Aspergillus felis | |
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Colonies growing 7 days at 25°C on CYA (A) and MEA (B); Crossing of CBS 130245 and 130246 at 30°C (C); Conidiophores and conidia (D, E and G); Cleistothecium (F); Ascospores (H-I). | |
Scientific classification | |
Domain: | Eukaryota |
Kingdom: | Fungi |
Division: | Ascomycota |
Class: | Eurotiomycetes |
Order: | Eurotiales |
Family: | Aspergillaceae |
Genus: | Aspergillus |
Species: | A. felis |
Binomial name | |
Aspergillus felis Barrs, van Doorn, Varga & Samson, 2013 [1] | |
Type strain | |
131F4, DTO 155G2, IFM 600, JV-2013, CBS 130245, CBS H-21125 [1] |
Aspergillus felis is a heterothallic species of fungus in the genus Aspergillus which can cause aspergillosis in humans, dogs and cats. It was described for the first time in 2013 after being isolated from different hosts worldwide (North and South America, Europe, Africa, Northeast Asia, and Asia-Pacific). [1] [2] [3] [4]
The first host infected was a domestic cat with invasive fungal rhinosinusitis who gave its name to this new Aspergillus as Felis is a genus of cats in the family Felidae. Apsergillus felis was then described in a dog with disseminated invasive aspergillosis and a human patient with chronic invasive pulmonary aspergillosis. [3] The most common host described with A. felis infection is the cat. This may be explained by anatomical differences in the nasal cavity and paranasal sinuses resulting in preferential deposition of inhaled fungal spores within the sinonasal cavity in cats compared to the lower respiratory tract in humans. A.felis is an important emerging agent of invasive aspergillosis in cats, dogs and humans because it is often refractory to aggressive antifungal treatment and its identification implies molecular and morphological techniques. [3]
According to mating-type analysis, Aspergillus felis has a fully functioning reproductive cycle as induction of teleomorphs appears within 7 to 10 days in vitro and there is also ascospore germination. [3]
Among all cases reported, A. felis can give serious different diseases depending on hosts:
A.felis causes infection in immunocompetent cats and dogs and immunocompromised patients. [3]
Aspergillus felis’ identification is difficult because of its resemblance with other species within the Aspergillus viridinutans complex (A. felis, A. viridinutans sensu stricto, A. udagawae, A. pseudofelis, A. parafelis, A. pseudoviridinutans, A. wyonmingesis A. aureoles, A. siamensis and A. arcoverdensis [6] ). Many methods has to be used together in order to identify it correctly.
A.felis can be isolated on malt extract agar (MEA) or Czapek agar (CYA). [3]
Aspergillus felis has greenish stipes and nodding heads. Vesicles have a diameter of 15–16.5 μm. Conidia are green, globose to subglobose, finely roughened and 1.5–2.5 μm in dimensions. Cleistothecia are white to creamish and have a diameter of 100–230 μm. Asci are globose, 8-spored, 12–16 μm in diameter. Ascospores are lenticular with two prominent equatorial crests and with short echinulate convex surfaces 5.0–7.0×3.5–5.0 μm.
Morphological criteria alone are not enough to reliably identify A. felis. Nodding heads can be seen on cytological examination but this feature occurs in other Fumigati species. Furthermore, A. felis, N. aureola and A. udagawae all produce lenticular ascospores with two prominent equatorial crests and an echinulate convex surface. The use of different temperatures seems to be a solution as A. felis is able to grow at 45°C while it has been shown in several studies that A. viridinutans andA. udagawae showed no growth at 45°C. A. fumigatus is able to grow at 50°C whereas A. felis is not. It can be a relevant method to distinguish A. felis from other species since A. felis is a thermotolerant fungus with a maximum growth temperature of 45°C and a minimum growth temperature of 20°C whereas species in the AVC have optimal growth between 35° and 42°C. Nevertheless, playing on temperatures is not as precise as molecular identification. [3]
The use of PCR to amplify alpha and HMG domains of genes is mentioned in some articles but the best method remains comparative sequence analysis of multiple loci such as ITS-1, ITS-2, the 5.8S rDNA gene and parts of the β-tubulin (benA) and calmodulin (calM) gene. A. felis can be reliably identified with ITS sequences only but the most commonly used genes that have been used for species descriptions are benA and caM. [7] Currently, there is no gene accepted as a stand-alone method for identification.
The gold standard method is using both molecular and morphological techniques [3] [7] to avoid misidentification with different species within the same complex which would explain why only a few clinical cases of A. felis in humans have been described so far.
