The early transcriptional and post-transcriptional responses to fluconazole in sensitive and resistant Candida

Irene Stevens1, Fitz Gerald Silao2, Susanne Huch1

  • 1Science for Life Laboratory (SciLifeLab), Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Solna, Sweden.

Scientific Reports
|November 23, 2024
PubMed

Insights

The study reveals that Candida albicans resistance to fluconazole primarily stems from transcriptional changes, not altered ribosome dynamics. This finding offers new insights into antifungal drug resistance mechanisms.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Genetics

Background:

  • Candida albicans causes significant fungal infections, particularly in immunocompromised individuals.
  • Fluconazole is the primary treatment for candidemia, but resistance is a growing concern.
  • Understanding fluconazole resistance mechanisms is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying fluconazole resistance in Candida albicans.
  • To characterize mRNA decay pathways and ribosome dynamics in response to fluconazole.
  • To differentiate the roles of transcriptional changes versus ribosome dynamics in drug resistance.

Main Methods:

  • Utilized 5' Phosphorylated mRNA degradome sequencing (5PSeq) to analyze mRNA decay intermediates.
  • Applied RNA-Sequencing (RNA-Seq) to assess gene expression changes.
  • Combined RNA-Seq and 5PSeq to study early fluconazole responses in sensitive and resistant C. albicans strains.

Main Results:

  • Established that co-translational mRNA decay occurs in C. albicans, with degradation trailing the ribosome.
  • Demonstrated that 5PSeq can measure ribosome dynamics and detect codon-specific ribosome stalls.
  • Identified transcriptional responses as the primary driver of fluconazole resistance in C. albicans, overshadowing changes in ribosome dynamics.

Conclusions:

  • Transcriptional alterations are the key mechanism conferring fluconazole resistance in Candida albicans.
  • 5PSeq is a valuable tool for studying ribosome dynamics and drug responses.
  • Further research into transcriptional regulation could yield novel antifungal strategies.