General Information of the Molecule (ID: Mol01006)
Name
Mitochondrial protoheme IX farnesyltransferase (COX10) ,Aspergillus fumigatus
Synonyms
Heme O synthase; AFUA_4G08340
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Molecule Type
Protein
Gene Name
cox10
Gene ID
3509179
Sequence
MIYLRSSLLRSGLARDPARLCSQCFSRLSPSRRPVAVRSFFSSSRLRAGIADHESTPSTV
QKTYFSANRTADGLLASLSAVNSSPRSIADNALSQGAASSESITSQSTSQELPHRRRKRL
KEEAAKNNAAETELPPDASSQLSTLSSALPATSLRRKLAAFLALTKPRLSFLIVLTTTSA
YGMYPISSLLTLDPSMTPLPTLSTSTLTFLYLTTGTFLSSCSANTLNMLLEPKYDALMSR
TRNRPLVRGLLSRRAAVLFAIATAAAGLGLLYIGTNPTTTALSASNICLYAFVYTPLKRI
SVINTWVGAVVGGIPPLMGWTAAAGQTATTGHDSWRDMLFSKDSIGGWLLGGILFAWQFP
HFNALSYMIREEYKAAGYRMLAWTNPAANARVALRYSLLMFPFSVGLWWVGVVGNGFLVG
STAANGWLVKEAYKFWRHQGANGSARRLFWASIWQLPILLVGGLVTKKGLWDGVWNNVFG
QPVEDEDDYLWEDEDEVAEAERKMIPAKTSSS
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Function
Converts protoheme IX and farnesyl diphosphate to heme O.
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Uniprot ID
COX10_ASPFU
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Kingdom: Fungi
Phylum: Ascomycota
Class: Eurotiomycetes
Order: Eurotiales
Family: Aspergillaceae
Genus: Aspergillus
Species: Aspergillus fumigatus
Type(s) of Resistant Mechanism of This Molecule
  UAPP: Unusual Activation of Pro-survival Pathway
Drug Resistance Data Categorized by Drug
Approved Drug(s)
1 drug(s) in total
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Itraconazole
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Drug Resistance Data Categorized by Their Corresponding Mechanisms
       Unusual Activation of Pro-survival Pathway (UAPP) Click to Show/Hide
Disease Class: Aspergillus fumigatus infection [1]
Resistant Disease Aspergillus fumigatus infection [ICD-11: 1F20.2]
Resistant Drug Itraconazole
Molecule Alteration Missense mutation
p.R243Q
Experimental Note Identified from the Human Clinical Data
In Vitro Model Aspergillus fumigatus strain 746128
Experiment for
Molecule Alteration
NGS sequencing assay
Experiment for
Drug Resistance
HPLC analysis
Mechanism Description Through next-generation sequencing (NGS), we successfully identified a new mutation (R243Q substitution) conferring azole resistance in the putative A. fumigatus farnesyltransferase Cox10 (AfCox10) (AFUB_065450). High-performance liquid chromatography (HPLC) analysis verified that the decreased absorption of itraconazole in related Afcox10 mutants is the primary reason for itraconazole resistance.
References
Ref 1 Screening and Characterization of a Non-cyp51A Mutation in an Aspergillus fumigatus cox10 Strain Conferring Azole Resistance. Antimicrob Agents Chemother. 2016 Dec 27;61(1):e02101-16. doi: 10.1128/AAC.02101-16. Print 2017 Jan.

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