PMID- 33217898 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240330 IS - 2309-608X (Electronic) IS - 2309-608X (Linking) VI - 6 IP - 4 DP - 2020 Nov 18 TI - Molecular Tools for Detection and Identification of Paracoccidioides Species: Current Status and Future Perspectives. LID - 10.3390/jof6040293 [doi] LID - 293 AB - Paracoccidioidomycosis (PCM) is a mycotic disease caused by the Paracoccidioides species, a group of thermally dimorphic fungi that grow in mycelial form at 25 degrees C and as budding yeasts when cultured at 37 degrees C or when parasitizing the host tissues. PCM occurs in a large area of Latin America, and the most critical regions of endemicity are in Brazil, Colombia, and Venezuela. The clinical diagnosis of PCM needs to be confirmed through laboratory tests. Although classical laboratory techniques provide valuable information due to the presence of pathognomonic forms of Paracoccidioides spp., nucleic acid-based diagnostics gradually are replacing or complementing culture-based, biochemical, and immunological assays in routine microbiology laboratory practice. Recently, taxonomic changes driven by whole-genomic sequencing of Paracoccidioides have highlighted the need to recognize species boundaries, which could better ascertain Paracoccidioides taxonomy. In this scenario, classical laboratory techniques do not have significant discriminatory power over cryptic agents. On the other hand, several PCR-based methods can detect polymorphisms in Paracoccidioides DNA and thus support species identification. This review is focused on the recent achievements in molecular diagnostics of paracoccidioidomycosis, including the main advantages and pitfalls related to each technique. We discuss these breakthroughs in light of taxonomic changes in the Paracoccidioides genus. FAU - Pinheiro, Breno Goncalves AU - Pinheiro BG AUID- ORCID: 0000-0001-9134-0657 AD - Laboratory of Emerging Fungal Pathogens, Department of Microbiology, Immunology, and Parasitology, Discipline of Cellular Biology, Federal University of Sao Paulo (UNIFESP), Sao Paulo 04023062, Brazil. FAU - Hahn, Rosane Christine AU - Hahn RC AD - Laboratory of Mycology/Research, Faculty of Medicine, Federal University of Mato Grosso, Cuiaba, Mato Grosso 78060900, Brazil. AD - Federal University of Mato Grosso, Julio Muller University Hospital, Mato Grosso 78048902, Brazil. FAU - Camargo, Zoilo Pires de AU - Camargo ZP AD - Laboratory of Emerging Fungal Pathogens, Department of Microbiology, Immunology, and Parasitology, Discipline of Cellular Biology, Federal University of Sao Paulo (UNIFESP), Sao Paulo 04023062, Brazil. AD - Department of Medicine, Discipline of infectious Diseases, Federal University of Sao Paulo (UNIFESP), Sao Paulo 04023062, Brazil. FAU - Rodrigues, Anderson Messias AU - Rodrigues AM AD - Laboratory of Emerging Fungal Pathogens, Department of Microbiology, Immunology, and Parasitology, Discipline of Cellular Biology, Federal University of Sao Paulo (UNIFESP), Sao Paulo 04023062, Brazil. LA - eng PT - Journal Article PT - Review DEP - 20201118 PL - Switzerland TA - J Fungi (Basel) JT - Journal of fungi (Basel, Switzerland) JID - 101671827 PMC - PMC7711936 OTO - NOTNLM OT - Paracoccidioides brasiliensis OT - Paracoccidioides lutzii OT - diagnosis OT - endemic mycosis OT - epidemiology OT - molecular diagnostics OT - paracoccidioidomycosis OT - systemic mycosis COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2020/11/22 06:00 MHDA- 2020/11/22 06:01 PMCR- 2020/11/18 CRDT- 2020/11/21 01:00 PHST- 2020/10/13 00:00 [received] PHST- 2020/11/01 00:00 [revised] PHST- 2020/11/05 00:00 [accepted] PHST- 2020/11/21 01:00 [entrez] PHST- 2020/11/22 06:00 [pubmed] PHST- 2020/11/22 06:01 [medline] PHST- 2020/11/18 00:00 [pmc-release] AID - jof6040293 [pii] AID - jof-06-00293 [pii] AID - 10.3390/jof6040293 [doi] PST - epublish SO - J Fungi (Basel). 2020 Nov 18;6(4):293. doi: 10.3390/jof6040293.