Holmes Ann R, Lin Ya-Hsun, Niimi Kyoko, Lamping Erwin, Keniya Mikhail, Niimi Masakazu, Tanabe Koichi, Monk Brian C, Cannon Richard D
Department of Oral Sciences, School of Dentistry, University of Otago, Dunedin, New Zealand.
Antimicrob Agents Chemother. 2008 Nov;52(11):3851-62. doi: 10.1128/AAC.00463-08. Epub 2008 Aug 18.
Fluconazole (FLC) remains the antifungal drug of choice for non-life-threatening Candida infections, but drug-resistant strains have been isolated during long-term therapy with azoles. Drug efflux, mediated by plasma membrane transporters, is a major resistance mechanism, and clinically significant resistance in Candida albicans is accompanied by increased transcription of the genes CDR1 and CDR2, encoding plasma membrane ABC-type transporters Cdr1p and Cdr2p. The relative importance of each transporter protein for efflux-mediated resistance in C. albicans, however, is unknown; neither the relative amounts of each polypeptide in resistant isolates nor their contributions to efflux function have been determined. We have exploited the pump-specific properties of two antibody preparations, and specific pump inhibitors, to determine the relative expression and functions of Cdr1p and Cdr2p in 18 clinical C. albicans isolates. The antibodies and inhibitors were standardized using recombinant Saccharomyces cerevisiae strains that hyper-express either protein in a host strain with a reduced endogenous pump background. In all 18 C. albicans strains, including 13 strains with reduced FLC susceptibilities, Cdr1p was present in greater amounts (2- to 20-fold) than Cdr2p. Compounds that inhibited Cdr1p-mediated function, but had no effect on Cdr2p efflux activity, significantly decreased the resistance to FLC of seven representative C. albicans isolates, whereas three other compounds that inhibited both pumps did not cause increased chemosensitization of these strains to FLC. We conclude that Cdr1p expression makes a greater functional contribution than does Cdr2p to FLC resistance in C. albicans.
氟康唑(FLC)仍然是治疗非危及生命的念珠菌感染的抗真菌首选药物,但在长期使用唑类药物治疗期间已分离出耐药菌株。由质膜转运蛋白介导的药物外排是主要的耐药机制,白色念珠菌临床上的显著耐药伴随着编码质膜ABC型转运蛋白Cdr1p和Cdr2p的基因CDR1和CDR2转录增加。然而,每种转运蛋白对白色念珠菌外排介导的耐药性的相对重要性尚不清楚;耐药菌株中每种多肽的相对含量及其对外排功能的贡献均未确定。我们利用两种抗体制剂和特异性泵抑制剂的泵特异性特性,来确定18株临床白色念珠菌分离株中Cdr1p和Cdr2p的相对表达和功能。使用在宿主菌株中过表达其中一种蛋白且内源性泵背景降低的重组酿酒酵母菌株对抗体和抑制剂进行标准化。在所有18株白色念珠菌菌株中,包括13株对FLC敏感性降低的菌株,Cdr1p的含量比Cdr2p多(2至20倍)。抑制Cdr1p介导功能但对Cdr2p外排活性无影响的化合物,显著降低了7株代表性白色念珠菌分离株对FLC的耐药性,而另外三种抑制两种泵的化合物并未使这些菌株对FLC的化学敏感性增加。我们得出结论,在白色念珠菌中,Cdr1p的表达对FLC耐药性的功能贡献比Cdr2p更大。