| Literature DB >> 35343775 |
Aswathy Narayanan1, Pavitra Selvakumar2,3, Rahul Siddharthan2,3, Kaustuv Sanyal1,4.
Abstract
Candida auris, the multidrug-resistant human fungal pathogen, emerged as four major distinct geographical clades (clade 1-clade 4) in the past decade. Though isolates of the same species, C. auris clinical strains exhibit clade-specific properties associated with virulence and drug resistance. In this study, we report the identification of unique DNA sequence junctions by mapping clade-specific regions through comparative analysis of whole-genome sequences of strains belonging to different clades. These unique DNA sequence stretches are used to identify C. auris isolates at the clade level in subsequent in silico and experimental analyses. We develop a colony PCR-based clade-identification system (ClaID), which is rapid and specific. In summary, we demonstrate a proof-of-concept for using unique DNA sequence junctions conserved in a clade-specific manner for the rapid identification of each of the four major clades of C. auris. IMPORTANCE C. auris was first isolated in Japan in 2009 as an antifungal drug-susceptible pathogen causing localized infections. Within a decade, it simultaneously evolved in different parts of the world as distinct clades exhibiting resistance to antifungal drugs at varying levels. Recent studies hinted the mixing of isolates belonging to different geographical clades in a single location, suggesting that the area of isolation alone may not indicate the clade status of an isolate. In this study, we compared the genomes of representative strains of the four major clades to identify clade-specific sequences, which were then used to design clade-specific primers. We propose the utilization of whole genome sequence data to extract clade-specific sequences for clade-typing. The colony PCR-based method employed can rapidly distinguish between the four major clades of C. auris, with scope for expanding the panel by adding more primer pairs.Entities:
Keywords: antifungal resistance; clade-specific sequences; colony PCR; diagnostic method; evolution; fungi; sequence junctions
Mesh:
Substances:
Year: 2022 PMID: 35343775 PMCID: PMC9045239 DOI: 10.1128/spectrum.00634-22
Source DB: PubMed Journal: Microbiol Spectr ISSN: 2165-0497
Oligonucleotide primers used to amplify clade-specific DNA sequences
| Sequence | Purpose | CSS chromosomal coordinates | PCR amplicon coordinates (length in bp) | Primer sequences |
|---|---|---|---|---|
| AUS | Species-identification | Clade 1: | FP-AGAGTCGAGTGAGTCAAAAC | |
| CSS-1 | Clade-identification | CP060339.1 | CP060339.1 | FP-TTATTTGGTCTTCAATCATTGATTCCTTGC |
| CSS-2 | Clade-identification | CP043534.1 | CP043534.1 | FP-AGCTACACAAAATGGTTTTTTCAGAT |
| CSS-3 | Clade-identification | CP060370.1 | CP060370.1 | FP-CGATGAGAAACCCCCATCCAA |
| CSS-4 | Clade-identification | CP043442.1 | CP043442.1 | FP-GGGGGTTTTACTATATAAATTTGTATAGCTT |
FP: forward primer, RP: reverse primer.
Coordinates correspond to the respective assemblies mentioned in Materials and Methods.
FIG 1Clade-specific DNA sequences were identified in silico for clade-typing in C. auris. A. Pictorial representation of identifying altered DNA sequences through whole genome alignment using the tool, NUCmer. The sequence stretches aligned between the query and the reference genomes are shown in yellow. The unaligned (altered) sequence is considered as the unique clade-specific sequence (CSS) (shown in gray). B. Schematic depicting the presence of clade-specific sequences in each of the four clades (CSS-1 to CSS-4) of C. auris, identified using all possible combinations of pairwise whole genome alignments. The genomes are shown as solid lines, and the clade-specific sequences are shown in gray. C. Schematic showing the locations and orientations of the primers and amplicon sequences (blue) in the unique sequences identified (solid lines) with respect to the flanking sequences (dashed lines) in each clade. Coordinates of the unique sequences and amplicon sequences are given in Table 1. D. Presence of AUS in each of the four clades is shown in (a). Clade-specificity of (b) CSS-1 (c) CSS-2 (d) CSS-3, and (e) CSS-4 is also shown. The neighborhood of CSS-1 through CSS-4 across the four clades are shown. Chromosomal regions of different clades are shown in distinct colors. The primer positions and orientations are indicated by arrows in blue. Sequences showing homology are shown in gray, and inversions (if present) are shown in red. The extent of homology is shown on the color scale. The chromosomal coordinates used for generating the figure are given in Supplementary Information.
