Continued advances in medical technologies that impair the host immune system and increased incidences of immunosuppressive diseases has resulted in substantial increases in invasive fungal infections over the last three decades (
Erjavec et al., 2009,
Varkey & Perfect, 2008). Due to the genetic similarity between humans and fungi, the antifungal drug arsenal available to treat fungal infections is relatively limited when compared to other infectious diseases. Moreover, as the use of available antifungal drugs has increased, resistant strains have and will continue to emerge (
Perlin & Mellado, 2008,
Verweij et al., 2007,
White et al., 1998,
Snelders et al., 2008). Thus, in order to maintain our ability to thwart these often lethal infections, new antifungal agents are urgently needed. Biochemical pathways that are unique to fungi and absent in humans present ideal targets for antifungal drug development. The trehalose biosynthesis pathway in fungi is such a target.
Previous studies on the trehalose biosynthesis pathway in the human pathogenic fungi
C. neoformans, C. gattii, and
C. albicans have revealed the importance of this pathway in human fungal pathogenesis (
Petzold et al., 2006,
Van Dijck et al., 2002,
Ngamskulrungroj et al., 2009,
Zaragoza et al., 1998,
Zaragoza et al., 2002). Broad spectrum antifungal agents that are effective against the majority of human pathogenic fungi are clearly desirable, and thus in this study we have started an examination of the trehalose biosynthesis pathway in the most common cause of invasive mold infections in humans,
A. fumigatus.
Surprisingly, our bioinformatic analyses of genes encoding proteins predicted to be involved in trehalose biosynthesis in
A. fumigatus revealed the presence of multiple functional copies of the trehalose-6-phosphate synthase (
TPS1), which is different from findings in
A. nidulans, C. neoformans, C. albicans, and the plant pathogenic fungus
Magnaporthe grisea (Puttikamonkul
et al. unpublished data). However, our analyses of the
A. fumigatus genome revealed the presence of one putative trehalose-6-phosphate phophatase (T6PP) (
TPS2 ortholog). Consequently, we began our examination of the
A. fumigatus trehalose pathway by generation of a
tps2 null mutant. Previously, a
TPS2 ortholog was characterized in
A. nidulans and named
orlA (
Borgia et al., 1996). Though the phenotype of our
A. fumigatus T6PP mutant has different phenotypes than the
A. nidulans mutant, most notably a continued ability to grow under high temperature without cell lysis, we elected to maintain the historical name of this gene and protein as
orlA.
The first clear phenotype exhibited by the
Af orlA mutant was a severe loss of conidiation on glucose minimal media (1% glucose). As observed in , the mutant colony appears white in contrast to the blue-green pigmentation normally observed for
A. fumigatus colonies. Microscopic examination of the mutant strain revealed that this lack of pigmentation was not due to loss of pigment production, but rather the inability to produce functional asexual reproductive structures. A similar, but less apparent, defect in conidiation was also reported for the
A. nidulans orlA mutant (
Borgia et al., 1996).
Importantly, several environmental conditions could partially rescue the conidiation defect of the
Af orlA mutant. First, we observed that conidiation could partially be restored during growth at temperatures at or below 30°C. Thus, while the
Af orlA mutant does not display a lethal growth phenotype on glucose containing media at 37°C such as
C. neoformans, C. gattii, and
S. cerevisiae mutants, it does display a temperature sensitive phenotype. Second, we observed that conidiation could be almost fully restored on media that contained an osmotic stabilizer (either sorbitol or glycerol). Both of these phenotypes are consistent with previously reported phenotypes of the
An orlA mutant (
Borgia et al., 1996). In addition, the temperature sensitive phenotypes of the
C. neoformans and
C. gattii mutants could also be rescued with sorbitol. Third, addition of high levels of glucose (>4%) could restore conidiation and morphological defects in a dose dependent manner. Taken together these results are consistent with the presence of a defect at the level of the cell wall in the
Af orlA mutant, and also possibly suggest a defect in glycolysis at the point of glucose entry.
