The findings presented above support a working model (Fig. ) where certain fungistatic drugs inhibit essential targets in the ER of
S. cerevisiae, generate stresses, and activate an antideath (or prosurvival) pathway that prevents a form of nonapoptotic cell death. Surprisingly, Hsp90 activity was necessary for the death of calcineurin-deficient cells in these conditions and was not necessary for the stress generation, activation of the Cch1-Mid1 Ca
2+ channel, and activation of calcineurin, the latter of which has been proposed as a client of Hsp90 in yeast (
32). In mammalian cells, Hsp90 has been shown to facilitate activity of a necrosis-promoting protein kinase RIP (
38) and therefore to have a net effect opposite to that in yeast.
S. cerevisiae lacks any recognizable orthologs of RIP but contains orthologs of many other types of serine/threonine protein kinases thought to be clients of Hsp90 (
61,
72), so perhaps one of these protein kinases serves as both a client of Hsp90 and a prodeath factor opposing calcineurin in fungi. We have previously examined the possible involvement of Ire1, a protein kinase that is specifically activated in response to ER stress and is also a client of Hsp90 (
44), in the response to tunicamycin and found that it was not required for either the prodeath activity of tunicamycin in calcineurin-deficient
S. cerevisiae cells or the antideath activity of calcineurin in these cells (
6). Interestingly,
ire1 mutant cells treated with tunicamycin lose viability (as measured by CFU and other methods) much more rapidly than wild-type cells (
13), yet the individual cells do not die unless calcineurin is inactivated (
6). These live but nonrecovering cells are probably unable to upregulate the factors necessary to repair the damage, adapt, and proliferate, and therefore they appear to be mortally wounded when calcineurin and its upstream regulators perform their vital function. We do not yet know if Hsp90 and its relevant clients are constitutively producing toxic factors that are ameliorated by calcineurin or if they represent a prodeath signaling pathway that is governed by calcineurin. Compounds like radicicol that inhibit any of these toxic/prodeath factors may actually decrease the effectiveness of antifungal drugs because of their ability to prevent fungicidal effects. On the other hand, drugs that activate these factors or inhibit other steps in the antideath pathway may be fungicidal alone or in combination with existing fungistatic drugs without the immunosuppressive side effect of the calcineurin inhibitors.
The present study also advances our understanding of the antideath pathway in several ways. First, we identified Cmk2, but not its paralog Cmk1, as an indirect target of calcineurin that exhibits strong antideath activity independent of calcineurin. The life span of calcineurin-deficient cells responding to miconazole, tunicamycin, or dithiothreitol was shortened by the loss of Cmk2 and extended by overexpression of Cmk2. Though Cmk2 is now confirmed as a downstream effector of the Crz1 transcription factor in
S. cerevisiae (Table ) and a homologous transcription factor in
C. albicans (
33,
56), Crz1 was not required for Cmk2 effectiveness except in
rcn1 mutants where calcineurin activity was already attenuated. As expected, Crz1 had no antideath activity in the absence of calcineurin function. In cells expressing active calcineurin, however, Crz1 function seemed to vary somewhat with the conditions. For example, Crz1 exhibited very weak antideath activity in
cmk2 mutant cells responding to tunicamycin and very weak prodeath activity in
cmk2 mutant cells responding to dithiothreitol or miconazole. The molecular bases of these Crz1 effects are not yet understood, but it is tempting to speculate that some of the 60 to 120 direct targets of Crz1 perform opposing or condition-specific activities. One such target of Crz1 is Rcn1, a factor that can have positive or negative effects on calcineurin signaling depending on its level of expression and phosphorylation (
31,
34,
35). Calcineurin, Cmk2, and Frt1/Frt2 (very weakly) all exhibited antideath activities independent of one another and Crz1 in all of the conditions tested. Each of these independent contributions can now be studied individually in hopes of revealing their targets and modes of action, particularly those of calcineurin and Cmk2, which seem far more potent than Frt1/Frt2.
