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Regulation of Fungal Drug Resistance and Morphogenesis by Lysine Deacetylases
by
Xinliu Li
A thesis submitted in conformity with the requirements for the degree of Master of Science
Department of Molecular Genetics University of Toronto
© Copyright by Xinliu Li 2015
ii
Regulation of Fungal Drug Resistance and Morphogenesis by
Lysine Deacetylases
Xinliu Li
Master of Science
Department of Molecular Genetics
University of Toronto
2015
Abstract
Hsp90 is a molecular chaperone that governs drug resistance, morphogenesis, and virulence in
the leading human fungal pathogen Candida albicans. Previous work with Saccharomyces
cerevisiae and C. albicans established acetylation as a novel mechanism of post-translational
control of Hsp90 in fungi and implicated lysine deacetylases (KDACs) as key regulators of
resistance to the most common class of antifungals, the azoles. Here, by generating KDAC
deletion mutants in azole-resistant C. albicans, we discovered high level of functional
redundancy among the KDACs, and identified Hos2, Hda1, Rpd3, and Rpd31as key KDACs
responsible for mediating azole resistance. Furthermore, we identified Lysine 30 and 271 as
critical acetylation sites of C. albicans Hsp90, such that mutations at these residues compromised
Hsp90 function. Further investigations into the circuitry through which KDACs regulates drug
resistance will provide important insights into the regulatory network of C. albicans Hsp90, and
suggest new targets for treating life-threatening fungal infections.
iii
Acknowledgments
First and foremost, I would like to express my sincere gratitude to my supervisor, Dr. Leah
Cowen, for giving me the opportunity to work on this amazing project. I am grateful for your
patience and guidance in helping me through all the hurdles, and your unchanging
encouragement along the way. Your enthusiasm toward science and your commitment to your
students are constant sources of inspiration and motivation. I would also like to thank my
committee members Dr. Marc Meneghini and Dr. Frederick Roth, for all your knowledge and
valuable feedbacks towards my research project.
I want to thank all members of the Cowen Lab, both past and present, for all your help, support,
and friendship. There was always help available whenever I needed, and always a shoulder to
lean on when I’m down. But more importantly, I love the laughs we shared, the adventures we
took, and the amazing memories we built. All of you helped to make this a rewarding and fun-
filled experience that I will cherish for a lifetime.
Finally, I like to thank Mom and Dad for believing in me and supporting me in all my decisions.
Your love means the world to me.
iv
Table of Contents
Acknowledgments.......................................................................................................................... iii
Table of Contents ........................................................................................................................... iv
List of Tables ................................................................................................................................ vii
List of Figures .............................................................................................................................. viii
Abbreviations ..................................................................................................................................ix
1 Introduction .................................................................................................................................1
1.1 Candida albicans .................................................................................................................1
1.2 Antifungals ...........................................................................................................................3
1.2.1 Azoles ......................................................................................................................3
1.2.2 Mechanisms of Azole Resistance ............................................................................5
1.3 Morphogenesis .....................................................................................................................7
1.4 Hsp90 ...................................................................................................................................9
1.4.1 Hsp90 Post-translational Modification ..................................................................11
1.5 Thesis Rationale .................................................................................................................11
2 Materials and Methods ..............................................................................................................13
2.1 Strain Culture and Construction.........................................................................................13
2.1.1 Yeast Strain Culturing Conditions .........................................................................13
2.1.2 Yeast Strain Construction ......................................................................................16
2.2 DNA manipulation, Cloning, and PCR..............................................................................26
2.2.1 Plasmid construction ..............................................................................................26
2.2.2 Bacterial Strain Culturing Conditions ....................................................................33
2.2.3 Quantitative Reverse Transcription PCR (qRT-PCR) ...........................................33
2.3 Drug Susceptibility Assays ................................................................................................34
v
2.4 Protein Quantification ........................................................................................................34
2.4.1 Western ..................................................................................................................34
2.5 Hsp90 Function Assays......................................................................................................35
2.5.1 Growth Curve.........................................................................................................35
2.5.2 Glucocorticoid Receptor Activity Assay ...............................................................35
2.5.3 Calcineurin Activation ...........................................................................................35
2.6 Gene expression .................................................................................................................36
2.6.1 RNA extraction ......................................................................................................36
2.7 Microscopy.........................................................................................................................36
3 Results .......................................................................................................................................38
3.1 KDACs regulate azole resistance.......................................................................................38
3.1.1 Combined deletion of HDA1, HOS2, and RPD3, and doxycycline-mediated
transcriptional repression of RPD31 abrogate azole resistance in the
erg3Δ/erg3Δ mutant background. ..........................................................................38
3.1.2 Doxycycline-mediated transcriptional repression of RPD31 confirmed with
qRT-PCR................................................................................................................41
3.1.3 Hda1, Rpd3, Hos2, and Rpd31 do not affect Hsp90 protein level.........................44
3.1.4 Contribution of KDACs to azole resistance is not limited to the erg3Δ/erg3Δ
mutant background.................................................................................................46
3.2 Characterizing C. albicans Hsp90 acetylation mutants in S. cerevisiae. ...........................48
3.2.1 Generating Hsp90 acetylation mutants in S. cerevisiae .........................................48
3.2.2 Acetylation mutations on Hsp90 do not affect protein expression or stability. .....48
3.2.3 Acetylation mutations in Hsp90 result in hypersensitivity to Hsp90 inhibition. ...51
3.2.4 Acetylation mutations on Hsp90 impair glucocorticoid receptor activity. ............53
3.2.5 Acetylation mutations on Hsp90 do not impair calcineurin activity. ....................55
3.3 Role of KDACs in C. albicans Morphogenesis .................................................................58
3.3.1 KDAC inhibition induces pseudohyphal morphology ...........................................58
vi
3.3.2 Combined deletion of HDA1, RPD3, and HOS2, and depletion of RPD31
results in pseudohyphae formation ........................................................................61
4 Discussion .................................................................................................................................64
4.1 Summary of Findings and Discussion ...............................................................................64
4.2 Future Directions................................................................................................................66
References ......................................................................................................................................68
vii
List of Tables
Tables Pages
Table 1. C. albicans strains used in this study. 13
Table 2. S. cerevisiae strains used in this study. 14
Table 3. Plasmids used in this study. 26
Table 4. Primers used in this study. 27
viii
List of Figures
Figures Page
Figure 1. Azole resistance phenotypes of KDAC mutants. 39
Figure 2. RPD31 transcript level is repressed with doxycycline when under
the control of tetO-promoter, and restored with the complemented wild-
type promoter. 43
Figure 3. Hda1, Rpd3, Hos2, and Rpd31 do not affect Hsp90 protein level. 45
Figure 4. Azole susceptibility phenotypes of KDAC mutants. 47
Figure 5. Acetylation mutations do not affect Hsp90 protein level. 50
Figure 6. Acetylation mutations result in hypersensitivity to Hsp90
inhibition. 52
Figure 7. Hsp90 acetylation mutations impair glucocorticoid receptor
activity. 54
Figure 8. Hsp90 acetylation mutations do not impair calcineurin function. 56
Figure 9. KDAC inhibition induces pseudohyphal morphology. 59
Figure 10. KDAC inhibition results in increased expression of hyphal
specific genes. 60
Figure 11. Combined deletion of HDA1, RPD3, and HOS2, and depletion of
RPD31 enhances filamentation. 62
ix
Abbreviations
ATP Adenosine triphosphate
BME β-mercaptoethanol
CK2 Casein kinase 2
CPRG Chlorophenol red-β-D-galactopyranoside
DMSO Dimethyl sulfoxide
GdA Geldanamycin
GR Glucocorticoid receptor
HSP90 Heat shock protein 90
KAT Lysine acetyltransferase
KDAC Lysine deacetylase
LB Lysogeny broth
LiOAc Lithium acetate
NAT Nourseothricin
OD Optical density
PEG Polyethylene glycol
PBS Phosphate-buffered saline
PKC Protein kinase C
SD Synthetic defined media
SOC Super optimal broth with catabolite repression
TBS Tris-buffered saline
TSA Trichostatin A
YPD Yeast extract peptone dextrose
1
1 Introduction
1.1 Candida albicans
Fungi infect billions of people, and kill over 1.5 million people per year, at least as many as
tuberculosis and malaria (Brown, Denning et al. 2012). While superficial and mucosal infections
are extremely common, life-threatening systemic infections are typically limited to individuals
experiencing some form of immune-suppression. With the increased population of vulnerable
individuals due to the AIDS epidemic, chronic hospitalization, and medical interventions such as
chemotherapy and organ transplant, invasive fungal infections are becoming an increasingly
common public health burden worldwide (Pfaller and Diekema 2010).
Yeasts of the genus Candida are a leading cause of opportunistic fungal infections. Although a
large number of Candida species have been documented, only a few are known to cause disease
in humans (Pappas, Kauffman et al. 2009, Pfaller and Diekema 2010). Among these, C. albicans
is by far the most prevalent, responsible for 90%-100% of superficial mucosal infections and
40%-70% of disseminated infections (Pappas, Kauffman et al. 2009, Pfaller and Diekema 2010).
