Literature DB >> 19287536

Environmental isolation of black yeast-like fungi involved in human infection.

V A Vicente1, D Attili-Angelis, M R Pie, F Queiroz-Telles, L M Cruz, M J Najafzadeh, G S de Hoog, J Zhao, A Pizzirani-Kleiner.   

Abstract

The present study focuses on potential agents of chromoblastomycosis and other endemic diseases in the state of Paraná, Southern Brazil. Using a highly selective protocol for chaetothyrialean black yeasts and relatives, environmental samples from the living area of symptomatic patients were analysed. Additional strains were isolated from creosote-treated wood and hydrocarbon-polluted environments, as such polluted sites have been supposed to enhance black yeast prevalence. Isolates showed morphologies compatible with the traditional etiological agents of chromoblastomycosis, e.g. Fonsecaea pedrosoi and Phialophora verrucosa, and of agents of subcutaneous or systemic infections like Cladophialophora bantiana and Exophiala jeanselmei. Some agents of mild disease were indeed encountered. However, molecular analysis proved that most environmental strains differed from known etiologic agents of pronounced disease syndromes: they belonged to the same order, but mostly were undescribed species. Agents of chromoblastomycosis and systemic disease thus far are prevalent on the human host. The hydrocarbon-polluted environments yielded yet another spectrum of chaetothyrialean fungi. These observations are of great relevance because they allow us to distinguish between categories of opportunists, indicating possible differences in pathogenicity and virulence.

Entities:  

Keywords:  Black yeasts; Chaetothyriales; chromoblastomycosis; enrichment; environmental isolation; opportunists; phaeohyphomycosis; virulence

Year:  2008        PMID: 19287536      PMCID: PMC2610314          DOI: 10.3114/sim.2008.61.14

Source DB:  PubMed          Journal:  Stud Mycol        ISSN: 0166-0616            Impact factor:   16.097


INTRODUCTION

Knowledge of natural ecology and evolution is essential for a better understanding of pathogenicity and opportunism. Members of different fungal orders and families tend to be differentially involved in human mycoses. Among melanised fungi, for example, etiologies of members of Dothideaceae and Herpotrichiellaceae show basic differences (de Hoog 1993, 1997). Of these families, only species belonging to the Herpotrichiellaceae (black yeasts and relatives) are associated with recurrent, clearly defined disease entities such as chromoblastomycosis and neurotropic dissemination in immunocompetent individuals. In contrast, members of Dothideaceae show coincidental opportunism, whereby the infection is largely dependent on the portal of entry and the immune status of the host. Among the diseases caused by chaetothyrialean fungi (teleomorph family Herpotrichiellaceae), chromoblastomycosis and other traumatic skin disorders are the most frequent (Attili , Zeng ). Although the agents are supposed to originate from the environment, their isolation from nature is difficult. This is probably due to their oligotrophic nature, low competitive ability, and in general insufficient data on their natural habitat. Several selective techniques have been developed enabling recovery of these fungi (de Hoog et al. 2005; Dixon , Prenafeta-Boldú , Satow , Zhao et al. 2008, Sudhadham et al. 2008). These investigations indicated that opportunism of these fungi must be explained from the perspective of unexpected environments such as rock, creosote-treated wood, hydrocarbon-polluted soil, and hyperparasitism of fungi and lichens (Sterflinger , Wang & Zabel 1997, Lutzoni ). In the present study we tried to find recover chaetothyrialean fungi from the natural environment in the State of Paraná, Southern Brazil, where chromoblastomycosis and phaeohyphomycosis are frequent in endemic areas. In addition, human-made substrates like creosote-treated wood and hydrocarbon-polluted soil were sampled. Strains morphologically similar to etiological agents of chromoblastomycosis, such as Fonsecaea pedrosoi and Phialophora verrucosa, and to agents of subcutaneous and systemic infections, such as Exophiala jeanselmei and Cladophialophora bantiana, were selected. The aim of this investigation was to clarify whether these fungi were identical to known etiologic agents of disease. Isolates were compared with clinical reference strains on the basis morphological, physiological and molecular parameters.

MATERIALS AND METHODS

Study area and strains

Samples were obtained from 28 localities belonging to three different geographical regions in the State of Paraná, Southern Brazil (Fig. 1). Locations were chosen on the basis of known records of chromoblastomycosis in the “Hospital de Clínicas” of the Paraná Federal University (HC-UFPR). The climate in the region is subtropical, with relatively regular rainfall throughout the yr (average 12500 mm/yr). The isolates obtained were compared to clinical isolates from the hospital of the Universidade Federal do Paraná, as well as to reference strains from the Centraalbureau voor Schimmelcultures (CBS, The Netherlands; Table 1). Samples from Eucalyptus wood in the “Navarro de Andrade” forest and creosote-treated railway ties near Rio Claro, and from hydrocarbon-polluted soil from the oil refinery of Paulínia, Paulínia state of São Paulo, Brazil, were also investigated (Table 1).
Fig. 1.

Sampling locations in the State of Paraná, S.P., Brazil.

Table 1.

Isolates from clinical and environmental sources in southern Brazil.

