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Characterization of a 5-azacytidine-induced developmental Aspergillus fumigatus variant
Ronen Ben-Ami1, Varga Varga, Russell E Lewis
1Department of Infectious Diseases, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
The hypomethylating agent 5-azacytidine (5AC) is widely used in patients at risk of invasive mycoses. We sought to determine whether 5AC affects the developmental competence and virulence of Aspergillus fumigatus. Incubation of A. fumigatus strain 293 with 5AC induced high-frequency conversion to a fluffy-variant (Af293 (FL) ). The conidiation defect was bypassed by exposing Af293 (FL) to light during the initial 18 hours of growth on solid media. Transcriptional profiling revealed differential expression of multiple genes involved in G-protein signaling, including a putative G-protein coupled photoreceptor (opsin), suggesting that impaired signaling through a light-responsive pathway upstream of brlA is responsible for this phenotype. Af293 (FL) was fully virulent in fruit fly and murine models of invasive aspergillosis. Moreover, Af293 (FL) overexpressed aspergillopepsin F, had increased elastase activity and was more angioinvasive than the parental wild-type strain. The 5AC-induced A. fumigatus fluffy variant illustrates the potential effects of chemotherapeutic agents on the developmental and pathobiologic characteristics of opportunistic fungi.
Insights
The hypomethylating agent 5-azacytidine (5AC) can alter Aspergillus fumigatus development and virulence. This study reveals 5AC-induced variants retain full virulence and exhibit increased angioinvasion.
Area of Science:
- Medical Mycology
- Molecular Biology
- Pathogenesis
Background:
- 5-azacytidine (5AC) is a hypomethylating agent used in patients susceptible to invasive fungal infections.
- Aspergillus fumigatus is an opportunistic fungal pathogen causing invasive aspergillosis.
Purpose of the Study:
- To investigate the impact of 5AC on Aspergillus fumigatus developmental competence and virulence.
- To characterize the phenotypic and pathobiologic changes in 5AC-induced A. fumigatus variants.
Main Methods:
- Incubation of A. fumigatus strain 293 with 5AC to induce variants.
- Phenotypic analysis of conidiation and light-dependent rescue.
- Transcriptional profiling to identify differentially expressed genes.
- Virulence assessment in Drosophila melanogaster and murine models of invasive aspergillosis.
- Enzyme activity assays and assessment of angioinvasion.
Main Results:
- 5AC treatment induced a high-frequency conversion to a fluffy variant (Af293 (FL)) with a conidiation defect, partially rescued by light exposure.
- Transcriptional profiling indicated differential gene expression in G-protein signaling, including an opsin, suggesting a role for light-responsive pathways.
- The Af293 (FL) variant demonstrated full virulence in established infection models.
- Af293 (FL) exhibited overexpression of aspergillopepsin F, increased elastase activity, and enhanced angioinvasion compared to the wild-type strain.
Conclusions:
- 5-azacytidine can induce significant alterations in Aspergillus fumigatus development and virulence.
- The 5AC-induced variant highlights the potential for chemotherapeutic agents to modify fungal pathobiology.
- Understanding these drug-induced changes is crucial for managing opportunistic fungal infections in immunocompromised patients.
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