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Journal of Clinical Microbiology, October 2003, p. 4695-4699, Vol. 41, No. 10
0095-1137/03/$08.00+0 DOI: 10.1128/JCM.41.10.4695-4699.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Description of a New Yeast Species, Malassezia japonica, and Its Detection in Patients with Atopic Dermatitis and Healthy Subjects
Takashi Sugita,1* Masako Takashima,2 Minako Kodama,3 Ryoji Tsuboi,4 and Akemi Nishikawa3
Department of Microbiology,1
Department of Immunobiology, Meiji Pharmaceutical University, Kiyose,3
Department of Dermatology, Tokyo Medical University, Shinjuku-ku, Tokyo,4
Japan Collection of Microorganisms, Bioscience Technology Center, RIKEN (The Institute of Physical and Chemical Research), Wako, Saitama, Japan2
Received 16 April 2003/
Returned for modification 15 May 2003/
Accepted 24 July 2003

ABSTRACT
Lipophilic yeasts of the genus
Malassezia are part of the normal
cutaneous microflora and are considered one of the factors that
trigger atopic dermatitis (AD). We isolated two strains of
Malassezia from a healthy Japanese female. Analysis of the D1/D2 26S ribosomal
DNA and internal transcribed spacer region sequences of the
isolates suggested that they are new members of the genus
Malassezia.
We propose the name
Malassezia japonica sp. nov. for the isolates.
M.
japonica is easily distinguished from the seven known lipophilic
species by its ability to assimilate Tween 40 and Tween 60 and
its inability to assimilate Tween 20 and Tween 80 and to grow
at 40°C. Furthermore, by applying transparent dressings
to the skin lesions of 36 patients with AD and the skin of 22
healthy subjects,
M.
japonica DNA was detected by a non-culture-based
method consisting of nested PCR with
M.
japonica species-specific
primers.
M.
japonica DNA was detected from 12 of the 36 patients
(33.3%) and 3 of the 22 healthy subjects (13.6%). Although it
is not known whether
M.
japonica plays a role in AD, this species
was part of the microflora in both patients with AD and healthy
subjects.

INTRODUCTION
Lipophilic yeasts of the genus
Malassezia are members of the
normal human cutaneous microflora and are also associated with
several skin diseases. It is strongly suspected that
Malassezia species are responsible for pityriasis versicolor, seborrheic
dermatitis,
Malassezia folliculitis, and atopic dermatitis (AD)
(
2,
4,
5,
19). The genus
Malassezia includes eight species:
Malassezia globosa,
M.
restricta,
M.
obtusa,
M.
slooffiae,
M.
furfur,
M.
sympodialis,
M.
dermatis, and
M.
pachydermatis (
7,
22).
M.
pachydermatis is not a lipophilic species and is associated
several animal skin diseases (
1,
8). Recently, our research
group found
M.
dermatis on Japanese patients with AD (
22). Much
research has examined the relationships between these eight
species and their roles as causative agents of disease or factors
that trigger disease. Most studies indicate that pityriasis
versicolor and seborrheic dermatitis are likely affected by
M.
globosa and
M.
sympodialis (
3,
9,
10,
15). The distribution
of
Malassezia species in the skin lesions of AD patients and
healthy subjects was previously compared by a non-culture-based
method (nested PCR) that is not affected by the isolation medium
(
21). Of the members of the genus
Malassezia,
M.
globosa and
M.
restricta were associated with disease in more than 90% of
AD patients, while the other species were detected in less than
50% of the patients. In our survey of the cutaneous
Malassezia microflora, we isolated a new
Malassezia species from a healthy
subject. In the present study, we propose a new species,
M.
japonica, for the isolates from this subject and investigated
the skin surfaces of patients with AD and healthy subjects for
the presence of this species.