Morphological IDFinal ITS IDCBSdHVicente / AttiliOriginSource
Fonsecaea pedrosoiFonsecaea pedrosoi 18223 Fp28III Marmeleiro Chromoblastomycosis
Fonsecaea pedrosoiFonsecaea pedrosoi 18331 Queiros São Paulo Subcutaneous, compromised
Fonsecaea pedrosoiFonsecaea pedrosoi102244 11608 Fp37 Ipora Chromoblastomycosis
Fonsecaea pedrosoiFonsecaea pedrosoi102245 11610 Fp36I Ampere Chromoblastomycosis
Fonsecaea pedrosoiFonsecaea monophora102248 11613 Fp82 Piraquara Chromoblastomycosis
Fonsecaea pedrosoiFonsecaea monophora102246 11611 Fp65 Campo Largo Chromoblastomycosis
Fonsecaea pedrosoiFonsecaea monophora102243 11607 Fp31I Ibituva Chromoblastomycosis
Cladophialophora bantiana1Cladophialophora immunda102227 11588 FE9 = 9EMB Colombo Stem palm (Syagrum roman zoffianum)
Cladophialophora bantianaCladophialophora sp. 3 102231 11592 FE1IIA Colombo Rotten Gochnatia polymorpha stem
Cladophialophora devriesii1Cladophialophora saturnica4102230 11591 FP4IIB Piraquara Plant litter
Cladophialophora sp. Cladophialophora saturnica102228 11589 FP4IIA Piraquara Rotten wood
Cladophialophora sp. Fonsecaea monophora5102229 11590 FP8D = 8DPIRA Piraquara Plant litter
Cladophialophora sp. Cladophialophora sp. 2 102236 11600 F11PLA Telêmaco Borba Plant litter
Cladophialophora sp. Cladophialophora immunda102237 11601 F10PLA Telêmaco Borba Plant litter
Exophiala lecanii-corni2Exophiala xenobiotica4102232 11594 FE4IIB Colombo Rotten wood
Exophiala jeanselmei2Exophiala bergeri4102241 11605 F14PL Cianorte Soil under coffee tree
Exophiala sp. Capronia semi-immersa102233 11595 FE6IIB Colombo Rotten Araucaria trunk
Fonsecaea pedrosoi3Fonsecaea sp. 3 102223 11583 FCL2 Castro Rotten root
Fonsecaea pedrosoiFonsecaea sp. 1 102224 11584 F9PRA Terra Roxa Grevillea robusta wood
Fonsecaea pedrosoiFonsecaea monophora5102225 11585 FE5P4 Colombo Rotten wood (Gochnatia polymorpha)
Fonsecaea pedrosoiFonsecaea sp. 1 102254 11619 FE5P6 Colombo Rotten wood
Fonsecaea pedrosoiFonsecaea sp. 2 102226 11587 FE5II Colombo Rotten Araucaria trunk
Phialophora verrucosa3Phialophora sp. 1 102234 11596 FE3 Colombo Lantana camara rhizosphere
Rhinocladiella sp. Rhinocladiella sp. 1 102235 11597 F9PR Terra Roxa Grevillea robusta wood
Rhinocladiella sp. Cladophialophora immunda102249 11614 F10PLB Sarandi Rotten Cinnamomum trunk
Rhinocladiella sp. Cladophialophora chaetospira102250 11615 F3PLB Sertanópolis Plant litter
Rhinocladiella sp. Exophiala xenobiotica4102251 11616 F3PLC Sertanópolis Plant litter
Rhinocladiella sp. Fonsecaea sp. 3 102239 11603 FE1IIB Colombo Rotten Lantana camara stem
Rhinocladiella sp. Fonsecaea sp. 3 102252 11617 FE10IIB Colombo Plant litter
Rhinocladiella sp. Rhinocladiella sp. 1 11618 FE10IIB1 Colombo Plant litter
Rhinocladiella sp. Rhinocladiella sp. 1 102240 11604 F9PRC Terra Roxa Podocarpos lambertii branch
Rhinocladiella sp. Exophiala xenobiotica4102255 11621 F20PR3 Jacutinga Soil
Rhinocladiella sp. Fonsecaea monophora5102238 11602 F1PLE Rio Tibagi Soil
Exophiala sp. Exophiala bergeri4122844 18627 D0009 Rio Claro Railway tie treated with creosote 15 yr ago
Exophiala sp. Exophiala bergeri4122843 18629 D0020 Rio Claro Railway tie treated with creosote 15 yr ago
Exophiala sp. Exophiala bergeri4122842 18636 D0035 Rio Claro Railway tie treated with creosote 15 yr ago
Exophiala sp. Exophiala bergeri4122841 18643 D0201 Rio Claro Railway tie treated with creosote 15 yr ago
Exophiala sp. Exophiala bergeri4122840 18654 D0213 Rio Claro Eucalyptus wood
Exophiala sp. Exophiala dermatitidis6122839 18635 D0029b Rio Claro Eucalyptus wood
Exophiala sp. Exophiala dermatitidis6122838 18646 D0204a Rio Claro Eucalyptus wood
Exophiala sp. Exophiala dermatitidis6122837 18651 D0210 Rio Claro Eucalyptus wood
Exophiala sp. Exophiala dermatitidis6122836 18648 D0206 Rio Claro Eucalyptus wood
Exophiala sp. Exophiala dermatitidis6122835 18652 D0211 Rio Clarov Eucalyptus wood
Exophiala sp. Exophiala dermatitidis6122834 18653 D0212 Rio Claro Eucalyptus wood
Exophiala sp. Exophiala dermatitidis6122833 18656 D0215 Rio Claro Eucalyptus wood
Exophiala sp. Exophiala dermatitidis (mel- mut) 122830 18650 D0209 Rio Claro Railway tie treated with creosote 16 yr ago
Exophiala sp. Exophiala xenobiotica4122832 18647 D0205 Rio Claro Eucalyptus wood
Exophiala sp. Exophiala xenobiotica4122910 18638 D0044 Rio Claro Eucalyptus wood
Exophiala sp. Exophiala xenobiotica4122831 18655 D0214 Rio Claro Eucalyptus wood
Exophiala sp. Exophiala xenobiotica4122829 18631 D0023 Rio Claro Railway tie treated with creosote 15 yr ago
Exophiala sp. Exophiala xenobiotica4122846 18632 D0024 Rio Claro Railway tie treated with creosote 15 yr ago
Exophiala sp. Exophiala xenobiotica4122828 18637 D0037 Rio Claro Railway tie treated with creosote 15 yr ago
Black fungus sp. Veronaea botryosa4122826 18639 D0045 Rio Claro Railway tie treated with creosote 20 yr ago
Black fungus sp. Veronaea botryosa4122824 18640 D0047 Rio Claro Railway tie treated with creosote 20 yr ago
Black fungus sp. Veronaea botryosa4122822 18641 D0060 Rio Claro Railway tie treated with creosote 20 yr ago
Black fungus sp. Veronaea botryosa4122825 18642 D0063 Rio Claro Railway tie treated with creosote 20 yr ago
Black fungus sp. Veronaea botryosa4122823 18628 D0017 Rio Claro Railway tie treated with creosote 20 yr ago
Aureobasidium sp. Aureobasidium pullulans4122827 18657 D0216 Paulinia Polluted soil, Replan Co.

