线粒体蛋白 Bcs1A 通过影响丝状致病真菌中外排泵的表达来调节抗真菌药物耐受性。

The mitochondrial protein Bcs1A regulates antifungal drug tolerance by affecting efflux pump expression in the filamentous pathogenic fungus .

机构信息

Anhui Key Laboratory of Infection and Immunity, School of Basic Medicine, Bengbu Medical University, Bengbu, China.

Departments of Critical Care Medicine, The First Affiliated Hospital of Bengbu Medical University, Bengbu, China.

出版信息

Microbiol Spectr. 2024 Oct 3;12(10):e0117224. doi: 10.1128/spectrum.01172-24. Epub 2024 Aug 20.

Abstract

is the predominant pathogen responsible for aspergillosis infections, with emerging drug-resistant strains complicating treatment strategies. The role of mitochondrial functionality in fungal resistance to antifungal agents is well-documented yet not fully understood. In this study, the mitochondrial protein Bcs1A, a homolog of yeast Bcs1, was found to regulate colony growth, ion homeostasis, and the response to antifungal drugs in . Microscopic observations revealed substantial colocalization of Bcs1A-GFP fusion protein fluorescence with mitochondria. Bcs1A deletion compromised colony growth and the utilization of non-fermentable carbon sources, alongside causing abnormal mitochondrial membrane potential and reduced reactive oxygen species production. These findings underscore Bcs1A's vital role in maintaining mitochondrial integrity. Phenotypic analysis and determinations of minimum inhibitory concentrations indicated that the Δ mutant was more resistant to various antifungal agents, such as azoles, terbinafine, and simvastatin, compared to wild-type strain. RNA sequencing and RT-qPCR analysis highlighted an upregulation of multiple efflux pumps in the Δ mutant. Furthermore, loss of the principal drug efflux pump, mdr1, decreased azole tolerance in the Δbcs1A mutant, suggesting that Bcs1A's modulated of azoles response via efflux pump expression. Collectively, these results establish Bcs1A as essential for growth and antifungal drug responsiveness in mediated through mitochondrial regulation.IMPORTANCEDrug resistance presents a formidable obstacle in the clinical management of aspergillosis. Mitochondria are integral to various biochemical pathways, including those involved in fungi drug response, making mitochondrial proteins promising therapeutic targets for drug therapy. This study confirms that Bcs1A, a mitochondrial respiratory chain protein, is indispensable for mitochondrial functionality and multidrug tolerance in . Mutation of Bcs1A not only leads to a series of drug efflux pumps upregulated but also shows that loss of the primary efflux pump, , partial reduction in drug tolerance in the Bcs1A mutant, highlighting that Bcs1A's significant influence on mitochondria-mediated drug resistance.

摘要

是导致曲霉菌病感染的主要病原体,新兴的耐药菌株使治疗策略变得复杂。线粒体功能在真菌对抗真菌药物的耐药性中的作用已经得到充分证实,但尚未完全理解。在这项研究中,发现线粒体蛋白 Bcs1A(酵母 Bcs1 的同源物)调节菌落生长、离子稳态和对 的抗真菌药物的反应。显微镜观察显示,Bcs1A-GFP 融合蛋白荧光与线粒体有大量共定位。Bcs1A 缺失会损害菌落生长和非发酵碳源的利用,同时导致异常的线粒体膜电位和减少活性氧的产生。这些发现强调了 Bcs1A 在维持线粒体完整性方面的重要作用。表型分析和最低抑菌浓度的测定表明,与野生型菌株相比,Δ突变体对各种抗真菌药物(如唑类、特比萘芬和辛伐他汀)的抗性更强。RNA 测序和 RT-qPCR 分析突出显示,Δ 突变体中多个外排泵的表达上调。此外,主要药物外排泵 mdr1 的缺失降低了 Δbcs1A 突变体对唑类药物的耐受性,表明 Bcs1A 通过外排泵表达调节唑类药物的反应。总的来说,这些结果表明 Bcs1A 对于 通过调节线粒体在 中的生长和抗真菌药物反应至关重要。

重要性

耐药性是曲霉菌病临床管理中的一个巨大障碍。线粒体是各种生化途径的组成部分,包括与真菌药物反应有关的途径,这使得线粒体蛋白成为药物治疗的有前途的治疗靶点。这项研究证实,线粒体呼吸链蛋白 Bcs1A 对于 的线粒体功能和多药耐受性是必不可少的。Bcs1A 的突变不仅导致一系列药物外排泵上调,而且还表明主要外排泵 的缺失导致 Bcs1A 突变体中药物耐受性的部分降低,突出了 Bcs1A 对线粒体介导的药物耐药性的显著影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fab4/11448404/2af696e2deea/spectrum.01172-24.f001.jpg

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