| Affiliation: | (1) Department of Molecular Genetics and Microbiology, Duke University Medical Center, Durham, NC 27710, USA;(2) CBS—Centraalbureau voor Schimmelcultures, Uppsalalaan 8, 3584 CT Utrecht, The Netherlands;(3) Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA;(4) Department of Pharmacology and Cancer Biology, Duke University Medical Center, Durham, NC 27710, USA;(5) The Howard Hughes Medical Institute, Duke University Medical Center, Durham, NC 27710, USA |
| Abstract: | Cryptococcus neoformans serotype A strains commonly infect immunocompromised patients to cause fungal meningitis. To understand the basis of serotype A cryptococcal infections in apparently immunocompetent patients, we tested two hypotheses: the strains were naturally occurring hypervirulent pkr1 (PKA regulatory subunit) mutants, or the strains were hybrids with C. neoformans var. gattii strains that normally infect immunocompetent individuals. Analysis of clinical isolates obtained from apparently immunocompetent individuals from three continents revealed that none were pkr1 mutants, but several exhibited phenotypes consistent with perturbations in cAMP signaling. Additionally, none of the strains were unusual hybrids with gattii strains. Except for one strain that was an AD hybrid, all others were serotype A (var. grubii) isolates. Taken together, our findings indicate that the ability of these clinical isolates to infect apparently normal individuals may be attributable to mutations other than pkr1 and/or underlying immune system impairment in patients. |