Abbreviations used: CBS = Centraalbureau voor Schimmelcultures; dH = G.S. de Hoog working collection.

Known agent of: 1systemic and disseminated disease; 2mycetoma; 3chromoblastomycosis; 4mild cutaneous disease; 6systemic disease and pulmonary colonization 5Known opportunistic agent (including chromoblastomycosis).

Isolates from clinical and environmental sources in southern Brazil. Abbreviations used: CBS = Centraalbureau voor Schimmelcultures; dH = G.S. de Hoog working collection. Known agent of: 1systemic and disseminated disease; 2mycetoma; 3chromoblastomycosis; 4mild cutaneous disease; 6systemic disease and pulmonary colonization 5Known opportunistic agent (including chromoblastomycosis). Sampling locations in the State of Paraná, S.P., Brazil. A. Sampling location in the area of “FE” series of samples in the first plateau at Colombo (Paraná) with native species (arrows) dominated by cambara tree (Gochnathia polymorpha) and stem palm (Syagrus romanzoffiana); B. Sampling location of FE5P4 of Fonsecaea monophora, from decaying cambara wood; C. Sample incubated at room temperature in sterile saline solution, containing antibiotics added with sterile mineral oil after vigorous shaking; D. Black yeast colonies on Mycosel medium.

Fungal isolation

In each location, fragments of litter and decaying wood showing the presence of black spots, as well as soil samples, were randomly collected. Approximately 20 g from each sample were processed for fungal isolation, with 10 replicates per sample. Each sample was incubated at room temperature for 30 min in 100 mL sterile saline solution containing 200 U penicillin, 200 μg/L streptomycin, 200 μg/L chloramphenicol and 500 μg/L cycloheximide (Fig. 2C). After the initial incubation, 20 mL of sterile mineral oil was added to the solution, followed by vigorous 5 min shaking and the flasks were left to settle for 20 min. The oil-water interphase was carefully collected, inoculated onto Mycosel agar (Difco) and incubated for 4 wks at 36 °C (Dixon & Shadomy 1980, Iwatsu ). The grown dark colonies were then isolated and stored on Mycosel agar (Fig. 2D).
Fig. 2.

A. Sampling location in the area of “FE” series of samples in the first plateau at Colombo (Paraná) with native species (arrows) dominated by cambara tree (Gochnathia polymorpha) and stem palm (Syagrus romanzoffiana); B. Sampling location of FE5P4 of Fonsecaea monophora, from decaying cambara wood; C. Sample incubated at room temperature in sterile saline solution, containing antibiotics added with sterile mineral oil after vigorous shaking; D. Black yeast colonies on Mycosel medium.

Morphology

Preliminary identification was carried out based on macro- and microscopic features of the colonies after slide culturing on Sabouraud's dextrose agar at room temperature (de Hoog ). In addition, vacuum-dried samples were mounted on carbon tape and sputtered with gold for 180 s for SEM. Observations were done in a Zeiss DSM 940 A microscope, operated at 5 kV.

Nutritional physiology

Some isolates with cultural and morphological similarity to known agents of disease were selected for physiological testing. Growth and fermentative abilities were tested in duplicate, negative controls were added. The fungi were incubated at 28 and 36 °C on the following culture media: Mycosel, Potato Dextrose Agar (PDA), Minimal Medium (MM), Complete Medium (CM), and Malt Extract Agar (MEA). Assimilation and fermentation tests were carried out in liquid medium according to de Hoog et al. (1995,1995). Halotolerance was tested in a liquid medium at 2.5, 5 and 10 % (w/v) NaCl and MgCl2. Cycloheximide tolerance was determined in liquid medium at 0.01, 0.05 and 0.1 % (w/v).

