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Diagnosis of human pathogenic fungi by molecular and MALDI-ToF methods Ali Abdul Hussein S. AL-Janabi and Sybren de Hoog CBS-KNAW Fungal Biodiversity Centre, Utrecht, The Netherlands Dept. of Clinical laboratories, College of Applied Medical Sciences, University of Kerbala, Iraq [email protected] Abstract There are many different species of fungi caused human infections. Human skin are infected by various genera which are common distributed all over the world. Dermatophytes and Hortaea werineckii are known to cause human skin infection called Tinea. The name of Tinea caused y dermatophytes depends on the location of disease in skin, while Tinea caused by Hortaea werineckii is called Tinea Niger. Two methods were used to diagnosis of those skin pathogenic fungi, MALDI-ToF and Molecular methods. All of fungal strains were obtained from the CBS culture collection (Netherlands). Total of 300 strains of dermatophytes and 45 strains of Hortaea werineckii were re-identified. MALDI-ToF as new technique for diagnosis of fungi was performed in BioMerieux instrument. Three genes were chosen to reidentification of Hortaea werineckii strains. Internal transcribed spacer regions (ITS), translation elongation factor-1 alpha (EF1α), and partial β- tubuln (β-Tubulin) gene were amplified with primer pairs (ITS1& ITS4), (EF1-983F & EF1-2218R) and (T1F & Bt2bR) respectively. The sequences were aligned by Bionumerics computer software for Phylogenic tree of Hortaea werineckii. The results of MALDI-ToF were confirmed the fungi identified by CBS research center which means the efficiency of this method to use for fungal diagnosis. Gene analysis for Hortaea werineckii showed a close relationship between strains in phylogenic tree with exception of three far strains: Teratosphaeria hortaea CBS 124156, Hortaea thailandica CBS 125423, and Hortaea acidophila CBS 113389.