Further evidence for a major cell wall defect in the
orlA mutant was observed upon microscopic examination of the
orlA mutant hyphae, which displayed severe morphological defects when grown on GMM that could partially be rescued by growth on osmotic stabilizing media. When we examined the sensitivity of the mutant to agents known to target the fungal cell wall, we found that the mutant did not display an increased sensitivity to the β-1,3-glucan synthesis inhibitor caspofungin. However, exposure of the mutant to cell wall perturbing agents that either target chitin biosynthesis or the linkage of chitin polymers to β-1,3-glucan and β-1,6-glucan resulted in significant increases in susceptibility. Together, these results suggest that loss of OrlA results in a significant alteration in either chitin biosynthesis itself or the ability to properly assemble the cell wall matrix. This conclusion is also supported by decreased chitin levels found in the
An orlA mutant when exposed to high temperature stress (
Borgia et al., 1996). Interestingly,
C. albicans tps2 mutants also display a significant defect in cell integrity, which has been attributed to a defect in cell wall biosynthesis (
Zaragoza et al., 2002). The
C. neoformans tps2 mutant displays a severe temperature sensitive growth phenotype (TS) in glucose media at 37°C that can be rescued with addition of sorbitol also implying that a defect in cell wall biosynthesis is responsible for the TS phenotype of this mutant (
Petzold et al., 2006).
A potential hypothesis to explain the
orlA mutant phenotypes is that the predicted loss of trehalose biosynthesis due to blockage of T6PP results in the observed phenotypes as trehalose is a membrane and cell wall stabilizing agent. Yet several
tps2 mutants in fungi, including the
An and
Af orlA mutants, surprisingly still produce substantial amount of trehalose. Thus, it seems unlikely that defects in the production of trehalose itself are responsible for the observed phenotypes in the
Af orlA mutant. It has been hypothesized that residual, non-specific phosphatase activity in the cell can dephosphorylate T6P into trehalose (
Van Dijck et al., 2002). Given that
C. albicans tps2 mutants produce lower levels of trehalose than wild-type cells, this hypothesis seems plausible in this organism. However, in the
Af orlA mutant we observed an increase in trehalose levels in response to heat shock in comparison with the wild-type strain.
Bioinformatic analyses of the
A. fumigatus genome revealed that the number of genes involved in trehalose biosynthesis is expanded compared to
S. cerevisiae and the pathogenic yeast studied to date (Puttikamonkul
et al. unpublished data). Of great interest is the presence of at least two putative trehalose phosphorylase encoding genes in the
A. fumigatus genome. Trehalose phosphorylase has been found to produce trehalose from glucose or α or β-glucose-1-phosphate in algae, bacteria, some yeasts, and basidiomycete mushrooms (
Saito et al., 1998a,
Kitamoto, 2000,
Aisaka & Masuda, 1995,
Belocopitow & Marechal, 1970,
Belocopitow & Marechal, 1974,
Eis & Nidetzky, 1999). Interestingly, trehalose phosphorylase from the mushroom
Pleurotus sajor-caju could complement the glucose growth and trehalose biosynthesis defect of a
S. cerevisiae tps1/tps2 double mutant (
Han et al., 2003). In our study, we observed an increase in the mRNA abundance of both trehalose phosphorylase genes in the absence of
orlA possibly suggesting that persistent TP activity explains the ability of the
orlA mutant to make wild-type levels of trehalose. It is also known that TP activity is inhibited by free inorganic phosphate. In theory, the accumulation of T6P in the absence of OrlA should lead to a significant decrease in free Pi levels in the cell. This could have two affects. First, it could lead to activation of the TP enzymes, and thus explain the persistence of trehalose in the
orlA mutant. Second, Pi is a critical component of the lower portion of glycolysis, and thus the decreased PDC activity observed in the
olrA mutant could also be explained by the decrease in available Pi. These alternatives, which may not be mutually exclusive, are being tested in our laboratory by generation of TP null mutants in the wild-type and
orlA mutant backgrounds.
