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Antimicrobial Agents and Chemotherapy, February 2009, p. 476-482, Vol. 53, No. 2
0066-4804/09/$08.00+0 doi:10.1128/AAC.01154-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Department of Pediatrics, Duke University Medical Center, Durham, North Carolina,1 Department of Molecular Genetics and Microbiology, Duke University Medical Center, Durham, North Carolina,2 Department of Medicine, Duke University Medical Center, Durham, North Carolina3
Received 28 August 2008/ Returned for modification 30 September 2008/ Accepted 10 November 2008
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rasA strain. The inhibition of glucan synthesis caused an increase in chitin content for wild-type, dominant-active rasA, and
rasA strains. However, this important compensatory response was diminished in the calcineurin pathway mutants (
cnaA and
crzA). Taken together, our data suggest that the Ras and calcineurin pathways act in parallel to regulate cell wall formation and hyphal growth. Additionally, the calcineurin pathway elements cnaA and crzA play a major role in proper chitin and glucan incorporation into the A. fumigatus cell wall. |
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Interestingly, the inhibition of the synthesis of one type of cell wall polysaccharide can lead to an increase in another, a presumably protective mechanism. For example, in Candida albicans, the inhibition of 1,3-β-D-glucan synthesis by caspofungin treatment leads to a compensatory increase in chitin, allowing the cell to escape lethality (27, 29). In addition, this compensatory increase in chitin is at least partially regulated by the C. albicans calcineurin pathway (30). Interestingly, the dual inhibition of glucan synthesis (via caspofungin treatment) and calcineurin activity (via FK506 or cyclosporine A treatment) leads to severely attenuated growth in A. fumigatus (12, 26). Although these data suggest that similar mechanisms exist, the compensatory relationship of chitin and glucan synthesis has not been characterized in A. fumigatus.
Ras (RasA) and calcineurin (CnaA) are highly conserved signaling proteins that are necessary for proper hyphal growth and response to cell wall stress in A. fumigatus (5, 6, 24, 25). The deletion of cnaA causes the formation of blunted hyphae, with reduced radial growth and decreased cell wall 1,3-β-D-glucan content (24, 25). The deletion of the transcription factor crzA leads to germination, cell wall content levels, and asexual development that are similar to defects seen in the
cnaA strain (4). The
rasA mutant similarly displays a reduced radial growth rate, with wide, blunted hyphae that continually change growth axes, thereby exhibiting a defect in polarized growth (5). Another mutant expressing a constitutively active form of rasA, dominant-active rasA (designated DArasA), displays delayed conidiophore development and the increased development of aerial hyphae (6). Both RasA and CnaA signaling proteins play roles in the proper germination and asexual development of this important human pathogen (5, 6, 24). By the targeted pharmacologic inhibition of cell wall synthesis in the
cnaA,
crzA,
rasA, and DArasA mutants, we identify the RasA protein as being important for echinocandin sensitivity and show that the calcineurin pathway regulates the compensatory chitin response to glucan inhibition in A. fumigatus. Through these studies, we begin to discern the shared and unique roles of these two important signaling pathways in A. fumigatus.
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rasA and DArasA) and Af293 (the parental strain for
cnaA and
crzA) were employed as the wild-type strains. All strains were maintained on glucose minimal medium (GMM) as previously described (24). Nikkomycin Z, caspofungin, and FK506 were dissolved in sterile water and stored at –20°C until use. Micafungin was dissolved in sterile water and stored at 4°C. Anidulafungin was dissolved in 20% (wt/vol) dehydrated alcohol in water, with further dilutions made using sterile water, and was stored at 4°C. All liquid medium assays were performed in RPMI 1640 prepared according to CLSI standards (19). |
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TABLE 1. Strains used for this study
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0.5 (21). All strains were incubated in the presence or absence of drug for 48 h at 37°C, and all experiments were performed in triplicate. Quantification of 1,3-β-D-glucan. 1,3-β-D-Glucan content was examined using the aniline blue assay, as previously described (4, 10, 25). Briefly, 106 conidia/ml from each strain was inoculated into RPMI 1640 medium and incubated in the presence or absence of drug at the indicated concentrations for 48 h at 37°C and 250 rpm. Hyphae were harvested by centrifugation, washed in 0.1 M NaOH, and lyophilized for 16 h. Five milligrams of lyophilized hyphal mat from each strain was resuspended in 250 µl of 1 M NaOH and sonicated for 30 s, followed by incubation at 52°C for 30 min. After incubation, three 50-µl volumes from each sample were aliquoted into the wells of a masked, 96-well fluorescence plate. A volume of 185 µl of aniline blue mix (0.067% aniline blue, 0.35N HCl, 0.98 M glycine-NaOH, pH 9.5) was added to each well, and the plate was incubated for an additional 30 min at 52°C. The 96-well plate then was allowed to cool at room temperature for 30 min, and fluorescence readings were acquired on a SPECTRAmax M2 fluorimeter (Molecular Devices, Sunnyvale, CA) at 405-nm excitation and 460-nm emission. To normalize values, a standard curve was created using curdlan, a β-1,3-glucan analog (Sigma, St. Louis, MO). Values are expressed as the percent change in relative fluorescence units per milligram of mycelial tissue, using the nontreated wild type as a control. Final results represent the averages from five independent experiments. Statistical analyses were performed in Excel using the two-sample Student's t test assuming equal variances.