Unlike most other pathogenic fungi, C. albicans can exist harmlessly on our skin and mucosal
surfaces as part of the commensal microbiota, colonizing the skin, oral cavity, gastrointestinal
tract, and reproductive tract (Odds 1988, Gow and Hube 2012). However, disruption to the
normal microbial flora or compromise of the immune system may enable this fungus to
overgrow, resulting in symptomatic infections. Due to the long evolutionary history with the
human host, C. albicans is well adapted to survive and proliferate in the host environment, and is
found rarely in the soil and external environments, suggesting adaptation to a parasitic lifestyle
(Hube 2004). The majority of Candida infections are therefore from endogenous sources,
derived from commensal populations acquired prior to disease development (Taylor, Harrer et al.
2003, Pfaller and Diekema 2010). Exogenous sources of infection are also common, especially in
healthcare settings where transmission can occur from healthcare workers, other patients, and
contaminated medical devices (Asmundsdottir, Erlendsdottir et al. 2008, Pfaller and Diekema
2010), making it the fourth most common cause of hospital-acquired infections in the United
States (Pfaller and Diekema 2007).
2
Invasive candidiasis occurs when Candida species break the mucosal barrier, penetrating into
deeper tissue and gaining access to the bloodstream (Eggimann, Garbino et al. 2003).
Dissemination via the bloodstream allows the fungus to invade almost all body sites and organs,
resulting in lethal systemic disease (Pappas, Kauffman et al. 2009). Early clinical symptoms of
invasive candidiasis are non-specific and resemble other nosocomial infections, which impedes
accurate diagnosis and delays treatment, contributing to increased mortality (Eggimann, Garbino
et al. 2003, Ellepola and Morrison 2005, Morrell, Fraser et al. 2005). Even with early detection
and rigorous antifungal treatments, the attributable mortality rate of disseminated candidiasis
approaches 40% (Horn, Neofytos et al. 2009).
Due to its importance as a serious human pathogen, many aspects of C. albicans biology and
pathogenicity have been subjected to extensive research, and C. albicans genetics have advanced
significantly with the development of a number of large-scale mutant libraries (Roemer, Jiang et
al. 2003, Homann, Dea et al. 2009, Noble, French et al. 2010). However, many aspects of C.
albicans biology still make it challenging to study in the laboratory. First, C. albicans possess a
high degree of genome plasticity and is tolerant to large-scale genetic variations (Rustchenko
2007, Selmecki, Forche et al. 2010). Karyotypes of clinical isolates often show dramatic
differences due to loss of heterozygosity, aneuploidy, and gross chromosomal rearrangements
(Selmecki, Forche et al. 2010). While this is greatly beneficial for the fungus to survive
environmental stresses and rapidly evolve drug resistance (Selmecki, Gerami-Nejad et al. 2008,
Selmecki, Dulmage et al. 2009), it can hinder genetic studies. Aneuploidies that arise during
DNA transformation to modify specific genes can have profound effects on the cell and lead to
triplication of target gene (Bouchonville, Forche et al. 2009). C. albicans is also a diploid
organism. While haploid cells have recently been isolated, they are typically unstable and have
reduced fitness, and mostly revert to the diploid state (Hickman, Zeng et al. 2013). As a result,
deletions and genetic modifications of a target gene require two rounds of transformations,
increasing the probability of acquiring unwanted mutations (Rustchenko 2007, Arbour, Epp et al.
2009). The recent development of CRISPR system for C. albicans may ameliorate this challenge,
offering the potential of mutating both alleles of multiple genes in a single transformation (Vyas,
Barrasa et al. 2015). However, despite such advances, there remain additional challenges. C.
albicans lacks a conventional meiotic cycle and does not maintain plasmids (Hull, Raisner et al.
2000, Ene and Bennett 2014), rendering many powerful yeast genetic techniques such as
3
Synthetic Genetic Arrays and tetrad analysis intractable in this system. Finally, C. albicans
employs an unusual codon usage that translates the CUG codon as serine rather than the
universal leucine (Santos and Tuite 1995), which demands codon-to-codon modifications of
genetic constructs that were previously successfully used in other systems. Owing to the limited
availability of molecular tools and technical challenges of laboratory genetic manipulation in C.
albicans, many studies have relied on the genetic tractability and genomic resources of the model
yeast Saccharomyces cerevisiae. Despite an estimated divergence of ∼300 to 700 million years
of evolution between the two species (Hedges, Blair et al. 2004, Taylor and Berbee 2006),
parallel and complementary analyses have provided a powerful platform for identifying both
conserved and divergent cellular processes, and remain a valuable approach for uncovering C.
albicans genetic circuitry.
1.2 Antifungals
Treatments for fungal infections face a number of great challenges. Since fungi are eukaryotes,
like their human hosts, their close evolutionary relatedness greatly limits the number of
differential targets that can be exploited for drug development (Denning and Hope 2010, Brown,
Denning et al. 2012). There are only four classes of antifungals in clinical use compared to over
two dozen classes of antibacterials. The antifungals in clinical use target biosynthesis of the
membrane sterol ergosterol or its biosynthesis (polyenes and azoles, respectively), biosynthesis
of the cell wall polysaccharide β-(1,3)-glucan (echinocandins) or nucleic acid synthesis
(pyrimidines) (Odds, Brown et al. 2003, Denning and Hope 2010). There are also very few new
drugs currently being developed, primarily because antifungals are not predicted to generate a
large enough financial return for pharmaceutical companies (Brown, Denning et al. 2012).
Furthermore, the clinical utility of current antifungals can be compromised by severe host
toxicity or by the rapid emergence of drug resistance in fungal pathogens.
1.2.1 Azoles
Currently, the most widely deployed class of antifungals are the azoles. These synthetic
compounds were first introduced as antifungals in the late 1980s and early 1990s (Ghannoum
and Rice 1999), and their superior safety profile led to extensive use in the clinic. Azoles are
chemically classified as either imidazoles if they have two nitrogen atoms in the azole ring, or
triazoles if they have three (Sheehan, Hitchcock et al. 1999, Gomez-Lopez, Zaragoza et al.
4
2008). Azoles remain the drug of choice as initial therapy for most fungal infections and are
often recommended as prophylaxis for high-risk patients (Walsh, Anaissie et al. 2008, Pappas,
Kauffman et al. 2009, Perfect, Dismukes et al. 2010). The most commonly used azoles in the
clinic include fluconazole, itraconazole, voriconazole, and posaconazole.
Ergosterol is the functional analogue of mammalian cholesterol, and serve as a bioregulator in
the fungal cell to regulate membrane fluidity and integrity (Anderson 2005). Azoles can enter C
albicans cells through facilitated diffusion (Mansfield, Oltean et al. 2010), and disrupt the
biosynthesis of ergosterol by inhibiting the cytochrome P450-dependent enzyme lanosterol
demethylase (also referred to as 14α-sterol demethylase), encoded by ERG11 (Sheehan,
Hitchcock et al. 1999, Shapiro, Robbins et al. 2011). This leads to a block in the production of
ergosterol and an accumulation of 14-α-methyl-3,6-diol, an alternate sterol produced by the Δ-
5,6-desaturase, encoded by ERG3 (Shapiro, Robbins et al. 2011). This alternate form is toxic to
the cell, and exerts severe membrane stress as it gets incorporated into the membrane in place of
ergosterol. The depletion of ergosterol also inhibits the function of vacuolar membrane H+
ATPases, resulting in disruption of cation homeostasis within the cell, further contributing to the
antifungal activity of azoles (Zhang, Gamarra et al. 2010).
Unfortunately, resistance to azoles is becoming an increasing concern. Azoles inhibit the growth
of yeasts such as C. albicans in a fungistatic manner, rather than fungicidal (Anderson 2005).
This can leave large population of surviving fungal cells that experiences strong directional
selection for resistance (Anderson 2005). Resistance to azoles can also develop through a
number of different mechanisms, which increases the overall probably of yielding a resistant
phenotype through mutations. The resistance prone nature of azoles, compounded with their
widespread use and often long-term prophylaxis treatment regimes, has led to increasing reports
of azole resistance in the clinic, which is associated with increased treatment difficulties and
patient mortality (Pfaller 2012). There has also been an increased incidence in infections caused
by intrinsically azole-resistant fungal species, including Candida glabrata and Candida krusei,
creating major challenges for future treatments (Miceli, Diaz et al. 2011). In a recent report, the
Centers for Disease Control and Prevention has ranked fluconazole-resistant Candida as a
serious threat (CDC 2013), highlighting the need for new strategies to effectively control and
prevent the development of drug resistance.
5
1.2.2 Mechanisms of Azole Resistance
One of the most common mechanisms of azole resistance is the up regulation of efflux pumps to
decrease the intracellular accumulation of the drug. This is typically achieved through mutations
in transcriptional regulators, and represents a broad mutational target as many different non-
synonymous changes in the transcriptional regulators can lead to resistance phenotypes
(Anderson 2005). In C. albicans, the two main classes of multidrug transporters important for
azole resistance are the ATP binding cassette transporter superfamily encoded by the CDR genes
and the major facilitator class encoded by the MDR genes (Kanafani and Perfect 2008, Shapiro,
Robbins et al. 2011). Overexpression of CDR1, CDR2, and MDR1 has been shown in both
clinical and in vitro generated azole-resistant strains (Sanglard, Kuchler et al. 1995, White 1997,
Dunkel, Blass et al. 2008). Of the three, CDR1 tends to be a more significant contributor to
clinically significant resistance, with some strains exhibiting up to 10 fold increase in its
transcript levels (Sanglard, Kuchler et al. 1995, Holmes, Lin et al. 2008, Cannon, Lamping et al.
