Affiliation:
1. Infectious Diseases, Merck Research Laboratories, Rahway, New Jersey 07065,1 and
2. Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina 277102
Abstract
ABSTRACT
Cryptococcal meningitis is a fungal infection, caused by
Cryptococcus neoformans
, which is prevalent in immunocompromised patient populations. Treatment failures of this disease are emerging in the clinic, usually associated with long-term treatment with existing antifungal agents. The fungal cell wall is an attractive target for drug therapy because the syntheses of cell wall glucan and chitin are processes that are absent in mammalian cells. Echinocandins comprise a class of lipopeptide compounds known to inhibit 1,3-β-glucan synthesis, and at least two compounds belonging to this class are currently in clinical trials as therapy for life-threatening fungal infections. Studies of
Saccharomyces cerevisiae
and
Candida albicans
mutants identify the membrane-spanning subunit of glucan synthase, encoded by the
FKS
genes, as the molecular target of echinocandins. In vitro, the echinocandins show potent antifungal activity against
Candida
and
Aspergillus
species but are much less potent against
C. neoformans
. In order to examine why
C. neoformans
cells are less susceptible to echinocandin treatment, we have cloned a homolog of
S. cerevisiae FKS1
from
C. neoformans
. We have developed a generalized method to evaluate the essentiality of genes in
Cryptococcus
and applied it to the
FKS1
gene. The method relies on homologous integrative transformation with a plasmid that can integrate in two orientations, only one of which will disrupt the target gene function. The results of this analysis suggest that the
C. neoformans FKS1
gene is essential for viability. The
C. neoformans FKS1
sequence is closely related to the
FKS1
sequences from other fungal species and appears to be single copy in
C. neoformans
. Furthermore, amino acid residues known to be critical for echinocandin susceptibility in
Saccharomyces
are conserved in the
C. neoformans FKS1
sequence.
Publisher
American Society for Microbiology
Subject
Molecular Biology,Microbiology
Cited by
172 articles.
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