Quantification of cell wall chitin. The growth, drug treatment, and tissue harvesting of strains used for chitin assays were performed as described for 1,3-β-D-glucan measurement. Chitin assays were performed based on a slightly modified protocol of Lehmann et al. (15). Briefly, 5 mg of lyophilized hyphal mat was resuspended in 3 ml of saturated KOH and incubated at 130°C for 1 h. After being cooled to room temperature, 8 ml of ice-cold 75% ethanol was added. The resulting suspension was vortexed until the KOH and ethanol formed a single phase and then was incubated in an ice bath for 15 min. A volume of 300 µl of a 13.3% (wt/vol) Celtite 545 (C212; Fisher Chemicals) suspension was added, and the tubes were centrifuged at 1,500 x g for 5 min at 2°C. Pellets were washed once with 10 ml of ice-cold 40% ethanol, followed by two washes in 10 ml ice-cold water, with centrifuging as before. Standards consisting of a water-only sample and a known-glucosamine (10 µg/ml) sample were used in all subsequent steps. The final pellet from each sample was resuspended in 0.5 ml of water and 0.5 ml of 5% (wt/vol) NaNO2, and 0.5 ml of 5% (wt/vol) KHSO4 was added to each tube. For controls, 0.2 ml of both NaNO2 and KHSO4 were added. All tubes were gently mixed three times for a 15-min period, followed by centrifugation at 1,500 x g for 2 min at 2°C. Aliquots (150 µl each) were removed from each supernatant and added to 450 µl of water in a new tube. A volume of 0.2 ml of 12.5% (wt/vol) NH4 sulfamate was added to each tube and mixed vigorously each minute for 5 min, followed by the addition of 0.2 ml of 3-methylbenzthiazolinone-2-hydrazone (5 mg/ml) and incubation at 130°C for 3 min. Tubes were allowed to cool, and 0.2 ml of 0.83% (wt/vol) ferric chloride was added, followed by incubation at room temperature for 25 min. Absorbance was read at 650 nm on a Nanodrop ND-1000 spectrophotometer. Concentrations of glucosamine levels in the samples were calculated as follows: [(A650 unknown – A650 water) x 10 µg/ml]/(A650 standard – A650 water). Chitin levels were reported as glucosamine equivalents (in micrograms per milliliter). Final results represent the averages from three independent experiments. Statistical analyses were performed in Excel using the two-sample Student's t test assuming equal variances.
Fluorescence staining and microscopy. To assess the morphological effects of drug treatment, the conidia of each strain were grown as stated for antifungal susceptibility testing in the presence or absence of caspofungin for 48 h at 37°C. Bright-field photomicrographs were acquired on a Nikon inverted microscope equipped with a Nikon D50 digital camera.
Calcofluor white staining for the visualization of chitin was performed by first inoculating 103 conidia/ml from each strain onto coverslips immersed in RPMI 1640 medium. Cultures were incubated in the presence or absence of the indicated amount of drug for 16 h at 37°C. Coverslips were removed, rinsed briefly in sterile water, and inverted onto a 200-µl drop of calcofluor white staining solution (18909; Sigma) for 5 min at room temperature. Coverslips then were rinsed twice for 10 min in sterile water and mounted in Cytoseal 60 mounting medium (catalog no. 8310-4; Richard-Allan Scientific). To ensure that the calcofluor white staining of different samples was appropriately analyzed, the ultraviolet light exposure time for each sample was set for the wild-type untreated control at 25 ms, and all subsequent strains were exposed for the same length of time.
