LETTER
We read with interest the recent publication by de Hoog and colleagues in the Journal of Clinical Microbiology (1) and support the goal to stabilize fungal nomenclature. Although we recognize the importance of stable naming, we offer comments on the need for clarity around the concepts introduced, consistency of the recommended nomenclature, process issues regarding the endorsement by professional groups and societies and the proposed oversight committee (working group), and the relationship between the proposed database and existing, officially recognized nomenclatural repositories.
We ask why the stability of nomenclature is more concerning for some pathogens (e.g., Bipolaris/Curvularia australiensis, Emmonsia/Emergomyces crescens) than others (e.g., Ochroconis/Verruconis gallopava, Trichosporon/Apiotrichum mycotoxinovorans), and question the consistency and clinical value of certain reporting recommendations; e.g., Trichophyton violaceum requiring the comment “member of Trichophyton rubrum complex,” when an analogous comment is not recommended for Trichophyton indotineae, or even for Cryptococcus neoformans/C. gattii and Histoplasma capsulatum (2, 3). The recommended option to continue using prior (now obsolete) Candida names appears inconsistent with the statement that the “[Candida] genus in the traditional sense is untenable.” Additionally, some nomenclature and reporting recommendations contradict previously published opinions (4–11), and we are concerned that recommending two names as alternatives for reporting will reverse the benefits of many years of advocacy for “One Fungus One Name” (12).
The transition to updated nomenclature has therapeutic relevance (13, 14) and is demonstrably manageable following published recommendations (7–10, 15) with the support of clinicians (16). Many clinical laboratories across Australasia and Europe have successfully implemented nomenclature change following recommendations under the guidance of local organizations, and some commercial identification system vendors (e.g., Bruker Biotyper) have implemented nomenclature updates in their databases. A reversal of this progress seems retrogressive and could erode trust in taxonomic science.
With the exception of being linked to a subscription resource, the proposed database (www.atlasclinicalfungi.org) appears similar to the officially recognized nomenclature repositories, MycoBank (www.mycobank.org), IndexFungorum (www.indexfungorum.org), and Fungal Names (www.nmdc.cn/fungalnames), housed within the Westerdijk Institute, Royal Botanic Gardens Kew, and the Institute of Microbiology of the Chinese Academy of Sciences, respectively, with all being listed as affiliations in de Hoog et al. (1). How will these databases be reconciled and managed to provide consistent messaging?
Eleven professional entities or organizations have endorsed the proposed framework, but the process of consultation was not delineated and did not include many members or stakeholders. How will this framework impact stakeholders outside of clinical mycology, particularly veterinary mycology (ISHAM being a society that also represents animal mycoses), but also biotechnology, food mycology, and agriculture? Given that some of the article’s authors (and us) are affiliated with the International Mycological Association Nomenclature Committee for Fungi, we suggest that they clarify the remit of the working group, and to what extent it can arbitrate on the use of validly published and approved fungal names. Furthermore, how do the editorial boards or committees for the endorsing organizations propose to work together to ensure publications and guidelines provide consistent messaging to avoid further confusion with regard to nomenclature?
We applaud the proposal to introduce a nomenclature working group under the auspices of ISHAM, but the group should draw upon expertise from diverse geographic areas and represent a platform for all stakeholders. Transparent appointment and decision-making processes with clear terms of reference will be required. Finally, although we have significant concerns about some of the proposals concerning fungal nomenclature, we certainly agree that it must be stabilized to optimize client-focused outcomes.
Contributor Information
Sarah E. Kidd, Email: Sarah.Kidd@sa.gov.au.
