The Influence of Genetic Stability on Aspergillus fumigatus Virulence and Azole Resistance

Genetic stability is extremely important for the survival of every living organism, and a very complex set of genes has evolved to cope with DNA repair upon DNA damage. Here, we investigated the Aspergillus fumigatus AtmA (Ataxia-telangiectasia mutated, ATM) and AtrA kinases, and how they impact vir...

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Detalles Bibliográficos
Autores: dos Reis, Thaila Fernanda, Silva, Lilian Pereira, de Castro, Patricia Alves, Almeida de Lima, Pollyne Borborema, do Carmo, Rafaela Andrade [UNIFESP], Marini, Marjorie Mendes [UNIFESP], da Silveira, Jose Franco [UNIFESP], Ferreira, Beatriz Henriques, Rodrigues, Fernando, Malavazi, Iran, Goldman, Gustavo H.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/53943
Acceso en línea:http://dx.doi.org/10.1534/g3.117.300265
https://repositorio.unifesp.br/handle/11600/53943
Access Level:acceso abierto
Palabra clave:Aspergillus fumigatus
ATM
ATR
azoles
DNA damage
Galleria mellonela
genetic instability
PFGE
virulence
voriconazole
Descripción
Sumario:Genetic stability is extremely important for the survival of every living organism, and a very complex set of genes has evolved to cope with DNA repair upon DNA damage. Here, we investigated the Aspergillus fumigatus AtmA (Ataxia-telangiectasia mutated, ATM) and AtrA kinases, and how they impact virulence and the evolution of azole resistance. We demonstrated that A. fumigatus atmA and atrA null mutants are haploid and have a discrete chromosomal polymorphism. The Delta atmA and Delta atrA strains are sensitive to several DNA-damaging agents, but surprisingly both strains were more resistant than the wild-type strain to paraquat, menadione, and hydrogen peroxide. The atmA and atrA genes showed synthetic lethality emphasizing the cooperation between both enzymes and their consequent redundancy. The lack of atmA and atrA does not cause any significant virulence reduction in A. fumigatus in a neutropenic murine model of invasive pulmonary aspergillosis and in the invertebrate alternative model Galleria mellonela. Wild-type, Delta atmA, and Delta atrA populations that were previously transferred 10 times in minimal medium (MM) in the absence of voriconazole have not shown any significant changes in drug resistance acquisition. In contrast, Delta atmA and Delta atrA populations that similarly evolved in the presence of a subinhibitory concentration of voriconazole showed an similar to 5-10-fold increase when compared to the original minimal inhibitory concentration (MIC) values. There are discrete alterations in the voriconazole target Cyp51A/Erg11A or cyp51/erg11 and/or Cdr1B efflux transporter overexpression that do not seem to be the main mechanisms to explain voriconazole resistance in these evolved populations. Taken together, these results suggest that genetic instability caused by Delta atmA and Delta atrA mutations can confer an adaptive advantage, mainly in the intensity of voriconazole resistance acquisition.