Targeting the oxidative stress response system of fungi with redox-potent chemosensitizing agents

Jong H Kim1, Kathleen L Chan, Natália C G Faria

  • 1Plant Mycotoxin Research Unit, Western Regional Research Center, USDA-ARS Albany, CA, USA.

Insights

The antioxidant system impacts antifungal drug efficacy. Deleting the sakA gene in Aspergillus fumigatus increased sensitivity to amphotericin B (AMB) and itraconazole (ITZ), suggesting targeting this system enhances drug effectiveness.

Area of Science:

  • Mycology
  • Antifungal Drug Discovery
  • Cellular Stress Response

Background:

  • The cellular antioxidant system plays a role in the antifungal mechanisms of amphotericin B (AMB) and itraconazole (ITZ) in filamentous fungi.
  • The sakA gene, encoding a mitogen-activated protein kinase (MAPK), is crucial for the antioxidant response in Aspergillus fumigatus.

Purpose of the Study:

  • To investigate the role of the sakA gene and the broader antioxidant system in fungal sensitivity to AMB and ITZ.
  • To explore the potential of targeting fungal antioxidant pathways to enhance antifungal drug efficacy.

Main Methods:

  • Comparative analysis of antifungal drug sensitivity in Aspergillus fumigatus strains with varying antioxidant system components (wild type, sakAΔ mutant, mpkCΔ mutant).
  • Assessment of fungal viability and required drug dosages for complete fungal kill.
  • Investigation of the link between drug sensitivity and antioxidant capacity using oxidative stress agents like tert-butyl hydroperoxide (t-BuOOH) and hydrogen peroxide (H(2)O(2)).
  • Evaluation of the chemosensitizing effects of natural redox-potent compounds (2,3-dihydroxybenzaldehyde, thymol, salicylaldehyde) when combined with AMB or ITZ.

Main Results:

  • The sakAΔ mutant exhibited significantly higher sensitivity to AMB and ITZ compared to wild-type and mpkCΔ strains.
  • Lower dosages of AMB or ITZ were required to achieve complete fungal kill (≥99.9%) in the sakAΔ mutant.
  • A correlation was observed between itraconazole (ITZ) sensitivity in yeast pathogens and their sensitivity to oxidative stress (t-BuOOH), indicating a link to antioxidant capacity.
  • Co-application of AMB or ITZ with natural redox-potent compounds enhanced the antifungal activity of the conventional drugs.

Conclusions:

  • The sakA gene and potentially other components of the stress response network (e.g., msnA, mpkC) are integral to fungal tolerance against oxidative stress and antifungal drugs.
  • Targeting the fungal antioxidant system can enhance the efficacy of existing antifungal agents like AMB and ITZ.
  • Redox-potent natural compounds demonstrate chemosensitizing capacity, offering a strategy to improve conventional antifungal therapies.