FIG 2Clade-specific sequences (CSS) act as targets for unique clade-specific PCR amplifications. A. Schematic showing the design of ClaID. Step 1, Species-level identification using the auris universal sequence (AUS) primers in colony PCR. Step 2, Clade-level identification using CSS primers. The genomes of various clades are shown as indicated, and the clade-specific sequences are shown in gray. The primer positions and directions are marked by black arrowheads. B. PCR amplifications obtained using (a) AUS primers that amplify from all the clades (b) CSS-1, specific to clade 1 (c) CSS-2, specific to clade 2, (d) CSS-3, specific to clade 3, and (e) CSS-4, specific to clade 4. Molecular markers ranging from 100 bp to 1.5 kb is loaded in lane 1, PCR products from reactions using different genomic DNA samples are loaded in lanes 2–8 as indicated.
Homology search for the clade-specific sequences
| Sequence | Strains | Clade | GenBank assembly |
|---|---|---|---|
| CSS-1 | CA7LBN | 1 | GCA_019332045.1 |
| CA2LBN | 1 | GCA_019039775.1 | |
| CA5LBN | 1 | GCA_019039755.1 | |
| CA4LBN | 1 | GCA_019039735.1 | |
| CA6LBN | 1 | GCA_019039715.1 | |
| CA9LBN | 1 | GCA_019039695.1 | |
| CA12LBN | 1 | GCA_019039675.1 | |
| CA16LBN | 1 | GCA_019039655.1 | |
| CA8LBN | 1 | GCA_019039635.1 | |
| CA10LBN | 1 | GCA_019039615.1 | |
| CA1LBN | 1 | GCA_019039595.1 | |
| CA11LBN | 1 | GCA_019039575.1 | |
| CA18LBN | 1 | GCA_019039555.1 | |
| CA17LBN | 1 | GCA_019039535.1 | |
| CA14LBN | 1 | GCA_019039515.1 | |
| CA23LBN | 1 | GCA_019039495.1 | |
| CA13LBN | 1 | GCA_019039475.1 | |
| CA24LBN | 1 | GCA_019039455.1 | |
| CA22LBN | 1 | GCA_019039435.1 | |
| CA25LBN | 1 | GCA_019039415.1 | |
| CA15LBN | 1 | GCA_019039395.1 | |
| CA19LBN | 1 | GCA_019039375.1 | |
| CA26LBN | 1 | GCA_019039355.1 | |
| CA27LBN | 1 | GCA_019039335.1 | |
| CA28LBN | 1 | GCA_019039315.1 | |
| CA20LBN | 1 | GCA_019039295.1 | |
| CA21LBN | 1 | GCA_019039275.1 | |
| CA29LBN | 1 | GCA_019039235.1 | |
| B13916 | 1 | GCA_016772235.1 | |
| B11205 | 1 | GCA_016772135.1 | |
| CA-AM1 | 1 | GCA_014673535.1 | |
| CSS-2 | B11220 | 2 | GCA_003013715.2 |
| B12043 | 2 | GCA_016495645.1 | |
| B11809 | 2 | GCA_016495685.1 | |
| B13463 | 2 | GCA_016495665.1 | |
| CSS-3 | B12037 | 3 | GCA_016772215.1 |
| B12631 | 3 | GCA_016772195.1 | |
| B17721 | 3 | GCA_016772175.1 | |
| CSS-4 | B11245 | 4 | GCA_008275145.1 |
| B12342 | 4 | GCA_016772155.1 |
Sequence variations within the amplicon sequence were detected (query coverage: 100%, percentage identity: 96), though the primer sequences were conserved.
Assembly-based confirmation of clade-specificity
| Strain | AUS | CSS-1 | CSS-2 | CSS-3 | CSS-4 | Inferred clade status | Known clade status |
|---|---|---|---|---|---|---|---|
| BJCA002 | Y | N | N | Y | N | clade 3 | clade 3 |
| CAU924 | Y | Y | N | N | N | clade 1 | clade 1 |
| LOM | Y | N | N | Y | N | clade 3 | clade 3 |
| BJCA001 | Y | N | N | N | N | Not determined | clade 1 |
| A1 | Y | N | N | Y | N | clade 3 | clade 3 |
| JCM1448 | Y | N | Y | N | N | clade 2 | clade 2 |
| B11221 | Y | N | N | Y | N | clade 3 | clade 3 |
Y denotes presence of predicted PCR amplicon; N denotes its absence.
Strains used in the study
| Species | Strains | Reference |
|---|---|---|
| Cau46R, 470149, 470147, 470154, 470100, 470155, 470097, 470150, 470055 | ( | |
| CBS1091131T | ( | |
| 598A, AR-0383 | ( | |
| LMDM1219, AR-0385 | ( | |
|
| NCCPF470162 | ( |
|
| NCCPF470164 | ( |
|
| NCCPF470163 | ( |
National Culture Collection of Pathogenic Fungi.