2009). Increased efflux can also lead to pleiotropic cross resistance to other substrates of the
same exporters, including other classes of antifungals (White, Marr et al. 1998).
Resistance to azoles can also occur through alterations to the drug target, either by mutation or
overexpression. A number of amino acid substitutions in Erg11 have been identified in clinical
isolates, conferring resistance by decreasing binding affinity for azoles (Sanglard, Ischer et al.
1998, Marichal, Koymans et al. 1999, Lamb, Kelly et al. 2000). Overexpression of a drug target
can titrate a drug’s effect, minimizing the impact it has on the cell. Upon exposure to azoles, the
transcription factor Upc2 is induced to upregulate genes involved in ergosterol biosynthesis,
including Erg11 (Silver, Oliver et al. 2004). Gain-of-function mutations have been identified in
UPC2 that lead to hyperactivation of the transcription factor, contributing to azole resistance
(Dunkel, Liu et al. 2008, Heilmann, Schneider et al. 2010). Another method of target
overexpression used by C. albicans is through genomic changes that increase the gene dosage of
ERG11. Gene amplification associated with aneuploidy has been shown to increase ERG11
expression, contributing to resistance in clinical isolates (Selmecki, Forche et al. 2006, Selmecki,
Gerami-Nejad et al. 2008).
Another general mechanism of azole resistance in C. albicans is through cellular signaling
pathways and stress response pathways that allows the fungus to cope with diverse stresses in its
6
environment, including stresses imposed by antifungals (Shapiro, Robbins et al. 2011). Such
pathways are important for both general tolerance to the drug, as well as resistance due to
specific mechanisms. The most well characterized example of stress response dependent
resistance in C. albicans involves loss of function mutations in the ergosterol biosynthesis gene
ERG3. This prevents the production of toxic 14-α-methyl-3,6-diol by the ERG3 encoded Δ-5,6-
desaturase when Erg11 is inhibited by the azoles, and the cell accumulates 14α-methyl fecosterol
instead (Kelly, Lamb et al. 1997). This alternate sterol is less toxic, and allows the cell to
continue to proliferate in the presence of azoles. Various erg3 mutants have been identified
among clinical isolates, although the prevalence and clinical significance remains unclear
(Martel, Parker et al. 2010, Morio, Pagniez et al. 2012, Vale-Silva, Coste et al. 2012). Loss of
function of ergsoterol biosynthesis genes creates a state of cellular stress associated with an
increased cellular demand for regulators of stress responses (Vincent, Lancaster et al. 2013).
erg3 mediated resistance is also particularly problematic as it confers cross resistance to the
polyenes, another class of antifungal that traditionally provided a treatment alternative for azole-
resistant Candida infections (Kelly, Lamb et al. 1997).
One example of a pathway involved in azole-induced membrane stress is the cyclic AMP protein
kinase A (PKA) signaling pathway. Deletions of components of this pathway increases
susceptibility to azoles, as a consequence of the resulting defect in the azole-dependent
upregulation of the CDR1 drug pump (Jain, Akula et al. 2003). Other pathways implicated in
modulating stress responses and contributing to azole resistance include Ca2+-calmodulin-
activated protein phosphatase calcineurin signaling (Cruz, Goldstein et al. 2002, Onyewu,
Blankenship et al. 2003), casein kinase 2 (CK2) serine/threonine protein kinase signaling (Bruno
and Mitchell 2005), as well as the protein kinase C (PKC) cell wall integrity pathway (LaFayette,
Collins et al. 2010). Various pathways may also interact with each other. For example,
calcineurin inhibition can reverse the azole resistance of a CK2 mutant, suggesting crosstalk
between the two (Bruno and Mitchell 2005). Interestingly, many are also connected to the Heat-
shock protein 90 (Hsp90) chaperone network. Both calcineurin and Mkc1, the terminal kinase in
the PKC regulated mitogen-activated protein kinases cascade, are Hsp90 client proteins that rely
on proper Hsp90 function for stability and activation (Singh, Robbins et al. 2009, LaFayette,
Collins et al. 2010). CK2 can regulate Hsp90 function through phosphorylation, but is also
dependent on Hsp90 for stability (Diezmann, Michaut et al. 2012). Hsp90 itself therefore plays a
7
critical role in mediating the evolution and maintenance of azole resistance in C. albicans
(Cowen and Lindquist 2005, Cowen, Carpenter et al. 2006, Cowen, Singh et al. 2009).
More than one mechanism of azole resistance can also occur within a single Candida strain,
creating an additional layer of complexity. In fact, the majority of clinical isolates with high
levels of fluconazole resistance often exhibit a combination of multiple mechanisms,
contributing to high levels of resistance (Perea, Lopez-Ribot et al. 2001, Ford, Funt et al. 2015).
For example, a prevalent form of aneuploidy found in azole-resistant isolates is the formation an
isochromosome consisting of two copies of the left arm of chromosome 5 (Selmecki, Forche et
al. 2006). This genomic region harbors both ERG11, the gene encoding azole drug target, as well
as TAC1, a transcription factor that upregulates the expression of CDR1 and CDR2 drug
exporters (Selmecki, Forche et al. 2006). Both ERG11 and TAC1 were shown to make
independent contributions to azole resistance in a manner that is directly proportional to their
gene copy number (Selmecki, Gerami-Nejad et al. 2008). Thus, gene amplification of
chromosome 5 left arm through aneuploidy contributed both to an increased expression of the
drug target and an increased cellular efflux of the drug, providing azole resistance. This also
highlights the importance of C. albicans genomic flexibility and the advantage it provides in the
evolution of drug resistance.
1.3 Morphogenesis
C. albicans is a polymorphic fungus that is capable of transitioning between distinct
morphological states. Depending on environmental cues, it can exist as either yeasts,
pseudohyphae, or true hyphae, with the latter two collectively referred to as filaments (Sudbery,
Gow et al. 2004). Yeast cells are rounded and unicellular, resembling the budding yeast S.
cerevisiae. Pseudohyphae are typically characterized by branched chains of elongated cells
attached end to end, with visible septal constrictions. Hyphae have parallel sides along their
entire length and no visible constrictions can be observed between mother and daughter cells.
While hyphae and pseudohyphae are distinct morphological states with differences in their cell
cycle regulation and septal ring localization (Sudbery 2001, Berman 2006), evidence suggests
that pseudohypae are likely an intermediate phenotype that represents the transition from yeasts
to true hyphae. Notably, increasing the expression level of a single transcription factor, Ume6, is
8
able to cause a gradual shift in cell morphology from yeasts to pseudohyphae and eventually to
true hyphae (Carlisle, Banerjee et al. 2009).
In C. albicans, the ability to transition between different morphologies has been closely coupled
to virulence. Strains that are locked in either the yeast form or the filamentous form are typically
avirulent in mouse models of disseminated candidiasis (Lo, Kohler et al. 1997, Braun, Head et al.
2000, Rocha, Schroppel et al. 2001, Laprade, Boyartchuk et al. 2002). A general model is that
yeasts cells are required for effective dissemination through the blood stream, while filaments are
responsible for tissue penetration and deep-seated infections (Saville, Lazzell et al. 2003,
Sudbery, Gow et al. 2004). Nevertheless, it’s interesting to note that most dimorphic fungal
pathogens exist solely as yeasts in the host and filaments in the environment, suggesting that the
physical ability to change form itself does not equate to virulence (Gow, Brown et al. 2002). One
important connection between morphogenesis and virulence in C. albicans lies in the fact that
numerous key transcriptional regulators of yeast-to-hyphal transition also control the expression
of major virulence genes (Lane, Birse et al. 2001, Kumamoto and Vinces 2005). For example,
filamentation leads to expression of secreted aspartic proteases such as Sap4 and Sap6 (Felk,
Kretschmar et al. 2002), associated with tissue invasion and damage, as well as adhesion proteins
such as Als3 and Hwp1 (Staab, Bradway et al. 1999, Liu and Filler 2011), which are critical for
mediating binding and attachment to host cells. Morphogenesis is also essential for the formation
of biofilms, a surface associated community of both yeast and filamentous cells embedded in
rich extracellular matrices (Blankenship and Mitchell 2006). Easily established on implanted
medical devices such as indwelling catheters, C. albicans biofilms not only serve as major
reservoirs for infection, but also pose serious challenges in the clinic due to their intrinsic
resistance to antifungals (Douglas 2003, Blankenship and Mitchell 2006). Both nonfilamentous
and hyperfilamentous strains are typically defective in biofilm formation, and either fail to
establish biofilms or are unable to disperse (Richard, Nobile et al. 2005, Uppuluri, Chaturvedi et
al. 2010, Finkel and Mitchell 2011).
Induction and regulation of morphogenesis occur through a variety of environmental cues.
Examples of conditions that induce yeast to hyphal transition include exposure to serum, increase
in pH, nutrient limitation, amino acid starvation, and elevated carbon dioxide levels, mostly
mimicking environments within the human hosts (Shapiro, Robbins et al. 2011). One important
requirement for most filamentation inducing cues, including the ones listed above, is the
9
concurrent increase in temperature to 37°C. This is due at in part to Hsp90 mediated repression
of the filamentation program, which is alleviated at higher temperatures as the cellular demand
for Hsp90 increases due to global increase in unfolded proteins, overwhelming Hsp90 functional
capacity (Shapiro, Uppuluri et al. 2009). In fact, feverish temperatures above 39°C or
pharmacological inhibition of Hsp90 alone is sufficient to promote filamentation in the absence
of other inducing cues. There is less known about signals that block filamentation or promote
hyphal to yeast transitions. The most well characterized example is the involvement of quorum
sensing. Farnesol, a quorum sensing molecule produced by C. albicans, inhibits filamentation
when present in high concentrations, thereby favoring yeast growth in dense populations of C.
albicans even in the presence of filamtation inducing cues (Enjalbert and Whiteway 2005,
Langford, Atkin et al. 2009).
