Françoise Dromer

Determinants of Disease Presentation and Outcome during Cryptococcosis: The CryptoA/D Study (2007)

Françoise Dromer, Simone Mathoulin-Pélissier, Odile Launay, Olivier Lortholary

BackgroundCryptococcosis is a life-threatening opportunistic fungal infection in both HIV-positive and -negative patients. Information on clinical presentation and therapeutic guidelines, derived...

Fluconazole, with or without dexamethasone for experimental cryptococcosis: impact of treatment timing (1999)

Lortholary, Olivier, Nicolas, Marlène, Soreda, Stephan, Improvisi, Luce, Ronin, Olivier, Petitjean, Olivier, ...

The time of initiation of fluconazole treatment with or without dexamethasone, and the impact on mycological outcome and drug pharmacokinetics were assessed in a murine model of disseminated...

Epidemiological Evidence for Dormant Cryptococcus neoformans Infection

Garcia-Hermoso, Dea, Janbon, Guilhem, Dromer, Françoise

To date, the time of acquisition of a Cryptococcus neoformans infectious strain has never been studied. We selected a primer, (GACA)4, and a probe, CNRE-1, that by randomly amplified polymorphic DNA...

Are Two Cryptococcus neoformans Strains Epidemiologically Linked?

Garcia-Hermoso, Dea, Dromer, Françoise, Mathoulin-Pelissier, Simone, Janbon, Guilhem

The aim of this study was to standardize a method to determine whether two strains of Cryptococcus neoformans could be considered epidemiologically linked. We hypothesized that strains isolated from...

Synthetic Analogues of β-1,2 Oligomannosides Prevent Intestinal Colonization by the Pathogenic Yeast Candida albicans

Dromer, Françoise, Chevalier, Reynald, Sendid, Boualem, Improvisi, Luce, Jouault, Thierry, Robert, Raymond, ...

The pathogenic yeast Candida albicans displays at its cell surface β-1,2 oligomannosides (β-1,2-Mans). In contrast to the ubiquitous α-Mans, β-1,2-Mans bind to galectin-3, a major endogenous...

Antigenic and Biological Characteristics of Mutant Strains of Cryptococcus neoformans Lacking Capsular O Acetylation or Xylosyl Side Chains

Kozel, Thomas R., Levitz, Stuart M., Dromer, Françoise, Gates, Marcellene A., Thorkildson, Peter, Janbon, Guilhem

Cryptococcus neoformans is surrounded by an antiphagocytic polysaccharide capsule whose primary constituent is glucuronoxylomannan (GXM). Three prominent structural features of GXM are single xylosyl...

In Vitro Interaction of Flucytosine with Conventional and New Antifungals against Cryptococcus neoformans Clinical Isolates

Schwarz, Patrick, Dromer, Françoise, Lortholary, Olivier, Dannaoui, Eric

Combinations of flucytosine with conventional and new antifungals were evaluated in vitro against 30 clinical isolates of Cryptococcus neoformans. Synergy determined by checkerboard analysis was...

In Vitro Evaluation of Double and Triple Combinations of Antifungal Drugs against Aspergillus fumigatus and Aspergillus terreus

Dannaoui, Eric, Lortholary, Olivier, Dromer, Françoise

Microdilution broth checkerboard techniques based on the National Committee for Clinical Laboratory Standards methodology were used to study double and triple antifungal combinations against clinical...

Cryptococcus neoformans Capsule Structure Evolution In Vitro and during Murine Infection

Garcia-Hermoso, Dea, Dromer, Françoise, Janbon, Guilhem

Cryptococcus neoformans capsule structure modifications after prolonged in vitro growth or in vivo passaging have been reported previously. However, nothing is known about the dynamics of these...

Cryptococcus neoformans Galactoxylomannan Contains an Epitope(s) That Is Cross-Reactive with Aspergillus Galactomannan

Dalle, Frédéric, Charles, Pierre Emmanuel, Blanc, Karine, Caillot, Denis, Chavanet, Pascal, Dromer, Françoise, ...

We report a case of cryptococcosis in which a serum enzyme-linked immunosorbent assay (ELISA) for Aspergillus galactomannan was positive, with no evidence of aspergillosis. Soluble antigens from 19...

Breakthrough Disseminated Aspergillus ustus Infection in Allogeneic Hematopoietic Stem Cell Transplant Recipients Receiving Voriconazole or Caspofungin Prophylaxis

Pavie, Juliette, Lacroix, Claire, Hermoso, Dea Garcia, Robin, Marie, Ferry, Christèle, Bergeron, Anne, ...

Aspergillus ustus is an uncommon clinical species which is poorly susceptible to antifungals. We report two cases of A. ustus infections that occurred in allogeneic stem cell transplant recipients...