DNA extraction

About 1 cm2 mycelium of 20 to 30-d-old cultures was transferred to a 2 mL Eppendorf tube containing 300 μL CTAB (cetyltrimethylammonium bromide) buffer [CTAB 2% (w/v), NaCl 1.4 M, Tris-HCl 100 mM, pH 8.0; EDTA 20 mM, b-mercaptoethanol 0.2 % (v/v)] and about 80 mg of a silica mixture (silica gel H, Merck 7736, Darmstadt, Germany / Kieselguhr Celite 545, Machery, Düren, Germany, 2:1, w/w). Cells were disrupted manually with a sterile pestle for approximately 5 min. Subsequently 200 μL CTAB buffer was added, the mixture was vortexed and incubated for 10 min at 65 °C. After addition of 500 μL chloroform, the solution was mixed and centrifuged for 5 min at 20 500 g and the supernatant transferred to a new tube with 2 vols of ice cold 96 % ethanol. DNA was allowed to precipitate for 30 min at –20°C and then centrifuged again for 5 min at 20 500 g. Subsequently the pellet was washed with cold 70 % ethanol. After drying at room temperature it was resuspended in 97.5 μL TE-buffer plus 2.5 μL RNAse 20 U.mL–1 and incubated for 5 min at 37 °C, before storage at –20 °C (Gerrits van den Ende & de Hoog 1999).

Sequencing

rDNA Internal Transcribed Spacer (ITS) was amplified using primers V9G and LS266 (Gerrits van den Ende & de Hoog 1999) and sequenced with ITS1 and ITS4 (White ). Amplicons were cleaned with GFX PCR DNA purification kit (GE Healthcare, U.K.). Sequencing was performed on an ABI 3730XL automatic sequencer. Sequences were edited using the Seqman package (DNAStar, Madison, U.S.A.) and aligned using BioNumerics v.4.61 (Applied Maths, Kortrijk, Belgium). Sequences were compared in a research data database of black fungi maintained at CBS, validated by ex-type strains of all known species.

RESULTS

Eighty-one isolates from a total of 540 showed morphologies compatible with the traditional etiological agents of chromoblastomycosis and phaeohyphomycosis. Twenty -six strains were selected and processed for taxonomic studies and listed in Table 1 with additional strains from hydrocarbon-polluted soil and wood (natural and creosote-treated). Isolate FE9 was morphologically very similar to Cladophialophora bantiana. Physiological testing demonstrated ability to assimilate ethanol, lactose and citrate, but it was unable to grow at 40 °C (Table 2). Sequence data proved identity to C. immunda (Table 1). Strain F10PLB was physiologically similar to FE9 of C. immunda (Table 2), which was confirmed by molecular data (Table 1). F10PLA showed physiological characteristics close to the FE9, differing only by growth in the presence of creatine and creatinine (Table 2); also this strain was identified by ITS sequence data as C. immunda. The isolate FP4IIB was capable of growing with 0.1 % cycloheximide, showed reduced growth in the presence of ethanol and had a maximum growth temperature of 37 °C (Table 2). It presented ellipsoidal to fusiform conidia originating from denticles, consistent with Cladophialophora devriesii. However, molecular data identified the strain as C. saturnica (Table 1). FP4IIA, phenetically identified as Cladophialophora sp. and physiologically similar to FP4IIB was identified as C. saturnica by ITS sequencing (Table 1). FE1IIA and F11PLA had fusiform conidia in chains. FE1IIA was unable to assimilate galacticol, developed poorly in the presence of D-glucoronate, but was able to grow in a medium with ethanol; F11PLA assimilated glucoronate having a weak development in the presence of ethanol (Table 2). With ITS sequencing two undescribed Cladophialophora species appeared to be concerned (Table 1).
Table 2.

Physiological test results of Brazilian isolates.

