Rapid Molecular Detection of Terbinafine-resistant Dermatophytes

Med Mycol J. 2021;62(2):41-44. doi: 10.3314/mmj.21-00001.

Abstract

Terbinafine (TRF)-resistant Trichophyton interdigitale and Trichophyton rubrum have been isolated from human patients. These strains have missense mutations (Leu393Ser/Phe or Phe397Leu) in the squalene epoxidase-encoding gene, SQLE. We developed a PCR detection method to identify hotspot mutation sites in SQLE genes of dermatophytes. To sequence hotspots in isolates, we prepared primers based on conserved sequences of T. rubrum and T. interdigitale SQLEs. Approximately 390-bp long DNA bands for T. rubrum, T. interdigitale, and Trichophyton indotineae strains were sequenced. Hotspots were detected only in TRF-resistant strains. This PCR-based method is simpler and more rapid than the conventional test.

Keywords: Trichophyton rubrum; dermatophytosis; polymerase chain reaction; resistance; terbinafine.

MeSH terms

  • Antifungal Agents / pharmacology
  • Antifungal Agents / therapeutic use
  • Arthrodermataceae* / genetics
  • Drug Resistance, Fungal / genetics
  • Humans
  • Microbial Sensitivity Tests
  • Terbinafine
  • Trichophyton / genetics

Substances

  • Antifungal Agents
  • Terbinafine

Supplementary concepts

  • Trichophyton interdigitale
  • Trichophyton rubrum