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Antimicrobial Agents and Chemotherapy, June 2009, p. 2646-2649, Vol. 53, No. 6
0066-4804/09/$08.00+0 doi:10.1128/AAC.01474-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.
Intracellular Localization of the ABCC Proteins of Leishmania and Their Role in Resistance to Antimonials
Philippe Leprohon,
Danielle Légaré, and
Marc Ouellette*
Centre de Recherche en Infectiologie et Division de Microbiologie, Université Laval, Québec, Canada G1V 4G2
Received 4 November 2008/
Returned for modification 15 January 2009/
Accepted 14 March 2009

ABSTRACT
The ABCC subfamily of proteins is composed of nine members in
Leishmania. We report that all of these proteins have an intracellular
localization and that the overexpression of at least four members,
ABCC3, ABCC4, ABCC5, and ABCC7, can confer resistance to antimonials,
the first-line drug against
Leishmania.

INTRODUCTION
The protozoan parasite
Leishmania is responsible for a variety
of clinical manifestations, ranging from mild cutaneous infections
to life-threatening visceral diseases (
12). Pentavalent antimony
[Sb(V)] containing compounds such as sodium stibogluconate (Pentostam)
and
N-methylglucamine (Glucantime) remain the first-line drugs
against all forms of
Leishmania infections in developing countries
(
19), but their efficacies are threatened by resistant parasites
in several regions where the disease is endemic (
9,
17,
21).
Our previous in vitro work on metal resistance in
Leishmania led to the definition of a model of resistance involving proteins
of the ATP-binding cassette (ABC) superfamily (
20). ABC proteins
form one of the largest families of transmembrane proteins and
are characterized by the presence of the strongly conserved
nucleotide-binding domain (NBD), which is composed of three
major motifs. Along with the Walker A and B motifs found in
many nucleotide-binding proteins (
23), the NBD is composed of
a characteristic ABC signature "C" motif located just upstream
of the Walker B site (
13). Eukaryotic ABC proteins can be divided
into eight different subfamilies (ABCA to ABCH) on the basis
of gene structure and NBD sequence homologies. A previous survey
indicated the presence of 42 ABC protein-coding genes in the
genomes of
Leishmania major and
Leishmania infantum (
16), but
the latest version of the
L. infantum genome (GeneDB V3.0) revealed
the presence of a new member of the ABC superfamily (LinJ24_V3.1510).
This gene seems to be specific to
L. infantum since it is absent
from the genome of
L. major (GeneDB V5.1) and is found as a
pseudogene of low homology in the genome of
Leishmania braziliensis (GeneDB V2.0). A phylogenetic analysis of the
L. infantum ABC
proteins revealed that LinJ24_V3.1510 is the most divergent
member of the ABCC subfamily in
Leishmania (results not shown)
and has been named ABCC9. While the Walker A and B motifs are
well conserved in the ABCC proteins of
Leishmania, some conserved
residues essential to the function of ABC proteins (
7) are absent
from the C motif of ABCC9 (Fig.
1), and the functionality of
this protein in
L. infantum still needs to be established.
Resistance to metalloids in
Leishmania requires multiple steps,
where Sb(V) is reduced to the trivalent form Sb(III), and the
latter is conjugated to trypanothione (TSH), a bisglutathione-spermidine
conjugate (
6), before being transported inside an intracellular
detoxification organelle by the ABC transporter MRPA/ABCC3 (
15)
or being extruded outside the cell by an ATP-dependent efflux
pump of unknown identity (
4). As the active extrusion of metalloids
conjugated to thiols is a feature of the ABCC subfamily (
14,
25), we hypothesized that the antimony efflux system located
at the plasma membrane of
Leishmania was encoded by one of the
parasite ABCC homologs. However, transfection of ABCC proteins
fused to the green fluorescent protein (GFP) into
Leishmania parasites revealed that the entire ABCC subfamily is located
to intracellular compartments (Fig.
2). Indeed, cells transfected
with the
ABCC1-GFP,
ABCC2-GFP, and
ABCC6-GFP fusions revealed
a fluorescence signal located to a network of intracellular
membranes. Cells transfected with the
ABCC4-GFP and
ABCC5-GFP fusions revealed a fluorescence signal located to a tubular
compartment oriented along the longitudinal axis of the parasite.
Cells transfected with the
ABCC8-GFP fusion showed a punctuated
fluorescence signal located near the posterior end of the parasite.
We did not carry subcellular localization experiments for the
MRPA/ABCC3 and the PRP1/ABCC7 proteins, as they are already
known to be intracellular proteins (
3,
15), nor for the ABCC9
protein, given the lack of antimony resistance following the
overexpression of its gene (see below). The N-terminal and C-terminal
GFP-tagged versions of ABCC5 localized to the same tubular compartment
