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Antimicrobial Agents and Chemotherapy, May 1998, p. 1160-1167, Vol. 42, No. 5
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Sequencing, Disruption, and Characterization of the
Candida albicans Sterol Methyltransferase (ERG6)
Gene: Drug Susceptibility Studies in erg6 Mutants
K. L.
Jensen-Pergakes,1
M. A.
Kennedy,1
N. D.
Lees,1,*
R.
Barbuch,2
C.
Koegel,2 and
M.
Bard1
Department of Biology, Indiana
University-Purdue University Indianapolis, Indianapolis, Indiana
46202-5132,1 and
Hoechst Marion
Roussel, Inc., Cincinnati, Ohio 452152
Received 5 November 1997/Returned for modification 9 February
1998/Accepted 19 February 1998
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ABSTRACT |
The rise in the frequency of fungal infections and the increased
resistance noted to the widely employed azole antifungals make the
development of new antifungals imperative for human health. The sterol
biosynthetic pathway has been exploited for the development of several
antifungal agents (allylamines, morpholines, azoles), but additional
potential sites for antifungal agent development are yet to be fully
investigated. The sterol methyltransferase gene (ERG6)
catalyzes a biosynthetic step not found in humans and has been shown to
result in several compromised phenotypes, most notably markedly
increased permeability, when disrupted in Saccharomyces
cerevisiae. The Candida albicans ERG6 gene was
isolated by complementation of a S. cerevisiae erg6 mutant
by using a C. albicans genomic library. Sequencing of the
Candida ERG6 gene revealed high homology with the
Saccharomyces version of ERG6. The first copy
of the Candida ERG6 gene was disrupted by transforming with
the URA3 blaster system, and the second copy was disrupted by both URA3 blaster transformation and mitotic
recombination. The resulting erg6 strains were shown to be
hypersusceptible to a number of sterol synthesis and metabolic
inhibitors, including terbinafine, tridemorph, fenpropiomorph,
fluphenazine, cycloheximide, cerulenin, and brefeldin A. No increase in
susceptibility to azoles was noted. Inhibitors of the ERG6
gene product would make the cell increasingly susceptible to antifungal
agents as well as to new agents which normally would be excluded and
would allow for clinical treatment at lower dosages. In addition, the
availability of ERG6 would allow for its use as a screen
for new antifungals targeted specifically to the sterol
methyltransferase.
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INTRODUCTION |
The frequency of occurrence of human
fungal infections has been increasing over the past decade in response
to a combination of factors (12) which include advances in
invasive surgical techniques which allow for opportunistic pathogen
access, immunosuppression employed in transplantation or resulting from
chemotherapy, and disease states such as AIDS. The threat to human
health is further compounded by the increased frequency with which
resistance to the commonly employed antifungal agents is appearing.
The most prevalently utilized antifungal agents include the polyenes
and the azoles. The polyenes are effective by binding to ergosterol,
the fungal membrane sterol, and inducing lethal cell leakage
(7). Polyenes often have negative side effects, and
resistance has been reported (15, 28). The azoles function by inhibition of the cytochrome P-450-mediated removal of the C-14
methyl group from the ergosterol precursor, lanosterol (32). The azoles are fungistatic drugs and are thus subject to the
accumulation of resistant phenotypes due, in part, to the need to
continuously administer the drug to patients who are immunocompromised.
Resistance has been reported in Candida albicans (8,
30, 31, 37, 38) as well as in other species of Candida
(24, 26). In addition, other fungal pathogens, including
species of Histoplasma (36),
Cryptococcus (19, 33), and Aspergillus
(9), have been the subjects of recent reports on azole
resistance. The increase in infections coupled with the reduced
efficacy of the currently available drugs makes the discovery and
development of new antifungals an urgent matter.
The pathway for fungal sterol biosynthesis has provided an excellent
target for antifungal development, but there remain additional sites in
the pathway that have not been thoroughly investigated. The sterol
methyltransferase gene (ERG6) represents a particularly good
example because this step is not found in cholesterol biosynthesis, thus avoiding some elements of possible side effects.