The relationship between TP encoding genes and genes of the better studied trehalose biosynthesis pathway (TPS1-TPS2-TPS3) remains to be determined. To date, a TP encoding gene has been partially characterized in
N. crassa (CCG-9) where it was observed to be critical for clock control of fungal development (
Shinohara et al., 2002). However, the ability of the
ccg-9 null mutant (with an apparently intact Tps1p ortholog) to make trehalose was not examined and the role of TP enzymes in filamentous fungal biology remains to be explored. In Tps1 double mutants of
A. fumigatus (
tpsA/tpsB), trehalose production is completely absent (Puttikamonkul
et al. unpublished data). However, in this
tps1 null mutant T6P levels are also removed and thus high free Pi levels, which would inhibit TP activity, are present. These results illustrate the complexity, differences, and importance of trehalose biosynthesis mechanisms among the fungi.
Since production of trehalose itself is not significantly affected in the
orlA mutant, an alternative hypothesis to explain the
orlA mutant phenotypes is that T6P inhibits/alters cell wall biosynthesis. In
S. cerevisiae, accumulation of T6P in the
tps2 mutant resulted in a temperature sensitive phenotype and inability of the mutant to grow on glucose. This led to the hypothesis that accumulation of T6P is toxic to yeast cells (
De Virgilio et al., 1993,
Sur et al., 1994). This toxicity is hypothesized to manifest itself through inhibition of hexokinase activity and subsequent mis-regulation of glycolysis or by sequestration of intracellular phosphate and subsequent intracellular acidification (
Thevelein & Hohmann, 1995,
Blazquez et al., 1994,
Blazquez et al., 1993). In the
An orlA mutant, it was observed that glutamine:fructose-6-phosphate amidotransferase (GFAT) activity was reduced. GFAT is the first enzyme unique to aminosugar biosynthesis and thus N-acetylglucosamine (GlcNAc) could partially rescue some, but not all, of the mutant phenotypes (
Borgia et al., 1996). Thus, it seems that T6P in
A. nidulans may either directly or indirectly inhibit key enzymes involved in chitin biosynthesis.
A. fumigatus contains seven chitin synthase genes (
chsA –
chsG) which are split into 6 classes based on amino acid sequences (
Bernard & Latge, 2001,
Munro & Gow, 2001). Null mutants of
chsE and chsG share the morphological and conidiation defect of the
Af orlA mutant that can be rescued with an osmotic stabilizer (
Mellado et al., 1996,
Mellado et al., 2003,
Aufauvre-Brown et al., 1997). Transcriptional profiling of cell wall biosynthesis genes in the
Af orlA mutant background does not reveal a significant decrease in mRNA abundance in all known chitin synthases in the absence of
orlA. Nevertheless, the chitin biosynthesis defects could occur at the post-transcriptional level and be due to the consequence of high T6P levels and/or depletion of free inorganic phosphate (Pi). Our data suggests that the accumulation of T6P in the
Af orlA mutant may result in deregulation of glycolysis that could alter biosynthesis of GlcNAc, which is required for aminosugar biosynthesis.
Two key glycolysis intermediates are required to produce the UDP-GlcNAc required for chitin biosynthesis: glucose-6-phosphate and fructose-6-phosphate. Alteration in the levels or flux of these important carbohydrate metabolites could negatively impact the ability of the cell to produce appropriate levels of cell wall material. It has been shown that T6P can inhibit hexokinase activity
in vitro in many fungal species (
Blazquez et al., 1993,
Panneman et al., 1998,
Gancedo & Flores, 2004). In our study, we observed significant decreases in hexokinase activity and a growth defect on fructose minimal media, which suggests a possible alteration of flux through glycolysis in the absence of OrlA. This conclusion is also supported by the finding that high levels of glucose can suppress the
orlA mutant phenotypes. Rescue by high glucose could be due to simple osmotic stabilization by the high glucose levels or, alternatively, high levels of glucose may overcome the inhibition of hexokinase activity and/or activation of glucokinase activity resulting in glucose-6-phosphate levels that restore aminosugar biosynthesis. A simple model is thereby proposed whereby accumulation of T6P in the absence of OrlA not only depletes available Pi levels, but also inhibits hexokinase activity thereby reducing the production of glucose-6-phosphate and fructose-6-phosphate. Regulation of glucose flux into glycolysis in
A. fumigatus appears to be a highly regulated process as evidenced by the presence of no less than 6 putative hexokinase orthologs found in this filamentous fungus (
Flipphi et al., 2009). Future studies are focusing on the effect of T6P on glycolysis and cell wall biosynthesis in