FE3 Phialophora sp. 1 FE9 C. immunda F10PLA C. immunda FE1IIA Clad. sp. 3 FP4IIB C. saturnica FP4IIA C. saturnica F10PLB C. immunda F11PLA Clad. sp. 2 F14PL E. bergeri FE4IIB E. xenobiotica FE6IIB Cap. semiimmersa F20PR3 E. xenobiotica F3PLC E. xenobiotica F9PR Rhin. sp. 1 F9PRC Rhin. sp. 1 FE10IIB1 Rhin. sp. 1 Fp82 F. monophora Fp65 F. monophora FE5P4 F. monophora FP8D F. monophora F1PLE F. monophora F9PRA Fonsecaea sp. 1 FE10IIB Fonsecaea sp. 3 FE1IIB Fonsecaea sp. 3
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
D-Glucose + + + + + + + + + + + + + + + + + + + + + w/+ + +
D-Galactose + + + + + + + + + + + + + + + + + + + + + + + +
L-Sorbose + w + w + + + + + w + - w + w w w + + w w/+ w w w
D-Glucosamine w/+ w w + w w w w w/+ + w + + w w/- - w + w w w w/- + +
D-Ribose - + + + + + + + + + w + + w - w/- w/- w/- w/- w/- - - + +
D-Xylose + + + + + + + w + + + + + + w/+ + w/+ + + w/+ w/+ + + +
L-Arabinose + + + + + + + + + + + + + + w/+ + + + + + w/+ + + +
D-Arabinose + w + + w w + w + w/+ w + + w - - - + w - w/- - + +
L-Rhamnose + + + + + + + + + + + + + + + + + + + + + + + +
Sucrose + + + + + + + + + + + + + + + + w/+ + + w/+ + + + +
Maltose + + + + + + + + + + + + + + w/+ + w/+ + + w/+ w/+ + + +
α,α-Trehalose + + + + + + + + + + + + + + + + + + + + + + + +
Methyl-α-D-Glucoside w + + - + + + + - - + w - + + + w/- + w w/- w + - -
Cellobiose + + + + + + + + + + + + + + + + w w/+ + w w/+ w/+ + +
Salicin + + + + + + + + w/- + + + + + + + + + + + + w + +
Arbutin + + + + + + + + w/+ + + + + + w/+ + + + + + + + + +
Melibiose - + + + w w + + - + + + + + w/+ + + + + + w/+ w/+ + +
Lactose - + + - + + + + w/- - - - w + + + w/- + w w/- w/- w/+ - -
Raffinose + + + + + + + + w + + + + + + + + + + + + + + +
Melezitose + + + + + + + + + + + + + + + + + + + + + + + +
Inulin - - - w - - - - - w/- w w w - - - - - - - - - w w
Sol. starch w w w w/+ - - w - - w/- - w/+ w/+ - w/- w/- w/- w/- - w/- w/- w/- w/+ w/+
Glycerol + + + + + + + w + + w + + w + + w + w w w + + +
meso-Erythritol + + + + + + + + w/- + + + + + + + w/- + w w/- w + + +
Ribitol + w + + + + + + + + + + + w w w/+ w/- + w w/- w w/- + +
Xylitol - + + + + + + + + + w + + + + + - + w - w/- + + +
L-Arabinitol w + + w/+ w w + + + + w w/+ w/+ w w w/+ w/+ + + w/+ + w/+ w/+ w/+
D-Glucitol + + + + w w + + + + + + + + w w/+ w/+ + + w/+ w/+ w/+ + +
D-Mannitol + + + + + + + + + + + + + + + + + + + + w/+ + + +
Galactitol w + + - w w + w - - w - - w + + w/- + w w/- w + - -
myo-Inositol + + + + + + + + + + w + + - - + - w/+ + - w - + +
Glucono-d-Lactone + + + + + + + w w/+ w/+ w + + + w w w + + w w w + +
D-Gluconate + w w w + + w w - w + w - w w w w + + w w w/- w w
D-Glucuronate + w w w + + w + w w w w w w w w w + + w w/- w/- w w
D-Galacturonate + + + + + + + + + + + + + + + + w/- w/- w w/- w w/+ + +
DL-Lactate + + + + w w + w + + w + + w + + w - w w w/+ w + +
Succinate + w + + + + + + w w/+ w + + + w w w w/+ w w w w + +
Citrate + w w - w/- w/- w + - - - - - w w/- w/- w w w w w w/- - -
Methanol - - - - - - - - - - - - - - - - - - - - - - - -
Ethanol w/+ w/+ + + w w + w + w/+ w + + w + w/+ w/+ + w w/+ w/+ + + +
Nitrate + + + + + + + + w/+ + + + + + + + + + + + + + + +
Nitrite + w/- + + w w + w + + + + + w + w + + w + + w/+ + +
Ethylamine + + w/+ w/+ w w w/+ + w/+ + w + w/+ w w/+ w/+ w w w w/+ w w/+ w/+ w/+
L-Lysine + w w/+ w - - w/+ w w/- w/+ - - w - w/+ w/+ + + w + w/+ w/+ w w
Cadaverine + + + + + + + w + + + - + + + + + + + w/+ + + + +
Creatine + + w + - - w/+ w - + w + + w + w w/+ w/+ w + w/+ w/+ + +
Creatinine + + w + - - w/+ w/- - + w + + w + - w/+ w/+ w w/+ w w + +
2.5% MgCl2 + + + + + + + w/+ + + + + + + + + + + + + + + + +
5.0% MgCl2 + + w/+ + w/+ w/+ w/+ w/+ + + + + + + w/+ + + + + + + + + +
10% MgCl2 w + w/+ + w/+ w/+ w/+ w/+ + + + + + w/+ w/+ + w/+ + + w/+ + w/+ + +
2.5% NaCl + + + + + + + w/+ + + + + + + + + w/+ + + w/+ + + + +
5.0% NaCl w + w + w/+ w/+ w w/+ + + + + + + w/+ + - + + - + + + +
10% NaCl - - - - - - - - + - - - - - - - - - - - - - - -
0.1% Cycloheximide + + + + + + + + + + + + + + + + + + + + + + + +
0.05% Cycloheximide + + + + + + + + + + + + + + + + + + + + + + + +
0.01% Cycloheximide + + + + + + + + + + + + + + + + + + + + + + + +
Urease - - - + - - - - - - - + + w w/+ + + - + + + - + +
30°C + + + + + + + + + + + + + + + + + + + + + + + +
37°C + + + + + + + + + + + + + + + + + + + + + + + +
40°C - - - - - - - - - - - - - - - - - - - - - - - -
Fermentation - - - - - - - - - - - - - - - - - - - - - - - -
Acid production - - - - - - - - - - - - - - - - - - - - - - - -
Mycosel + + + + + + + + + + + + + + + + + + + + + + + +
Gelatine - - - - w w - w - - w - - w - - - - w - w - - -
DNAse - - - - - - - - - - - - - - - - - - - - - - - -
Arbutin ? ? w/+ w/- w/+ w/+ w/+ w/+ - w/+ - w/- - - - - - - - - - - w/- w/-

Abbreviations used: + = growth; w = weak growth; - = no growth; ? = ambiguous or unknown.

