Auranofin is active against Histoplasma capsulatum and reduces the expression of virulence-related genes

Marcos de Abreu Almeida1,2, Lilian Cristiane Baeza3, Leandro B R Silva4,5

  • 1Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.

PubMed
Abstract

Insights

The anti-rheumatic drug auranofin effectively inhibits the growth of Histoplasma capsulatum, the fungus causing histoplasmosis. Auranofin also reduces key virulence factors, suggesting its potential as a novel antifungal treatment.

Area of Science:

  • Mycology
  • Antimicrobial drug discovery
  • Infectious diseases

Background:

  • Auranofin is an established anti-rheumatic medication with known antimicrobial properties.
  • Its efficacy against Histoplasma capsulatum, a fungus causing severe systemic mycosis, remains largely uninvestigated.
  • Limited therapeutic options exist for histoplasmosis, highlighting the need for new treatments.

Purpose of the Study:

  • To evaluate the antifungal activity of auranofin against Histoplasma capsulatum.
  • To assess the impact of auranofin on H. capsulatum virulence factor expression.

Main Methods:

  • Determined minimal inhibitory and fungicidal concentrations (MIC and MFC) of auranofin against 15 H. capsulatum strains.
  • Assessed auranofin's efficacy in macrophage and Tenebrio molitor infection models.
  • Quantified changes in virulence gene expression using quantitative PCR.

Main Results:

  • Auranofin demonstrated fungicidal activity against H. capsulatum, with MICs ranging from 1.25 to 5.0 μM and MFCs from 2.5 to >10 μM.
  • Auranofin reduced intracellular fungal burden and provided protection in an animal model.
  • Expression of multiple virulence-related genes, including catalase A and HSP70, was significantly decreased.

Conclusions:

  • Auranofin exhibits potent fungicidal activity against H. capsulatum.
  • Auranofin effectively reduces the expression of key virulence factors in H. capsulatum.
  • Auranofin represents a promising candidate for developing novel therapeutics against histoplasmosis.