A. fumigatus.
Since the cell wall is a critical pathogen associated molecular pattern (PAMP), it is not surprising that the
orlA mutant is attenuated in virulence in two distinct murine models of invasive pulmonary aspergillosis. Given the normal growth rate of the mutant strain under standard
in vitro conditions, the virulence defect of the mutant was surprising. Yet, this result is consistent with the attenuation in virulence of
C. albicans, C. gattii, and
C. neoformans tps2 mutants (
Zaragoza et al., 2002,
Van Dijck et al., 2002,
Petzold et al., 2006,
Ngamskulrungroj et al., 2009). In particular,
C. neoformans tps2 mutants have a severe TS growth phenotype due to build up of T6P and are unable to grow at 37°C, which would suggest avirulence in mammals (
Petzold et al., 2006). Importantly, our results close the proverbial loop by showing that inhibition of
tps2 orthologs in the three most common human fungal pathogens results in virulence attenuation. Thus, development of a strategy to inhibit
tps2 function would likely have global applicability in treating invasive fungal infections.
Yet, questions remain with regard to the mechanism behind the virulence attenuation in the Af orlA mutant. Histopathological examinations of mice infected with the orlA mutant strain suggest that the mutant does not induce as strong an inflammatory response as the wild-type and reconstituted strains. This would be consistent with an alteration in the cell wall of the mutant strain. Moreover, while growth of the mutant strain in vivo was clearly observed throughout the infection, tissue proliferation seemed to be slightly decreased in comparison with the wild-type strain. This could be due to a simple inability of the mutant to grow in vivo in microenvironments with multiple stresses (possibly the result of glycolysis deregulation). Alternatively, the apparent alteration in cell wall composition of the mutant strain may influence how the host immune system is responding to (or “seeing”) the mutant. It is important to note that the virulence attenuation was also observed in mice deficient in the ability to generate an ROS burst (X-CGD) but otherwise “normal” immunologically. In the X-CGD mice, the mutant was eventually able to cause mortality pointing to a delayed growth defect in the mutant either due to inhibition of fungal growth as a consequence of OrlA loss, or due to an alteration in the host response to the mutant strain. Studies are ongoing in our laboratory to assess the mechanism behind the virulence attenuation of the orlA mutant strain.
In conclusion, our results confirm previous suggestions that trehalose-6-phosphate phosphatase is a promising target for antifungal drug development. Given that
tps2 orthologs are now known to be required for fungal virulence in the three most frequently encountered causal agents of human mycoses, it seems logical to pursue research to better understand how this pathway affects fungal virulence. Since inhibition of
orlA in
A. fumigatus is not fungicidal per say, it may be that inhibition of this pathway in
A. fumigatus would best be utilized in some form of combination therapy, as also previously suggested for
C. albicans (
Van Dijck et al., 2002). Yet, the association between the trehalose pathway and cell wall biosynthesis is intriguing given the clinical importance of the fungal cell wall both as a virulence factor and as a target of current antifungal drugs. Thus, it is likely that further in-depth analysis of the trehalose pathway in
A. fumigatus and other pathogenic fungi will yield new insights into fungal biology and virulence that may prove fruitful for designing new therapeutic strategies to treat human mycoses.