Deletions of Endocytic Components VPS28 and VPS32 Affect Growth at Alkaline pH and Virulence through both RIM101-Dependent and RIM101-Independent Pathways in Candida albicans

Cornet, Muriel, Bidard, Frédérique, Schwarz, Patrick, Da Costa, Grégory, Blanchin-Roland, Sylvie, Dromer, Françoise, ...

Ambient pH signaling involves a cascade of conserved Rim or Pal products in ascomycetous yeasts or filamentous fungi, respectively. Recent evidences in the fungi Aspergillus nidulans, Saccharomyces...

Efficacy of Amphotericin B in Combination with Flucytosine against Flucytosine-Susceptible or Flucytosine-Resistant Isolates of Cryptococcus neoformans during Disseminated Murine Cryptococcosis

Schwarz, Patrick, Dromer, Françoise, Lortholary, Olivier, Dannaoui, Eric

Whether or not flucytosine should be administered to patients infected with Cryptococcus neoformans isolates found to be resistant to flucytosine in vitro remains a controversial issue. Thus, the...

Molecular Identification of Zygomycetes from Culture and Experimentally Infected Tissues

Schwarz, Patrick, Bretagne, Stéphane, Gantier, Jean-Charles, Garcia-Hermoso, Dea, Lortholary, Olivier, Dromer, Françoise, ...

Mucormycosis is an emerging infection associated with a high mortality rate. Identification of the causative agents remains difficult and time-consuming by standard mycological procedures. In this...

Epidemiological Evidence for Dormant Cryptococcus neoformans Infection

Garcia-Hermoso, Dea, Janbon, Guilhem, Dromer, Françoise

To date, the time of acquisition of a Cryptococcus neoformans infectious strain has never been studied. We selected a primer, (GACA)4, and a probe, CNRE-1, that by randomly amplified polymorphic DNA...

Are Two Cryptococcus neoformans Strains Epidemiologically Linked?

Garcia-Hermoso, Dea, Dromer, Françoise, Mathoulin-Pelissier, Simone, Janbon, Guilhem

The aim of this study was to standardize a method to determine whether two strains of Cryptococcus neoformans could be considered epidemiologically linked. We hypothesized that strains isolated from...

Synthetic Analogues of β-1,2 Oligomannosides Prevent Intestinal Colonization by the Pathogenic Yeast Candida albicans

Dromer, Françoise, Chevalier, Reynald, Sendid, Boualem, Improvisi, Luce, Jouault, Thierry, Robert, Raymond, ...

The pathogenic yeast Candida albicans displays at its cell surface β-1,2 oligomannosides (β-1,2-Mans). In contrast to the ubiquitous α-Mans, β-1,2-Mans bind to galectin-3, a major endogenous...

Antigenic and Biological Characteristics of Mutant Strains of Cryptococcus neoformans Lacking Capsular O Acetylation or Xylosyl Side Chains

Kozel, Thomas R., Levitz, Stuart M., Dromer, Françoise, Gates, Marcellene A., Thorkildson, Peter, Janbon, Guilhem

Cryptococcus neoformans is surrounded by an antiphagocytic polysaccharide capsule whose primary constituent is glucuronoxylomannan (GXM). Three prominent structural features of GXM are single xylosyl...

In Vitro Interaction of Flucytosine with Conventional and New Antifungals against Cryptococcus neoformans Clinical Isolates

Schwarz, Patrick, Dromer, Françoise, Lortholary, Olivier, Dannaoui, Eric

Combinations of flucytosine with conventional and new antifungals were evaluated in vitro against 30 clinical isolates of Cryptococcus neoformans. Synergy determined by checkerboard analysis was...

In Vitro Evaluation of Double and Triple Combinations of Antifungal Drugs against Aspergillus fumigatus and Aspergillus terreus

Dannaoui, Eric, Lortholary, Olivier, Dromer, Françoise

Microdilution broth checkerboard techniques based on the National Committee for Clinical Laboratory Standards methodology were used to study double and triple antifungal combinations against clinical...

Cryptococcus neoformans Capsule Structure Evolution In Vitro and during Murine Infection

Garcia-Hermoso, Dea, Dromer, Françoise, Janbon, Guilhem

Cryptococcus neoformans capsule structure modifications after prolonged in vitro growth or in vivo passaging have been reported previously. However, nothing is known about the dynamics of these...

Cryptococcus neoformans Galactoxylomannan Contains an Epitope(s) That Is Cross-Reactive with Aspergillus Galactomannan

Dalle, Frédéric, Charles, Pierre Emmanuel, Blanc, Karine, Caillot, Denis, Chavanet, Pascal, Dromer, Françoise, ...

