{"title":"Properties of Putative APSES Transcription Factor AfpA in <i>Aspergillus fumigatus</i>.","authors":"Young-Ho Choi, Min-Woo Lee, Kwang-Soo Shin","doi":"10.3390/jof11090678","DOIUrl":"10.3390/jof11090678","url":null,"abstract":"<p><p><i>Aspergillus fumigatus</i> is a major opportunistic pathogenic fungus that causes invasive aspergillosis with high mortality rates in immunocompromised patients. APSES family transcription factors regulate fungal development and virulence, but the function of the putative APSES-type transcription factor AfpA (AFUA_5g11390) remains uncharacterized. To investigate the roles of AfpA in <i>A</i>. <i>fumigatus</i>, we constructed the Δ<i>afpA</i> mutant and performed phenotypic analyses, RT-qPCR analyses, and virulence studies. The Δ<i>afpA</i> mutant exhibited reduced vegetative growth but increased conidiation, with upregulation of asexual developmental regulators <i>brlA</i>, <i>abaA</i>, and <i>wetA</i>. AfpA positively regulated cAMP-PKA signaling, resulting in delayed conidia germination. Furthermore, the mutant responded differently to external stresses and displayed enhanced virulence in neutropenic mice. In conclusion, AfpA functions as a multifaceted regulator balancing growth, development, and pathogenicity in <i>A. fumigatus</i>.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yehao Wu, Fan Zhou, Qingqin Chen, Lijuan He, Yining Zang, Zirui Wang, Chunhua Lin, Weiguo Miao, Zhigang Li
{"title":"Comparative Mitogenome Analysis of <i>Colletotrichum</i> Species Causing Anthracnose of Rubber Trees Unveils Distinct Species Complex-Specific Evolution Trajectories Within the Genus.","authors":"Yehao Wu, Fan Zhou, Qingqin Chen, Lijuan He, Yining Zang, Zirui Wang, Chunhua Lin, Weiguo Miao, Zhigang Li","doi":"10.3390/jof11090679","DOIUrl":"10.3390/jof11090679","url":null,"abstract":"<p><p><i>Colletotrichum</i> spp. are the causative agents of anthracnose of rubber trees, one of the most destructive diseases, resulting in substantial economic losses. To investigate the evolutionary characteristics of these pathogenic species, we first assembled the complete mitogenomes of four dominant pathogens, i.e., <i>C. siamense</i>, <i>C. fructicola</i>, <i>C. wanningense</i> and <i>C. bannaense</i>. Comparative analyses revealed that variations in their mitogenome size were primarily driven by intron expansion and expansion/contraction within the <i>cox1</i>, <i>cob</i> and <i>nad</i> genes. Moreover, we observed the strong conservation of gene content, mitochondrial DNA copy number, gene order and intron features within species complexes, but a clear divergence between them. Notably, further studies indicated that patterns such as genomic organization, selective pressures and codon usage were consistent across the genus, suggesting that <i>Colletotrichum</i> species complexes had followed distinct evolutionary trajectories, particularly in the arrangement of protein-coding genes. Therefore, this study systematically characterized the mitogenomes of the four major <i>Colletotrichum</i> species associated with rubber tree anthracnose and provided novel insights into the broad evolutionary mechanisms shaping <i>Colletotrichum</i> species complexes.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"National Belgian Study on Terbinafine Resistance in <i>Trichophyton interdigitale/mentagrophytes/indotineae</i> (2022-2023): Epidemiology and Molecular Features.","authors":"Rosalie Sacheli, Sabrina Egrek, Khalid El Moussaoui, Bahoz Kurt, Emilie Machowski, Saadia Harag, Marie-Pierre Hayette","doi":"10.3390/jof11090676","DOIUrl":"10.3390/jof11090676","url":null,"abstract":"<p><p><b>Objectives</b>: <i>Trichophyton indotineae</i>, a dermatophyte closely related to <i>T. interdigitale</i> and <i>T. mentagrophytes</i>, is of growing concern due to its high terbinafine resistance and widespread presence in India. Its emergence in Europe calls for enhanced