1.4 Hsp90
Hsp90 is an essential molecular chaperone with a primary role in assisting the proper folding and
function of diverse proteins. While initially characterized by its upregulation during heat stress,
heat shock proteins have essential roles in the cell that extends beyond stress responses. Even
under unstressed physiological conditions, Hsp90 is highly abundant, and constitutes as much as
1-2% of total proteins in a cell (Borkovich, Farrelly et al. 1989). Based on genetic analysis in S.
cerevisiae, around 20% of yeast proteins are estimated to be influenced by Hsp90, making it the
most highly connected protein in the proteome (Taipale, Jarosz et al. 2010). Hsp90 regulates the
folding and function of diverse client proteins, including key regulators of stress responses and
cellular signaling, allowing it to occupy a central position in many biological networks (Taipale,
Jarosz et al. 2010). Much of the research on understanding Hsp90 has been driven by cancer
biology where Hsp90 tends to be overexpressed. It can function as a biochemical buffer to
chaperone oncoproteins and prevent apoptosis, allowing the cell to survive despite the
accumulation of detrimental mutations (Whitesell and Lindquist 2005). This has driven the
development of small molecules that can inhibit Hsp90 as potential anticancer agents. Some of
the known Hsp90 inhibitors include natural products geldanamycin (GdA), radicicol, and their
semi-synthetic derivatives such as 17-AAG.
Hsp90 typically functions as a homodimer in the cytoplasm, but can also be transported to the
nucleus and other organelles. Each copy of Hsp90 contains an N-terminal, a middle, and a C-
10
terminal domain. The N-terminal domain contains an unusual adenine-nucleotide-binding pocket
known as the Bergerat fold, distinct from ATP-binding domains found in other chaperones and
kinases (Whitesell and Lindquist 2005). Hydrolysis of ATP to ADP in the Bergerat fold drives
conformational changes that have an essential role in the chaperoning activity of the Hsp90
dimer. A highly charged flexible linker region connects the N-terminal to the middle domain,
which interacts directly with ATP bound in the Bergerat fold to modulate ATP hydrolysis. A
second linker connects to the C-terminal domain, which is the site of dimerization, but also plays
a role in promoting ATP hydrolysis. Hsp90 inhibitors such as geldanamycin bind to the Bergerat
fold with higher affinity than the natural nucleotide, which prevents the cycling of ATP
hydrolysis driven conformational changes, thereby blocking chaperone activity.
As a key regulator cellular stress response and signaling, Hsp90 plays an essential role in C.
albicans pathogenicity. By enabling specific signaling circuits, Hsp90 allows cells to survive the
membrane stress exerted by the azoles and rapidly evolve resistance (Cowen and Lindquist
2005). Inhibition of Hsp90 blocks the rapid emergence of resistance, transforms azoles from
fungistatic to fungicidal, abrogates existing resistance in clinical strains, and renders resistant
pathogens responsive to treatment in multiple infection models (Shapiro et al, 2011; Cowen et al,
2009; Singh et al, 2009). Even C. albicans biofilms, which are notorious difficult to manage due
to their intrinsic drug resistance, can be effectively eliminated with the combination of azoles
and Hsp90 inhibitors (Robbins, Uppuluri et al. 2011). Inhibition of Hsp90 also induces a
transition from yeast to filamentous growth and attenuates virulence, consistent with the
importance of morphological flexibility for virulence (Shapiro, Uppuluri et al. 2009).
With its powerful and broad spectrum effects, Hsp90 has emerged as an attractive therapeutic
target for treatment of fungal infections. However, there are still significant challenges. Hsp90 is
essential in all eukaryotes tested, and is one of the most conserved proteins, such that human
Hsp90 can complement the loss of Hsp90 in yeasts (Piper, Panaretou et al. 2003). While Hsp90
inhibitors have been shown to be effective against localized infection without host toxicity
(Robbins, Uppuluri et al. 2011), there was considerable toxicity in a murine model of
disseminated candidiasis that prevented observation of potential therapeutic benefits (Cowen,
Singh et al. 2009). Therefore, exploiting Hsp90 as a therapeutic target will likely require
alternative strategies to inhibit components of the Hsp90 chaperone network that are distinct
between the pathogen and host, such as the upstream regulators of Hsp90 function.
11
1.4.1 Hsp90 Post-translational Modification
While Hsp90 interacts with a large proportion of the proteome, it is not required for the proper
folding of all proteins. It possesses a diverse but specific set of client proteins, and its function
and specificity is closely regulated by post-translational modifications. Known post-translational
modifications on Hsp90 include phosphorylation, acetylation, methylation, nitrosylation, and
sumoylation (Martinez-Ruiz, Villanueva et al. 2005, Mollapour, Tsutsumi et al. 2010, Diezmann,
Michaut et al. 2012, Robbins, Leach et al. 2012, Hamamoto, Toyokawa et al. 2014, Mollapour,
Bourboulia et al. 2014).
Hsp90 acetylation has profound impact on Hsp90 function. Acetylation state of a protein is
regulated by the addition and removal of acetyl groups on lysine residues by lysine
acetyltransferases (KATs) and lysine deacetylases (KDACs). Many small molecule inhibitors of
KDACs have been described, with a number of them currently in clinical trials as anticancer
agents (Dokmanovic, Clarke et al. 2007). In contrast, inhibitors of KATs are much less studied.
In S. cerevisiae and C. albicans, inhibition of KDACs with the broad spectrum KDAC inhibitor
Trichostatin A (TSA) impaired the function of multiple Hsp90 client proteins, and abrogated
azole resistance (Robbins, Leach et al. 2012). In the pathogenic mold Aspergillus fumigatus,
Hsp90 acetylation mutants resulted in decreased azole resistance as well as decreased virulence
in a mouse model of invasive aspergillosis (Lamoth, Juvvadi et al. 2014). The divergence
between fungal and human KDACs is much greater than Hsp90, providing alternative
therapeutic targets for the treatment of fungal infections.
1.5 Thesis Rationale
At the heart of many stress response pathways and signaling networks, the molecular chaperone
Hsp90 plays a critical role in governing fungal drug resistance, morphogenesis, and virulence.
Understanding the regulatory components of the Hsp90 network not only provides valuable
insights into these complex cellular circuitries, but also allows for the identification of novel
therapeutic targets that overcomes the difficulty in specifically targeting fungal Hsp90.
Previous work by former lab member Nicole Robbins demonstrated that pharmacological
inhibition of KDACs with TSA phenocopies Hsp90 inhibition in terms of abrogating azole
resistance of both the model yeast S. cerevisiae and the pathogen C. albicans (Robbins, Leach et
12
al. 2012). In S. cerevisiae, the key targets of TSA are Rpd3 and Hda1, catalytic subunits of
distinct KDAC complexes. Deletion of either RPD3 or HDA1 alone had no impact on erg3-
mediated azole resistance, but deletion of both RPD3 and HDA1 abrogated azole resistance.
Nicole demonstrated that S. cerevisiae Hsp90 is acetylated on lysine 27 and 270, and that
compromising KDACs impairs the stability and function of Hsp90 client proteins, such as
calcineurin (Robbins, Leach et al. 2012). Beyond the model yeast, many questions remain
unanswered in the pathogen. The KDACs responsible for mediating Hsp90 deacetylation have
yet to be identified in C. albicans, and the sites of acetylation on Hsp90 and their functional
consequences have yet to be defined.
Overall, the goal of my project is to determine how lysine deacetylases regulate Hsp90 function
to govern drug resistance and morphogenesis in C. albicans.
13
2 Materials and Methods
2.1 Strain Culture and Construction
2.1.1 Yeast Strain Culturing Conditions
All C. albicans and S. cerevisiae strains used in this study are listed in Table 1. Archives of all
yeast strains used were maintained at -80°C in 25% glycerol. Strains used in experiments were
maintained on solid (2% agar added) yeast extract peptone (YPD, 1% yeast extract, 2%
bactopeptone, 2% glucose) at 4°C for no more than one month. For experiments, yeast strains
were routinely grown in either YPD medium or in synthetic defined medium (SD, 0.67% yeast
nitrogen base, 2% glucose) supplemented with amino acids.
Table 1. C. albicans strains used in this study.