C. = Cladophialophora; Cap = Capronia; E = Exophiala; Phial = Phialophora; Rhin = Rhinocladiella. 1Phialophora sp. 1; 2-8 Cladophialophora species; 9-13 Exophiala species; 14 -16 Rhinocladiella. sp; 17-18 Clinical strain: (m) Fonsecaea monophora and (p) F. pedrosoi; 19-21 (m) Fonsecaea monophora; 22-24 (sp) Fonsecaea sp. (molecular identifications partly according to Najafzadeh et al. 2008)

Physiological test results of Brazilian isolates. Abbreviations used: + = growth; w = weak growth; - = no growth; ? = ambiguous or unknown. C. = Cladophialophora; Cap = Capronia; E = Exophiala; Phial = Phialophora; Rhin = Rhinocladiella. 1Phialophora sp. 1; 2-8 Cladophialophora species; 9-13 Exophiala species; 14 -16 Rhinocladiella. sp; 17-18 Clinical strain: (m) Fonsecaea monophora and (p) F. pedrosoi; 19-21 (m) Fonsecaea monophora; 22-24 (sp) Fonsecaea sp. (molecular identifications partly according to Najafzadeh et al. 2008) Strain FE5P4 was isolated from decaying cambara wood (Fig. 2B) in an area of native species (Fig. 2A) dominated by cambara trees (Gochnathia polymorpha) and stem palm (Syagrus romanzoffiana) near Colombo city (Fig. 1). This isolate was morphologically identified as Fonsecaea pedrosoi. Physiologically it differed from F. pedrosoi by assimilation of L-sorbose, melibiose, ribitol, xylitol, myo-inositol, glucono-б-lactone, D- and L-lactate, succinate, nitrite, urease and tolerance to 5% NaCl (Table 2). This physiological profile was similar to that of clinical strains FP65 and FP82 (Table 2) originating from symptomatic patients of the same geographic region (first plateau, Fig. 1). With ITS sequencing FE5P4 was identified as Fonsecaea monophora. Environmental isolate FP8D morphologically was cladophialophora-like but was identified as F. monophora based on molecular data. It had physiological similarity with clinical strain FP82 of F. monophora (Table 2) and was isolated from the same location where the patient, a carrier of chromoblastomycosis, had acquired his infection (Piraquara city, Fig. 1). All strains grew at 37 °C but not at 40 °C, similar to known Fonsecaea species (de Hoog ). Isolate F1PLE was recovered from soil, located on the second plateau (Fig. 1). It showed similar morphology to Rhinocladiella but through molecular data it was identified as F. monophora (Table 1). Strains FE5P6, FE5II and FCL2 strains appeared to represent undescribed species of the genus Fonsecaea (Table 1). In the same region isolate (FE3) was recovered which was morphologically identified as Phialophora verrucosa on the basis of pronounced funnel-shaped collarettes from which the conidia were released. The isolate did not assimilate glucose, ribose and inulin but was capable of L-lysine assimilation (Table 2), a result that is consistent with the physiological characteristics of the P. verrucosa reference strain (de Hoog ). With molecular ID a hitherto undescribed Phialophora species was found (Table 1). Strain FE6IIB, morphologically identified as Exophiala species (Table 1) physiologically differed from reference strains of Exophiala (de Hoog ) by positive responses to lactose, L-arabinose, myo-inositol, D-gluconate and DL-lactate, by being able to assimilate D-ribose, and also presenting weak assimilation of glucoronate. By molecular identification was identified as the anamorph of Capronia semi-immersa. Isolate F14PL was preponderantly yeast-like and was provisionally identified as Exophiala jeanselmei, but ITS sequence data suggested E. bergeri (Table 1). Isolate FE4IIB showed morphological similarity to E. lecanii-corni, but differed from reference strains (de Hoog ) by positive assimilation of lactose, L-arabinose, myo-inositol, D-glucuronate and DL-lactate and by being able to assimilate D-ribose and D-glucoronate. Molecular data suggested identity with E. xenobiotica. Isolates F20PR3 and F3PLC, morphologically having the appearance of Rhinocladiella species were identified as Exophiala xenobiotica by ITS data. These strains were unable to ferment glucose, to assimilate methanol, to grow at 40 °C and were citrate negative. None of the strains analysed produced extracellular DNAse. Rhinocladiella-like strains F9PR and F9PRC were physiologically similar, differing only in assimilation of glycerol and L-lysine (Table 2). Using molecular data, they were identified as an undescribed Rhinocladiella species (Table 1). Strains FE10IIB and FE10IIB1 were initially thought to be Rhinocladiella- or fonsecaea-like species. FE10IIB1 did not assimilate inulin and was physiologically similar to Rhinocladiella atrovirens (CBS 264.49 and CBS 380.59). No close molecular match was found for either of these strains (Table 1).