Saccharomyces cerevisiae erg6 mutants have been available
for some time (23), and the ERG6 gene was
isolated and disrupted several years ago (11). Although the
absence of the ERG6 gene product was not lethal, it did
result in several severely compromised phenotypes.
erg6 mutants have been shown to have diminished growth rates
as well as limitations on utilizable energy sources (21),
reduced mating frequency (11), altered membrane structural
features (18, 20), and low transformation rates
(11). In addition, several lines of evidence have indicated
that erg6 mutants have severely altered permeability
characteristics. This has been demonstrated by using dyes
(3), cations (3), and spin labels used in electron paramagnetic resonance studies (18). These early
observations have been corroborated recently by the cloning of the
LIS1 gene (35), mutants of which were selected on
the basis of hypersensitivity to sodium and lithium; sequencing of
LIS1 has indicated identity to ERG6. This study
demonstrated that while the rate of cation uptake was increased three-
to fourfold in the mutant strain, the rate of cation efflux was
indistinguishable from that of the wild type. In addition, studies
using the Golgi inhibitor brefeldin A have routinely employed
erg6 mutant strains because of their permeability by this
compound (34). Since the absence of a functional sterol
methyltransferase would make the cell hypersensitive to exogenous
compounds, blocks in ERG6 gene product function could increase the effectiveness of new or existing antifungals. Thus, we
have utilized an S. cerevisiae erg6 mutant to isolate the
C. albicans ERG6 gene, disrupted both copies in the latter
organism, and characterized the resulting phenotype of the C. albicans erg6 mutant.
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MATERIALS AND METHODS |
Strains and plasmids.
C. albicans CAI4
(
ura3::imm434/
ura3::imm434),
received from W. Fonzi (10), was used for disruption of both
copies of ERG6. The S. cerevisiae erg6 deletion
strain BKY48-5C (
leu2-3 ura3-52 erg6
::LEU2) was used as the recipient
strain for transformation with the Candida genomic library
(13). Escherichia coli DH5
was used as the
host strain for all plasmid constructions. Plasmid pRS316 was obtained
from P. Heiter, and Bluescript plasmid was obtained from Stratagene, La
Jolla, Calif.
Media.
CAI4 was grown on YPD complete medium containing 1%
yeast extract (Difco), 2% Bacto Peptone (Difco), and 2% glucose.
Complete synthetic medium (CSM) was used for transformation experiments and contained 0.67% yeast nitrogen base (Difco), 2% glucose, and 0.8 g of a mixture of amino acids plus adenine and uracil (Bio 101) per liter. CSM dropout medium contained the same ingredients as
CSM, but without uracil. Uridine was added at 80 mg per liter to ensure
growth of CAI4. CSM containing uridine and 5-fluoroorotic acid (5-FOA)
at 1 g/liter was used to regenerate the ura3 genetic marker
as outlined by Fonzi and Irwin (10). All experiments were
carried out at 30°C unless otherwise indicated.
Cloning of ERG6.
Transformation of S. cerevisiae BKY48-5C by using the Candida gene library
was carried out by a lithium acetate-modified protocol developed by
Gaber et al. (11) for erg6 transformations. The C. albicans ERG6 gene was cloned by transforming a S. cerevisiae erg6 deletion strain (BKY48-5C) with a
Candida genomic DNA library obtained from S. Scherer at the
University of Minnesota (13). Transformants containing
putative Candida ERG6 DNA were subcloned into the
Saccharomyces vector pRS316 for complementation analyses and
DNA sequencing. All Candida transformations for disruption experiments were carried out essentially in accordance with the procedures of Sanglard et al. (30). Plasmid p5921, obtained from Fonzi (10), was the source of the URA3
blaster for Candida ERG6 disruption experiments.
Approximately 1,250 transformants were obtained by plating on a uracil
dropout medium that ensured the presence of the plasmid. These
transformants were then screened on medium containing 0.06 µg of
cycloheximide per ml. S. cerevisiae erg6 strains are
nystatin resistant and cycloheximide sensitive. Transformants that were resistant to this level of cycloheximide (Cyhr) were
further tested for the presence of intracellular ergosterol. Sterols
extracted from the S. cerevisae erg6 strains and the
transformants were analyzed by UV spectrophotometry and gas
chromatography-mass spectrometry (GC-MS) to confirm the sterol profile.
DNA sequencing of the Candida ERG6 gene.