Strain name Genotype Source
CaLC206
arg4 /arg4 his1 /his1 URA3/ura3 ::imm434 IRO1/iro1
::imm434 HIS1/his1::TAR-FRT
(Robbins, Leach et
al. 2012)
CaLC480 CaLC206, RPD3/rpd3::FRT This study
CaLC506 CaLC206, rpd3::FRT/rpd3::FRT This study
CaLC667 CaLC206, HDA1/hda1::FRT This study
CaLC668 CaLC206, hda1::FRT/hda1::FRT This study
CaLC1553 CaLC206, HOS2/hos2::FRT This study
CaLC1564 CaLC206, hos2::FRT/hos2::FRT This study
CaLC2401 CaLC206, RPD31/rpd31::FRT This study
CaLC2408 CaLC206, rpd31::FRT/rpd31::FRT This study
CaLC660 CaLC206, erg3::FRT/erg3::FRT
(Robbins, Collins et
al. 2010)
CaLC643 CaLC506, ERG3/erg3::FRT This study
CaLC663 CaLC506, erg3::FRT/erg3::FRT This study
CaLC669 CaLC660, HDA1/hda1::FRT This study
CaLC758 CaLC660, hda1::FRT/hda1::FRT This study
CaLC1561 CaLC660, HOS2/hos2::FRT This study
CaLC1571 CaLC660, hos2::FRT/hos2::FRT This study
14
CaLC2402 CaLC660, RPD31/rpd31::FRT This study
CaLC2409 CaLC660, rpd31::FRT/rpd31::FRT This study
CaLC2419 CaLC660, rpd31::FRT/rpd31::FRT-TetO-RPD31 This study
CaLC1482 CaLC663, HDA1/hda1::FRT This study
CaLC1483 CaLC663, hda1::FRT/hda1::FRT This study
CaLC1654 CaLC758, hos2::FRT/hos2::FRT This study
CaLC1653 CaLC663, hos2::FRT/hos2::FRT This study
CaLC1693 CaLC1483, hos2::FRT/hos2::FRT This study
CaLC2404 CaLC1483, rpd31::FRT/RPD31 This study
CaLC2420 CaLC1483, rpd31::FRT/rpd31::FRT-TetO-RPD31 This study
CaLC2406 CaLC1693, rpd31::FRT/RPD31 This study
CaLC2562 CaLC1693, rpd31::FRT/rpd31::FRT-TetO-RPD31 This study
CaLC2563 CaLC1693, rpd31::FRT/rpd31::FRT-TetO-RPD31 This study
CaLC3268 CaLC1693, rpd31::FRT/rpd31::FRT-WTp-RPD31 This study
CaLC3269 CaLC1693, rpd31::FRT/rpd31::FRT-WTp-RPD31 This study
CaLC3609 CaLC660, erg3::FRT/erg3::FRT+ERG3 This study
CaLC3611 CaLC1693, erg3::FRT/erg3::FRT+ERG3 This study
CaLC3613 CaLC2420, erg3::FRT/erg3::FRT+ERG3 This study
CaLC3615 CaLC2562, erg3::FRT/erg3::FRT+ERG3 This study
CaLC3617 CaLC3268, erg3::FRT/erg3::FRT+ERG3 This study
Table 2. S. cerevisiae strains used in this study.
Strain name Genotype Plasmid Source
ScLC1965
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx pAG424-Hsc82
Luke
Whitesell/Susa
n Lindquist
ScLC3048
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-
1,hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx pKAT6
Susan
Lindquist
(unpublished)
15
ScLC3827
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC868 (pAG424-
CaHSP90) This study
ScLC3862
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC899 (pAG424-
CaHSP90K30Q) This study
ScLC3863
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC900 (pAG424-
CaHSP90K30R) This study
ScLC4187
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC903 (pAG424-
CaHSP90K271Q) This study
ScLC4188
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC904 (pAG424-
CaHSP90K271R) This study
ScLC4189
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC905 (pAG424-
CaHSP90K30Q,
K271Q) This study
ScLC4190
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC906 (pAG424-
CaHSP90K30R,
K271R) This study
ScLC4191
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pAG424-Hsc82;
pLC913
(p2A/GRGZ) This study
ScLC4192
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC868;
pLC913
(p2A/GRGZ) This study
ScLC4193
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC899;
pLC913
(p2A/GRGZ) This study
ScLC4194
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC900;
pLC913
(p2A/GRGZ) This study
ScLC4195
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pLC903;
pLC913
(p2A/GRGZ) This study
16
pdr1::KANmx, pdr3::KANmx
ScLC4196
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC904;
pLC913
(p2A/GRGZ) This study
ScLC4197
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC905;
pLC913
(p2A/GRGZ) This study
ScLC4198
can1-100,his3-11,15,leu2-
3,112,trp1-1,ura3-1,ade2-1,
hsc82::KANmx, hsp82::kanMx,
pdr1::KANmx, pdr3::KANmx
pLC906;
pLC913
(p2A/GRGZ) This study
2.1.2 Yeast Strain Construction
2.1.2.1 Chemical Transformation of C. albicans
C. albicans strains were transformed using a polyethylene glycol (PEG)-lithium acetate (LiOAc)
protocol (Gietz and Woods 2002, Robbins, Leach et al. 2012). Strains to be transformed were
inoculated into liquid YPD and grown with shaking overnight at either 25°C or 30°C to an
OD600 of between 4 and 8. Approximately 2 x 108 cells were resuspended in 1.1 mL PEG-
LiOAc transformation mix (40% PEG, 0.1 M LiOAc pH 7.4, 1xTE, 18 mM DTT) containing 40
μL of boiled carrier DNA (5 mg/mL salmon sperm DNA) and the transforming DNA. After
incubation at 30°C for one hour, cells were heat-shocked at 42°C for 45 minutes and washed
with YPD to remove all PEG-LiOAc. For transformation with a nourseothricin (NAT) resistance
marker, heat-shocked cells were diluted in 10 mL YPD and grown at 30°C for four hours to
allow expression of the resistance construct. Cells were then spread using sterile glass beads on
solid YPD medium containing 150 µg/mL NAT. For transformation with amino acid
biosynthesis markers, heat-shocked cells were immediately resuspended in 100 μL ddH20 and
plated directly onto solid SD medium supplemented with amino acids as needed. Plates were
incubated at 30°C for two to three days or until resistant/prototrophic colonies emerged.
2.1.2.2 C. albicans Strain Construction
CaLC480 – To delete RPD3, pLC336 was digested with KpnI and SacI to liberate the RPD3
deletion cassette and transformed into CaLC206. NAT resistant transformants were PCR tested
17
for proper integration with primers oLC374/oLC275 (583 bp product) and oLC379/oLC274. The
SAP2 promoter was induced to drive expression of FLP recombinase to excise the NAT marker
cassette. The excised deleted allele was verified with primers oLC374/379 (~ 1 kb product).
CaLC506 - To delete the remaining RPD3 allele in CaLC480, pLC336 was digested with KpnI
and SacI to liberate the RPD3 deletion cassette and transformed into CaLC480. NAT resistant
transformants were PCR tested for proper integration with primers oLC374/oLC275 (583 bp
product) and oLC379/oLC274. To ensure the cassette deleted the intact allele rather than the
previously deleted allele, the presence of the previously deleted allele was confirmed with
oLC374/379 (~ 1 kb product). The SAP2 promoter was induced to drive expression of FLP
recombinase to excise the NAT marker cassette.
CaLC667 - To delete HDA1, pLC365 was digested with KpnI and SacI to liberate the HDA1
deletion cassette and transformed into CaLC206. NAT resistant transformants were PCR tested
for proper integration with primers oLC540/oLC275 and oLC541/oLC274. The SAP2 promoter
was induced to drive expression of FLP recombinase to excise the NAT marker cassette.
CaLC668 - To delete the remaining HDA1 allele in CaLC667, pLC365 was digested with KpnI
and SacI to liberate the HDA1 deletion cassette and transformed into CaLC667. NAT resistant
transformants were PCR tested with primers oLC540/oLC275 and oLC541/oLC274. To ensure
the cassette deleted the intact allele rather than the previously deleted allele, presence of the
previously deleted allele was tested with oLC540/oLC541 (~1 kb fragment). The SAP2 promoter
was induced to drive expression of FLP recombinase to excise the NAT marker cassette.
CaLC1553 - To delete HOS2, pLC553 was digested with KpnI and SacI to liberate the HOS2
deletion cassette and transformed into CaLC206. NAT resistant transformants were PCR tested
for proper integration with oLC275/oLC1452 and oLC274/oLC1453. The SAP2 promoter was
induced to drive expression of FLP recombinase to excise the NAT marker cassette.
CaLC1564 - To delete the remaining HOS2 allele in CaLC1553, pLC553 was digested with
KpnI and SacI to liberate the HOS2 deletion cassette and transformed into CaLC1553. NAT
resistant transformants were PCR tested for proper integration with oLC275/oLC1452 and
oLC274/oLC1453. To ensure the cassette deleted the intact allele rather than the previously
deleted allele, presence of the previously deleted allele was tested with oLC1452/oLC1453. The
18
SAP2 promoter was induced to drive expression of FLP recombinase to excise the NAT marker
cassette.
CaLC2401 - To delete RPD31, pLC705 was digested with KpnI and SacI to liberate the RPD31
deletion cassette and transformed into CaLC206. NAT resistant transformants were PCR tested
for proper integration with oLC274/oLC2418 and oLC275/oLC2415. The SAP2 promoter was
induced to drive expression of FLP recombinase to excise the NAT marker cassette.
CaLC2408 - To delete the remaining RPD31 allele in CaLC2401, pLC705 was digested with
KpnI and SacI to liberate the RPD31 deletion cassette and was transformed into CaLC2401.
NAT resistant transformants were PCR tested for proper integration with oLC274/oLC2418 and
oLC275/oLC2415. To ensure the cassette deleted the intact allele rather than the previously
deleted allele, presence of the previously deleted allele was tested with oLC2415/oLC2418.
Absence of the wild-type allele was confirmed with oLC2415/oLC2412. The SAP2 promoter
was induced to drive expression of FLP recombinase to excise the NAT marker.