surveillance. Resistance is linked to mutations in the squalene epoxidase (<i>SQLE</i>) gene. This multicentric national study aimed to evaluate the prevalence, terbinafine susceptibility, and phylogenomics of <i>T. interdigitale/mentagrophytes/indotineae</i> strains in Belgium, with a focus on SQLE substitutions. <b>Methods</b>: Between February 2022 and April 2023, 137 isolates from 16 Belgian labs were analyzed for antifungal susceptibility using the EUCAST E.Def.11.0 method. Whole-genome sequencing (WGS) was performed via Illumina sequencing method. <b>Results:</b> Phylogenomic analysis identified 8 <i>T. indotineae</i>, 91 <i>T. interdigitale</i>, and 38 <i>T. mentagrophytes</i> (including 7 genotype VII strains). Terbinafine resistance (5.1%) was mainly found in <i>T. indotineae</i> (87.5%), always linked to SQLE substitutions. <i>T. interdigitale</i> was fully susceptible. <i>T. mentagrophytes</i> showed mildly elevated MICs, often associated with K276N substitution. <b>Conclusions:</b> Terbinafine-resistant <i>T. indotineae</i> is emerging in Belgium, mostly via imported cases. Continued molecular surveillance and species-specific treatment strategies are essential.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cloning and Characterization of the Mycovirus MpChrV2 from <i>Macrophomina phaseolina</i>.","authors":"Peimeng Sun, Luyang Song, Mengyuan Mu, Jiayi Ma, Xinyu Li, Kunni Tian, Mengyuan Zhang, Mingyue Zhang, Yuanyuan Zhang, Caiyi Wen, Jing Wang, Ying Zhao","doi":"10.3390/jof11090675","DOIUrl":"10.3390/jof11090675","url":null,"abstract":"<p><p><i>Macrophomina phaseolina</i> is a widely distributed soilborne phytopathogenic fungus that causes destructive diseases such as charcoal rot and stem canker, posing serious threats to crop yield and quality. In recent years, mycoviruses have gained attention as potential biological control agents. In this study, a novel double-stranded RNA (dsRNA) virus was identified from <i>M. phaseolina</i> strain 22C-8, isolated from sesame (<i>Sesamum indicum</i> L.) charcoal rot samples in Fuyang, Anhui Province, China. The viral genome comprised four dsRNA segments, each encoding a single open reading frame (ORF) predicted to encode RNA-dependent RNA polymerase (RdRp), coat protein (CP), and two hypothetical proteins. Phylogenetic analysis classified the virus as a new member of the genus <i>Betachrysovirus</i> in the family <i>Chrysoviridae</i>, and it was designated Macrophomina phaseolina chrysovirus 2 (MpChrV2). Pathogenicity assays in sesame seedlings revealed that MpChrV2 infection significantly reduced the virulence of <i>M. phaseolina</i> strain 22C-8. In contrast, virus-free derivatives (22C-8-VF18), obtained via protoplast regeneration, caused more severe symptoms and exhibited enhanced growth rates, indicating that MpChrV2 alters fungal physiology and pathogenicity. These findings suggest that MpChrV2 possesses a typical hypovirulence phenotype and holds promise as a biocontrol agent for sesame charcoal rot.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characteristics and Outcomes of Hospitalized Patients with Histoplasmosis: Comparison of Immunocompromised and Non-Immunocompromised Adult Patients.","authors":"Liam M Dalton, Carol A Kauffman, Marisa H Miceli","doi":"10.3390/jof11090671","DOIUrl":"10.3390/jof11090671","url":null,"abstract":"<p><p>We sought to investigate the role of immunocompromise in patients with newly diagnosed histoplasmosis in an era when AIDS is less prevalent. We performed a retrospective comparison of immunocompromised and non-immunocompromised adults hospitalized at Michigan Medicine from 2015 to 2024. Of 51 patients, 37 (73%) were immunocompromised, 32 from solid organ transplantation or tumor necrosis factor antagonist/disease-modifying anti-rheumatic drugs. Of these 37, 34 had disseminated and 3 had pulmonary histoplasmosis; of the 14 non-immunocompromised patients, 8 had disseminated