Both
strands of the plasmid insert containing the ERG6 gene were
sequenced by the Sanger dideoxy chain termination method. Initially, T3
and T7 primers were used, and as DNA sequence became available, primers
were generated from sequenced DNA.
PCR.
PCR analyses were used to verify disruptions of both
Candida ERG6 genes. Primers P1, P2, and P3 were used to
distinguish disrupted ERG6 genes on the basis of size and
are in the ERG6 gene itself. Primer 4 is in the
hisG region of the URA3 blaster. P1 was
5'-CACATGGGTGAAATTAG-3' and could be used with all other
primers. P2 was 5'-CTCCAGTTCAATTAGCAG-3', P3 was
5'-TGTGCGTGTACAAAGCAC-3', and P4 was 5'
GATAATACCGAGATCGAC-3'. PCR buffers and Taq
polymerase were obtained from Promega. The buffer composition was
10 mM Tris-HCl (pH 9) and 2 mM MgCl2, and reactions
mixtures contained 0.2 mM deoxynucleoside triphosphates and 0.5 U of
polymerase. Conditions for amplification were as follows: the first
cycle was denaturation at 94°C for 5 min; this was followed by 40 cycles of annealing at 50°C for 2 min, elongation at 72°C for 3 min, and denaturation at 94°C for 1 min. A final elongation step at
72°C for 20 min completed the reaction. The protocols used for
preparation of the Candida template DNA described by Ausubel
et al. (1).
Sterol analyses.
Nonsaponifiable sterols were isolated as
described previously (23). UV analysis of sterols in
extracts was accomplished by scanning wavelengths from 200 to 300 nm
with a Beckman DU 640 spectrophotometer. GC analyses of nonsaponifiable
sterols were conducted on a HP5890 series II equipped with the
Hewlett-Packard Chemstation software package. The capillary column
(HP-5) was 15 m by 0.25 mm by 0.25 mm (film thickness) and was
programmed to increase from 195 to 300°C (3 min at 195°C and then
increased at 5.5°C/min until the final temperature of 300°C was
reached and held for 4 min). The linear velocity was 30 cm/s with
nitrogen as the carrier gas, and all injections were run in the
splitless mode. GC-MS analyses were done with a Varian 3400 GC
interfaced to a Finnigan MAT SSQ 7000 MS. The GC separations were done
on a DB-5 fused-silica column (15 m by 0.32 mm by 0.25 mm [film
thickness]) programmed to increase from 50 to 250°C at 20°C/min
after a 1-min hold at 50°C. The oven temperature was then held at
250°C for 10 min before the temperature was increased to 300°C at
20°C/min. Helium was the carrier gas, with a linear velocity of 50 cm/s in the splitless mode. The MS was in the electron impact
ionization mode at an electron energy of 70 eV, an ion source
temperature of 150°C, and scanning from 40 to 650 atomic mass units
at 0.5-s intervals.
Drug susceptibility testing in C. albicans.
Drug
susceptibilities of C. albicans wild-type and
erg6 strains were conducted by using cells harvested from
overnight YPD plates grown at 37°C. Cells were suspended in YPD
medium to a concentration of 107 (optical density at 660 nm
of 0.5) cells per ml. Cells were plated by transferring 5 µl of the
original suspension (100) plus 10
1 and
10
2 dilutions onto YPD plates containing the drug to be
tested. The plates were incubated for 48 h at 37°C and observed
for growth. Clotrimazole, brefeldin A, cerulenin, cycloheximide,
nystatin, and fluphenazine were obtained from Sigma, St. Louis, Mo.
Fenpropiomorph and tridemorph were obtained from Crescent Chemical Co.,
Hauppage, N.Y. Ketoconazole was obtained from ICN, Costa Mesa, Calif.
Terbinafine was a gift from D. Kirsch (American Cyanamid, Princeton,
N.J.). Stock solutions of terbinafine, tridemorph, brefeldin A, and
cerulenin were prepared in ethanol. Clotrimazole, ketoconazole, and
fenpropiomorph stocks were prepared in dimethyl sulfoxide, and
fluphenazine and cycloheximide stocks were prepared in water. Nystatin
was dissolved in N,N-dimethyl formamide (Sigma).
Nucleotide sequence accession numbers.
