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Resistance to amphotericin B associated with defective sterol Δ8→7 isomerase in a Cryptococcus neoformans strain from an AIDS patient
Authors:Steven L. Kelly  David C. Lamb  Mark Taylor  rew J. Corran  Brian C. Baldwin  William G. Powderly
Affiliation:Krebs Institute for Biomolecular Research, Department of Molecular Biology and Biotechnology, Sheffield University, Sheffield S10 2UH, UK; Zeneca Agrochemicals, Jealott's Hill Station, Jealott's Hill, Research Station, Jelott's Hill, Bracknell RG12 6EY, UK; Box 8011, Washington University School of Medicine, 660 S. Euclid, St. Louis, MO 63110, USA
Abstract:Abstract Two Cryptococcus neoformans strains isolated from an AIDS patient were investigated, a pretreatment isolate (CN1) and a second isolate (CN3) following failure of fluconazole and amphotericin B treatment. No difference in fluconazole sensitivity, but relative resistance to amphotericin B was observed for CN3. The sterol composition of CN3 indicated a defect in sterol Δ 8→7 isomerase in this strain and depletion of ergosterol, the major sterol of the CN1.
Keywords:Resistance    Amphotericin B    Cryptococcus neoformans
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