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cnaA and
crzA strains displayed increased sensitivity to echinocandins compared to that of the wild-type strain (Table 2). In contrast, the
rasA mutant displayed greatly reduced sensitivity to echinocandin treatment (Table 2). When incubated with caspofungin (1 µg/ml), micafungin (1 µg/ml), or anidulafungin (1 µg/ml), wild-type hyphae were blunted and
cnaA hyphae terminated at the germling stage (Fig. 1 and data not shown). In contrast, the
rasA mutant grown in the presence of echinocandins displayed longer hyphae with fewer branches (Fig. 1 and data not shown). Similarly to the case for the
cnaA mutant, the echinocandin MECs for the DArasA strain were decreased compared to those of the wild type (Table 2). |
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TABLE 2. Antifungal susceptibility testing
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FIG. 1. Cell wall inhibition, coupled with the loss of Ras or calcineurin signaling, causes morphological aberrancies. Shown is the no treatment (NT) and the nikkomycin Z (NZ), caspofungin (CA), FK506, and nikkomycin Z plus caspofungin (NZ + CA) treatment of the wild-type (Af293 and H237), cnaA, and rasA strains in RPMI 1640 medium at 37°C. Conidia from each strain were incubated in the presence or absence of drug for 48 h, followed by microscopic examination. Arrowheads denote hyphal tips that have swollen or lysed due to caspofungin treatment. Representative fields are demonstrated. Scale bar, 40 µm.
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cnaA,
crzA, and
rasA strains also displayed increased sensitivity to nikkomycin Z (Table 2) compared to that of the wild-type strains. As previously reported (5, 25), the
rasA and
cnaA strains formed large, balloon-like cells with greatly decreased hyphal formation following nikkomycin Z treatment (1 µg/ml) (Fig. 1). The combination of nikkomycin Z (0 to 8 µg/ml) and caspofungin (1 µg/ml) resulted in a synergistic effect on growth in all strains, with the lowest FICI identified in the
rasA (0.03) strain (Table 2).
Pharmacologic inhibition of calcineurin signaling through treatment with a clinically relevant dose of FK506 (20 ng/ml) reduced growth in all strains except the
cnaA mutant, suggesting the presence of calcineurin activity in all other strains. Although all strains except the
cnaA strain were morphologically affected by pharmacologic calcineurin inhibition, the
rasA strain showed the greatest sensitivity to calcineurin inhibition (MEC, 0.001 µg/ml) (Table 2). Under microscopic evaluation, FK506-treated
rasA conidia displayed stunted germling development even after 48 h of growth (Fig. 1).
The
rasA mutant displays decreased cell wall 1,3-β-D-glucan in RPMI.
We next examined the content of two major cell wall polysaccharides, 1,3-β-D-glucan and chitin. Using the aniline blue assay to quantify 1,3-β-D-glucan cell wall content, we found approximately 40 to 50% decreased baseline levels of 1,3-β-D-glucan cell wall content in the
rasA strain compared to that of the parental strain (Fig. 2B). These results were similar to those seen for the
cnaA and
crzA mutants (Fig. 2A) (10, 25). The treatment of the two wild-type strains and the DArasA strain with caspofungin (1 µg/ml) for 48 h decreased 1,3-β-D-glucan content to approximately the baseline level of these mutants. The caspofungin treatment of the
rasA,
cnaA, and
crzA mutants further decreased the already-low 1,3-β-D-glucan levels (Fig. 2A and B).
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FIG. 2. Loss of RasA, CnaA, or CrzA signaling causes decreased baseline levels of 1,3-β-D-glucan. Analysis of 1,3-β-D-glucan levels of the cnaA and crzA (A) and DArasA and rasA (B) strains and those of their respective parental wild-type strains. All analyses were performed in biological triplicate, and results are normalized to values for the control strain (untreated wild type). Results are presented as the means ± standard deviations. NT, no treatment.
