I. 本實驗證實 C. tropicalis 中 FCY2 的 LOH 現象與 5-FC 抗藥性有 關,但仍有兩種可能原因需釐清:第一,因第 91 個胺基酸的改變;第 二,因 promoter 於 -224 和 -69 的變化。首先,以 real-time PCR 比較 YM020291、YM020291-R1、YM020291-R2、FCY2 (273G)/FCY2 (273G) 同 質置換株 及 FCY2 (273T)/FCY2 (273T) 同質置換株等菌株的 FCY2 mRNA 表現量是否有差異,確認第二種可能性。或者以 site-directed mutagenesis 將同源重組質體 LOB319 (G 股) 的 FCY2 之核苷酸 273G 突變為 T,LOB320 (T 股) 的 273T 突變為 G,分別送入 YM020291 進 行同源置換後,進行感受性測詴,確認第一種可能性。
II. 由於 Legrand et al. 的研究指出 DNA repair pathway、genome instability 與藥物抗藥性是彼此相關 (Legrand et al., 2007)。推測本實驗於 FCY2 發 現 有 LOH 現象之六個臨床菌株也許在 DNA repair 的機制有缺陷,故 找出可能的 DNA repair 相關基因之進行研究,對 5-FC 敏感且不會產 生抗藥衍生株之臨床菌株進行相關基因剔除,測詴是否增加其產生抗藥 菌株之頻率。
III. 由於仍有菌株尚未發現其 5-FC 抗藥機制為何,代表 C. tropicalis 仍然 有其他的機制涉及 5-FC 抗藥,推測可能其他的機制有:第一,另一個 可能的 PCP 是 CTRG00460 序列突變造成的抗藥性,有待序列分析;
第二,還有其他 PCP 參與 5-FC 運送至菌體內的過程,找出具有同源 序列者,進行功能探討及研究;第三,除了 URA3 外的 pyrimidine de novo pathway 基因發生序列變化,或基因表現量改變,或者是還有其他 的途徑共同參與,以上都有可能是發生抗藥性的原因,有待更進一步的 研究。
IV. 第二部分之初步結果發現以 chloramphenical 及 kanamycin 為報導基 因之篩選性質體 LOB324 及 LOB325,於適當濃度之篩選抗生素培養基 具有想要之篩選效果,之後可以 error-prone PCR 產生隨機突變 DNA 片段之 pool,接入質體 LOB324 及 LOB325 進行測詴,是否於篩選抗 生素培養基中能剔除隨機突變 DNA 片段中 帶有 nonsense 及
frameshift mutations,以利日後的研究。
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