The GenBank accession
number for the C. albicans ERG6 gene is AF031941. GenBank
accession numbers for the previously determined nucleotide sequences of
ERG6 from S. cerevisiae, Arabidopsis
thaliana, and Triticum ativum are X74249, U71400, and
U60755, respectively.
 |
RESULTS |
Cloning of the C. albicans ERG6 gene.
Four
Saccharomyces erg6 transformants which grew on cycloheximide
were analyzed for sterol content. erg6 mutants which fail to
synthesize ergosterol due to defects in the C-24 transmethylase gene
accumulate principally zymosterol, cholesta-5,7,24-trien-3
-ol, and
cholesta-5,7,22,24-tetraen-3
-ol (23). UV scans of the
sterols obtained from a Saccharomyces erg6 strain as well as
an erg6 transformant containing the Candida ERG6
gene are shown in Fig. 1. Sterols giving
the erg6 spectrum contain absorption maxima at 262, 271, 282, and 293 nm as well as maxima at 230 and 238 nm. The latter two
absorption maxima are due to conjugated double bonds which occur in the
sterol side chain (cholesta-5,7,22,24-tetra-en-3
-ol). The
ERG6 transformed strain does not have a conjugated
double bond in the side chain and gives absorption maxima only at 262, 271, 282, and 293 nm. The remaining three transformants yielded similar
profiles. Additionally, GC analysis of the erg6 mutant and
the ERG6 transformants confirmed the presence of ergosterol in the latter strains (data not shown). These results were confirmed by
MS.

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FIG. 1.
UV scan of nonsaponifiable sterols in which
erg6 sterols containing a conjugated double bond in the
sterol side chain show absorption maxima at 230 and 238 nm. Wild-type
erg6 transformants containing the Candida ERG6
gene do not have the conjugated double-bond system in the sterol side
chain.
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Of the four transformants restoring the ability of the
erg6
mutant to synthesize ergosterol, there were two different types,
designated pCERG6-20 and pCERG6-9, with insert sizes of 8 and
14 kb, respectively (Fig.
2). The pCERG6-9
insert contained the
entire 8-kb DNA fragment of pCERG6-20, suggesting
that the
ERG6 gene resided within the 8-kb fragment. Growth
of ergosterol-producing
transformants on media containing 5-FOA
resulted in the loss of
the transforming plasmid, which restored the
BKY48-5c strain back
to the
erg6 phenotype; this indicated
that ergosterol production
of the pCERG6-20 and -9 transformants
was plasmid mediated. To
locate the
ERG6 gene within the
plasmid insert, an approximately
4-kb subclone of the left arm of
pCERG6-20 was inserted into the
Saccharomyces vector pRS316,
yielding plasmid pIU880, which was
able to complement
erg6
(Fig.
2). Plasmid pIU882, which contains
a 2.4-kb overlap with pIU880,
also complemented
erg6, suggesting
that the
Candida
ERG6 gene lies within this 2.4-kb fragment. A
2.4-kb
XbaI-
EcoRI subclone of pIU880 inserted into
pRS316 resulted
in pIU885 containing the entire
ERG6 gene.

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FIG. 2.
A C. albicans ERG6 genomic clone (pCERG6-20)
with restriction sites and three complementing subclones, pIU880,
pIU882, and pIU885. Deletion of a 0.7-kb HindIII
fragment within pIU885, filling in of cohesive ends, addition of
BamHI linkers (pIU886-L), and subsequent insertion of the
URA3 blaster into this site as shown (pIU887-A) are
represented.
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DNA sequencing of the Candida ERG6 gene.
The
2.4-kb XbaI-EcoRI DNA insert of pIU885 (Fig. 2)
was selected for sequencing. The DNA and amino acid sequences are
presented in Fig. 3. The Candida
ERG6 gene encodes the sterol methyltransferase, which contains 377 amino acids and is 66% identical to the Saccharomyces enzyme. Figure 4 shows the sequence
alignment between the Candida, Saccharomyces,
Arabidopsis, and Triticum sterol
methyltransferases, and the levels of identity of Candida to
the latter two are 40 and 49%, respectively. A 9-amino-acid region
(Fig. 4; amino acids 127 to 135 in the C. albicans sequence)
represents the highly conserved S-adenosylmethionine binding
site (6).

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FIG. 3.
The DNA and amino acid sequences of the C. albicans ERG6 gene. The S-adenosylmethionine binding
site is indicated by underlining.