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The calcineurin pathway regulates compensatory chitin increase following caspofungin treatment in A. fumigatus.
In previous studies with C. albicans, caspofungin treatment resulted in a marked increase in chitin synthesis (29). When treated with caspofungin (1 µg/ml), the wild-type,
rasA, and DArasA strains all increased their chitin content (Fig. 3B). Surprisingly, the addition of the chitin synthase inhibitor nikkomycin Z (1 µg/ml) did not remove the caspofungin-induced chitin increase (Fig. 3A and B). The caspofungin treatment of the
cnaA and
crzA strains did not result in large increases in chitin content (Fig. 3A). To verify that this result was not specific to caspofungin, we employed both micafungin and anidulafungin in similar experiments with the
cnaA mutant. When these echinocandins were used at the same physiologically relevant concentration of 1 µg/ml, the
cnaA mutant still was unable to upregulate chitin content to levels comparable to that of the wild type (Fig. 3C). The C. albicans strain SC5314 was used as a control in these experiments; similarly to prior studies, the incubation of this strain with caspofungin (0.125 µg/ml) resulted in a twofold increase in chitin (data not shown).
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FIG. 3. CnaA and CrzA, but not RasA, contribute to the compensatory response of chitin to 1,3-β-D-glucan inhibition. Analysis of chitin content of the cnaA and crzA (A) and DArasA and rasA (B) strains and that of their respective parental wild-type strains. A total of 106 conidia/ml were inoculated into RPMI 1640 medium and grown in the presence or absence of 1 µg/ml of nikkomycin Z (NZ), caspofungin (CA), or a combination of both drugs (NZ + CA) for 48 h at 37°C and 250 rpm. (C) Analysis of the chitin content of the wild-type and cnaA strains in the presence of anidulafungin (1 µg/ml) or micafungin (1 µg/ml). All analyses were performed in biological triplicate. Results and error bars indicate the means ± standard deviations. NT, no treatment.
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cnaA, and
crzA conidia were grown in the presence or absence of caspofungin (1 µg/ml) for 16 h and stained with calcofluor white. Under fluorescence microscopy, the staining intensity increased to a greater extent in the wild-type strain treated with caspofungin than in similarly treated
cnaA and
crzA strains (Fig. 4).
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FIG. 4. Caspofungin treatment increases calcofluor white staining of wild-type A. fumigatus. A total of 103 conidia/ml of the Af293, cnaA, or crzA strains were inoculated onto coverslips immersed in RPMI 1640 medium and grown in the presence or absence of caspofungin (1 µg/ml) or nikkomycin Z (1 µg/ml) for 16 h at 37°C. Coverslips were removed and stained with calcofluor white. BF, brightfield; UV, ultraviolet; NT, no treatment. Scale bar, 20 µm.
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FIG. 5. Response of chitin biosynthesis to high-level nikkomycin Z treatment in A. fumigatus. Analysis of the chitin content of the cnaA and crzA (A) and DArasA and rasA (B) strains and that of their respective parental wild-type strains when treated with ascending doses of nikkomycin Z. A total of 106 conidia/ml were inoculated into RPMI 1640 medium and grown in the presence or absence of the indicated amount of nikkomycin Z for 48 h at 37°C and 250 rpm. All analyses were performed in biological triplicate. Results and error bars indicate the means ± standard deviations.
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rasA and
cnaA mutants responded similarly to cell wall inhibition at the glucan level, their patterns of susceptibility to echinocandins were different, with
rasA displaying decreased susceptibility. In addition, the testing of the
cnaA and
crzA mutants revealed a role for the calcineurin pathway in compensatory chitin regulation following 1,3-β-D-glucan inhibition, a role that does not seem to be shared with the RasA pathway. This is the first report to characterize the compensatory chitin response to glucan inhibition in A. fumigatus and to show that the calcineurin pathway regulates this process.
To decipher the roles played by the Ras and calcineurin pathways, we first examined the possibility of decreased CnaA activity in the
rasA mutant. The pharmacologic inhibition of calcineurin activity in a Ras deletion background causes a synthetic growth defect in Cryptococcus neoformans, suggesting the presence of an active calcineurin pathway (1, 28). To probe for the presence of an active calcineurin pathway in
rasA, FK506 was used to inhibit calcineurin activity. The
rasA strain treated with FK506 showed increased sensitivity by antifungal susceptibility assays and further growth inhibition by morphological analysis, unlike the
cnaA strain. This finding suggests that CnaA activity is intact in the
rasA mutant and that the impact of each signaling protein on hyphal growth occurs through distinct mechanisms.