(results not shown), suggesting that the C-terminal GFP tagging
strategy is probably not interfering with the localization of
the fusion proteins.
Several ABCC proteins have been shown to localize to the plasma
membrane in many cell types, and it is intriguing that every
Leishmania ABCC protein is located intracellularly. The ABCC
proteins are often implicated in secretion of toxic metabolites
and in cellular detoxification, and it could be advantageous
for an intracellular parasite like
Leishmania to transport toxic
compounds and waste metabolites inside intracellular compartments
instead of excreting them in the phagolysosome of the parasitizised
macrophages of the mammalian host.
The involvement of the intracellular ABCC proteins MRPA/ABCC3 and PRP1/ABCC7 in antimony resistance has already been reported (2, 3, 15). However, only MRPA/ABCC3 has been shown to confer resistance both to Sb(V) and to Sb(III) (5) and to be amplified in field isolates derived from patients unresponsive to antimonials (18). Since none of the ABCC protein was located in the plasma membrane (Fig. 2), we next tested if the ABCC1, ABCC2, ABCC4, ABCC5, ABCC6, ABCC8, and ABCC9 proteins could act as intracellular transporters associated with resistance to Sb(III), the biologically active form of antimony. Growth curve experiments showed that the previously described MRPA/ABCC3 and PRP1/ABCC7 proteins were the only ABCC proteins associated with Sb(III) resistance when overexpressed in a wild-type (WT) background of L. infantum (not shown) or Leishmania tarentolae (Table 1). However, previous studies have shown that MRPA gave higher resistance levels when its gene was transfected in the cell line L. tarentolae As20.3rev (8, 11), and we thus transfected the various ABCC constructs in this partial revertant line. The L. tarentolae As20.3rev cell line was generated from the Sb(III)-resistant mutant L. tarentolae As20.3 by successive passages in the absence of antimony. The As20.3rev cell line is more susceptible than the parent mutant but remains considerably more resistant than its parental WT strain (Table 1). The overexpression of ABCC4-GFP and ABCC5-GFP in L. tarentolae As20.3rev resulted in a highly reproducible twofold increase in resistance to Sb(III) (Table 1). The ABCC4-GFP, ABCC5-GFP, and GFP-ABCC5 fusions were functional since similar resistance levels were observed with the unfused version of the proteins in L. tarentolae As20.3rev (Table 1). The other ABCC proteins were not associated with significant antimony resistance when overexpressed in L. tarentolae As20.3rev (apart from the previously described MRPA/ABCC3 and PRP1/ABCC7 proteins) (Table 1).
It has been reported that increased levels of cellular thiols
are required for antimony resistance in
Leishmania. Accordingly,
the TSH levels are increased 10 times in the
L. tarentolae As20.3
resistant mutant and remain at least threefold higher in the
partial revertant line
L. tarentolae As20.3rev than in the WT
L. tarentolae (
8,
10,
11). By analogy with the GS-X system and
as previously demonstrated for MRPA/ABCC3 (
15), it might be
possible that the ABCC4 and ABCC5 proteins transport Sb(III)
as part of TSH complexes, where the increased thiol levels or
the formation of the conjugates would be the rate-limiting steps
of the transport process. This could explain the resistance
phenotype conferred by the overexpresion of ABCC4 and ABCC5
being specific to the
L. tarentolae As20.3rev background, but
in light of recent results, an increase in TSH-transferase activity
associated with Sb(III) resistance in
Leishmania parasites is
unlikely (
24).
This study highlighted the role of the Leishmania ABCC protein subfamily in antimony resistance in vitro and suggested that the antimony efflux system previously described at the plasma membrane of the parasite is probably unrelated to ABCC proteins, given their intracellular localization. Further studies will be required to isolate this efflux system and to further study the role of ABCC proteins in resistance to antimonials in field isolates.

ACKNOWLEDGMENTS
This work was funded in part by a CIHR group grant and operating
grants to M.O. P.L. received a CIHR studentship, and M.O. is
a Burroughs Wellcome Fund Scholar in molecular parasitology.
M.O. holds the Canada Research Chair in Antimicrobial Resistance.

FOOTNOTES
* Corresponding author. Mailing address: Centre de Recherche en Infectiologie, 2705 Boul. Laurier, Québec, Canada G1V 4G2. Phone: (418) 654-2705. Fax: (418) 654-2715. E-mail:
Marc.Ouellette{at}crchul.ulaval.ca 
Published ahead of print on 23 March 2009. 

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Antimicrobial Agents and Chemotherapy, June 2009, p. 2646-2649, Vol. 53, No. 6
0066-4804/09/$08.00+0 doi:10.1128/AAC.01474-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.