CaLC643 - To delete ERG3, pLC361 was digested with KpnI and SacI to liberate the ERG3
deletion cassette and transformed into CaLC506. NAT resistant transformants were PCR tested
for proper integration with oLC274/oLC500 and oLC275/oLC499. The SAP2 promoter was
induced to drive expression of FLP recombinase to excise the NAT marker cassette.
CaLC663 - To delete the remaining ERG3 allele in CaLC643, pLC361 was digested with KpnI
and SacI to liberate the ERG3 deletion cassette and transformed into CaLC643. NAT resistant
transformants were PCR tested with oLC275/oLC499 and oLC274/oLC500. To ensure that the
cassette deleted the intact allele, presence of the previously deleted allele was tested with
oLC499/oLC500 (~1kb). Absence of the wild-type allele was confirmed with oLC499/oLC166.
The SAP2 promoter was induced to drive expression of FLP recombinase to excise the NAT
marker cassette.
CaLC669 - To delete HDA1, pLC365 was digested with KpnI and SacI to liberate the HDA1
deletion cassette and transformed into CaLC660. NAT resistant transformants were PCR tested
for proper integration with primers oLC540/oLC275 and oLC541/oLC274. The SAP2 promoter
was induced to drive expression of FLP recombinase to excise the NAT marker cassette.
19
CaLC758 - To delete the remaining HDA1 allele in CaLC669, pLC365 was digested with KpnI
and SacI to liberate the HDA1 deletion cassette and transformed into CaLC669. NAT resistant
transformants were PCR tested with primers oLC540/oLC275 (700 bp product) and
oLC541/oLC274 (~700 bp product). To ensure the cassette deleted the intact allele rather than
the previously deleted allele, presence of the previously deleted allele was tested with
oLC540/oLC541 (~1 kb fragment). The SAP2 promoter was induced to drive expression of FLP
recombinase to excise the NAT marker cassette. PCR confirmed both alleles of HDA1 were
deleted using primers oLC541/oLC594 (if an allele is present a 700bp product is formed). PCR
confirmed that both alleles of ERG3 were deleted using primers oLC166/oLC499 (if an allele is
present a 700bp product is formed).
CaLC1561 - To delete HOS2, pLC553 was digested with KpnI and SacI to liberate the HOS2
deletion cassette and transformed into CaLC660. NAT resistant transformants were PCR tested
for proper integration with oLC275/oLC1452 and oLC274/oLC1453. The SAP2 promoter was
induced to drive expression of FLP recombinase to excise the NAT marker cassette.
CaLC1571 - To delete the remaining HOS2 allele in CaLC1561, pLC553 was digested with
KpnI and SacI to liberate the HOS2 deletion cassette and transformed into CaLC1561. NAT
resistant transformants were PCR tested for proper integration with oLC275/oLC1452 and
oLC274/oLC1453. To ensure the cassette deleted the intact allele rather than the previously
deleted allele, presence of the previously deleted allele was tested with oLC1451/oLC1452. The
SAP2 promoter was induced to drive expression of FLP recombinase to excise the NAT marker
cassette. Absence of the wild-type allele was confirmed with oLC1496/oLC1497.
CaLC2402 - To delete RPD31, pLC705 was digested with KpnI and SacI to liberate the RPD31
deletion cassette and transformed into CaLC660. NAT resistant transformants were PCR tested
for proper integration with oLC274/oLC2418 and oLC275/oLC2415. The SAP2 promoter was
induced to drive expression of FLP recombinase to excise the NAT marker cassette.
CaLC2409 - To delete the remaining RPD31 allele in CaLC2402, pLC705 was digested with
KpnI and SacI to liberate the RPD31 deletion cassette and was transformed into CaLC2401.
NAT resistant transformants were PCR tested for proper integration with oLC274/oLC2418 and
oLC275/oLC2415. To ensure the cassette deleted the intact allele rather than the previously
20
deleted allele, presence of the previously deleted allele was tested with oLC2415/oLC2418.
Absence of the wild-type allele was confirmed with oLC2415/oLC2412. The SAP2 promoter
was induced to drive expression of FLP recombinase to excise the NAT marker.
CaLC2419 - The tetracycline-repressible promoter system was amplified from pLC330 using
oLC2457/2458, which contained 5' sequence homologous to the RPD31 locus. The PCR product
was transformed into CaLC2402. NAT resistant transformants were PCR tested for proper
integration using oLC300/oLC2412 as well as oLC275/oLC2415. Presence of the deleted allele
was verified with oLC2415/oLC2418. Absence of the wild type allele was confirmed with
oLC2415/ oLC2412. The SAP2 promoter was induced to drive expression of FLP recombinase to
excise the NAT marker.
CaLC1482 - To delete HDA1, pLC365 was digested with KpnI and SacI to liberate the HDA1
deletion cassette and transformed into CaLC663. NAT resistant transformants were PCR tested
for proper integration with primers oLC540/oLC275 and oLC541/oLC274. The SAP2 promoter
was induced to drive expression of FLP recombinase to excise the NAT marker cassette.
CaLC1483 - To delete the remaining HDA1 allele in CaLC1482, pLC365 was digested with
KpnI and SacI to liberate the HDA1 deletion cassette and transformed into CaLC1482. NAT
resistant transformants were PCR tested with primers oLC540/oLC275 (700 bp product) and
oLC541/oLC274 (~700 bp product). To ensure the cassette deleted the intact allele rather than
the previously deleted allele, presence of the previously deleted allele was tested with
oLC540/oLC541 (~1 kb fragment). The SAP2 promoter was induced to drive expression of FLP
recombinase to excise the NAT marker cassette. PCR confirmed both alleles of HDA1 were
deleted using primers oLC541/oLC594 (if a wild-type allele is present a 700bp product is
formed).
CaLC1654 - To delete HOS2, pLC553 was digested with KpnI and SacI to liberate the HOS2
deletion cassette and transformed into CaLC758. NAT resistant transformants were PCR tested
for proper integration with oLC275/oLC1452 and oLC274/oLC1453. The SAP2 promoter was
induced to drive expression of FLP recombinase to excise the NAT marker cassette. To delete
the remaining HOS2 allele, pLC553 was digested with KpnI and SacI to liberate the HOS2
deletion cassette. To ensure the cassette deleted the intact allele rather than the previously
21
deleted allele, presence of the previously deleted allele was tested with oLC1451/oLC1452 (~1
kb fragment). The SAP2 promoter was induced to drive expression of FLP recombinase to excise
the NAT marker cassette. Absence of the wild-type allele was confirmed with
oLC1496/oLC1497.
CaLC1653 - To delete HOS2, pLC553 was digested with KpnI and SacI to liberate the HOS2
deletion cassette and transformed into CaLC663. NAT resistant transformants were PCR tested
for proper integration with oLC275/oLC1452 and oLC274/oLC1453. The SAP2 promoter was
induced to drive expression of FLP recombinase to excise the NAT marker cassette. To delete
the remaining HOS2 allele, pLC553 was digested with KpnI and SacI to liberate the HOS2
deletion cassette. To ensure the cassette deleted the intact allele rather than the previously
deleted allele, presence of the previously deleted allele was tested with oLC1451/oLC1452 (~1
kb fragment). The SAP2 promoter was induced to drive expression of FLP recombinase to excise
the NAT marker cassette. Absence of the wild-type allele was confirmed with
oLC1496/oLC1497.
CaLC1693 - To delete HOS2, pLC553 was digested with KpnI and SacI to liberate the HOS2
deletion cassette and transformed into CaLC1483. NAT resistant transformants were PCR tested
for proper integration with oLC275/oLC1452 and oLC274/oLC1453. The SAP2 promoter was
induced to drive expression of FLP recombinase to excise the NAT marker cassette. To delete
the remaining HOS2 allele, pLC553 was digested with KpnI and SacI to liberate the HOS2
deletion cassette. To ensure the cassette deleted the intact allele rather than the previously
deleted allele, presence of the previously deleted allele was tested with oLC1451/oLC1452 (~1
kb fragment). The SAP2 promoter was induced to drive expression of FLP recombinase to excise
the NAT marker cassette. Absence of the wild-type allele was confirmed with
oLC1496/oLC1497.
CaLC2404 - To delete RPD31, pLC705 was digested with KpnI and SacI to liberate the RPD31
deletion cassette and transformed into CaLC1483. NAT resistant transformants were PCR tested
for proper integration with oLC274/oLC2418 and oLC275/oLC2415. The SAP2 promoter was
induced to drive expression of FLP recombinase to excise the NAT marker cassette.
22
CaLC2420 - The tetracycline-repressible promoter system was amplified from pLC330 using
oLC2457/2458, which contained 5' sequence homologous to the RPD31 locus. The PCR product
was transformed into CaLC2404. NAT resistant transformants were PCR tested for proper
integration using oLC300/oLC2412 as well as oLC275/oLC2415. Presence of the deleted allele
was verified with oLC2415/oLC2418. Absence of the wild type allele was confirmed with
oLC2415/ oLC2412. The SAP2 promoter was induced to drive expression of FLP recombinase to
excise the NAT marker.
CaLC2406 - To delete RPD31, pLC705 was digested with KpnI and SacI to liberate the RPD31
deletion cassette and transformed into CaLC16936. NAT resistant transformants were PCR
tested for proper integration with oLC274/oLC2418 and oLC275/oLC2415. The SAP2 promoter
was induced to drive expression of FLP recombinase to excise the NAT marker cassette.
