A. fumigatus ATCC 46645 was included for quality control of susceptibility testing. Also, FLC was used as control, since A. fumigatus shows a non-susceptible phenotype and MIC is most often above 64 mg/L for this species. MIC of azoles was defined as the lowest concentration of the drug that produced no visible growth following 48 hours of incubation. MIC determination was Screening Library purchase repeated at least twice. In vitro induction experiments Induction experiments were performed with the agricultural azole PCZ. A. fumigatus isolates were grown on Saboraud dextrose agar at 35°C for 72 h; conidia were harvested by flooding the surface of the slants with phosphate-buffered saline (PBS) containing

0.025% (vol/vol) tween 80 while gently rocking. The conidial suspensions were then adjusted using specific spectrophotometric readings at 550 nm to a final concentration of 5×104 conidia per militer [25]; one militer of BGB324 each distinct isolate suspension was transferred to 9 ml of GYEP broth supplemented with sub-inhibitory concentrations

of PCZ (0.06 mg/L for both LMF05 and LMF11; 0.125 mg/L for LMN60) and incubated overnight at 35°C with agitation (180 rpm). Daily, after vigorous vortexing for 60 seconds, one militer from each culture was transferred to fresh GYEP medium supplemented with PCZ and in parallel, 1 ml of culture was added with 10% glycerol and frozen at -80°C. This procedure was repeated along thirty consecutive days. Susceptibility testing/ Stability of in vitro developed resistance CHIR98014 in vitro phenotype MICs

of PCZ were determined every ten days along the thirty days of induction assay. No official breakpoints are yet defined for PCZ; therefore, whenever a marked MIC increase was observed (four fold the oxyclozanide initial PCZ MIC), the MIC values of clinical antifungals were determined. In order to assess the stability of the developed MIC increment to PCZ and of the developed cross-resistance to clinical azoles, the induced strains were afterwards sub-cultured for an additional thirty days in the absence of the drug and MIC values re-determined, as previously described. Culture macro and micro morphology Along the induction process, every two days, a loopful was inoculated in Saboraud Agar slants to check for viability and purity of culture. Macro and microscopical growth characteristics were registered. Colony morphology and pigmentation were recorded photographically using a Reflex Nikon D3200 Camera and images were processed by Adobe Photo Deluxe Image Processing Program. Microscopic images of hyphae changes from the original A. fumigatus strain and from the resistant induced strain were captured with a Zeiss-Axioplan-2 microscope equipped with Axio Cam. AxioVision 3.0 digital imaging software was used for editing. Acknowledgments IFR and IMM are supported by FCT (Fundação Ciência e Tecnologia). IFR is supported by FCT PhD grant (SFRH/BD/91155/2012). I.MM is supported by FCT, Ciência 2008 and co-financed by the European Social Fund.