Deciphering the Mrr1/Mdr1 Pathway in Azole Resistance of Candida auris.
Details
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Version: Final published version
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UNIL restricted access
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_89B82C9DD605
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Deciphering the Mrr1/Mdr1 Pathway in Azole Resistance of Candida auris.
Journal
Antimicrobial agents and chemotherapy
ISSN
1098-6596 (Electronic)
ISSN-L
0066-4804
Publication state
Published
Issued date
19/04/2022
Peer-reviewed
Oui
Volume
66
Number
4
Pages
e0006722
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
Candida auris is an emerging yeast pathogen with a remarkable ability to develop antifungal resistance, in particular to fluconazole and other azoles. Azole resistance in C. auris was shown to result from different mechanisms, such as mutations in the target gene ERG11 or gain-of-function (GOF) mutations in the transcription factor TAC1b and overexpression of the drug transporter Cdr1. The roles of the transcription factor Mrr1 and of the drug transporter Mdr1 in azole resistance is still unclear. Previous works showed that deletion of MRR1 or MDR1 had no or little impact on azole susceptibility of C. auris. However, an amino acid substitution in Mrr1 (N647T) was identified in most C. auris isolates of clade III that were fluconazole resistant. This study aimed at investigating the role of the transcription factor Mrr1 in azole resistance of C. auris. While the MRR1 <sup>N647T</sup> mutation was always concomitant to hot spot ERG11 mutations, MRR1 deletion in one of these isolates only resulted in a modest decrease of azole MICs. However, introduction of the MRR1 <sup>N647T</sup> mutation in an azole-susceptible C. auris isolate from another clade with wild-type MRR1 and ERG11 alleles resulted in significant increase of fluconazole and voriconazole MICs. We demonstrated that this MRR1 mutation resulted in reduced azole susceptibility via upregulation of the drug transporter MDR1 and not CDR1. In conclusion, this work demonstrates that the Mrr1-Mdr1 axis may contribute to C. auris azole resistance by mechanisms that are independent from ERG11 mutations and from CDR1 upregulation.
Keywords
Antifungal Agents/pharmacology, Azoles/pharmacology, Candida albicans, Candida auris, Drug Resistance, Fungal/genetics, Fluconazole/pharmacology, Fungal Proteins/genetics, Microbial Sensitivity Tests, Transcription Factors/genetics, drug transporters, efflux pumps, fluconazole, transcription factors, voriconazole
Pubmed
Web of science
Create date
30/03/2022 10:17
Last modification date
18/07/2024 6:06