Participation of the ABC Transporter CDR1 in Azole Resistance of Candida lusitaniae.

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Etat: Public
Version: de l'auteur⸱e
Licence: CC BY 4.0
ID Serval
serval:BIB_ED66ACF25AAE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Participation of the ABC Transporter CDR1 in Azole Resistance of Candida lusitaniae.
Périodique
Journal of fungi
Auteur⸱e⸱s
Borgeat V., Brandalise D., Grenouillet F., Sanglard D.
ISSN
2309-608X (Electronic)
ISSN-L
2309-608X
Statut éditorial
Publié
Date de publication
15/09/2021
Peer-reviewed
Oui
Volume
7
Numéro
9
Pages
760
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Candida lusitaniae is an opportunistic pathogen in humans that causes infrequent but difficult-to-treat diseases. Antifungal drugs are used in the clinic to treat C. lusitaniae infections, however, this fungus can rapidly acquire antifungal resistance to all known antifungal drugs (multidrug resistance). C. lusitaniae acquires azole resistance by gain-of-function (GOF) mutations in the transcriptional regulator MRR1. MRR1 controls the expression of a major facilitator transporter (MFS7) that is important for fluconazole resistance. Here, we addressed the role of the ATP Binding Cassette (ABC) transporter CDR1 as additional mediator of azole resistance in C. lusitaniae. CDR1 expression in isolates with GOF MRR1 mutations was higher compared to wild types, which suggests that CDR1 is an additional (direct or indirect) target of MRR1. CDR1 deletion in the azole-resistant isolate P3 (V688G GOF) revealed that MICs of long-tailed azoles, itraconazole and posaconazole, were decreased compared to P3, which is consistent with the role of this ABC transporter in the efflux of these azoles. Fluconazole MIC was only decreased when CDR1 was deleted in the background of an mfs7Δ mutant from P3, which underpins the dominant role of MFS7 in the resistance of the short-tailed azole fluconazole. With R6G efflux readout as Cdr1 efflux capacity, our data showed that R6G efflux was increased in P3 compared to an azole-susceptible wild type parent, and diminished to background levels in mutant strains lacking CDR1. Milbemycin oxim A3, a known inhibitor of fungal ABC transporters, mimicked efflux phenotypes of cdr1Δ mutants. We therefore provided evidence that CDR1 is an additional mediator of azole resistance in C. lusitaniae, and that CDR1 regulation is dependent on MRR1 and associated GOF mutations.
Mots-clé
ABC transporter, Candida, drug resistance
Pubmed
Web of science
Open Access
Oui
Création de la notice
04/10/2021 11:02
Dernière modification de la notice
12/10/2021 6:40
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