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Table 3 Characteristics of selected N. glabratus isolates after in vitro long-term exposure to chlorhexidine (CHX) and triclosan (TRC) including molecular resistance mechanism as determined by whole genome sequencing and changes in MIC values (mg/L) for FLC (fluconazole), PSZ (posaconazole), VCZ (voriconazole), ITR (itraconazole), ISA (isavuconazole), CHX (chlorhexidine), TRC (triclosan) and OCT (octenidine). Overexpression of CDR1 is given as fold increase compared to the corresponding wild-type isolate. The corresponding wild-type (WT) isolates and the initial MIC values are highlighted in bold

From: In vitro long-term exposure to chlorhexidine or triclosan induces cross-resistance against azoles in Nakaseomyces glabratus

ID

Exposed to

FLC

PSZ

VCZ

ITR

ISA

CHX

TRC

OCT

Resistance genes

Acquired resistance mutation

Putative resistance

mechanism

Overexpression of CDR1

45 H-WT

 

4

1

0.125

1

≤ 0.016

4

16

0.5

    

45 H-D6

TRC

256

> 32

4

> 16

4

4

16

0.5

PDR1

D261Y

drug efflux pumps

50.23

55 H-WT

 

4

0.5

0.125

0.125

≤ 0.016

4

4

0.5

    

55 H-F1

CHX

> 256

4

1

2

1

16

16

1

PMA1

V594F

drug efflux pumps/ intracellular acidification

65.92

76 H-WT

 

4

0.5

0.25

0.5

≤ 0.016

8

8

0.25

    

76 H-F4

CHX

64

> 32

> 16

2

0.5

8

16

0.5

PMA1/ATP1

L347S/D332G

drug efflux pumps/ intracellular acidification

33.32

105 H-WT

 

4

0.5

0.25

0.5

≤ 0.016

4

16

0.5

    

105 H-E5

CHX

256

16

8

> 16

8

16

32

0.5

PMA1

T215I

drug efflux pumps/ intracellular acidification

38.96

1098 H-WT

 

2

0.5

0.5

0.125

≤ 0.016

4

8

0.5

    

1098 H-D7

CHX

64

2

2

2

2

8

8

0.25

PMA1

A812V

drug efflux pumps/ intracellular acidification

45.74

CBS138-WT

 

4

0.25

0.064

0.25

0.064

4

4

0.5

    

CBS138-A5

CHX

> 256

> 32

8

> 16

4

2

4

0.5

PMA1

A395V

intracellular acidification

0.6

CBS138-E12

CHX

64

2

0.5

1

0.5

4

4

0.5

PMA1

D407G

intracellular acidification

2.32

CBS138-A7

TRC

256

16

8

> 16

4

8

32

0.5

PDR1

G1088E

drug efflux pumps

23.54

CBS138-B4

TRC

256

4

8

> 16

4

8

16

0.5

PDR1

G943A

drug efflux pumps

20.18

CBS138-C7

TRC

128

4

4

4

4

4

16

0.5

PDR1

L936S

drug efflux pumps

20.81

CBS138-E5

TRC

128

4

4

2

4

4

16

0.5

PDR1

C469R

drug efflux pumps

9.57

CBS138-G10

TRC

128

4

2

4

2

4

16

0.5

PMA1

A395V

intracellular acidification

2.03