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaWestmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology, Westmead Institute for Medical Research, Westmead, NSW, AustraliaMarie Bashir Institute for Emerging Infectious Diseases and Biosecurity, The University of Sydney, Sydney, NSW, AustraliaDepartment of Infectious Diseases and Microbiology, New South Wales Health Pathology, Royal Prince Alfred Hospital, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology Laboratory Services, ICPMR, New South Wales Health Pathology, Westmead Hospital, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology-Public Health, Westmead Hospital, Sydney, NSW, AustraliaWestmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology-Public Health, Westmead Hospital, Sydney, NSW, AustraliaWestmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaNational Mycology Reference Centre, SA Pathology, Adelaide, SA, AustraliaDepartment of Microbiology and Infectious Diseases, Canberra Hospital & Health Services, Australian National University Medical School, Canberra, ACT, AustraliaDepartment of Microbiology and Infectious Diseases, St Vincent’s Hospital, Sydney, NSW, Australia0Department of Infectious Diseases, Alfred Health and Monash University, Melbourne, VIC, Australia1Department of Microbiology, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Perth, WA, Australia2Department of Microbiology and Infectious Diseases, Royal North Shore Hospital, Sydney, NSW, Australia3National Centre for Infections in Cancer, Peter MacCallum Cancer Centre, Melbourne, VIC, AustraliaWestmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology, Westmead Institute for Medical Research, Westmead, NSW, AustraliaMarie Bashir Institute for Emerging Infectious Diseases and Biosecurity, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology-Public Health, Westmead Hospital, Sydney, NSW, AustraliaWestmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology, Westmead Institute for Medical Research, Westmead, NSW, AustraliaMarie Bashir Institute for Emerging Infectious Diseases and Biosecurity, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology-Public Health, Westmead Hospital, Sydney, NSW, AustraliaWestmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology, Westmead Institute for Medical Research, Westmead, NSW, AustraliaMarie Bashir Institute for Emerging Infectious Diseases and Biosecurity, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology-Public Health, Westmead Hospital, Sydney, NSW, AustraliaWestmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology, Westmead Institute for Medical Research, Westmead, NSW, AustraliaMarie Bashir Institute for Emerging Infectious Diseases and Biosecurity, The University of Sydney, Sydney, NSW, AustraliaCentre for Infectious Diseases and Microbiology Laboratory Services, ICPMR, New South Wales Health Pathology, Westmead Hospital, Sydney, NSW, AustraliaCandida glabrata is a pathogen with reduced susceptibility to azoles and echinocandins. Analysis by traditional multilocus sequence typing (MLST) has recognized an increasing number of sequence types (STs), which vary with geography. Little is known about STs of C. glabrata in Australia. Here, we utilized whole genome sequencing (WGS) to study the genetic diversity of 51 Australian C. glabrata isolates and sought associations between STs over two time periods (2002–2004, 2010–2017), and with susceptibility to fluconazole by principal component analysis (PCA). Antifungal susceptibility was determined using Sensititre YeastOneTM Y010 methodology and WGS performed on the NextSeq 500 platform (Illumina) with in silico MLST STs inferred by WGS data. Single nucleotide polymorphisms (SNPs) in genes linked to echinocandin, azole and 5-fluorocytosine resistance were analyzed. Of 51 isolates, WGS identified 18 distinct STs including four novel STs (ST123, ST124, ST126, and ST127). Four STs accounted for 49% of isolates (ST3, 15.7%; ST83, 13.7%; ST7, 9.8%; ST26, 9.8%). Split-tree network analysis resolved isolates to terminal branches; many of these comprised multiple isolates from disparate geographic settings but four branches contained Australian isolates only. ST3 isolates were common in Europe, United States and now Australia, whilst ST8 and ST19, relatively frequent in the United States, were rare/absent amongst our isolates. There was no association between ST distribution (genomic similarity) and the two time periods or with fluconazole susceptibility. WGS identified mutations in the FKS1 (S629P) and FKS2 (S663P) genes in three, and one, echinocandin-resistant isolate(s), respectively. Both mutations confer phenotypic drug resistance. Twenty-five percent (13/51) of isolates were fluconazole-resistant (MIC ≥ 64 μg/ml) of which 9 (18%) had non wild-type MICs to voriconazole and posaconazole. Multiple SNPs were present in genes linked to azole resistance such as CgPDR1 and CgCDR1, as well as several in MSH2; however, SNPs occurred in both azole-susceptible and azole-resistant isolates. Although no particular SNP in these genes was definitively associated with resistance, azole-resistant/non-wild type isolates had a propensity to harbor SNPs resulting in amino acid substitutions in Pdr1 beyond the first 250 amino acid positions. The presence of SNPs may be markers of STs. Our study shows the value of WGS for high-resolution sequence typing of C. glabrata, discovery of novel STs and potential to monitor trends in genetic diversity. WGS assessment for echinocandin resistance augments phenotypic susceptibility testing.https://www.frontiersin.org/article/10.3389/fmicb.2018.02946/fullwhole genome sequencingCandida glabrataMLSTsequence typeAustralia
spellingShingle Chayanika Biswas
Chayanika Biswas
Vanessa R. Marcelino
Vanessa R. Marcelino
Vanessa R. Marcelino
Sebastiaan Van Hal
Catriona Halliday
Elena Martinez
Elena Martinez
Qinning Wang
Qinning Wang
Sarah Kidd
Karina Kennedy
Deborah Marriott
C. Orla Morrissey
Ian Arthur
Kerry Weeks
Monica A. Slavin
Tania C. Sorrell
Tania C. Sorrell
Tania C. Sorrell
Vitali Sintchenko
Vitali Sintchenko
Vitali Sintchenko
Vitali Sintchenko
Wieland Meyer
Wieland Meyer
Wieland Meyer
Wieland Meyer
Sharon C.-A. Chen
Sharon C.-A. Chen
Sharon C.-A. Chen
Sharon C.-A. Chen
Sharon C.-A. Chen
Whole Genome Sequencing of Australian Candida glabrata Isolates Reveals Genetic Diversity and Novel Sequence Types
Frontiers in Microbiology
whole genome sequencing
Candida glabrata
MLST
sequence type
Australia
title Whole Genome Sequencing of Australian Candida glabrata Isolates Reveals Genetic Diversity and Novel Sequence Types
title_full Whole Genome Sequencing of Australian Candida glabrata Isolates Reveals Genetic Diversity and Novel Sequence Types
title_fullStr Whole Genome Sequencing of Australian Candida glabrata Isolates Reveals Genetic Diversity and Novel Sequence Types
title_full_unstemmed Whole Genome Sequencing of Australian Candida glabrata Isolates Reveals Genetic Diversity and Novel Sequence Types
title_short Whole Genome Sequencing of Australian Candida glabrata Isolates Reveals Genetic Diversity and Novel Sequence Types
title_sort whole genome sequencing of australian candida glabrata isolates reveals genetic diversity and novel sequence types
topic whole genome sequencing
Candida glabrata
MLST
sequence type
Australia
url https://www.frontiersin.org/article/10.3389/fmicb.2018.02946/full
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