Our previous demonstration that
S. cerevisiae and
Cr. neoformans
ilv2 mutants are starvation-cidal and are unable to survive
in vivo
and/or are avirulent (
Kingsbury et al., 2004a,
2006)
provided promise for the exploitation of fungal acetolactate synthase as a
novel antifungal drug target. In this study, we further strengthen the drug
target utility of this enzyme by determining that
Ca. albicans ilv2Δ
mutants die rapidly and at profoundly high levels upon isoleucine and valine
starvation, and are highly attenuated in virulence.
The highly amino acid starvation-cidal phenotype of
Ca. albicans ilv2
Δ mutants indicates that inhibition of Ilv2p in amino acid-limited
environments such as
in vivo should be fungicidal, rather than fungistatic.
Numerous herbicides belonging to three drug classes have already been identified
that inhibit acetolactate synthase (
Whitcomb, 1999). While inhibitors of the
Ca. albicans
leucine biosynthetic pathway alone would have little utility
in
vivo, as leucine auxotrophs are virulent (
Kirsch & Whitney, 1991;
Noble & Johnson, 2005), since the toxic effects
in
ilv2Δ mutants are likely to be due to isoleucine and valine
starvation, inhibitors of other isoleucine and valine biosynthetic enzymes
would likely also be effective. Furthermore, given that isoleucine starvation
is also fungicidal and that the
ilv1Δ mutant is somewhat attenuated
in virulence in
Ca. albicans, any inhibitor targeting an isoleucine
biosynthetic enzyme should have a clinically beneficial interaction with any
of the various isoleucyl tRNA synthetase inhibitors currently available with
antifungal activity, such as the antibacterial agent mupirocin (
Nicholas et al., 1999) or
the anticandidal drug BAY 10-8888 (PLD-118) (
Ziegelbauer, 1998;
Ziegelbauer et al., 1998). Finally, since the growth
rate of
ilv2Δ mutants was reduced compared with the wild-type
even in the presence of abundant levels of isoleucine and valine, Ilv2p inhibition
may not require complete absence of isoleucine and valine from the environment
to have a therapeutic benefit.
We considered the hypothesis that the starvation-cidal phenotypes of fungal
ilv2Δ mutants were due to accumulation of the biosynthetic intermediate
α-ketobutyrate, since
α-ketobutyrate or its transamination
product,
α-aminobutyric acid, accumulates upon inhibition of
acetolactate synthase in plants and bacteria (
LaRossa et al., 1987;
Rhodes et al., 1987;
Shaner & Singh, 1993). Although results from other researchers
have shown a lack of correlation between
α-ketobutyrate accumulation
and growth inhibition (
Epelbaum et al., 1996;
Landstein et al., 1990;
Shaner &
Singh, 1993), the high potency associated with the inhibition
of acetolactate synthase has often been attributed to
α-ketobutyrate
toxicity (
Daniel et al., 1983
,
1984;
LaRossa & Van Dyk, 1987;
LaRossa et al., 1987;
Rhodes et al., 1987;
Van Dyk et al., 1987). However,
since neither
S. cerevisiae nor
Ca. albicans ilv2Δ mutants
were sensitive to high exogenous levels of
α-ketobutyrate, and
ilv1Δ
ilv2Δ mutants that cannot accumulate
α
-ketobutyrate were as starvation-cidal as
ilv2Δ mutants,
we ruled out the
α-ketobutyrate accumulation hypothesis (
Epelbaum et al., 1996) as
the explanation for the
S. cerevisiae and
Ca. albicans ilv2Δ
starvation-cidal phenotypes.
Interestingly, isoleucine-auxotrophic Ca. albicans ilv1Δ mutants
were also starvation-cidal, while S. cerevisiae ilv1Δ mutants
were starvation-static over the same time period; thus, isoleucine starvation
is more deleterious in Ca. albicans than in S. cerevisiae.
The more severe starvation-cidal phenotype in ilv2Δ mutants compared
with ilv1Δ mutants in both species and leucine auxotrophs in S. cerevisiae, together with the 10-fold increased survival upon supplementation
of Ca. albicans ilv2Δ mutants with valine during starvation,
but not isoleucine or leucine, suggest that valine starvation is more deleterious
than isoleucine or leucine starvation in both species.
The carbon source present during recovery from starvation had a major effect
on recovery from starvation of
S. cerevisiae ilv2Δ and
Ca.
albicans ilv1Δ mutants, with greatly enhanced recovery when ethanol
and glycerol were the carbon sources compared with glucose. The carbon source-dependent
recovery is reminiscent of the viable but non-culturable phenomenon explored
extensively in bacteria, whereby following exposure to various stresses such
as starvation, cells that are metabolically active fail to grow under classical
culture conditions, but may be able to be resuscitated upon administration
of a certain trigger (
Kell et al.
, 1998;
Oliver, 2005).
An analogous state has also been recorded for
Saccharomyces,
Candida and other yeast species following alcoholic fermentation and
SO
2 addition during wine production (
Divol & Lonvaud-Funel, 2005;
Mills et al., 2002).
In contrast to
S. cerevisiae ilv2Δ mutants, viability following
starvation of
Ca. albicans ilv1Δ and
ilv2Δ mutants
was strongly influenced by the carbon source present during starvation, with
enhanced survival when mutants were incubated in ethanol and glycerol compared
with glucose. Further contrasting with
S. cerevisiae ilv2Δ mutants,
in which rapamycin reduced viability upon starvation, we observed a suppression
of cell death upon starvation of both
Ca. albicans ilv1Δ and
ilv2Δ mutants when starved in the presence of rapamycin, an inhibitor
of the TOR pathway that controls entry into stationary phase and cessation
of glucose utilization when nutrients are plentiful (
Gray et al., 2004;
Zaman et al., 2008). Taken together,
these
Ca. albicans results are similar to the findings of
Boer et al. (2008), who
proposed that since glucose represses pathways that activate entry into a
resting state (
Gray et al.,
2004;
Schneper et al.,
2004), the cells are failing to undergo a rapid and prompt
cell arrest when glucose is the carbon source, and are wasting glucose, analogous
to the Warburg effect described in tumours (
Warburg, 1956).
Since S. cerevisiae met2Δ and Ca. albicans met2Δ
mutants were equally starvation-static upon methionine starvation, amino acid
starvation is not generally more starvation-cidal in Ca. albicans
than S. cerevisiae. Therefore, two questions remain: first, precisely
why ilv2Δ mutants are starvation-cidal; and second, why Ca. albicans ilv2Δ mutants die, or fail to recover, from isoleucine
and valine starvation at such a rapid rate and to a significantly higher degree
than Cr. neoformans and S. cerevisiae ilv2Δ mutants.
Possible mechanisms may involve differences in the levels of misincorporation
of other amino acids into proteins in the absence of valine and/or isoleucine
and leucine, or differences in the timing or degree of cellular arrest upon
starvation. The effect of rapamycin on the ilv2Δ starvation phenotype
indicates an intimate association of the TOR pathway with this phenotype in
both species, and the species-specific differences in the rapamycin response
and starvation severity may be consequences of differences in the wiring of
the TOR pathway between species. Further research is required to better understand
both the species-specific differences in the rapamycin response and starvation
severity, as well as why in both species, starvation for one amino acid, such
as methionine, is static, while starvation for others, such as isoleucine
and valine, is cidal.