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FIG. 4.
Alignment of the amino acid sequences of the sterol
methyltransferases from C. albicans, S. cerevisiae, A. thaliana, and T. ativum.
Shaded areas indicate regions of sequence identity.
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Creation of a C. albicans ERG6 heterozygote.
Disruption of the Candida ERG6 gene to derive a sterol
methyltransferase-deficient strain was made more difficult since
Candida, unlike Saccharomyces, is diploid and,
thus, both copies of the ERG6 gene must be disrupted. To
accomplish this, the URA3 blaster system developed by Fonzi
(10) was used. The URA3 blaster contains ~3.8
kb comprised of repeat elements of hisG (derived from
Salmonella) flanking the Candida URA3 gene. The
plasmid pIU887-A containing the URA3 blaster inserted into
the ERG6 gene is shown in Fig. 2. The 2.4-kb
XbaI-EcoRI ERG6 DNA fragment was
cloned into the pBluescript vector KS(+) in which a
HindIII site was filled in with the Klenow fragment of
DNA polymerase I (pIU886). pIU886-L was subsequently derived by
deleting a 0.7-kb HindIII fragment within the
ERG6 coding sequence, filling in this site with Klenow fragment, followed by the addition of BamHI linkers. Plasmid
5921, containing the URA3 blaster, was digested with
SnaBI and StuI, both blunt-cutting enzymes,
followed by religation. This resulted in a deletion of 6 bp in one of
the hisG regions and destruction of these two sites. The
modified 5921 plasmid was then digested with BamHI and
BglII to release the 3.8-kb URA3 blaster, which was then ligated into pIU886-L that had been digested with
BamHI to generate pIU887-A.
C. albicans CAI4 was transformed by using the 5.3-kb
BglII-
SnaBI fragment containing the
URA3 blaster and
ERG6 flanking recombinogenic
ends of 0.8 and 0.9 kb. Transformants containing the single disrupted
ERG6 allele resulting in heterozygosity for
ERG6
were confirmed
by using PCR after selection for loss of the
URA3-hisG region.
Intrachromosomal recombination between the
linear
hisG sequences
resulted in the loss of one of these
hisG repeats and the
URA3,
thus permitting reuse
of the
URA3 blaster for the subsequent disruption
of the
ERG6 gene on the homologous chromosome. Selection for
colonies
on medium containing 5-FOA resulted in growth of only
uridine-requiring
strains (
5).
Creation of C. albicans erg6 strains.
The creation
of a Candida erg6 mutant strain in which both alleles were
disrupted was accomplished in two different ways. The ERG6
heterozygote was placed onto plates containing high concentrations of
nystatin (15 µg/ml), and nystatin-resistant colonies appeared after 3 days. We surmised that mitotic recombination resulted in homozygous
ERG6 and erg6 segregants and that these
nystatin-resistant colonies might be the erg6
homozygotes. When colony purified, these resistant colonies indeed
turned out to be erg6 homozygotes (see below). The second
method used to generate erg6 homozygotes was to transform
the ERG6 heterozygote with the URA3 blaster. Two
kinds of transformants were obtained, wild-type and slow-growing colonies. Both types of colonies were tested for resistance to nystatin, and only the slower-growing colonies were nystatin resistant.
Confirmation of erg6 homozygosity by sterol
analyses.
The sterols isolated from wild-type and putative
erg6 homozygotes were analyzed by UV spectrophotometry and
GC-MS. All of our putative erg6 homozygotes contained
erg6-like UV scans similar to the S. cerevisiae
erg6 scan shown in Fig. 1. Additionally, GC-MS of erg6
mutant sterols confirmed that only cholesterol-like (C-27) sterols
accumulate since the side chain cannot be methylated. Figure
5 shows a GC profile demonstrating that
the putative erg6 mutants accumulate C-27 sterols and are
deficient in side chain transmethylation. Whereas the predominant
sterol in the CAI4 wild type is ergosterol (peak B, 76%), the
principal sterols in erg6 mutants are zymosterol (peak A,
43%), cholesta-5,7,24-trien-3
-ol (peak D, 6%),
cholesta-7,24-dien-3
-ol (peak E, 9%), and
cholesta-5,7,22,24-tetraen-3
-ol (peak F, 29%).

