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      Resistance to amphotericin B associated with defective sterol delta 8-->7 isomerase in a Cryptococcus neoformans strain from an AIDS patient.

      Fems Microbiology Letters
      Acquired Immunodeficiency Syndrome, microbiology, Amphotericin B, pharmacology, Cryptococcus neoformans, drug effects, enzymology, Drug Resistance, Microbial, genetics, Humans, Microbial Sensitivity Tests, Mutation, Steroid Isomerases

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          Abstract

          Two Cryptococcus neoformans strains isolated from an AIDS patient were investigated, a pretreatment isolate (CN1) and a second isolate (CN3) following failure of fluconazole and amphotericin B treatment. No difference in fluconazole sensitivity, but relative resistance to amphotericin B was observed for CN3. The sterol composition of CN3 indicated a defect in sterol delta 8-->7 isomerase in this strain and depletion of ergosterol, the major sterol of the CN1.

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