Alexander J. McAdam, Boston Children's Hospital, Boston, Massachusetts, USA
REFERENCES
- 1. de Hoog S, Walsh TJ, Ahmed SA, Alastruey-Izquierdo A, Alexander BD, Arendrup MC, Babady E, Bai F-Y, Balada-Llasat J-M, Borman A, et al. 2023. A conceptual framework for nomenclatural stability and validity of medically important fungi: a proposed global consensus guideline for fungal name changes supported by ABP, ASM, CLSI, ECMM, ESCMID-EFISG, EUCAST-AFST, FDLC, IDSA, ISHAM, MMSA and MSGERC. J Clin Microbiol 61:e00873-23. doi: 10.1128/jcm.00873-23 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2. Kwon-Chung KJ, Bennett JE, Wickes BL, Meyer W, Cuomo CA, Wollenburg KR, Bicanic TA, Castañeda E, Chang YC, Chen J, et al. 2017. The case for adopting the "species complex" nomenclature for the etiologic agents of cryptococcosis. mSphere 2:e00357-16. doi: 10.1128/mSphere.00357-16 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. Rodrigues AM, Beale MA, Hagen F, Fisher MC, Terra PPD, de Hoog S, Brilhante RSN, de Aguiar Cordeiro R, de Souza Collares Maia Castelo-Branco D, Rocha MFG, Sidrim JJC, de Camargo ZP. 2020. The global epidemiology of emerging Histoplasma species in recent years. Stud Mycol 97:100095. doi: 10.1016/j.simyco.2020.02.001 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4. Jiang Y, Tsui CKM, Ahmed SA, Hagen F, Shang Z, Gerrits van den Ende AHG, Verweij PE, Lu H, de Hoog GS. 2020. Intraspecific diversity and taxonomy of Emmonsia crescens. Mycopathologia 185:613–627. doi: 10.1007/s11046-020-00475-4 [DOI] [PubMed] [Google Scholar]
- 5. Kurtzman CP, Robnett CJ, Basehoar-Powers E. 2008. Phylogenetic relationships among species of Pichia, Issatchenkia and Williopsis determined from multigene sequence analysis, and the proposal of Barnettozyma gen. nov., Lindnera gen. nov. and Wickerhamomyces gen. nov. FEMS Yeast Res 8:939–954. doi: 10.1111/j.1567-1364.2008.00419.x [DOI] [PubMed] [Google Scholar]
- 6. Marin-Felix Y, Stchigel AM, Miller AN, Guarro J, Cano-Lira JF. 2015. A re-evaluation of the genus Myceliophthora (Sordariales, Ascomycota): its segregation into four genera and description of Corynascus fumimontanus sp. nov. Mycologia 107:619–632. doi: 10.3852/14-228 [DOI] [PubMed] [Google Scholar]
- 7. Borman AM, Johnson EM. 2021. Name changes for fungi of medical importance, 2018 to 2019. J Clin Microbiol 59:e01811-20. doi: 10.1128/JCM.01811-20 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8. Wiederhold NP, Gibas CFC. 2018. From the clinical mycology laboratory: new species and changes in fungal taxonomy and nomenclature. J Fungi (Basel) 4:138. doi: 10.3390/jof4040138 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9. Borman AM, Johnson EM. 2023. Changes in fungal taxonomy: mycological rationale and clinical implications. Clin Microbiol Rev 36:e0009922. doi: 10.1128/cmr.00099-22 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10. Lockhart S, Updated WN. 2023. 10.2 fungal taxonomy and nomenclature. In Leber AL, Burnham C-AD (ed), Clinical Microbiology procedures Handbook, 5th Ed. ASM Press, Washington, DC. [Google Scholar]
- 11. Hagen F, Walther G, Houbraken J, Scott J, Summerbell R, Boekhout T. 2023. Molecular taxonomy. In Hospenthal DR, Rinaldi MG, Walsh TJ (ed), Diagnosis and treatment of fungal infections, 3rd Ed. Springer. [Google Scholar]
- 12. Hawksworth DL, Crous PW, Redhead SA, Reynolds DR, Samson RA, Seifert KA, Taylor JW, Wingfield MJ, Abaci O, Aime C, et al. 2011. The Amsterdam declaration on fungal nomenclature. IMA Fungus 2:105–112. doi: 10.5598/imafungus.2011.02.01.14 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13. Schmalreck AF, Lackner M, Becker K, Fegeler W, Czaika V, Ulmer H, Lass-Flörl C. 2014. Phylogenetic relationships matter: antifungal susceptibility among clinically relevant yeasts. Antimicrob Agents Chemother 58:1575–1585. doi: 10.1128/AAC.01799-13 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14. Stavrou AA, Lackner M, Lass-Flörl C, Boekhout T. 2019. The changing spectrum of Saccharomycotina yeasts causing candidemia: phylogeny mirrors antifungal susceptibility patterns for azole drugs and amphothericin B. FEMS Yeast Res 19:foz037. doi: 10.1093/femsyr/foz037 [DOI] [PubMed] [Google Scholar]
- 15. Kidd SE, Abdolrasouli A, Hagen F. 2023. Fungal nomenclature: managing change is the name of the game. Open Forum Infect Dis 10:ofac559. doi: 10.1093/ofid/ofac559 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16. Kidd SE, Halliday CL, Haremza E, Gardam DJ, Chen SCA, Elvy JA. 2022. Attitudes of Australasian clinicians and laboratory staff to changing fungal nomenclature: has mycological correctness really gone mad?. Microbiol Spectr 10:e0237721. doi: 10.1128/spectrum.02377-21 [DOI] [PMC free article] [PubMed] [Google Scholar]