In yeast, calcineurin signaling is known to impact 1,3-β-D-glucan synthesis through a CRZ1-mediated transcriptional induction of FKS2, a 1,3-β-D-glucan synthase (23). This mechanism of CnaA is likely intact in A. fumigatus, as the deletion of cnaA causes decreased 1,3-β-D-glucan synthesis and further inhibition by the addition of caspofungin causes the cessation of growth completely (25). Compared to the wild type, the
rasA mutant also displayed a reduction in baseline levels of 1,3-β-D-glucan that was similar to that of the
cnaA strain. In a separate study, the
rasA mutant had no significant decrease in 1,3-β-D-glucan levels, a finding supported by the similar expression of fksA, the 1,3-β-D-glucan synthase, in the
rasA mutant and wild-type strains (5). Interestingly, we found the reason for this discrepancy to be in the growth medium, with the present study using RPMI and the previous study using Aspergillus minimal medium (AMM). When we directly compared growth in AMM to that in RPMI 1640, the wild-type strain showed identical 1,3-β-D-glucan levels in each medium, whereas the
rasA mutant cultured in RPMI 1640 displayed a nearly 30% decrease in 1,3-β-D-glucan compared to that of growth in AMM (data not shown). This finding implies that the
rasA mutant responds more poorly to the environmental changes of growth in RPMI 1640 than those of AMM.
Our previous work has shown that the nikkomycin Z treatment of the
cnaA and
rasA strains resulted in large, balloon-like germlings (5, 25) and produced a compensatory increase in the 1,3-β-D-glucan content of the
cnaA and
crzA mutants (25). We found that the treatment of the
rasA strain with nikkomycin Z also resulted in a similar increase of measurable 1,3-β-D-glucan. Although this increase is statistically significant for each of the deletion mutants, it is a very small change and is unlikely to be a biologically significant compensatory mechanism. However, these observations do suggest that the RasA and CnaA pathways are similarly linked to perturbations of chitin synthesis and 1,3-β-D-glucan formation in the cell wall. The use of both cell wall inhibitors displayed strong synergy, with the drug MECs for all strains being greatly decreased and the strains developing swollen, balloon-like cell morphologies. These structures mimic those seen in the
rasA and
cnaA strains treated with nikkomycin Z alone. Taken together, these data suggest that the inhibition of chitin synthesis in a background of reduced 1,3-β-D-glucan content causes severe morphological abnormalities and lend credence to the usefulness of multiple inhibitors of cell wall components and cell signaling pathways to achieve greater growth inhibition.
The treatment of Candida albicans with low levels of caspofungin recently has been shown to cause a compensatory increase in chitin synthesis, thereby allowing for cell survival (29). This compensatory increase in chitin is partially controlled by the calcineurin pathway, as the deletion of cna1, encoding C. albicans calcineurin, causes decreased chitin synthase activity and decreased survival in response to caspofungin treatment (29). Our data show that, like C. albicans, wild-type A. fumigatus treated with caspofungin, micafungin, or anidulafungin caused a compensatory increase in chitin that is, at least partially, controlled by the calcineurin pathway. These results indicate that the compensatory increase in chitin is a class effect seen in all echinocandins, not just caspofungin. However, we found that nikkomycin Z treatment, even in the
cnaA and
crzA mutants, did not lead to a loss of chitin content, as would be expected when using the chitin synthase inhibitor. This finding is in contrast to our C. albicans data showing that treatment with nikkomycin Z causes a decrease in total chitin content. In addition, our data with C. albicans are in line with published data showing the inhibitory effect of nikkomycin Z (11). In fact, in both C. albicans and Saccharomyces cerevisiae, nikkomycin Z has been shown to be a competitive inhibitor of chitin biosynthesis, inhibiting the action of chitin synthases 1 and 3 of S. cerevisiae and all three chitin synthases of C. albicans (3, 8, 11). The filamentous fungi, like A. fumigatus and A. nidulans, have as many as eight chitin synthase genes, divided into separate classes, that are known to play different roles in the cell (reviewed in reference 9). For example, a double deletion of chsG (a class III chitin synthase) and chsE (a class V chitin synthase), or a deletion of chsE alone, leads to a hyphal phenotype very similar to that of the wild-type organism treated with nikkomycin Z in this study (e.g., large, swollen cells spaced intermittently among normal hyphal threads) (17). However, the inactivation of A. fumigatus chsD does not lead to any obvious phenotypic defects, even though total chitin levels were decreased by almost 20% (18). As the deletion of chitin synthase genes, either individually or in combination, leads to different phenotypes, it is conceivable that nikkomycin Z treatment partially inhibits the chitin synthase activity of A. fumigatus, allowing noninhibited chitin synthase activity to compensate for this loss.