DISCUSSION

Chaetothyrialean black yeasts and relatives are interesting microorganisms from ecological as well as clinical points of view. The recurrent and consistent infections cause by many representatives of the order indicates a possible adaptation of the fungi to the human host. In the environment they occupy specific micro-habitats, probably due to their low competitive ability towards co-occurring microorganisms. Their oligotrophism (Satow ) enables them to thrive and maintain at low density in adverse substrates where common saprobes are absent (de Hoog 1993, 1997). An eventual potential as an environmental pathogen may involve a composite life cycle of the fungi concerned. However, the invasive potential is polyphyletic and differs significantly between species (Badali ). Recurrent, consistently identifiable diseases are caused by relatively few species, which may be morphologically very similar to environmental counterparts which in many cases seem to be undescribed (Table 1). Therefore a reliable taxonomic system is mandatory to obtain better understanding of the link between clinical disease and environmental ecology. The state of Paraná in southern Brazil is an endemic region for chromoblastomycosis. Fonsecaea pedrosoi is supposed to be responsible for more than 95% of the clinical cases, mainly infecting agricultural laborers (Queiroz-Telles 1997). This species is now known to comprise two cryptic entities, causing the same disease but seemingly differing in virulence (de Hoog ). Out of five clinical strains tested from Paraná, two appeared to be F. monophora (Table 1). Our extensive environmental sampling in 56 locations in the state of Paraná showed that Fonsecaea pedrosoi was not isolated from nature, but instead we repeatedly encountered F. monophora. The natural source and route of infection of F. pedrosoi therefore still remains a mystery. Several chaetothyrialean opportunists were isolated which are known to be associated with mild disorders, such as the cutaneous species Cladophialophora saturnica (Badali ) and Exophiala xenobiotica (de Hoog ). None of the systemic pathogens, such as Cladophialophora bantiana, were found. Several species listed in Table 1 concern hitherto undescribed, apparently saprobic representatives of the order Chaetothyriales that have never been reported as agents of human or animal disorders. The discrepancy of molecular identification and morphological and physiological results that were validated by analysis of ex-type strains of chaetothyrialean fungi (de Hoog et al. 1995,1995) indicated that a vast number of saprobic species still awaits discovery and description. The hydrocarbon-polluted environments yielded another spectrum of chaetothyrialean fungi. Exophiala dermatitidis is a fairly common opportunist, occasionally causing fatal, systemic disease. Exophiala bergeri, E. xenobiotica, E. angulospora and Veronaea botryosa are exceptional and/or low-virulent opportunists. Exophiala bergeri has thus far rarely been reported as an agent of disease, but was abundantly isolated when monoaromatic hydrocarbons were used for enrichment. The presence of aromatic compounds in the sample increases colony density and diversity of black yeasts. The ecological and physiological patterns of species concerned suggests an evolutionary connection between the ability to develop on alkylbenzenes and the ability to cause diseases in humans and animals (Prenafeta-Boldú ). The present study was an attempt to verify whether infections caused by Fonsecaea pedrosoi and other agents of human mycosis are likely to be initiated by traumatic inoculation of environmental strains, and, more in general, to find the source of infection of invasive black yeasts-like fungi. Our results showed that this link is complex: environmental strains cannot always be linked directly to clinical cases. This is illustrated above by the genus Fonsecaea, known from two clinically relevant species. Mostly F. monophora or unknown Fonsecaea species were isolated. The apparently more virulent species F. pedrosoi is likely to require special, hitherto unknown parameters for isolation, such as the use of an animal bait (Dixon , Gezuele ). Thus far it only has been encountered on the human patient, always causing chromoblastomycosis when the host is immunocompetent. In contrast, F. monophora can be isolated from the environment without an animal bait, and is a less specific opportunist (Surash et al. 2006). In general, pathogenicity and virulence of chaetothyrialean black yeasts may differ between closely related species. The group can be divided in three ecological groups, as follows. (1) Saprobes not known from vertebrate disorders, such as the majority of undescribed strains reported in Table 1; (2) Low-virulent opportunists that can directly be isolated from the environment, such as F. monophora, and (3) Highly specific pathogens that cannot be isolated from the environment directly but require a living mammal bait, resp. a human host. This suggests that isolation efficiencies differing between species reflect different pathogenic tendencies in pathogenic adaptation of the species.
  18 in total

1.  Major fungal lineages are derived from lichen symbiotic ancestors.

Authors:  F Lutzoni; M Pagel; V Reeb
Journal:  Nature       Date:  2001-06-21       Impact factor: 49.962

Review 2.  Black fungi: clinical and pathogenic approaches.

Authors:  G S De Hoog; F Queiroz-Telles; G Haase; G Fernandez-Zeppenfeldt; D Attili Angelis; A H Gerrits Van Den Ende; T Matos; H Peltroche-Llacsahuanga; A A Pizzirani-Kleiner; J Rainer; N Richard-Yegres; V Vicente; F Yegres
Journal:  Med Mycol       Date:  2000       Impact factor: 4.076

3.  The frequent isolation of Phialophora verrucosa and Phialophora pedrosoi from natural sources.

Authors:  E Gezuele; J E Mackinnon; I A Conti-Díaz
Journal:  Sabouraudia       Date:  1972-11

4.  Cerebral phaeohyphomycosis caused by Fonsecaea monophora.

Authors:  S Surash; A Tyagi; G S De Hoog; J S Zeng; R C Barton; R P Hobson
Journal:  Med Mycol       Date:  2005-08       Impact factor: 4.076

5.  Molecular ecology and pathogenic potential of Fonsecaea species.

Authors:  G S De Hoog; D Attili-Angelis; V A Vicente; A H G Gerrits Van Den Ende; F Queiroz-Telles
Journal:  Med Mycol       Date:  2004-10       Impact factor: 4.076

6.  Intestinal prevalence of the neurotropic black yeast Exophiala (Wangiella) dermatitidis in healthy and impaired individuals.