The very rapid death of
S. cerevisiae cells lacking both calcineurin and Cmk2 was preceded by transient staining with H2DCFDA, a fluorogenic probe used commonly for the detection of yeast cells producing ROS. While this may indicate a convergence of calcineurin and Cmk2 onto a common target or pathway that produces ROS, many independent manners of cell death are associated with ROS accumulation. In mammalian cells, for example, ROS accumulation occurs during both apoptosis and necrosis and is thus a hallmark of neither (
17). Nevertheless, it is striking that calcineurin and Cmk2 delay respiration-dependent H2DCFDA staining and cell death in several very different stress responses (mating pheromones, tunicamycin, dithiothreitol, and azoles). A similar manner of cell death in
S. cerevisiae was observed upon overexpression of human Bax (
24,
36,
52). Like calcineurin-less death, Bax-induced death of
S. cerevisiae cells did not require apoptosis factors Mca1 or Aif1 and was not associated with typical markers of apoptosis in
S. cerevisiae, including caspase activation, phosphatidylserine externalization, and chromatin fragmentation (
36). Despite the fact that no homologs of Bax are evident in any other fungal genomes, the possibility that calcineurin and/or Cmk2 regulate an endogenous Bax-like factor cannot be excluded.
Our findings also suggest the existence of a second manner of cell death that occurs in wild-type cells exposed to tunicamycin in YPD medium. Unlike calcineurin-less death, this manner of cell death was insensitive to inhibitors and mutations that disrupt oxidative phosphorylation (Fig. ). This manner of cell death also seemed distinct from apoptosis because FITC-VAD-FMK-positive and PI-negative cells were not detectable at any point after treatment with tunicamycin (Fig. ). A previous study arrived at the opposite conclusion (
27), but the analysis was flawed by the failure to distinguish live apoptotic cells from dead cells, which are known to stain nonspecifically with FITC-VAD-FMK and other fluorophores, such as DHR123 (
66). Very recently, the yeast metacaspase (Mca1) was shown to be unimportant for tunicamycin-induced cell death in YPD medium (
26). Therefore, little support exists for the ability of tunicamycin to induce apoptosis in wild-type
S. cerevisiae in YPD medium. Recently, this manner of cell death was shown to depend on Kex1, a Golgi-localized carboxypeptidase that is also important in the death of mutant cells lacking certain N-glycosylation factors and in the death of yeast cells in response to other stresses (
26). The addition of an osmotic stabilizer to the culture medium also blocked death in these conditions, suggesting that the manner of cell death may be lysis. The loss of Kex1 carboxypeptidase or the addition of sorbitol, however, had no significant effect on the tunicamycin-induced activation of Cch1-Mid1, calcineurin, or calcineurin-less death in SC medium (our unpublished observations), which further highlights the mechanistic differences between calcineurin-less and Kex1-dependent cell deaths.
Temperature-sensitive
cdc48 mutants of
S. cerevisiae exhibit ER stress due to the failure of ER-associated degradation and the accumulation of misfolded ER proteins (
53,
68) and also exhibit several cytological hallmarks of apoptosis (
41). However, some of the assays lacked controls to rule out the possibility that these occur postmortem and some of the hallmarks are now recognized as being somewhat nonspecific. For example, ROS accumulation is not a specific hallmark of apoptosis because mammalian cells undergoing necrosis and
S. cerevisiae cells undergoing nonapoptotic ‘fast death’ in response to mating pheromones also stain positive for ROS when using H2DCFDA (
71). Additionally,
S. cerevisiae nuclei that stain positive using the TUNEL assay typically contain single-strand breaks instead of the typical double-strand breaks observed in the DNA of apoptotic cells (
54), and there are indications in the literature that many TUNEL-positive
S. cerevisiae cells remain viable (for example, see Fig. in reference
30) and therefore are not committed to cell death in the same ways as TUNEL-positive mammalian cells. Such considerations cloud the significance of most cytological evidence for apoptosis during the response of
S. cerevisiae cells to ER stresses.
To classify calcineurin-less death as a manner of either programmed or nonprogrammed cell death seems premature without additional evidence regarding the molecules and networks that govern it. Though this study identifies Hsp90 as a factor necessary for calcineurin-less death, we cannot yet conclude that a prodeath regulatory pathway operates in
S. cerevisiae, because there is no evidence available to suggest that Hsp90 or its clients are activated in dying calcineurin-deficient cells. Therefore, we cannot yet determine if calcineurin acts as an inhibitor of a prodeath pathway or an activator of an essential process in stressful conditions. Nevertheless, a better understanding of the calcineurin-less death phenomenon in
S. cerevisiae may lead to the development of broad-spectrum fungicidal therapies for combating fungal human pathogens such as
Candida albicans (
4) and
Cryptococcus neoformans (
18,
37) or to improved immunosuppression therapies that avoid unwanted side effects in humans (
12).