CaLC2562 - The tetracycline-repressible promoter system was amplified from pLC330 using
oLC2457/2458, which contained 5' sequence homologous to the RPD31 locus. The PCR product
was transformed into CaLC2404. NAT resistant transformants were PCR tested for proper
integration using oLC300/oLC2412 as well as oLC275/oLC2415. Presence of the deleted allele
was verified with oLC2415/oLC2418. Absence of the wild type allele was confirmed with
oLC2415/ oLC2412. The SAP2 promoter was induced to drive expression of FLP recombinase to
excise the NAT marker. As with CaLC2563, but an independent clone.
CaLC2563 - The tetracycline-repressible promoter system was amplified from pLC330 using
oLC2457/2458, which contained 5' sequence homologous to the RPD31 locus. The PCR product
was transformed into CaLC2404. NAT resistant transformants were PCR tested for proper
integration using oLC300/oLC2412 as well as oLC275/oLC2415. Presence of the deleted allele
was verified with oLC2415/oLC2418. Absence of the wild type allele was confirmed with
oLC2415/ oLC2412. The SAP2 promoter was induced to drive expression of FLP recombinase to
excise the NAT marker. As with CaLC2562, but an independent clone.
CaLC3268 - pLC809 was digested with KpnI-HF and SacI-HF to liberate the RPD31 promoter
complementation cassette and transformed into CaLC2562. NAT resistant transformants were
PCR tested for proper integration with oLC275/oLC2608 and oLC274/oLC2604. The SAP2
promoter was induced to drive expression of FLP recombinase to excise the NAT marker
23
cassette. The excised allele was verified with primers oLC2608/oLC2604. As with CaLC3269,
but an independent clone.
CaLC3269 - pLC809 was digested with KpnI-HF and SacI-HF to liberate the RPD31 promoter
complementation cassette and transformed into CaLC2563. NAT resistant transformants were
PCR tested for proper integration with oLC275/oLC2608 and oLC274/oLC2604. The SAP2
promoter was induced to drive expression of FLP recombinase to excise the NAT marker
cassette. The excised allele was verified with primers oLC2608/oLC2604. As with CaLC3268,
but an independent clone.
CaLC3609 - pLC834 was digested with BssHII to liberate the ERG3 complementation construct
along with the NAT-FLP cassette. The digested plasmid was transformed into CaLC660. NAT
resistant transformants were PCR tested for proper integration with oLC499/oLC275 (expect
2062bp) and oLC3567/oLC274 (expect 764bp). The SAP2 promoter was induced to drive
expression of FLP recombinase to excise the NAT marker cassette. The excised allele was
verified with primers oLC500/oLC162 (expect 849bp).
CaLC3611 - pLC834 was digested with BssHII to liberate the ERG3 complementation construct
along with the NAT-FLP cassette. The digested plasmid was transformed into CaLC1693. NAT
resistant transformants were PCR tested for proper integration with oLC499/oLC275 (expect
2062bp) and oLC3567/oLC274 (expect 764bp). The SAP2 promoter was induced to drive
expression of FLP recombinase to excise the NAT marker cassette. The excised allele was
verified with primers oLC500/oLC162 (expect 849bp).
CaLC3613 - pLC834 was digested with BssHII to liberate the ERG3 complementation construct
along with the NAT-FLP cassette. The digested plasmid was transformed into CaLC2420. NAT
resistant transformants were PCR tested for proper integration with oLC499/oLC275 (expect
2062bp) and oLC3567/oLC274 (expect 764bp). The SAP2 promoter was induced to drive
expression of FLP recombinase to excise the NAT marker cassette. The excised allele was
verified with primers oLC500/oLC162 (expect 849bp).
CaLC3615 - pLC834 was digested with BssHII to liberate the ERG3 complementation construct
along with the NAT-FLP cassette. The digested plasmid was transformed into CaLC2562. NAT
resistant transformants were PCR tested for proper integration with oLC499/oLC275 (expect
24
2062bp) and oLC3567/oLC274 (expect 764bp). The SAP2 promoter was induced to drive
expression of FLP recombinase to excise the NAT marker cassette. The excised allele was
verified with primers oLC500/oLC162 (expect 849bp).
CaLC3617 - pLC834 was digested with BssHII to liberate the ERG3 complementation construct
along with the NAT-FLP cassette. The digested plasmid was transformed into CaLC3268. NAT
resistant transformants were PCR tested for proper integration with oLC499/oLC275 (expect
2062bp) and oLC3567/oLC274 (expect 764bp). The SAP2 promoter was induced to drive
expression of FLP recombinase to excise the NAT marker cassette. The excised allele was
verified with primers oLC500/oLC162 (expect 849bp).
2.1.2.3 Chemical Transformation of S. cerevisiae
S. cerevisiae strains were transformed using a PEG-LiOAc protocol (Gietz and Woods 2002).
Strains to be transformed were inoculated in liquid YPD and grown with shaking overnight at
30°C to saturation. Cells were then diluted to OD600 of 0.2 in 10 mL YPD medium and grown
to final OD600 of ~0.5. Cells were washed with 10 mL sterile ddH2O, resuspended in 60 μL of
10 mM LiOAc and incubated at 30°C for 15 minutes. The cell suspension was then transferred to
an eppendorf tube containing the following transformation mix: 10 μL of linear DNA (for
integration) or 2 μL of plasmid DNA (from a miniprep), 10 μL sterile ddH20, 10 μL of boiled
carrier DNA (salmon sperm DNA) and 300 μL of PEG-LiOAc (40% PEG, 0.1 M LiOAc). This
mixture was incubated at 30°C for 30 minutes and then immediately heat shocked for 20 minutes
at 42°C and washed twice with 200 μL sterile ddH20. Heat-shocked cells were resuspended in
100 μL ddH20 and plated directly onto solid SD medium supplemented with amino acids as
needed. Plates were incubated at 30°C for three days or until prototrophic colonies emerged.
2.1.2.4 S. cerevisiae Strain Construction
ScLC3827 - Plasmid pLC868 (pAG424-Candida albicans Hsp90) transformed into ScLC3048.
Presence of pLC868 determined by PCR using oLC3723/oLC3437. Plated ~107 cells on 0.1%
5FOA YPD plates. Deletion of pKAT6 determined by PCR with oLC11 /oLC2834.
ScLC3862 - Plasmid pLC899 (pAG424GPD-Ca-HSP90K30Q) transformed into ScLC3048.
Presence of pLC899 determined by PCR using oLC3723/3437. Plated ~107 cells on 0.1% 5FOA
YPD plates. Deletion of pKAT6 determined by PCR with oLC11 /oLC2834.
25
ScLC3863 - Plasmid pLC900 (pAG424GPD-Ca-HSP90K30R) transformed into ScLC3048.
Presence of pLC900 determined by PCR using oLC3723/3437. Plated ~107 cells on 0.1% 5FOA
YPD plates. Deletion of pKAT6 determined by PCR with oLC11 /oLC2834.
ScLC4187 - Plasmid pLC903 (pAG424GPD-Ca-HSP90K271Q) transformed into ScLC3048.
Presence of pLC900 determined by PCR using oLC3723/3437. Plated ~107 cells on 0.1% 5FOA
YPD plates. Deletion of pKAT6 determined by PCR with oLC11 /oLC2834.
ScLC4188 - Plasmid pLC904 (pAG424GPD-Ca-HSP90K271R) transformed into ScLC3048.
Presence of pLC900 determined by PCR using oLC3723/3437. Plated ~107 cells on 0.1% 5FOA
YPD plates. Deletion of pKAT6 determined by PCR with oLC11 /oLC2834.
ScLC4189 - Plasmid pLC905 (pAG424GPD-Ca-HSP90K30Q, 271Q) transformed into
ScLC3048. Presence of pLC905 determined by PCR using oLC3723/3437. Plated ~107 cells on
0.1% 5FOA YPD plates. Deletion of pKAT6 determined by PCR with oLC11 /oLC2834.
ScLC4190 - Plasmid pLC906 (pAG424GPD-Ca-HSP90K30R, 271R) transformed into
ScLC3048. Presence of pLC900 determined by PCR using oLC3723/3437. Plated ~107 cells on
0.1% 5FOA YPD plates. Deletion of pKAT6 determined by PCR with oLC11 /oLC2834.
ScLC4191 - Plasmid pLC913 (p2A/GRGZ) transformed into ScLC1965. Presence of pLC913
confirmed by performing beta-galactosidase assay (CPRG).
ScLC4192 - Plasmid pLC913 (p2A/GRGZ) transformed into ScLC3827. Presence of pLC913
confirmed by performing beta-galactosidase assay (CPRG).
ScLC4193 - Plasmid pLC913 (p2A/GRGZ) transformed into ScLC3862. Presence of pLC913
confirmed by performing beta-galactosidase assay (CPRG).
ScLC4194 - Plasmid pLC913 (p2A/GRGZ) transformed into ScLC3863. Presence of pLC913
confirmed by performing beta-galactosidase assay (CPRG).
ScLC4195 - Plasmid pLC913 (p2A/GRGZ) transformed into ScLC4187. Presence of pLC913
confirmed by performing beta-galactosidase assay (CPRG).
26
ScLC4196 - Plasmid pLC913 (p2A/GRGZ) transformed into ScLC4188. Presence of pLC913
confirmed by performing beta-galactosidase assay (CPRG).
