The yeast
Candida albicans is the major cause of opportunistic fungal infections in humans. In case of systemic infections, the mortality rate can reach 50% [
1]. Azoles, which target the fungal P450 cytochrome 14alpha-lanosterol demethylase encoded by the
ERG11 gene, are the most commonly used antifungal molecules for candidosis treatment [
2]. Unfortunately azoles only have a fungistatic effect and therefore have allowed the emergence of multidrug resistance strains in patients [
3]. There are two main groups of mutations which cause azole resistance in
Candida albicans. The first group directly targets
ERG11, either in cis by creating
ERG11 alleles which encode a protein variant insensitive to azoles [
4], or in trans by increasing the expression of
ERG11 through gain of function mutations in the
UPC2 gene, which encode a transcription factor regulating
ERG11[
5]. The second type acts by increasing the expression of membrane transporters which export the drugs and therefore decrease their intracellular concentration [
5]. Two types of drug resistance, called MDR and CDR respectively, are distinguished, depending on the type of transporters which is involved. In most of the clinical isolates studied so far, the cells present either a drug resistance of the MDR or the CDR type [
5,
6]. Only in rare occurrences, the two kind of resistance can be observed in the same cells [
6-
8]. The MDR resistant cells overexpress the Mdr1 permease encoding gene, which is under the control of the Mrr1 and Cap1 transcription factors [
9].
MDR1 is homologous to the
Saccharomyces cerevisiae FLR1 transporter, which is involved in the detoxification of several drugs, including the antifungal benomyl [
8,
10,
11]. The CDR resistant strains overexpress two ABC transporters encoding genes,
CDR1 and
CDR2, which are homologous to the pleiotropic drug resistance transporter Pdr5 from
S. cerevisiae[
12,
13]. These transporters are major determinants of the resistance to fluconazole, the most widely used azole. Their expression is controlled mainly by the Tac1 transcription factor [
14]. Most of the CDR resistant strains present a loss of heterozygocity and/or aneuploidy at the
TAC1 locus, combined to gain of function mutations of
TAC1[
15,
16]. Microarray and proteomic analyses identified about 30 genes which are co-overexpressed with
CDR1 and
CDR2 in all CDR clinical isolates examined [
17,
18]. Chromatine immunoprecipitation and
tac1Δ strain analyses identified the
TAC1 regulon, which is composed of about ten genes mostly involved in membrane properties, including
CDR1CDR2, the phospholipid transferase gene
PDR16, the putative flippase gene
RTA3 or the putative sphingosine kinase gene
LCB4[
18,
19].
The recently developed RNA sequencing (RNA seq) technology is revolutionizing our ability to analyse eukaryotic transcriptomes [
20-
22] and has given a chance to unravel the actual complexity of the CDR phenotype better. RNA seq has been proven to be more sensitive than microarrays [
21]. RNA seq also results in more accurate measurements of gene expression changes [
23]. Moreover, relative to standard microarray approaches, RNA seq and tiling arrays provide crude measurement and identification of transcripts, without any a priori on which region of the genome is transcribed [
24,
25]. Hence, two recent RNA seq and one tiling array analyses of the
Candida albicans transcriptome identified more than 1000 new transcripts, many of which are expressed in a condition-specific way [
25-
27]. Most of these transcripts do not have a coding potential and may be long non coding regulatory RNAs.
In this study, we have used RNA seq to analyse the transcriptomes of a CDR strain and its isogenic drug susceptible counterpart. In addition to the genes previously shown to be associated with CDR, we could identify about 50 genes which were overexpressed in the CDR strain. In particular, we show that the transcription factor encoding gene CZF1, which is involved in hyphal transition and white/opaque switching, is induced together with CDR1 and CDR2 in Gu5. Czf1 is likely to play an important role in CDR acquisition since its overexpression is a general feature of all the CDR strains that we have tested, but was not found in MDR strains. Moreover, its deletion caused susceptibility to several unrelated drugs. Additionally, the inactivation of CZF1 increased the resistance of the cells to cell wall perturbating agents, through the overexpression of beta glucan synthesis genes. We propose that Czf1 has a positive role on drug resistance and a negative role on cell wall integrity. Finally, we characterized a new transcribed region, previously undetected, just upstream of the TAC1 gene, which strongly suggests that TAC1 is subjected to complex post-transcriptional regulations, yet to be characterized. Taken together, our results open several new ways to our understanding of drug resistance acquisition in Candida albicans and may provide new targets for antifungal therapies.