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FIG. 5.
GC of the sterols of the wild type and an
erg6 strain of C. albicans. Peak A, zymosterol;
peak B, ergosterol; peak C, fecosterol; peak D,
cholesta-5,7,24-trien-3 -ol; peak E, cholesta-7,24-dien-3 -ol; peak
F, cholesta-5,7,22,24-tetraen-3 -ol.
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PCR confirmation of homozygous disruptions.
Confirmation of
the disruption of both copies of the C. albicans ERG6 gene
by mitotic recombination of the heterozygote and by a second
transformation using the URA3 blaster was performed by using
four PCR primers. The URA3 blaster containing a 3.8-kb region of hisG-URA3-hisG replaced 0.7 kb of ERG6
DNA (Fig. 6A). This was followed by
deletion of the hisG-URA3 sequence such that, in effect, the
remaining 1.2-kb hisG sequence replaces a 0.7-kb ERG6 deletion. The expected PCR amplifications of CAI4 using
primer pair P1-P2 or P1-P3 are 1.5 and 2.15 kb, respectively (Fig. 6B, lanes 1 and 2). The expected products from P1-P2 amplification of the
heterozygote CAI-4-6-5 are 1.5 kb (wild-type allele) and 2.01 kb
(disrupted ERG6 allele), and the expected products from amplification using the P1-P3 primers are 2.15 kb (wild type) and 2.65 kb (disrupted ERG6); these products are visible in Fig. 6B,
lanes 3 and 4. Primer pair P1-P4 gives a 1.1-kb band, demonstrating the
presence of hisG within the ERG6 sequence (data
not shown). The erg6 homozygotes 5AB-15, obtained by mitotic
recombination, and HO11-A3, obtained by URA3 blaster
disruption, yield identical amplification products with primer pairs
P1-P2 (2.01 kb) and P1-P3 (2.65 kb), as shown in Fig. 6B, lanes 5 to 8.

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FIG. 6.
(A) URA3 blaster disruption of the
ERG gene showing location of PCR primers; (B) agarose gel
electrophoresis confirmation of heterozygote and homozygote disruptants
of the ERG6 gene. Lanes (left to right): 1 and 2, CAI4 (wild
type); 3 and 4, CA14-6-5 (heterozygote); 5 and 6, 5AB-15 (homozygote
derived from URA3 blaster transformation followed by mitotic
recombination); 7 and 8, HO11-A3 (homozygote derived from two rounds of
URA3 blaster transformation). The PCR primer pairs used are
indicated at the tops of the lanes (e.g., 1-2 is P1-P2). The image was
captured on disc and the photograph was generated by using Photoshop on
Macintosh.
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Drug susceptibilities of C. albicans erg6 strains.
The susceptibilities of the erg6 strains as compared to that
of wild-type C. albicans were determined by using a number
of antifungal compounds and general cellular inhibitors (Fig.
7). The erg6 strains were
shown to be more resistant to nystatin while showing nearly identical
sensitivities to the azole antifungals clotrimazole and ketoconazole.
Significantly increased susceptibilities of the erg6 strains
were noted for tridemorph and fenpropiomorph, inhibitors of sterol
14-reductase and
8-
7 isomerase (2); terbinafine, an
allylamine antifungal inhibiting squalene epoxidase (16);
brefeldin A, an inhibitor of Golgi function (33);
cycloheximide, a common protein synthesis inhibitor; cerulenin, an
inhibitor of fatty acid synthesis (25); and fluphenazine, a
compound which interferes with the function of calmodulin
(14).

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FIG. 7.
Growth responses of the wild type (CAI4), a homozygous
erg6 strain derived from URA3 blaster
transformation (5AB-15), and a homozygous erg6 strain
derived from mitotic recombination (HO11-A3) in the presence of sterol
biosynthesis inhibitors and metabolic inhibitors. Cells were grown at
37°C to a density of 107 cells/ml, and 5 µl was
inoculated at 100, 10 1, and 10 2
dilutions. The image was captured on disc and the photograph was
generated by using Photoshop on Macintosh.
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The determination of drug concentrations sufficient to completely
inhibit growth on plates yielded the data shown in Table
1. The concentration of nystatin required
for complete inhibition
of the wild type (2.5 µg/ml) is within the
normal range for a
wild-type strain (
23), while the
erg6 mutants show a resistance
level similar to that noted
for
erg6 mutants of
S. cerevisiae (
23). As demonstrated by growth on plates (Fig.