The finding that aberrancies in RasA signaling cause altered sensitivity to echinocandins is intriguing. In recent data reported by Plaine et al., a group of four C. albicans genes was described that, when deleted, lead to caspofungin resistance (22). Although the exact function of each of the identified genes is not known, the data are supportive of roles in cell wall integrity and glycosylphosphatidylinositol anchor synthesis. It is tempting to speculate the involvement of A. fumigatus RasA as well; however, nothing currently is known of a possible role for the Ras pathway in glycosylphosphatidylinositol anchor synthesis in any filamentous fungi. We do show that the deletion of rasA caused increased resistance to all echinocandins, accompanied by decreased cell wall 1,3-β-D-glucan content. In contrast, the expression of DArasA caused decreased resistance to echinocandins with no detectable change in 1,3-β-D-glucan. Taken together, these data argue that the level of active Ras plays a role in response to echinocandin treatment that may be separate from the control of glucan synthesis. Also, the paradox of decreased 1,3-β-D-glucan content and increased resistance to echinocandin treatment in the
rasA strain suggests that the baseline glucan levels of fungi are not directly predictive of caspofungin sensitivity. In effect, blocking 1,3-β-D-glucan synthesis appeared to remove a hyphal inhibition mechanism in the
rasA strain. The
rasA mutant also appeared to behave like the wild type with respect to the compensatory chitin response to 1,3-β-D-glucan inhibition. These findings are in direct contrast to the similarities between the
rasA and
cnaA mutants in basal glucan levels and in their responses to the inhibition of chitin synthesis. These data suggest that RasA plays a more indirect role in 1,3-β-D-glucan synthesis that is parallel to the action of the calcineurin pathway.
In Cryptococcus neoformans, Ras activity has been shown to play a role in proper actin polymerization in response to high-temperature growth (20). Likewise, the deletion of rasA in A. fumigatus may cause unstable actin polymerization at the hyphal tip and therefore lead to the defects in polarized growth observed (e.g., wide, stunted hyphae that continually change growth direction). We hypothesize that the treatment of the
rasA mutant with echinocandins slows general growth mechanisms enough to compensate for inefficient actin polymerization at the hyphal tip, allowing hyphal extension to appear more like the wild type in morphology. Therefore, these data could argue for an indirect relationship between the decreased 1,3-β-D-glucan synthesis caused by caspofungin treatment and improved hyphal growth in the
rasA strain.
In summary, the data presented here suggest that although either rasA or cnaA deletion leads to similar reductions in hyphal growth and 1,3-β-D-glucan content, these two signaling proteins yield similar phenotypes through distinct and parallel mechanisms. Further, the pharmacologic inhibition of calcineurin with FK506 revealed that calcineurin activity is still present in the rasA deletion background and that the apparent synthetic growth defect caused by a lack of Ras and calcineurin activity is particularly damaging to A. fumigatus. Although
rasA and
cnaA mutants appeared similar at the 1,3-β-D-glucan level, these strains did not share changes in the compensatory mechanism of increased hyphal chitin content in response to the inhibition of 1,3-β-D-glucan synthesis. It is possible, then, that RasA and CnaA respond similarly to cell wall stress by accessing a shared, compensatory mechanism(s) for glucan synthesis, whereas CnaA plays a separate role in the regulation of chitin biosynthesis for a protective outcome. Future studies directed toward understanding the molecular contributions of Ras and calcineurin to hyphal growth and cell wall integrity may shed light on new therapeutic possibilities for the best-focused attack on hyphal growth.
Published ahead of print on 17 November 2008. ![]()
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