New Fks hot spot for acquired echinocandin resistance in Saccharomyces cerevisiae and its contribution to intrinsic resistance of Scedosporium species

Antimicrob Agents Chemother. 2011 Aug;55(8):3774-81. doi: 10.1128/AAC.01811-10. Epub 2011 May 16.

Abstract

Echinocandins represent a new antifungal group with potent activity against Candida species. These lipopeptides inhibit the synthesis of β-1,3-glucan, the major cell wall polysaccharide. Acquired resistance or reduced echinocandin susceptibility (RES) is rare and associated with mutations in two "hot spot" regions of Fks1 or Fks2, the probable β-1,3-glucan synthases. In contrast, many fungi demonstrate intrinsic RES for reasons that remain unclear. We are using Saccharomyces cerevisiae to understand the basis for RES by modeling echinocandin-Fks interaction. Previously characterized mutations confer cross-RES; we screened for mutations conferring differential RES, implying direct interaction of that Fks residue with a variable echinocandin side chain. One mutant (in an fks1Δ background) exhibited ≥16-fold micafungin and anidulafungin versus caspofungin RES. Sequencing identified a novel Fks2 mutation, W714L/Y715N. Equivalent W695L/Y696N and related W695L/F/C mutations in Fks1 generated by site-directed mutagenesis and the isolation of a W695L-equivalent mutation in Candida glabrata confirmed the role of the new "hot spot 3" in RES. Further mutagenesis expanded hot spot 3 to Fks1 residues 690 to 700, yielding phenotypes ranging from cross-RES to differential hypersusceptibility. Fks1 sequences from intrinsically RES Scedosporium species revealed W695F-equivalent substitutions; Fks1 hybrids expressing Scedosporium prolificans hot spot 3 confirmed that this substitution imparts RES.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anidulafungin
  • Antifungal Agents / pharmacology*
  • Base Sequence
  • Candida glabrata / drug effects
  • Candida glabrata / genetics
  • Caspofungin
  • Cell Wall / chemistry
  • Cell Wall / drug effects
  • Drug Resistance, Fungal / genetics*
  • Echinocandins / genetics
  • Echinocandins / pharmacology
  • Glucosyltransferases / antagonists & inhibitors
  • Glucosyltransferases / genetics
  • Lipopeptides / pharmacology
  • Membrane Proteins / genetics
  • Micafungin
  • Microbial Sensitivity Tests
  • Molecular Sequence Data
  • Mutation
  • Proteoglycans
  • Saccharomyces cerevisiae / drug effects*
  • Saccharomyces cerevisiae / genetics*
  • Saccharomyces cerevisiae Proteins / genetics
  • Scedosporium / drug effects*
  • Scedosporium / genetics*
  • Sequence Alignment
  • Sequence Analysis, DNA
  • beta-Glucans / metabolism

Substances

  • Antifungal Agents
  • Echinocandins
  • Lipopeptides
  • Membrane Proteins
  • Proteoglycans
  • Saccharomyces cerevisiae Proteins
  • beta-Glucans
  • polysaccharide-K
  • Anidulafungin
  • Glucosyltransferases
  • glucan synthase
  • FKS1 protein, S cerevisiae
  • GSC2 protein, S cerevisiae
  • Caspofungin
  • Micafungin

Associated data

  • GENBANK/HQ412797