Authors:  G S de Hoog; T Matos; M Sudhadham; K F Luijsterburg; G Haase
Journal:  Mycoses       Date:  2005-03       Impact factor: 4.377

7.  Spectrum of clinically relevant Exophiala species in the United States.

Authors:  J S Zeng; D A Sutton; A W Fothergill; M G Rinaldi; M J Harrak; G S de Hoog
Journal:  J Clin Microbiol       Date:  2007-06-27       Impact factor: 5.948

8.  rDNA-RFLP and ITS1 sequencing of species of the genus Fonsecaea, agents of chromoblastomycosis.

Authors:  D S Attili; G S De Hoog; A A Pizzirani-Kleiner
Journal:  Med Mycol       Date:  1998-08       Impact factor: 4.076

9.  The neurotropic black yeast Exophiala dermatitidis has a possible origin in the tropical rain forest.

Authors:  M Sudhadham; S Prakitsin; S Sivichai; R Chaiyarat; G M Dorrestein; S B J Menken; G S de Hoog
Journal:  Stud Mycol       Date:  2008       Impact factor: 16.097

10.  Biodiversity of the genus Cladophialophora.

Authors:  H Badali; C Gueidan; M J Najafzadeh; A Bonifaz; A H G Gerrits van den Ende; G S de Hoog
Journal:  Stud Mycol       Date:  2008       Impact factor: 16.097

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  55 in total

1.  Selective isolation of dematiaceous fungi from the workers of Atta laevigata (Formicidae: Attini).

Authors:  F L A Guedes; D Attili-Angelis; F C Pagnocca
Journal:  Folia Microbiol (Praha)       Date:  2011-12-09       Impact factor: 2.099

2.  Black yeast diversity on creosoted railway sleepers changes with ambient climatic conditions.

Authors:  Ramazan Gümral; Ayşegül Tümgör; Mehmet Ali Saraçlı; Şinasi Taner Yıldıran; Macit Ilkit; G Sybren de Hoog
Journal:  Microb Ecol       Date:  2014-07-16       Impact factor: 4.552

Review 3.  Black yeasts and their filamentous relatives: principles of pathogenesis and host defense.

Authors:  Seyedmojtaba Seyedmousavi; Mihai G Netea; Johan W Mouton; Willem J G Melchers; Paul E Verweij; G Sybren de Hoog
Journal:  Clin Microbiol Rev       Date:  2014-07       Impact factor: 26.132

Review 4.  Ecology of the Human Opportunistic Black Yeast Exophiala dermatitidis Indicates Preference for Human-Made Habitats.

Authors:  Monika Novak Babič; Jerneja Zupančič; Nina Gunde-Cimerman; Sybren de Hoog; Polona Zalar
Journal:  Mycopathologia       Date:  2017-04-26       Impact factor: 2.574

5.  Black yeasts-like fungi isolated from dialysis water in hemodialysis units.

Authors:  Izabel Cristina Figel; Paulo Roberto Dantas Marangoni; Sabina Moser Tralamazza; Vânia Aparecida Vicente; Patrícia do Rocio Dalzoto; Mariana Machado Fidelis do Nascimento; G Sybren de Hoog; Ida Chapaval Pimentel
Journal:  Mycopathologia       Date:  2013-03-07       Impact factor: 2.574

6.  Fungal DNA detected in blood samples of patients who received contaminated methylprednisolone injections reveals increased complexity of causative agents.

Authors:  Yanan Zhao; Emilian Armeanu; Richard DiVerniero; Terri A Lewis; Richard C Dobson; Dimitrios P Kontoyiannis; Emmanuel Roilides; Thomas J Walsh; David S Perlin
Journal:  J Clin Microbiol       Date:  2014-04-09       Impact factor: 5.948

7.  In vitro susceptibility of environmental isolates of Exophiala dermatitidis to five antifungal drugs.

Authors:  Ana Paula Miranda Duarte; Fernando Carlos Pagnocca; Noemi Carla Baron; Marcia de Souza Carvalho Melhem; Gislene Aparecida Palmeira; Dejanira de Franceschi de Angelis; Derlene Attili-Angelis
Journal:  Mycopathologia       Date:  2012-11-16       Impact factor: 2.574

8.  Black yeast biota in the mangrove, in search of the origin of the lethargic crab disease (LCD).

Authors:  Raquel Schier Guerra; Mariana Machado Fidelis do Nascimento; Stephanie Miesch; Mohammad Javad Najafzadeh; Raphael Orélis Ribeiro; Antonio Ostrensky; Gerrit Sybren de Hoog; Vania Aparecida Vicente; Walter A Boeger
Journal:  Mycopathologia       Date:  2013-03-29       Impact factor: 2.574

9.  Isolation and identification of black yeasts by enrichment on atmospheres of monoaromatic hydrocarbons.

Authors:  Jingjun Zhao; Jingsi Zeng; G Sybren de Hoog; Derlene Attili-Angelis; Francesc X Prenafeta-Boldú
Journal:  Microb Ecol       Date:  2010-03-24       Impact factor: 4.552

10.  Isolation and screening of black fungi as degraders of volatile aromatic hydrocarbons.

Authors:  Daniela Isola; Laura Selbmann; G Sybren de Hoog; Massimiliano Fenice; Silvano Onofri; Francesc X Prenafeta-Boldú; Laura Zucconi
Journal:  Mycopathologia       Date:  2013-03-09       Impact factor: 2.574

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