PMID- 20695081 OWN - NLM STAT- MEDLINE DCOM- 20100914 LR - 20211020 IS - 1674-2818 (Print) IS - 2049-3169 (Electronic) IS - 1674-2818 (Linking) VI - 1 IP - 3 DP - 2009 Sep TI - Fluconazole susceptibility and genotypic heterogeneity of oral Candida albicans colonies from the patients with cancer receiving chemotherapy in China. PG - 156-62 LID - 10.4248/IJOS.09020 [doi] AB - AIM: To identify heterogeneity of Candida albicans (C. albicans) isolated from the population with cancer in China by using identification medium, subculture molecular typing, and antifungal susceptibility test. METHODOLOGY: Oral cheek mucosal specimens from 52 cancer patients receiving chemotherapy were cultured on CHROMagar Candida plates for Candida identification. All the C. albicans colonies on the plates were subcultured and reconfirmed by API20C, then submitted to the antifungal drug susceptibility test with fluconazole and molecular typing using randomly amplified polymorphic DNA-PCR (RAPD) with primers RSD6 and RSD12. RESULTS: 54% (28/52) patients were oral yeast carriage in which C. albicans predominated. More than 7 C. albicans colonies were isolated from each of 12 patients (Group A), while less than 5 colonies were isolated from each of 16 patients (Group B). RSD6 and RSD12 were successful in eliciting 17 (A1-A17) and 2 (B1-B2) genotypes, respectively from among the 205 isolates. The two primers were combined to generate 21 genotypes. The C. albicans isolates obtained from the same patient and episode showed a diversity for fluconazole revealed by MIC50 and MIC90. CONCLUSION: The heterogeneity of the C. albicans colonies isolated from the same patients can be detected. C. albicans with varied fluconazole susceptibility and genotypic characteristics may coexist in the same oral Candida population. FAU - Sun, Jing AU - Sun J AD - Department of Oral Medicine, Key Lab of Oral Biomedicine, Shandong Province, School of Stomatology, Shandong University, Jinan, China. FAU - Qi, Cheng AU - Qi C FAU - Lafleur, Micheal D AU - Lafleur MD FAU - Qi, Qing-guo AU - Qi QG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - India TA - Int J Oral Sci JT - International journal of oral science JID - 101504351 RN - 0 (Antifungal Agents) RN - 0 (DNA, Fungal) RN - 8VZV102JFY (Fluconazole) SB - IM MH - Adult MH - Aged MH - Antifungal Agents/*pharmacology MH - Candida albicans/*classification/genetics/isolation & purification MH - Candida glabrata/classification/isolation & purification MH - Candidiasis, Oral/microbiology MH - China MH - DNA, Fungal/analysis MH - *Drug Resistance, Fungal/genetics MH - Female MH - Fluconazole/*pharmacology MH - Genetic Heterogeneity MH - Genotype MH - Hematologic Neoplasms/drug therapy MH - Humans MH - Male MH - Microbial Sensitivity Tests MH - Middle Aged MH - Mouth Mucosa/*microbiology MH - Mycology/methods MH - Neoplasms/*drug therapy MH - Young Adult PMC - PMC3475586 EDAT- 2010/08/10 06:00 MHDA- 2010/09/16 06:00 PMCR- 2009/09/01 CRDT- 2010/08/10 06:00 PHST- 2010/08/10 06:00 [entrez] PHST- 2010/08/10 06:00 [pubmed] PHST- 2010/09/16 06:00 [medline] PHST- 2009/09/01 00:00 [pmc-release] AID - ijos200922 [pii] AID - 10.4248/IJOS.09020 [doi] PST - ppublish SO - Int J Oral Sci. 2009 Sep;1(3):156-62. doi: 10.4248/IJOS.09020.