MATERIALS AND METHODS
Yeast isolate.
Malassezia strains were isolated from the left forearm of a
healthy 22-year-old Japanese female. OpSite transparent dressings
(3 by 7 cm; Smith and Nephew Medical Ltd., Hull, United Kingdom)
were applied to the scalp, back, arm, and nape of the neck of
the subject. The samples were then transferred onto modified
Leeming and Notman agar (LNA; 20 g of glucose, 50 g of malt
extract, 1 g of polypeptone, 20 g of bile salts [Oxoid, Basingstoke,
United Kingdom], 1% Tween 40, 0.2% glycerol, and 50 µg
of chloramphenicol [Sankyo, Tokyo, Japan]) and incubated at
32°C.
Direct DNA sequencing of rRNA genes.
Nuclear DNA was extracted by the method of Makimura et al. (14). The D1/D2 26S rRNA and internal transcribed spacer (ITS) regions of the rRNA gene were sequenced directly from the PCR products by using primer pair NL-1 (5'-GCATATCAATAAGCGGAGGAAAAG) and NL-4 (5'-GGTCCGTGTTTCAAGACGG) (13) and primer pair pITS-F (5'-GTCGTAACAAGGTTAACCTGCGG) and pITS-R (5'-TCCTCCGCTTATTGATATGC) (20), respectively. The PCR products were sequenced with an ABI 310 DNA sequencer and a BigDye Terminator Cycle Sequencing Ready Reaction kit (Perkin-Elmer Applied Biosystems, Foster, Calif.), according to the instructions of the manufacturer.
Molecular phylogenetic analysis.
The sequences were aligned by using Clustal W software (23). For the neighbor-joining analysis (18), the distances between sequences were calculated by using the two-parameter model of Kimura (12). A bootstrap analysis was conducted with 100 replications (6).
Morphological, physiological, and chemotaxonomic characteristics.
Morphology was examined on LNA after incubation at 32°C for 7 days. Tween 20, 40, 60, and 80 utilization, catalase reactions, and diazonium blue B reactions were performed as described by Guého et al. (7). Ubiquinone molecules were identified by the method of Nakase and Suzuki (16).
Direct detection of DNA in samples from patients with AD and healthy subjects. (i) Subjects.
The microfloras of 36 AD outpatients (24 men and 12 women; age range, 20 to 64 years; mean age, 33.3 ± 10.5 years) at Tokyo Medical University Hospital and 22 healthy students (7 men and 15 women; age range, 19 to 25 years; mean age, 20.7 ± 1.6 years old) at Meiji Pharmaceutical University were analyzed. AD was diagnosed according to the criteria of Hanifin and Rajka (11). Routine skin care, including intermittent applications of mild steroid ointment or petrolatum, was administered before sampling. Written informed consent was obtained from each subject.
(ii) Design of M. japonica species-specific primers for PCR.
The sequences of the intergenic spacer (IGS) 1 region, which is located between the 18S and 5.8S rRNA genes of M. japonica and the phylogenetically closely related species M. furfur and M. obtusa, were determined. The IGS 1 region was amplified with primer 26SBF (5'-AGCT GCTGCCAATGCTAGCTC), which hybridizes to a sequence located at the end of the 26S rRNA gene, and primer Mala-R (5'-TACTGCTGTGAATGCTCCAGC), which hybridizes to a sequence located in the 5.8S rRNA gene, and by use of the following program: 94°C for 3 min, followed by 30 cycles of 94°C for 30 s, 58°C for 30 s, and 72°C for 30 s, with a final extension at 72°C for 10 min. The amplified PCR products were directly sequenced with the primer pair 26SBF and Mala-R. A species-specific primer pair was designed on the basis of IGS 1 sequence analysis: primer JP-IGS1F (5'-GACTGCTGATAATGCTCCAGT) and primer JP-IGS1R (5'-GTCTGCTG ATAAGTCTCACTG). To investigate the specificities of these primers, we used the other Malassezia and relevant species listed in Table 1.
(iii) Analysis of M. japonica microflora.
Samples of
Malassezia were collected by applying OpSite transparent
dressings (3 by 7 cm) to erythematous lesions on the faces and
necks of patients with AD and the faces and necks of healthy
subjects.
Malassezia DNA was extracted from the OpSite dressing
by a previously described method (
21). The DNA extracted (3
µl) from each sample was added to 47 µl of the PCR
master mixture, which consisted of 5 µl of 10
x PCR buffer
(100 mM Tris-HCl [pH 8.3], 500 mM KCl, 15 mM MgCl
2; Takara Inc.,
Shiga, Japan), 4 µl of 200 µM deoxynucleoside triphosphates
(an equimolar mixture of dATP, dCTP, dGTP, and dTTP; Takara),
10 pmol of each primer, and 2.5 U of Ex
TaqDNA polymerase (Takara).
PCR was performed with primers 26SBF and Mala-R, with an initial
denaturation at 94°C for 3 min, followed by 30 cycles of
30 s at 94°C, 1 min at 57°C, and 30 s at 72°C, with
a final extension at 72°C for 10 min. In the nested PCR
step, 1 µl of the first amplification product was added
to a new reaction mixture with the same composition as the first
one. The PCR with primers JP-IGS1F and JP-IGS1R consisted of
an initial denaturation at 94°C for 3 min, followed by 30
cycles of 30 s at 94°C, 1 min at 44°C, and 30 s at 72°C,
with a final extension at 72°C for 10 min.
Nucleotide sequence accession numbers.
The nucleotide sequences of the D1/D2 26S rRNA, ITS, and IGS regions determined in this study have been deposited with DDBJ (DNA Data Bank of Japan) and are listed in Table 2.

