Unusual susceptibility of a multidrug-resistant yeast strain to peptidic antifungals

S Milewski1, F Mignini, R Prasad

  • 1Department of Pharmaceutical Technology and Biochemistry, Technical University of Gdańsk, Gdańsk, Poland. milewski@altis.chem.pg.gda.pl

Insights

Candida albicans drug transporters Cdr1p and CaMdr1p influence antifungal susceptibility. Cdr1p enhances uptake of specific peptidic antifungals, increasing their efficacy.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Biochemistry

Background:

  • Multidrug transporters like Pdr5p in Saccharomyces cerevisiae and Cdr1p/CaMdr1p in Candida albicans play a crucial role in antifungal resistance.
  • Understanding the substrate specificity and transport mechanisms of these efflux pumps is vital for developing new antifungal strategies.

Purpose of the Study:

  • To investigate the impact of Candida albicans multidrug transporters Cdr1p and CaMdr1p on the susceptibility of Saccharomyces cerevisiae to various antifungal agents.
  • To elucidate the mechanism by which these transporters affect the uptake and efficacy of novel peptidic antifungals.

Main Methods:

  • Comparative susceptibility testing of Saccharomyces cerevisiae deletion mutant (Deltapdr5) and transformants expressing Cdr1p (JGCDR1) or CaMdr1p (JGCaMDR1) against azoles, terbinafine, cycloheximide, amphotericin B, and peptidic antifungals.
  • Analysis of oligopeptide efflux and uptake rates in different yeast strains.
  • Investigation of the role of proton motive force and cytoplasmic peptidases in oligopeptide transport and metabolism.

Main Results:

  • JGCDR1 and JGCaMDR1 transformants showed reduced susceptibility to azoles, terbinafine, and cycloheximide, but not amphotericin B.
  • Surprisingly, JGCDR1 cells exhibited increased susceptibility to peptidic antifungals, with enhanced uptake and no efflux observed.
  • Oligopeptides were rapidly cleaved by cytoplasmic peptidases, and Cdr1p-generated proton motive force appeared to stimulate oligopeptide uptake in JGCDR1 cells.

Conclusions:

  • Candida albicans Cdr1p and CaMdr1p significantly modulate yeast susceptibility to conventional antifungals.
  • Cdr1p actively facilitates the uptake of specific peptidic antifungals, leading to increased intracellular accumulation and enhanced antifungal activity.
  • The findings suggest a potential therapeutic strategy involving Cdr1p-mediated uptake of peptidic antifungals for overcoming drug resistance.

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