Abstract
The objective of the present study was to conduct a comparative genotypic analysis of Candida albicans isolates from the United States, Europe, and Southeast Asia to determine whether differences between isolates might be associated with geographic locations. The genotypes of 86 unrelated isolates of C. albicans (from the United States and Europe) and 26 isolates from Singapore were examined by three DNA typing methods. Computer-assisted methods were used to analyze the gel patterns for all isolates. A dendrogram based on the overall similarity of the patterns obtained by restriction endonuclease analysis (REA) with EcoRI clustered the U.S. and European isolates into two major groups (groups A and B). The Singaporean isolates demonstrated unique REA profiles, with nine isolates having both or neither of the REA-characteristic 3.7- and 4.2-kb bands present in groups A and B. By REA profiles, the Singaporean isolates were related to each other with similarity values (S(AB)s) of > 0.80, but only one isolate mixed with the U.S. and European isolates at this S(AB) (an arbitrary threshold for genetic similarity). Randomly amplified polymorphic DNA (RAPD) analysis generated DNA profiles that clustered the C. albicans isolates into approximately the same number of distinct typing groups as REA. However, isolates identical to each other by REA were generally different from each other by RAPD analysis. In a composite dendrogram prepared from the results obtained by RAPD analysis, the isolates from the United States and Europe clustered in major groups with S(AB)s of > 0.85, while Singaporean isolates connected to these clusters at S(AB)s of > or = 0.75. Pulsed-field gel electrophoresis was less discriminatory, discerning about one-third as many distinct subtypes as REA or RAPD analysis; the Singaporean isolates were distributed randomly with the U.S. and European isolates. These results suggest that a high degree of genetic diversity exists between C. albicans isolates from Southeast Asia and those from the United States and Europe.
Full Text
The Full Text of this article is available as a PDF (1.1 MB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bostock A., Khattak M. N., Matthews R., Burnie J. Comparison of PCR fingerprinting, by random amplification of polymorphic DNA, with other molecular typing methods for Candida albicans. J Gen Microbiol. 1993 Sep;139(9):2179–2184. doi: 10.1099/00221287-139-9-2179. [DOI] [PubMed] [Google Scholar]
- Clemons K. V., Shankland G. S., Richardson M. D., Stevens D. A. Epidemiologic study by DNA typing of a Candida albicans outbreak in heroin addicts. J Clin Microbiol. 1991 Jan;29(1):205–207. doi: 10.1128/jcm.29.1.205-207.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Holmberg K., Feroze F. Comparative study of the GenePath group 4 reagent system and other CHEF systems for karyotype analysis of Candida spp. J Clin Lab Anal. 1995;9(3):184–192. doi: 10.1002/jcla.1860090307. [DOI] [PubMed] [Google Scholar]
- Holmberg K., Feroze F. Evaluation of an optimized system for random amplified polymorphic DNA (RAPD)-analysis for genotypic mapping of Candida albicans strains. J Clin Lab Anal. 1996;10(2):59–69. doi: 10.1002/(SICI)1098-2825(1996)10:2<59::AID-JCLA1>3.0.CO;2-G. [DOI] [PubMed] [Google Scholar]
- Hunter P. R., Fraser C. A. Application of a numerical index of discriminatory power to a comparison of four physiochemical typing methods for Candida albicans. J Clin Microbiol. 1989 Oct;27(10):2156–2160. doi: 10.1128/jcm.27.10.2156-2160.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hunter P. R., Gaston M. A. Numerical index of the discriminatory ability of typing systems: an application of Simpson's index of diversity. J Clin Microbiol. 1988 Nov;26(11):2465–2466. doi: 10.1128/jcm.26.11.2465-2466.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lehmann P. F., Lin D., Lasker B. A. Genotypic identification and characterization of species and strains within the genus Candida by using random amplified polymorphic DNA. J Clin Microbiol. 1992 Dec;30(12):3249–3254. doi: 10.1128/jcm.30.12.3249-3254.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Magee P. T., Bowdin L., Staudinger J. Comparison of molecular typing methods for Candida albicans. J Clin Microbiol. 1992 Oct;30(10):2674–2679. doi: 10.1128/jcm.30.10.2674-2679.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McCullough M., Ross B., Reade P. Characterization of genetically distinct subgroup of Candida albicans strains isolated from oral cavities of patients infected with human immunodeficiency virus. J Clin Microbiol. 1995 Mar;33(3):696–700. doi: 10.1128/jcm.33.3.696-700.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Odds F. C., Brawner D. L., Staudinger J., Magee P. T., Soll D. R. Typing of Candida albicans strains. J Med Vet Mycol. 1992;30 (Suppl 1):87–94. [PubMed] [Google Scholar]
- Scherer S., Stevens D. A. Application of DNA typing methods to epidemiology and taxonomy of Candida species. J Clin Microbiol. 1987 Apr;25(4):675–679. doi: 10.1128/jcm.25.4.675-679.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stevens D. A., Odds F. C., Scherer S. Application of DNA typing methods to Candida albicans epidemiology and correlations with phenotype. Rev Infect Dis. 1990 Mar-Apr;12(2):258–266. doi: 10.1093/clinids/12.2.258. [DOI] [PubMed] [Google Scholar]
- Vazquez J. A., Beckley A., Sobel J. D., Zervos M. J. Comparison of restriction enzyme analysis and pulsed-field gradient gel electrophoresis as typing systems for Candida albicans. J Clin Microbiol. 1991 May;29(5):962–967. doi: 10.1128/jcm.29.5.962-967.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vazquez J. A., Sanchez V., Dmuchowski C., Dembry L. M., Sobel J. D., Zervos M. J. Nosocomial acquisition of Candida albicans: an epidemiologic study. J Infect Dis. 1993 Jul;168(1):195–201. doi: 10.1093/infdis/168.1.195. [DOI] [PubMed] [Google Scholar]
- Voss A., Pfaller M. A., Hollis R. J., Rhine-Chalberg J., Doebbeling B. N. Investigation of Candida albicans transmission in a surgical intensive care unit cluster by using genomic DNA typing methods. J Clin Microbiol. 1995 Mar;33(3):576–580. doi: 10.1128/jcm.33.3.576-580.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- van Belkum A., Melchers W., de Pauw B. E., Scherer S., Quint W., Meis J. F. Genotypic characterization of sequential Candida albicans isolates from fluconazole-treated neutropenic patients. J Infect Dis. 1994 May;169(5):1062–1070. doi: 10.1093/infdis/169.5.1062. [DOI] [PubMed] [Google Scholar]