RESULTS AND DISCUSSION
Molecular phylogenetic analysis and taxonomic characteristics.
The isolates formed a cluster with
M.
furfur and
M.
obtusa,
with 100 and 99% bootstrap support on trees constructed by using
the D1/D2 26S rRNA gene and ITS 1 sequences, respectively (Fig.
1A and B). The dissimilarities between the D1/D2 regions of
the 26S rRNA genes of the isolates and those of the
M.
furfur and
M.
obtusa strains were 4.6% (27 of 582 bp) and 6.9% (40
of 580 bp), respectively. The ITS 1 regions of the isolates
had 12.5 to 24.2% and 15.3 to 20.3% dissimilarities to those
of the
M.
furfur and
M.
obtusa strains, respectively; and the
ITS 2 regions of the isolates had 15.6 to 17.9% and 20.2 to
21.3% dissimilarities to those of the the
M.
furfur and
M.
obtusa strains, respectively. Since the divergence between the
M.
furfur and
M.
obtusa strains and our isolates is sufficient to resolve
them as individual species, we propose the name
M.
japonica for the isolates (
17,
20). The species epithet used here refers
to the country where the species was discovered. The characteristics
differentiating the new species,
M.
japonica, and the known
Malassezia species are summarized in Table
3.
M.
japonica is
easily distinguished from the other species by its ability to
assimilate Tween 40 and Tween 60 and its inability to assimilate
Tween 20 and Tween 80 and to grow at 40°C.
Direct detection of M. japonica DNA by a non-culture-based method.
The sensitivity of the nested PCR assay was examined by using
M.
japonica DNA purified from the culture. The limit of detection
for purified DNA was approximately 10 fg by the nested PCR assay.
The specificities of the
M. japonica species-specific primers
are shown in Table
1. Our PCR primers amplified only the targeted
M.
japonica DNA and did not amplify the DNA of any other
Malassezia species. We confirmed the absence of false-positive reactions
by determining the DNA sequences of the PCR products after they
were cloned in the pCR2.1 vector (Invitrogen), since various
species, including bacteria and filamentous fungi, colonize
the skin surface. We collected and analyzed 142 samples from
36 patients with AD and 66 samples from 22 healthy subjects.
M.
japonica DNA was detected in 12 patients (33.3%) and 3 healthy
subjects (13.6%). A non-culture-based method (PCR) was previously
developed to analyze the
Malassezia microflora on the skin surface,
since the isolation media and technique influence the growth
of
Malassezia species and the growth rates of each species differ.
As a result, the detection rate is higher by the PCR-based method
than by traditional culture methods (
21). The previous study
suggests that
M.
globosa and
M.
restricta make up the major
part of the microflora in patients with AD. The frequency of
detection of the new species,
M.
japonica, is the same as that
of
M.
sympodialis and
M.
furfur.
In conclusion, we have described a novel species, M. japonica, isolated from the skin surface of a healthy Japanese subject. It is not known whether this microorganism plays a significant role in AD or other skin diseases. M. japonica was part of the microfloras in both patients with AD and healthy subjects.
Latin description of Malassezia japonica Sugita, Takashima, Kodama, Tsuboi, et Nishikawa.
In LNA, post dies 6 ad 32°C, cellulae vegetativae sphaericae, ovoideae vel ellipsoideae 2-5 x 2-7 µm; sympodiales gemmantes proferentes. Cultura xanthoalba, semi-nitida aut hebetata, rugosa, et butyracea et margo glabra aut lobulata. In agaro glucoso-peptonico Tween 40 et Tween 60 (0.5%) addito crescit. H2O2 hydrolysatur. Commutatio colori per diazonium caeruleum B positiva. GTC acid: deoxyribonucleati 60.4 mol%. Ubiquinonum majus Q-9 est. Teleomorphis ignota. Typus: JCM 11963T, ex cute, feminae sani, Tokyo, Japonia, 2002, T. Kodama (originaliter ut M 9966), conservatur in collectionibus culturarum quas "Japan Collection of Microorganisms," Saitama, Japan, sustentat.
Description of Malassezia japonica Sugita, Takashima, Kodama, Tsuboi, et Nishikawa sp. nov.
On LNA, after 6 days at 32°C, the vegetative cells are spherical, oval, or ellipsoidal and 2 to 5 by 2 to 7 µm, and sympodial budding is observed (Fig. 2). The colony is pale yellowish, semishining to dull, wrinkled, and butyrous and has an entire to lobed margin. The organism grows on glucose-peptone agar with 0.5% Tween 40 and Tween 60 as the sole source of lipid. The catalase reaction is positive. The diazonium blue B reaction is positive. The G+C content of nuclear DNA is 60.4 mol%, and the major ubiquinone is Q-9. The teleomorph is unknown.
JCM 11963
T (CBS 9431
T; originally strain M 9966) was isolated
from the skin of a healthy Japanese subject in Tokyo, Japan,
by M. Kodama in November 2002 and is maintained in the Japan
Collection of Microorganisms (JCM), Saitama, Japan. The other
strain, M 9967, has also been deposited in the JCM and CBS collections
as strain 11964 and strain 9432, respectively.

ACKNOWLEDGMENTS
This study was supported in part by a Grant for the Promotion
of the Advancement of Education and Research in Graduate Schools
from the Ministry of Education, Culture, Sports, Science, and
Technology of Japan and by a grant from Iatron Laboratries Inc.
(to A.N.).

FOOTNOTES
* Corresponding author. Mailing address: Department of Microbiology, Meiji Pharmaceutical University, 2-522-1 Noshio, Kiyose, Tokyo 204-8588, Japan. Phone: 81-424- 95-8762. Fax: 81-424-95-8762. E-mail:
sugita{at}my-pharm.ac.jp.


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Journal of Clinical Microbiology, October 2003, p. 4695-4699, Vol. 41, No. 10
0095-1137/03/$08.00+0 DOI: 10.1128/JCM.41.10.4695-4699.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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