and 6 had pulmonary histoplasmosis, <i>p</i> = 0.004. Fever was the only symptom/sign that was more common in the immunocompromised cohort (86% vs. 36%, <i>p</i> = 0.003). Laboratory/radiological studies showed no major differences between immunocompromised and non-immunocompromised cohorts. <i>Histoplasma</i> urinary antigen was positive for all immunocompromised vs. 79% non-immunocompromised patients, <i>p</i> = 0.003. Median antigen levels were 17.5 (IQR 6.2-19.7) ng/mL for immunocompromised vs. 1.9 (0.6-19.7) ng/mL for non-immunocompromised patients, <i>p</i> = 0.004. Cultures for <i>Histoplasma</i> were more often positive in the immunocompromised cohort, <i>p</i> = 0.025. All-cause 90-day mortality was 14% in each cohort (five immunocompromised and two non-immunocompromised patients); all deaths occurred in those with disseminated histoplasmosis, and four were in the first week of hospitalization. Disseminated histoplasmosis in both immunocompromised and non-immunocompromised patients continues to be a serious, often fatal infection.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"T-DNA Mutagenesis Reveals FpPer1 as a Dual-Function Regulator of Virulence and Fungicide Resistance in <i>Fusarium pseudograminearum</i>.","authors":"Haiyang Li, Panpan Zhang, Xueqian Song, Huiying Li, Cong Chen, Limin Wang, Zhifang Wang, Lingjun Hao, Yun Li, Xinlong Wang, Jiangang Kang, Honglian Li, Min Wang, Shengli Ding","doi":"10.3390/jof11090673","DOIUrl":"10.3390/jof11090673","url":null,"abstract":"<p><p><i>Fusarium</i> crown rot (FCR), caused by <i>Fusarium pseudograminearum</i>, is a devastating wheat disease leading to significant yield losses worldwide. However, the pathogenic mechanism of <i>F. pseudograminearum</i> and its resistance to fungicides remain poorly understood. In this study, we identified a hypothetical gene encoding GPI-anchored protein, designated FpPer1, by screening a T-DNA insertion mutant library of <i>F. pseudograminearum</i> for tebuconazole resistance. The Δ<i>Fpper1</i> mutant exhibited increased sensitivity to the triazole antifungal drugs and fludioxonil. Additionally, the deletion of <i>FpPER1</i> impaired fungal growth, conidiation, and pathogenicity in barley leaves and wheat coleoptiles. Furthermore, the Δ<i>Fpper1</i> mutant displayed enhanced susceptibility to various environmental stresses, including NaCl, CR, sorbitol, H<sub>2</sub>O<sub>2</sub>, and SDS. The mutant also showed reduced penetration peg formation and impaired reactive oxygen species (ROS) scavenging ability during infection. Subcellular localization analysis revealed that FpPer1-GFP co-localized with the endoplasmic reticulum (ER) marker RFP-HDEL in both conidia and hyphae, indicating its localization in the ER. In summary, our findings demonstrate that <i>FpPER1</i> plays an important role in pathogenicity and fungicide resistance in <i>F. pseudograminearum</i>. This study not only provides a theoretical foundation for understanding fungal virulence mechanisms but also offers practical insights for developing novel fungicide strategies.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ricardo Lopes, Andreia Garcês, Hugo Lima de Carvalho, Vanessa Silva, Filipe Sampaio, Cátia Fernandes, Gonçalo Barros, Alexandre Sardinha de Brito, Ana Rita Silva, Elsa Leclerc Duarte, Luís Cardoso, Ana Cláudia Coelho
