General Information of the Molecule (ID: Mol00884)
Name
Cytochrome P450 sterol 14 alpha-demethylase (CYP51) ,Histoplasma capsulatum
Synonyms
CYP51; I7I51_04085; Cytochrome P450 sterol 14 alpha-demethylase
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Molecule Type
Protein
Gene Name
CYP51
Sequence
MSWFTIGTFGVLAFVAAVTLNLVYQLLFRFLNKTRPPLVFHWIPFLGSTIRYRTDPYKFF
FSCRQKEASRLFQHGDIFTFVLLGRPTTVYLGIKGNEFILNGKLKDVNAEEVYGPLTTPV
FGPDVVYDCPNSKLIEQKKFIKYGLTQAALESHVPLIEKEVMDYLDSSPNFLGASGEVDI
SAVMAEITIFTAGSALQGEEVRSKLTTEFAVLYHDLDKGFSPINFMLPWAPLPHNKKRDA
AHTLMHAIYLDIIEKRRRAARNANGSQTQDMIENLMQCTYKNGQKLPDKEIANIMISLLM
AGQHSSSTTSSWIMLHLASEPAVVEQLYQEQLDNLPRTGPNGSLGPLQYGDLNRLPLHRN
VIRETLRLHTSIHSLLRKVMNPMPVAGTPYVIPPSHVVLSAPGVTALSDEYFPNPTMWDP
NRWETQEPKVDEKEDMVDYGYGTISKGTSSPYLPFGAGRHRCIGEKFAYVNLTVIVAIMV
RHLQFSNIGGKTGVPRTDYSSMFSAPMKPARINWKRRTAKSG
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Uniprot ID
A0A8A1M600_AJECA
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Kingdom: Fungi
Phylum: Ascomycota
Class: Eurotiomycetes
Order: Onygenales
Family: Ajellomycetaceae
Genus: Histoplasma
Species: Histoplasma capsulatum
Type(s) of Resistant Mechanism of This Molecule
  ADTT: Aberration of the Drug's Therapeutic Target
Drug Resistance Data Categorized by Drug
Approved Drug(s)
1 drug(s) in total
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Voriconazole
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Drug Resistance Data Categorized by Their Corresponding Mechanisms
       Aberration of the Drug's Therapeutic Target (ADTT) Click to Show/Hide
Disease Class: Histoplasmosis [1]
Resistant Disease Histoplasmosis [ICD-11: 1F2A.0]
Resistant Drug Voriconazole
Molecule Alteration Missense mutation
p.Y136F
Experimental Note Identified from the Human Clinical Data
In Vitro Model Histoplasma capsulatum strain 5037
Experiment for
Molecule Alteration
DNA sequencing assay
Experiment for
Drug Resistance
NCCLS method assay
Mechanism Description In summary, fluconazole treatment of disseminated histoplasmosis in patients with AIDS was associated with induction of resistance to fluconazole and, to a lesser extent, to voriconazole. And the changes in susceptibility were due to tagert alterations which a single amino acid substitution in CYP51p at Y136 appeared to be responsible for the reduction in susceptibility seen in the relapse isolate.
References
Ref 1 Activity of newer triazoles against Histoplasma capsulatum from patients with AIDS who failed fluconazole. J Antimicrob Chemother. 2006 Jun;57(6):1235-9. doi: 10.1093/jac/dkl133. Epub 2006 Apr 20.

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