Differential Aspergillus lentulus echinocandin susceptibilities are Fksp independent

Janet F Staab1, Jennifer Nielsen Kahn, Kieren A Marr

  • 1Johns Hopkins University School of Medicine, 720 Rutland Ave., Ross-1064, Baltimore, MD 21205, USA.

Insights

Aspergillus lentulus shows reduced susceptibility to caspofungin but not other echinocandins. This difference in antifungal drug response is not due to mutations in the FKS gene, suggesting alternative mechanisms.

Area of Science:

  • Mycology
  • Antifungal Drug Discovery
  • Molecular Biology

Background:

  • Aspergillus lentulus, a recently identified fungal species, demonstrates varied in vitro susceptibility to echinocandin antifungal agents.
  • Echinocandins target β-1,3-glucan synthase, an enzyme crucial for fungal cell wall synthesis.
  • Mutations in the FKS gene, encoding a subunit of β-1,3-glucan synthase, are a known mechanism for echinocandin resistance in other fungi.

Purpose of the Study:

  • To investigate the basis for differential echinocandin susceptibility in Aspergillus lentulus isolates.
  • To determine if alterations in the FKS gene are responsible for reduced susceptibility to caspofungin.
  • To compare the cellular response of A. lentulus to echinocandin treatment with that of a susceptible species, Aspergillus fumigatus.

Main Methods:

  • Sequencing of the A. lentulus fks gene to identify polymorphisms in known hot-spot regions.
  • Enzymatic assays to determine the kinetic inhibition profiles of caspofungin and micafungin against A. lentulus and A. fumigatus glucan synthase.
  • Quantification of cell wall chitin levels in A. lentulus and A. fumigatus before and after echinocandin treatment.

Main Results:

  • No polymorphisms were found in the hot-spot regions of the fks gene in A. lentulus.
  • Kinetic inhibition profiles of caspofungin and micafungin on A. lentulus glucan synthase were similar to those of susceptible A. fumigatus.
  • A. lentulus exhibited a compensatory increase in cell wall chitin upon echinocandin exposure, similar to A. fumigatus, despite lower basal chitin levels.

Conclusions:

  • Differential echinocandin susceptibility in Aspergillus lentulus is independent of the FKS target enzyme.
  • The findings suggest that the varying efficacy of echinocandins against A. lentulus may stem from unequal drug inhibition capacity at the cellular level.
  • This study highlights the complexity of antifungal resistance mechanisms and the need for further investigation into drug-target interactions in emerging fungal pathogens.