We report a case of cryptococcosis in which a serum enzyme-linked immunosorbent assay (ELISA) for Aspergillus galactomannan was positive, with no evidence of aspergillosis. Soluble antigens from 19...

Breakthrough Disseminated Aspergillus ustus Infection in Allogeneic Hematopoietic Stem Cell Transplant Recipients Receiving Voriconazole or Caspofungin Prophylaxis

Pavie, Juliette, Lacroix, Claire, Hermoso, Dea Garcia, Robin, Marie, Ferry, Christèle, Bergeron, Anne, ...

Aspergillus ustus is an uncommon clinical species which is poorly susceptible to antifungals. We report two cases of A. ustus infections that occurred in allogeneic stem cell transplant recipients...

Deletions of Endocytic Components VPS28 and VPS32 Affect Growth at Alkaline pH and Virulence through both RIM101-Dependent and RIM101-Independent Pathways in Candida albicans

Cornet, Muriel, Bidard, Frédérique, Schwarz, Patrick, Da Costa, Grégory, Blanchin-Roland, Sylvie, Dromer, Françoise, ...

Ambient pH signaling involves a cascade of conserved Rim or Pal products in ascomycetous yeasts or filamentous fungi, respectively. Recent evidences in the fungi Aspergillus nidulans, Saccharomyces...

Efficacy of Amphotericin B in Combination with Flucytosine against Flucytosine-Susceptible or Flucytosine-Resistant Isolates of Cryptococcus neoformans during Disseminated Murine Cryptococcosis

Schwarz, Patrick, Dromer, Françoise, Lortholary, Olivier, Dannaoui, Eric

Whether or not flucytosine should be administered to patients infected with Cryptococcus neoformans isolates found to be resistant to flucytosine in vitro remains a controversial issue. Thus, the...

Molecular Identification of Zygomycetes from Culture and Experimentally Infected Tissues

Schwarz, Patrick, Bretagne, Stéphane, Gantier, Jean-Charles, Garcia-Hermoso, Dea, Lortholary, Olivier, Dromer, Françoise, ...

Mucormycosis is an emerging infection associated with a high mortality rate. Identification of the causative agents remains difficult and time-consuming by standard mycological procedures. In this...

Molecular Identification of Black-Grain Mycetoma Agents

Desnos-Ollivier, Marie, Bretagne, Stéphane, Dromer, Françoise, Lortholary, Olivier, Dannaoui, Eric

Black-grain mycetomas are subcutaneous devastating chronic infections due to several dematiaceous fungi. They are diagnosed mostly in tropical countries. Identification of these fungi with standard...

Determinants of Disease Presentation and Outcome during Cryptococcosis: The CryptoA/D Study

Dromer, Françoise, Mathoulin-Pélissier, Simone, Launay, Odile, Lortholary, Olivier

Françoise Dromer and colleagues report that sex, HIV status, and infecting serotype are major determinants of cryptococcosis presentation and outcome.

Capsule Structure Changes Associated with Cryptococcus neoformans Crossing of the Blood-Brain Barrier

Charlier, Caroline, Chrétien, Fabrice, Baudrimont, Marielle, Mordelet, Elodie, Lortholary, Olivier, Dromer, Françoise

Cryptococcus neoformans is a yeast responsible for disseminated meningoencephalitis in patients with cellular immune defects. The major virulence factor is the polysaccharide capsule. We took...

Combination of Amphotericin B with Flucytosine Is Active In Vitro against Flucytosine-Resistant Isolates of Cryptococcus neoformans▿

Schwarz, Patrick, Janbon, Guilhem, Dromer, Françoise, Lortholary, Olivier, Dannaoui, Eric

The combination of flucytosine and amphotericin B was tested against 10 flucytosine-resistant isolates of Cryptococcus neoformans by checkerboard, killing curves, and Etest. Although differences were...

Carbon Assimilation Profiles as a Tool for Identification of Zygomycetes▿

Schwarz, Patrick, Lortholary, Olivier, Dromer, Françoise, Dannaoui, Eric

Identification of Zygomycetes is difficult and time-consuming by standard microbiological procedures. Carbon assimilation profiles are commonly used for yeast-and bacterial-species identification but...

In Vitro Susceptibility to Posaconazole of 1,903 Yeast Isolates Recovered in France from 2003 to 2006 and Tested by the Method of the European Committee on Antimicrobial Susceptibility Testing▿

Lortholary, Olivier, Dannaoui, Eric, Raoux, Dorothée, Hoinard, Damien, Datry, Annick, Paugam, André, ...

The posaconazole MIC90 for 1,903 yeast isolates from France was 1 μg/ml (range, ≤0.015 to 8 μg/ml). Ninety percent of isolates with fluconazole MICs of ≥8 μg/ml (n = 509) and 90% of those with...

