Indian Journal of Microbiology

, Volume 59, Issue 4, pp 514–524 | Cite as

Regulatory Role of ERG3 and Efg1 in Azoles-Resistant Strains of Candida albicans Isolated from Patients Diagnosed with Vulvovaginal Candidiasis

  • Wenli FengEmail author
  • Jing YangEmail author
  • Zhiqin Xi
  • Ying Ji
  • Xin Zhu
  • Lu Yang
  • Yan Ma
Original research article


Vulvovaginal candidiasis (VVC), caused by Candida albicans, affects women’s health and life. We aimed to explore the correlation between ERG3 as well as Efg1 mutation/overexpression and azoles-resistance, and the correlation between ERG3 and Efg1 mRNA expression in C. albicans. First, C. albicans was isolated from clinical VVC patients. ERG3 and Efg1 mutations were detected by polymerase chain reaction (PCR) and sequencing, and the expression levels of these two genes were also identified by qRT-PCR. Correlations between mutation/overexpression of ERG3/Efg1 and azoles-resistance as well as ERG3 and Efg1 mRNA expression were analyzed. Based on the ERG3 sequencing, the results showed that there were 2 missense mutation sites, 1 nonsense mutation site, and 4 silent mutation sites, while 1 missense mutation sites, 1 nonsense mutation site, and 12 silent mutation sites were found in Efg1. Furthermore, the mRNA levels of ERG3 gene in the strains sensitive to FCA, ITR or VRC were higher than those in the strains resistant to FCA, ITR, VRC (P < 0.05). While for the mRNA levels of Efg1, susceptible strains were lower than resistant strains. Besides, there was a significant linear negative correlation between ERG3 and Efg1 mRNA expression (r = − 0.614, P < 0.001).


Candida albicans Azoles Drug resistance ERG3 Efg1 



This work was supported by Basic Research Project supported by Shanxi Province, China (Program No. 201701D121171), Research and Development Key Projects of Shanxi Province (Program No. 201603D321063), Research Project Supported by Health and Family Planning Commission of Shanxi Province, China (Program No. 201601050). Meanwhile, the project was supported by the Science & Technology Innovation Foundation for Univerisities in Shanxi Province, China (Program No. 20161118).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no competing interests.


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© Association of Microbiologists of India 2019

Authors and Affiliations

  1. 1.The Department of DermatovenereologyThe Second Hospital of Shanxi Medical UniversityTaiyuanChina

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