Susceptibilities of several A. felis isolates to amphotericin B, itraconazole, posaconazole, voriconazole, fluconazole, 5-flucytosine, terninafine, caspofungin, anidulafungin and micafungin were assessed in cats. No activity was observed for fluconazole or flucytosine against A. felis. MICs for triazole antifungals were higher than usual and cross-resistance to ITZ/VCZ and ITZ/VCZ/POS was observed for some isolates. [3] Most of the time, aggressive therapy (itraconazole or posaconazole as monotherapy or combined with amphotericin B, or with amphotericin B and terbinafine) failed for cats. The majority were euthanased due to disease progression with severe signs.
Few cases of invasive disease in humans have been reported in the literature. Infections are often fatal because of A. felis being identified as another cryptic Aspergillus species. Indeed, the right treatment is delayed leading to fatal issues.
The primary therapy that has been used for invasive aspergillosis in humans was voriconazole, with isavuconazole and amphotericin B as alternatives for treatment failures. [3] A case of cranial aspergillosis with A. felis was reported in a 66-year-old male with chronic lymphocytic leukaemia and was successfully managed with voriconazole and surgery followed by maintenance with posaconazole. [7]
Aspergillus flavus is a saprotrophic and pathogenic fungus with a cosmopolitan distribution. It is best known for its colonization of cereal grains, legumes, and tree nuts. Postharvest rot typically develops during harvest, storage, and/or transit. Its specific name flavus derives from the Latin meaning yellow, a reference to the frequently observed colour of the spores. A. flavus infections can occur while hosts are still in the field (preharvest), but often show no symptoms (dormancy) until postharvest storage or transport.
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Aspergillosis is a fungal infection of usually the lungs, caused by the genus Aspergillus, a common mould that is breathed in frequently from the air, but does not usually affect most people. It generally occurs in people with lung diseases such as asthma, cystic fibrosis or tuberculosis, or those who are immunocompromised such as those who have had a stem cell or organ transplant or those who take medications such as steroids and some cancer treatments which suppress the immune system. Rarely, it can affect skin.
Aspergillus terreus, also known as Aspergillus terrestris, is a fungus (mold) found worldwide in soil. Although thought to be strictly asexual until recently, A. terreus is now known to be capable of sexual reproduction. This saprotrophic fungus is prevalent in warmer climates such as tropical and subtropical regions. Aside from being located in soil, A. terreus has also been found in habitats such as decomposing vegetation and dust. A. terreus is commonly used in industry to produce important organic acids, such as itaconic acid and cis-aconitic acid, as well as enzymes, like xylanase. It was also the initial source for the drug mevinolin (lovastatin), a drug for lowering serum cholesterol.
Cochliobolus lunatus is a fungal plant pathogen that can cause disease in humans and other animals. The anamorph of this fungus is known as Curvularia lunata, while C. lunatus denotes the teleomorph or sexual stage. They are, however, the same biological entity. C. lunatus is the most commonly reported species in clinical cases of reported Cochliobolus infection.
Exophiala jeanselmei is a saprotrophic fungus in the family Herpotrichiellaceae. Four varieties have been discovered: Exophiala jeanselmei var. heteromorpha, E. jeanselmei var. lecanii-corni, E. jeanselmei var. jeanselmei, and E. jeanselmei var. castellanii. Other species in the genus Exophiala such as E. dermatitidis and E. spinifera have been reported to have similar annellidic conidiogenesis and may therefore be difficult to differentiate.
Pathogenic fungi are fungi that cause disease in humans or other organisms. Although fungi are eukaryotic, many pathogenic fungi are microorganisms. Approximately 300 fungi are known to be pathogenic to humans; their study is called "medical mycology". Fungal infections are estimated to kill more people than either tuberculosis or malaria—about two million people per year.
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Scedosporiosis is the general name for any mycosis – i.e., fungal infection – caused by a fungus from the genus Scedosporium. Current population-based studies suggest Scedosporium prolificans and Scedosporium apiospermum to be among the most common infecting agents from the genus, although infections caused by other members thereof are not unheard of. The latter is an asexual form (anamorph) of another fungus, Pseudallescheria boydii. The former is a "black yeast", currently not characterized as well, although both of them have been described as saprophytes.
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Microascus manginii is a filamentous fungal species in the genus Microascus. It produces both sexual (teleomorph) and asexual (anamorph) reproductive stages known as M. manginii and Scopulariopsis candida, respectively. Several synonyms appear in the literature because of taxonomic revisions and re-isolation of the species by different researchers. M. manginii is saprotrophic and commonly inhabits soil, indoor environments and decaying plant material. It is distinguishable from closely related species by its light colored and heart-shaped ascospores used for sexual reproduction. Scopulariopsis candida has been identified as the cause of some invasive infections, often in immunocompromised hosts, but is not considered a common human pathogen. There is concern about amphotericin B resistance in S. candida.
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David W. Denning is a British retired professor of infectious diseases and global health and medical mycology at the University of Manchester. He was the founding president, executive director and chief executive of Global Action For Fungal Infections (GAFFI) (2013-2023), which focusses on the global impact of fungal disease.