{"title":"What Do We Know About <i>Cryptococcus</i> spp. in Portugal? One Health Systematic Review in a Comprehensive 13-Year Retrospective Study (2013-2025).","authors":"Ricardo Lopes, Andreia Garcês, Hugo Lima de Carvalho, Vanessa Silva, Filipe Sampaio, Cátia Fernandes, Gonçalo Barros, Alexandre Sardinha de Brito, Ana Rita Silva, Elsa Leclerc Duarte, Luís Cardoso, Ana Cláudia Coelho","doi":"10.3390/jof11090672","DOIUrl":"10.3390/jof11090672","url":null,"abstract":"<p><p>Cryptococcosis, caused by the <i>Cryptococcus neoformans</i> and <i>Cryptococcus gattii</i> species complexes (pathogenic <i>Cryptococcus</i> spp.), is an environmentally acquired mycosis of One Health relevance. This study integrates a PRISMA-compliant systematic review (2000-2025) of Portuguese animal, human, and environmental reports with a 13-year retrospective dataset of laboratory-confirmed veterinary cryptococcosis cases (2013-2025). Clinical specimens were cultured and identified by MALDI-TOF mass spectrometry, and associations were assessed using χ<sup>2</sup> and Fisher's exact tests. Of 1059 submissions, 48 (4.5%) were culture-positive: 6.8% of canine, 5.3% of feline samples, and 4.0% of avian samples, with no detections in other vertebrate groups (<i>p</i> = 0.705). <i>Cryptococcus neoformans</i> predominated in carnivores (73.7%), while <i>Papiliotrema laurentii</i> (formerly <i>Cryptococcus laurentii)</i> was most frequent in birds (86.2%). Infection was not associated with sex or age. Seasonality was evident, with a July peak and summer predominance (<i>p</i> = 0.010). Most cases were from the Centre region (62.5%), with significant regional variation of <i>Cryptococcus</i> spp. distribution (<i>p</i> < 0.001). The systematic review confirmed autochthonous <i>C. gattii</i> complex disease and widespread <i>C. neoformans</i> contamination in pigeon guano and arboreal niches. These findings demonstrate a compartmentalised eco-epidemiology, reinforcing the need for integrated molecular typing, antifungal susceptibility testing, and coordinated human-animal-environment surveillance to inform targeted prevention and control strategies in Portugal.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Transformation and Protein Expression of the Edible Mushroom <i>Stropharia rugosoannulata</i> Protoplasts by <i>Agrobacterium-tumefaciens</i>-Mediated Transformation.","authors":"Dongjie Yin, Hairong Xiong","doi":"10.3390/jof11090674","DOIUrl":"10.3390/jof11090674","url":null,"abstract":"<p><p><i>Stropharia rugosoannulata</i> is a cultivated edible mushroom characterized by its nutritional composition and efficient cellulolytic enzymatic systems. However, the lack of genetic tools has significantly impeded the investigation of its molecular mechanisms, severely constraining the study of functional genomic and precision breeding in <i>S. rugosoannulata</i>. It was demonstrated in this study that the <i>Agrobacterium-tumefaciens</i>-mediated genetic transformation (ATMT) system is applicable for the transformation of <i>S. rugosoannulata</i> protoplasts. Through this proposal, we successfully achieved the expression of exogenous genes (<i>mCherry</i> gene encoding red fluorescent protein, <i>hph</i> gene encoding hygromycin B phosphotransferase, and <i>GUS</i> gene encoding β-glucuronidase) and the endogenous mutant gene <i>SDI</i> encoding the iron-sulfur protein subunit of succinate dehydrogenase in <i>S. rugosoannulata</i>. Furthermore, this study employed endogenous promoters of <i>GPD</i> encoding glyceraldehyde-3-phosphate dehydrogenase and <i>SDI</i> to enhance transformation efficiency and drive target gene expression. This study establishes the feasibility of ATMT in <i>S. rugosoannulata</i> systems, while achieving stable expression of a panel of selectable marker genes and reporter genes critical for genetic research in <i>S. rugosoannulata</i>.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12471233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafaelly Camargo, Jonatas Silva de Oliveira, Amanda Costa Ferro, Beatriz Ribeiro Ribas, Alan Augusto Valério Alves, Janaina Habib Jorge
