“the stored apples contained a broad range of agricultural fungicides which appear to be a very important factor for driving the development of resistance,” xu explains.
“when we use agricultural fungicides or pesticides we need to think about the potential cross-resistance that they might cause in human pathogens. our study shows that post-harvest food processing can exacerbate the problem of antimicrobial resistance.”
c. auris was first discovered in japan in 2009 and has since spread all over the world. it often infects immunocompromised hospital patients.
with a study published last year, also in
mbio, xu and chowdhary became the first team to isolate
c.auris in a natural environment, on the sandy beaches and tidal swamps of the tropical andaman islands in india’s bay of bengal. before then, the yeast had only been found in human environments such as hospitals.
in 2019, the u.s. centers for disease control and prevention classified c. auris as one of five pathogens posing the most urgent threats to public health. antifungal medications often do not work on c. auris, and more than one in three patients with serious and invasive infections will die.
the discovery of multi-drug resistant c. auris on the surface of stored apples provided the first evidence that an anthropogenic environment have likely contributed to the development and spread of antifungal resistance in c. auris. additional environments facilitating drug-resistance development will likely be found in the future, says xu, who is studying how the fungus reproduces in nature.