7), the
azoles
show equal efficacies against both wild-type and
erg6
mutant strains.
In contrast, the
erg6 mutants show
significantly increased susceptibilities
to other antifungals and
metabolic inhibitors.
erg6 susceptibilities
to cerulenin and
fluphenazine were twofold greater, while those
for terbinafine and
brefeldin A were about 50 times greater, than
those of the wild type.
Cycloheximide susceptibility was increased
about 11-fold in the
erg6 mutants, while the greatest increases
in susceptibility
were shown for the morpholines fenpropiomorph
(100-fold) and tridemorph
(several thousandfold). The
erg6 heterozygote
showed
essentially the same drug sensitivities as those of the
wild type,
CAI4, for all inhibitors tested.
 |
DISCUSSION |
Strains with mutations in the erg6 gene of S. cerevisiae have been available for many years (23).
Since the biosynthetic step that adds the C-24 methyl group is found in
fungal but not in human sterol biosynthesis, it was proposed
(27) that this step might be essential and that inhibition
at this point in the pathway would be lethal. This hypothesis could not
be tested until the ERG6 gene could be shown to be
completely inactivated, since low levels of leakiness could allow
viability. The cloning and disruption of the ERG6 gene
(11) provided definitive evidence that the gene is not
essential in S. cerevisiae. However, the same study
reinforced previous work done with erg6 point mutations that
had demonstrated that erg6 mutants have several altered
phenotypes (3, 18, 20, 21). Our particular interest is in
the alteration of permeability characteristics.
The essential nature of the ERG6 gene in C. albicans has not been reported prior to the work described here.
It was possible that this gene could be essential since the
ERG11 gene has been shown to be essential in S. cerevisiae but not in C. albicans, indicating that
these two species are not identical in their abilities to survive and
grow on various sterol intermediates. In addition, it would be of
particular interest to assess the permeability of Candida
erg6 mutant cells since this characteristic might make them more
sensitive to known and new antifungals or might even make them
sensitive to compounds previously found not to be effective when
ergosterol is present in the cell.
Using a Candida genomic library, we have isolated the
Candida ERG6 gene by complementing an erg6 mutant
of Saccharomyces. As part of our screen for complementation,
sensitivity to nystatin and resistance to cycloheximide were employed.
Nystatin functions by binding to membrane ergosterol and causing cell
leakage, which leads to cell death (7). Mutants such as
erg6 do not produce ergosterol and utilize sterol
intermediates in place of membrane ergosterol. Nystatin has lower
affinity for sterol intermediates, thus leading to resistance in
non-ergosterol-containing strains. Restoration of the ERG6
gene from Candida in Saccharomyces erg6 mutants
would restore the nystatin-sensitive phenotype. The wild-type ERG6 gene also reconstitutes the cell permeability barrier
to normal levels, thus conferring cycloheximide resistance at low drug
concentrations. Cloning of the Candida ERG6 gene was also confirmed by UV analysis of sterol composition and GC-MS analysis of
accumulated sterols in Saccharomyces erg6 and transformed
strains containing the Candida ERG6 gene. Final confirmation
that we had cloned ERG6 was provided by sequencing the
Candida ERG6 gene. The Candida sequence showed
high identity to the S. cerevisiae ERG6 gene sequence and
good agreement with the same gene from Arabidopsis and
Triticum. The high homology of the Candida and Saccharomyces sequences accounts for the successful
complementation noted in this study.
To determine the essentiality of the ERG6 gene in
Candida, the two copies were disrupted by first creating the
heterozygote by using the URA3 blaster disruption protocol.
The second copy of the ERG6 gene was disrupted either by
allowing for mitotic recombination or by a second disruption with
the URA3 blaster. In both cases, the resulting
erg6 homozygotes were viable, indicating that the
ERG6 gene in C. albicans is not essential for
viability. Both types of erg6 mutants were confirmed by
sterol and PCR analyses of the disruptions.
With the continued increase in resistance to the azole antifungals, new
approaches to antifungal chemotherapy are strongly indicated. One
approach is to disarm the resistance mechanism. A primary mechanism in
C. albicans for azole resistance is the increase in
expression of efflux systems which utilize the azoles as substrates.
