Environmental populations of the opportunistic pathogen Aspergillus fumigatus have been shown to be genotypically diverse and to contain a range of isolates with varying pathogenic potential. In this study, we combined two RAPD primers to investigate the genetic diversity of environmental isolates from Manchester collected monthly over 1 year alongside Dublin environmental isolates and clinical isolates from patients. RAPD analysis revealed a diverse genotype, but with three major clinical isolate clusters. When the pathogenicity of clinical and Dublin isolates was compared with a random selection of Manchester isolates in a Galleria mellonella larvae model, as a group, clinical isolates were significantly more pathogenic than environmental isolates. Moreover, when relative pathogenicity of individual isolates was compared, clinical isolates were the most pathogenic, Dublin isolates were the least pathogenic and Manchester isolates showed a range in pathogenicity. Overall, this suggests that the environmental population is genetically diverse, displaying a range in pathogenicity, and that the most pathogenic strains from the environment are selected during patient infection.
INTRODUCTIONAspergillus fumigatus is an opportunistic fungal pathogen that can cause aspergillosis in immunocompromised patients, such as those with neutropenia or on immunosuppressive therapy following solid organ transplantation (Abad et al., 2010;Ben-Ami et al., 2010;Dagenais & Keller, 2009;Latgé, 1999;Rementeria et al., 2005). The principal route of infection is through the inhalation of airborne spores, which due to their small spore size are able to reach the alveoli (Dagenais & Keller, 2009;Ibrahim-Granet et al., 2003;Latgé, 1999;O'Gorman, 2011;Philippe et al., 2003). While other aspergilli can cause opportunistic infections (such as Aspergillus terreus and Aspergillus flavus), A. fumigatus accounts for~90 % of all cases despite airborne spore numbers only accounting for ,1 % of all Aspergillus spores (Rementeria et al., 2005). A number of studies have shown a high degree of genetic variation within the A. fumigatus population, and whilst some studies have indicated potential geographical subgroups, comparisons between clinical isolates and environmental isolates have largely been unable to distinguish these populations (Araujo et al., 2010;Aufauvre-Brown et al., 1992;Balajee et al., 2008;Chazalet et al., 1998;Denning et al., 1990;Duarte-Escalante et al., 2009; Leenders et al., 1999;Menotti et al., 2005). Moreover, epidemiological studies have largely failed to match genotypes in infected patients with genotypes found in hospitals, in part due to the high level of genetic diversity in the environmental populations (Araujo et al., 2010;Bart-Delabesse et al., 1999;Chazalet et al., 1998;Guinea et al., 2011; Leenders et al., 1999;de Valk et al., 2007), and similar findings have been reported in avian populations (Arné et al., 2011;Lair-Fulleringer et al., 2003;Olias et al., 2011). Whilst genotyping of isolates from some individual patient...