2011
DOI: 10.1128/aac.01189-10
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Azole Resistance of Aspergillus fumigatus Biofilms Is Partly Associated with Efflux Pump Activity

Abstract: 0.0001). The efflux pump activity of the 8-h germling cells was also significantly induced by voriconazole (P < 0.001) after 24 h of treatment. Inhibition of efflux pump activity with the competitive substrate MC-207,110 reduced the voriconazole MIC values for the A. fumigatus germling cells by 2-to 8-fold. Quantitative expression analysis of AfuMDR4 mRNA transcripts showed a phase-dependent increase as the mycelial complexity increased, which was coincidental with a strain-dependent increase in azole resistan… Show more

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Cited by 133 publications
(122 citation statements)
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“…Reduced susceptibility to drugs in BF conditions (60) could also result from an increased activity of efflux pumps and transporter proteins (57). To test this hypothesis, we examined the expression patterns of the 274 genes encoding the major facilitator superfamily (MFS) proteins and the 45 genes encoding the ATPbinding cassette (ABC) proteins (58).…”
Section: Resultsmentioning
confidence: 99%
See 2 more Smart Citations
“…Reduced susceptibility to drugs in BF conditions (60) could also result from an increased activity of efflux pumps and transporter proteins (57). To test this hypothesis, we examined the expression patterns of the 274 genes encoding the major facilitator superfamily (MFS) proteins and the 45 genes encoding the ATPbinding cassette (ABC) proteins (58).…”
Section: Resultsmentioning
confidence: 99%
“…In the lung parenchyma, like in the aerial colony on an agar plate (BF), the A. fumigatus mycelium is covered by an ECM (3,8,35,46,48,57). We reasoned that better understanding the genome-wide transcriptional configuration during BF would provide insight into the genes involved in this process and potentially a better understanding of the establishment of a colony during in vivo growth.…”
Section: Discussionmentioning
confidence: 99%
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“…The Pel polysaccharide enhances resistance to several antibiotics including aminoglycosides and colistin (22,24,25). Because biofilm formation by A. fumigatus is associated with increased resistance to a number of antifungal agents (26)(27)(28), we hypothesized that GAG may have an analogous function to Pel in enhancing resistance to antifungal agents. To test this hypothesis, we investigated whether Sph3 h or PelA h could potentiate the activity of commonly used antifungal drugs.…”
Section: Sph3 H and Pela H Potentiate Antifungals By Enhancing Theirmentioning
confidence: 99%
“…Gordon Ramage presented an in vitro model to monitor adaptive antifungal resistance mechanisms. A. fumigatus biofilms exhibit a phase-dependent resistance against antifungal agents (44), and transcriptional analysis revealed a higher expression of drug efflux pumps in more developed biofilms (45). Furthermore, eDNA, which is released in a phase-dependent manner, not only is important for the biofilm architecture but also contributes to resistance (46).…”
Section: New Insights Into Chronic Biofilm Diseasesmentioning
confidence: 99%