Comparison of Microsatellite Length Polymorphism and Multilocus Sequence Typing for DNA-Based Typing of Candida albicans▿

Garcia-Hermoso, Dea, Cabaret, Odile, Lecellier, Gael, Desnos-Ollivier, Marie, Hoinard, Damien, Raoux, Dorothée, ...

For genotyping Candida albicans isolates, two PCR-based methods have recently emerged: multilocus sequence typing (MLST), based on the sequence of selected genes, and microsatellite length...

Cryptococcal Neuroradiological Lesions Correlate with Severity during Cryptococcal Meningoencephalitis in HIV-Positive Patients in the HAART Era

Charlier, Caroline, Dromer, Françoise, Lévêque, Christophe, Chartier, Loïc, Cordoliani, Yves-Sébastien, Fontanet, Arnaud, ...

Cryptococcal meningoencephalitis has an overall global mortality rate of 20% in AIDS patients despite antifungals. There is a need for additional means of precise assessment of disease severity. We...

The Yak1 Kinase Is Involved in the Initiation and Maintenance of Hyphal Growth in Candida albicans

Goyard, Sophie, Knechtle, Philipp, Chauvel, Murielle, Mallet, Adeline, Prévost, Marie-Christine, Proux, Caroline, ...

Members of the dual-specificity tyrosine-phosphorylated and regulated kinase (DYRK) family perform a variety of functions in eukaryotes. We used gene disruption, targeted pharmacologic inhibition,...

Detection of Caspofungin Resistance in Candida spp. by Etest▿

Desnos-Ollivier, Marie, Dromer, Françoise, Dannaoui, Eric

The caspofungin susceptibilities of 28 Candida sp. clinical isolates, including 8 caspofungin-resistant isolates characterized by mutations in the Fks1 protein, were determined by the Etest in RPMI...

Clonal Population of Flucytosine-Resistant Candida tropicalis from Blood Cultures, Paris, France

Desnos-Ollivier, Marie, Bretagne, Stéphane, Bernède, Claire, Robert, Vincent, Raoux, Dorothée, Chachaty, Elisabeth, ...

Such isolates are widespread around clinical centers and are associated with malignancies that cause fewer deaths than other C. tropicalis isolates.

AIDS Patient Death Caused by Novel Cryptococcus neoformans × C. gattii Hybrid

Bovers, Marjan, Hagen, Ferry, Kuramae, Eiko E., Hoogveld, Hans L., Dromer, Françoise, St-Germain, Guy, ...

Interspecies hybrids of Cryptococcus neoformans and C. gattii have only recently been reported. We describe a novel C. neoformans × C. gattii hybrid strain (serotype AB) that was previously...

Debaryomyces hansenii (Candida famata), a Rare Human Fungal Pathogen Often Misidentified as Pichia guilliermondii (Candida guilliermondii) ▿ †

Desnos-Ollivier, Marie, Ragon, Marie, Robert, Vincent, Raoux, Dorothée, Gantier, Jean-Charles, Dromer, Françoise

Debaryomyces hansenii is a hemiascomycetous yeast commonly found in natural substrates and in various types of cheese. Pichia guilliermondii is widely distributed in nature and is a common...

Evidence of a Role for Monocytes in Dissemination and Brain Invasion by Cryptococcus neoformans▿ †

Charlier, Caroline, Nielsen, Kirsten, Daou, Samira, Brigitte, Madly, Chretien, Fabrice, Dromer, Françoise

The pathogenesis of cryptococcosis, including the events leading to the production of meningoencephalitis, is still largely unknown. Evidence of a transcellular passage of Cryptococcus neoformans...

Molecular and Phenotypic Evaluation of Lichtheimia corymbifera (Formerly Absidia corymbifera) Complex Isolates Associated with Human Mucormycosis: Rehabilitation of L. ramosa▿

Garcia-Hermoso, Dea, Hoinard, Damien, Gantier, Jean-Charles, Grenouillet, Frédéric, Dromer, Françoise, Dannaoui, Eric

Thirty-eight isolates (including 28 isolates from patients) morphologically identified as Lichtheimia corymbifera (formerly Absidia corymbifera) were studied by sequence analysis (analysis of the...

Cryptococcal Cell Morphology Affects Host Cell Interactions and Pathogenicity

Okagaki, Laura H., Strain, Anna K., Nielsen, Judith N., Charlier, Caroline, Baltes, Nicholas J., Chrétien, Fabrice, ...

Cryptococcus neoformans is a common life-threatening human fungal pathogen. The size of cryptococcal cells is typically 5 to 10 µm. Cell enlargement was observed in vivo, producing cells up to 100...