Chromosome 1 trisomy confers resistance to aureobasidin A in Candida albicans

Lijun Zheng1, Yi Xu2, Yubo Dong2

  • 1Department of Ultrasound Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.

Abstract

Insights

Candida albicans rapidly adapts to aureobasidin A via chromosome 1 trisomy. This aneuploidy confers unstable, reversible drug resistance and cross-resistance to multiple antifungals.

Area of Science:

  • Mycology
  • Medical Mycology
  • Antimicrobial Resistance

Background:

  • Candida albicans is a major opportunistic fungal pathogen with limited treatment options.
  • Inositol phosphoryl ceramide synthase is a validated antifungal target.
  • Mechanisms of resistance to aureobasidin A, an inhibitor of this enzyme, are poorly understood.

Purpose of the Study:

  • To investigate adaptation mechanisms of C. albicans to aureobasidin A.
  • To understand the genetic basis of antifungal drug resistance.

Main Methods:

  • Exposure of C. albicans to varying concentrations of aureobasidin A.
  • Genomic analysis to identify adaptive mechanisms.
  • Assessment of drug resistance profiles.

Main Results:

  • Trisomy of chromosome 1 was identified as the primary mechanism for rapid adaptation.
  • Aneuploidy conferred unstable, yet reversible, resistance to aureobasidin A.
  • Chromosome 1 trisomy regulated genes on multiple chromosomes, leading to pleiotropic effects.
  • Aneuploidy resulted in cross-resistance to caspofungin and 5-flucytosine.

Conclusions:

  • Aneuploidy, specifically chromosome 1 trisomy, is a key mechanism for rapid antifungal drug resistance development in C. albicans.
  • This mechanism provides a reversible and adaptable strategy for fungal survival.
  • Aneuploidy contributes to cross-resistance, complicating treatment strategies.