Both the ABC (ATP-binding cassette) transporter gene CDR1
and a gene (BENr) belonging to a major
facilitator multidrug efflux transporter have been implicated in this
process (31). A report by Sanglard et al. (30)
has shown that disruption of the CDR1 gene results in a cell
that shows increased susceptibilities to the azole, allylamine, and
morpholine antifungals as well as other metabolic inhibitors,
including cycloheximide, brefeldin A, and fluphenazine. Although not effective alone, disruptions of
BENr were shown to work synergistically with
CDR1 with two metabolic inhibitors. The CDR1
system could provide for an assay for drugs not subject to efflux by
these transporters or could also be used to select for compounds which
could block the action of the transporters directly. Such approaches
would avoid or disarm resistance mechanisms, respectively.
In this report, the testing of Candida erg6 mutants for
their susceptibility to antifungal and metabolic inhibitors indicated that these mutants had increased sensitivity to a wide variety of
compounds. Azoles were an exception in that they showed no difference
in efficacy for wild-type and mutant strains. Apparently, the
permeability changes are unrelated to the entry mechanism for these
compounds. The remainder of the compounds tested, including two other
antifungal compounds with different mechanisms of action, are
significantly more inhibitory toward the erg6 strain.
These findings have important applicability from several perspectives.
First, the results predict that an inhibitor of the ERG6
gene product would result in a fungal organism that is hypersensitive to known compounds or new compounds to which the cell is normally impermeable. Treatment of a cell with both inhibitors would thus produce a synergistic effect. Synergism has been shown (4) by using the experimental sterol methyltransferase inhibitor ZM59620 added simultaneously with allylamine and morpholine antifungals. In
these studies, the concentrations of the drugs in the combined treatment were significantly below the individual concentrations necessary for both the inhibition of ergosterol biosynthesis and growth
inhibition. Thus, because of the increased drug access produced by
inhibitors of the sterol methyltransferase, other inhibitors can be
clinically employed at reduced dosages. Second, the availability of the
C. albicans ERG6 gene allows it to be used as a screen for
the identification of inhibitory compounds that specifically target the
ERG6 gene product. This approach has been successfully
utilized in cloning of one of the 3-hydroxy-3-methylglutaryl-CoA (HMGCoA) reductase genes (29) as well as the
ERG11 (17) and ERG24 (22)
genes. In applying this strategy for the purpose of identifying
ERG6 gene product inhibitors, the sensitivity of a wild-type
strain would be compared to that of a strain carrying additional copies
of ERG6 on a high-copy-number plasmid. Inhibition of the
wild type but not the multiple-copy strain would identify inhibition
specific to the sterol methyltransferase. Treatment of a fungal
pathogen with such an inhibitor would result in a metabolically
compromised cell that, as in the first application, would be more
susceptible to existing antifungals and metabolic inhibitors. Finally,
the erg6 system allows for the replacement of in vitro
testing of inhibitors by utilizing the increased permeability characteristics inherent in the in vivo mutant system. This will allow
characterization of potential inhibitors that normally fail to reach
intracellular targets due to a lack of permeability.
Since the erg6 system results in a compromised cell which is
highly permeable to a variety of compounds and since selection of new
inhibitors using high-copy-number ERG6 plasmids allows for
easy identification, we believe that this system has superior potential
for the development of new antifungal treatment protocols.
 |
ACKNOWLEDGMENTS |
This work was supported by grant DAMD17-95-1-5067 to M.B. and
N.D.L. from the Defense Women's Health Research Program of the U.S.
Army.
We thank W. Fonzi for C. albicans CAI4, P. Heiter for
plasmid pRS316, and S. Scherer for the C. albicans genomic
library. We thank Marilyn Bartlett for advice and discussions on drug
susceptibility testing.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Biology, Indiana University-Purdue University Indianapolis, 723 W. Michigan St., Indianapolis, IN 46202. Phone: (317) 274-0588. Fax: (317) 274-2846. E-mail: nlees{at}iupui.edu.
 |
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Antimicrobial Agents and Chemotherapy, May 1998, p. 1160-1167, Vol. 42, No. 5
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Copyright © 1998, American Society for Microbiology. All rights reserved.
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