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Journal of Clinical Microbiology, August 2000, p. 2893-2896, Vol. 38, No. 8
Department of Microbiology, Faculty of
Dentistry, Kyushu University Higashi-ku, Fukuoka 812-8582, Japan
Received 23 December 1999/Returned for modification 1 May
2000/Accepted 29 May 2000
We have recently shown that 14
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Estimation of Minimum Sterol 14
-Demethylation-Inhibitory
Concentration of Azoles in Candida Yeasts Using
Acetate-Mediated Growth Inhibition: Potential Utility in
Susceptibility Testing
-demethylation-deficient cells of
Candida albicans are subject to growth arrest by 0.24 M
acetate in a yeast extract-peptone-glucose medium and that the minimum concentration of an azole antifungal agent required for total inhibition of sterol 14
-demethylation (MDIC for minimum
demethylation-inhibitory concentration) is practically identical to
its MIC determined in the acetate-supplemented medium (O. Shimokawa and
H. Nakayama, Antimicrob. Agents Chemother. 43:100-105, 1999). In the
present study we estimated the MDICs of three different azoles
(fluconazole, ketoconazole, and itraconazole) for strains of various
Candida species using this method and compared them with
the MICs determined in the corresponding acetate-free medium. The
results demonstrated that the test strains were divided into two
classes. One class of strains was characterized by tolerance to
14
-demethylation deficiency (MIC > MDIC) and consisted of
strains of C. albicans, C. guilliermondii,
C. kefyr, and C. tropicalis. The other class was intolerant to 14
-demethylation deficiency (MIC
MDIC) and comprised strains of C. glabrata, C. krusei, and C. parapsilosis. We also showed that
replacement of the yeast extract-peptone-glucose medium with RPMI 1640 medium did not affect the results substantially. Furthermore, the 80%
inhibitory concentration (IC80) in RPMI 1640 medium,
recommended as a substitute for the conventional MIC in susceptibility testing, was found to be close to the MDIC.
*
Corresponding author. Mailing address: Department of
Microbiology, Faculty of Dentistry, Kyushu University, Higashi-ku,
Fukuoka 812-8582, Japan. Phone: 81-92-642-6332. Fax: 81-92-642-6263;
E-mail: simo{at}dent.kyushu-u.ac.jp.
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