{"title":"Surface Changes Induced by Brushing Increase <i>Candida albicans</i> Biofilms on 3D-Printed Denture Base Resin.","authors":"Rafaelly Camargo, Jonatas Silva de Oliveira, Amanda Costa Ferro, Beatriz Ribeiro Ribas, Alan Augusto Valério Alves, Janaina Habib Jorge","doi":"10.3390/jof11090668","DOIUrl":"10.3390/jof11090668","url":null,"abstract":"<p><p>Studies assessing the long-term effects of brushing with cleaning and disinfecting agents on surface roughness and biofilm accumulation on the three-dimensionally (3D) printed resins remain scarce. This study aimed to evaluate the effects of different solutions and simulated brushing times on the surface roughness and biofilm formation on heat-cured and 3D-printed denture base resins. Discs samples (10 mm × 1.2 mm) were prepared and randomly assigned to brushing treatments using the following solutions: distilled water, disinfectant liquid soap and dentifrice. The specimens (n = 9) were subjected to 10,000, 20,000 and 50,000 cycles to simulate 1, 2 and 5 years of brushing, respectively. The control group consisted of unbrushed samples. Surface roughness (Ra) was measured. <i>Candida albicans</i> biofilm formation was evaluated by counting colony forming units, cellular metabolic activity, and qualitative and quantitative analysis through confocal fluorescence microscopy. A significant increase in roughness was observed in both resins after two years of simulated brushing, mainly with dentifrice. After two years of brushing, an increase in the number of cells and metabolism of <i>C. albicans</i> was observed, in agreement with the fluorescence and biofilm thickness results. Brushing with dentifrice increased the roughness of heat-cured and 3D-printed resins and potentially increased <i>C. albicans</i> biofilm formation.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Khalifa Al Benwan, Sarah Ahmed, Dalal Al Banwan, Maria John
{"title":"Candidemia in a General Hospital in Kuwait: Epidemiology, Species Distribution, Risk Factors, and Antifungal Susceptibility Patterns over a 10-Year Period (2015-2024).","authors":"Khalifa Al Benwan, Sarah Ahmed, Dalal Al Banwan, Maria John","doi":"10.3390/jof11090670","DOIUrl":"10.3390/jof11090670","url":null,"abstract":"<p><p>This 10-year retrospective observational study (2015-2024) conducted at Al-Amiri Hospital in Kuwait aimed to analyze the epidemiology, species distribution, and key risk factors associated with <i>Candida</i> bloodstream infections. Data were collected on patient demographics and clinical risk factors, and the distribution of <i>Candida</i> species was determined based on isolates recovered from patients with confirmed candidemia. Multivariate logistic regression was performed to identify factors associated with candidemia outcomes. Cases significantly increased from 33 (2015-2016) to 93 (2023-2024), predominantly affecting elderly patients (≥65 years) and intensive care unit (ICU) admissions. A shift in species distribution was observed, with a decline in <i>Candida albicans</i> and a marked increase in <i>Candidozyma auris</i> (formerly <i>Candida auris</i>) and <i>C. parapsilosis</i>. Antifungal susceptibility patterns were species-specific: <i>C. albicans</i>, <i>C. parapsilosis</i>, and <i>C. tropicalis</i> remained highly susceptible to all tested antifungals, while <i>Nakaseomyces glabratus</i> (formerly <i>Candida glabrata)</i> showed fluconazole resistance in 25% of isolates. <i>C. auris</i> exhibited resistance to fluconazole (97%) and variable resistance to echinocandins and voriconazole. Echinocandins retained broad-spectrum activity across most species. Independent risk factors included ICU admission, advanced age, and comorbidities. <i>N. glabratus</i> and <i>C. auris</i> infections were linked to higher mortality. This study highlights the growing candidemia burden in Kuwait, driven by emerging non-<i>albicans Candida</i> (NAC) spp. and related species. Early species identification and susceptibility testing are crucial for effective treatment and improved outcomes, necessitating enhanced infection control and antifungal stewardship.</p>","PeriodicalId":15878,"journal":{"name":"Journal of Fungi","volume":"11 9","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12471101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}