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Phenotypic Diversity of <i>Cryptococcus neoformans</i> var. <i>neoformans</i> Clinical Isolates from Localized and Disseminated Infections
oleh: Zena M. Birkenfeld, Nikita Dittel, Thomas Harrer, Christoph Stephan, Albrecht F. Kiderlen, Volker Rickerts
| Format: | Article |
|---|---|
| Diterbitkan: | MDPI AG 2022-01-01 |
Deskripsi
<i>Cryptococcus neoformans</i> var. <i>neoformans</i> is the second most prevalent agent of cryptococcosis in central Europe. Infections mostly present with localized skin and disseminated infections. Previous studies did not find these presentations to be determined by the fungal genotype as detected by multilocus sequence typing (MLST). However, phenotypic fungal traits may impact clinical presentation. Here, we studied the growth and virulence factors of <i>C. neoformans</i> var. <i>neoformans</i> isolates from disseminated and localized infections and an environmental isolate. We used coincubation with <i>Acanthamoeba castellanii</i> and the <i>Galleria mellonella</i> infection model to identify phenotypic characteristics potentially associated with clinical presentation. Clinical isolates of <i>C. neoformans</i> var. <i>neoformans</i> present a substantial phenotypic variability. Median survival of <i>G. mellonella</i> varied between 6 and 14 days. <i>C. neoformans</i> var. <i>neoformans</i> isolates from disseminated infections showed stronger melanization and larger capsules. They demonstrated superior uptake into an amoeba and increased cytotoxicity for the amoeba. Differences of strains from localized and disseminated infections in coincubation with amoeba are in line with the importance of phagocytes in the pathogenesis of disseminated cryptococcosis. Phenotypic traits and non-vertebrate infection models may help understand the virulence potential of <i>C. neoformans</i> var. <i>neoformans</i> isolates.