ScLC4197 - Plasmid pLC913 (p2A/GRGZ) transformed into ScLC4189. Presence of pLC913
confirmed by performing beta-galactosidase assay (CPRG).
ScLC4198 - Plasmid pLC913 (p2A/GRGZ) transformed into ScLC4190. Presence of pLC913
confirmed by performing beta-galactosidase assay (CPRG).
2.2 DNA manipulation, Cloning, and PCR
2.2.1 Plasmid construction
Recombinant DNA procedures were performed according to standard protocols. All plasmids
constructed were sequenced to verify the absence of nonsense mutations. Plasmids used in this
study are listed in Table 3. Primers used in this study are listed in Table 4.
Table 3. Plasmids used in this study.
Plasmid name Description (Backbone) Source
pLC49 FLP-CaNAT, ampR
(Shen, Guo et al.
2005)
pLC336 CaRPD3-KO, ampR, NAT (pLC49) This study
pLC365 CaHDA1-KO, ampR, NAT (pLC49) This study
pLC553 CaHOS2-KO, ampR, NAT (pLC49) This study
pLC705 CaRPD31-KO, ampR, NAT (pLC49) This study
pLC361 CaERG3-KO, ampR, NAT (pLC49) This study
pLC330 tetO-CaHSP90, ampR, NAT (pLC49)
(Shapiro, Uppuluri et
al. 2009)
pLC834 CaERG3 complementation, ampR, NAT (pLC49) This study
pLC809 WTp-CaRPD31, ampR, NAT (pLC49) This study
pLC773 pAG424GPD-ccdB (pRS424) Susan Lindquist
pLC868 pAG424-CaHSP90 This study
pLC899 pAG424-CaHSP90K30Q This study
pLC900 pAG424-CaHSP90K30R This study
pLC903 pAG424-CaHSP90K271Q This study
27
pLC904 pAG424-CaHSP90K271R This study
pLC905 pAG424-CaHSP90K30Q, 271Q This study
pLC906 pAG424-CaHSP90K30R, 271R This study
pLC913 p2A/GRGZ
(Nathan and
Lindquist 1995)
Table 4. Primers used in this study.
Primer name Description Sequence (5’ 3’)
oLC274 pJK863down-F CTGTCAAGGAGGGTATTCTGG
oLC275 pJK863up-R AAAGTCAAAGTTCCAAGGGG
oLC374 CaRPD3-A GTTTACTTCAATTCCTCG
oLC379 CaRPD3-D CAATATGTCAAACCATGTGG
oLC388 CaRPD3-360-F-KpnI
CGGGGTACCATTCAACTTGTGAC
GATAGG
oLC389 CaRPD3+3-R-ApaI
TTGCGGGCCCCATTTTTTCTTCGG
TTGG
oLC390 CaRPD3+1440-F-SacII
TCCCCGCGGTGAATGGCAAATAA
TGTAG
oLC391 CaRPD3+1786-R-SacI
CCCGAGCTCCTTTGGATTCAAGA
ATGG
oLC536 CaHDA1-407-F-ApaI
TTGCGGGCCCCACGAATTTAGAA
ATCTCGGG
oLC537 CaHDA1+3-R-ApaI
TTGCGGGCCCCCAGTCGACATTCT
TAAAAAGG
oLC538 CaHDA1+2500-F-Not1
ATAAGAATGCGGCCGCTGATTCG
AGTAGAAACAACAAC
oLC539 CaHDA1+2892-R-SacII
TCCCCGCGGGAGAAATAACCCTC
CCAAGG
oLC540 CaHDA1-572-F CCCCAACTAGGATTACTGCC
oLC541 CaHDA1+3076-R CAGACATAAAGGCATCTGAGG
oLC1448 CaHOS2 +3-R Apa1
TTGCGGGCCCCATTTATATTAACT
ACTTTTCTCC
oLC1449 CaHOS2 – 522-F Kpn1
GGGGTACCAGGATCTAATAACTT
ATCTGG
oLC1450 CaHOS2+1363-F-NotI
AGAATGCGGCCGCTAGTTTGTCTT
GATACACATATAC
oLC1451 CaHOS2 +1887-R-SacII
TCCCCGCGGTCGTTTTGTTTATAG
AGTGG
28
oLC1452 CaHOS2 – 669-F TTCCACCGGCATTTCGTAACC
oLC1453 CaHOS2 +1999-R TATTAGCCAGGGTACTGTCG
oLC2412 CaRPD31 + 359-R CCACAATACTCAAATAATCC
oLC2413 CaRPD31 0 – R - ApaI
TTGCGGGCCCGGTGGACGAGTTT
GGTTGAG
oLC2414 CaRPD31 - 491 – F - ApaI
TTGCGGGCCCCAATAACAGTTAC
TGTCACC
oLC2415 CaRPD31 – 646 - F TTGGAATTATCGTGGTCAAGC
oLC2416 CaRPD31 + 1820 – F - NotI
ATAAGAATGCGGCCGCGAATCAT
GTAAAGTGTGAGG
oLC2417 CaRPD31 +2279 – R - SacI
CCCGAGCTCATGGAAGTTATTTA
GTGAGC
oLC2418 CaRPD31 + 2386 - R GCTTTGCCAATGATTGGTCG
oLC166 CaERG3-R4 GCTGGGAAAAATTTAGGAGC
oLC495 CaERG3+3-R-ApaI
TTGCGGGCCCCATGGTAGTAAAA
TTGGC
oLC496 CaERG3-381-F-ApaI
TTGCGGGCCCCTTTCGTTTAAGTA
TTCC
oLC497 CaERG3+1161-F-SacII
TCCCCGCGGTGATTGGTACATCTT
TGTTTTGG
oLC498 CaERG3+1545-R-SacI
CCCGAGCTCCAGTAAATATAGGA
TAATGC
oLC499 CaERG3-513-F CAAAACTACTTGTTAAGC
oLC500 CaERG3-1683-R GTTGATGTGATGTAAGTTAG
oLC594 CaHDA1+2314-F AACGGTGGAGGTAACAAGTCAGC
oLC1496 CaHOS2+467-F CAGATATTGCCATCAATTGG
oLC1497 CaHOS2+1004-R TTTCTTGGAGTATACCCACC
oLC2457 tetO-CaRPD31-pLC330-F
GCTTTCATTTCTCCACTATACAGA
TACACAGACACCAAACAACACAA
CAACTCAACCAAACTCGTCCACC
CGAGGAAGTTCCTATACTTT
oLC2458 tetO-CaRPD31-pLC330-R
AGAAATAAGCAATACGTTTCTTTT
GGTTTGGATCAACTTTCAATTCAT
CAAATGGAAGTTCAGTATACATC
GACTATTTATATTTGTATG
oLC300 Tetp-F-NotI
ATAAGAATGCGGCCGCGTTTGGT
TCAGCACCTTGTCG
oLC2608 CaRPD31 -1000-F TCTGTATGGAAACCGGATAG
oLC2604 CaRPD31 + 426 – R GATGGCAATATCACATTTACC
oLC2602 CaRPD31 + 377-R-SacI CCCGAGCTCGATCCACCACCACT
29
AATACC
oLC2603 CaRPD31 -510 -F-NotI
ATAAGAATGCGGCCGCTGGATAA
CTTGGATATTACC
oLC2606 CaRPD31-509-R-ApaI
TTGCGGGCCCATTTGGACCCATA
ACCAGTTTCC
oLC2607 CaRPD31 – 938-F-KpnI
CGGGGTACCTGGATCATTATTGTC
CTTGG
oLC496 CaERG3-381-F-ApaI
TTGCGGGCCCCTTTCGTTTAAGTA
TTCC
oLC3405 ERG3+1413-R-ApaI
ACCGTAGGGCCCGACTTTCAAGA
TTGTCCTTG
oLC3406 ERG3+1414-F-SacII
ACCGTACCGCGGGTCTTCCTTTTG
ATGTTAAG
oLC3407 ERG3+1805-R-SacI
ACCGTAGAGCTCTCCTTTCTTCCG
TTCGACC
oLC243 M13-R CAGGAAACAGCTATGAC
oLC244 M13-F GTAAAACGACGGCCAG
oLC159 CaERG3-F1 CATTTCTTTCCCTATTGTG
oLC160 CaERG3-F2 GCTCCTAAATTTTTCCCAGC
oLC161 CaERG3-F3 CATAGATGGTTACACTGGC
oLC162 CaERG3-F4 CAGTTGTCAATGGTACCG
oLC3567 CaERG3+2036-R GTAAAGGTTGACGGTGGTAGTG
oLC11 ScHSC82-5R CAGCAGATAGAGCTTCCATG
oLC2834 ScURA3+762-F GGCTGGGAAGCATATTTGAG
oLC3723 pBluescriptKS TCGAGGTCGACGGTATC
oLC3437 CaHSP90 SEQ 2001 ATTGATTGCCTTGGGATT
oLC199 CaHSP90+307R CAGATTTAGCAATAGTACCC
oLC2899 CaHSP90+159F AAGCCTTGTCTGATCCATCC
oLC321 CaHSP90 + 499F AACGAAAGATTGGGTCGTGG
oLC322 CaHSP90 + 1033F GTGTTTATCACTGATGATGC
oLC323 CaHSP90 + 1599F AAAAGCTGCTAGAGAAAAGG
oLC3273 CaHSP90K27Q-F
CAGTCTATTCAAACCAGGAAATT
TTCTTAAGAGAATTGATCTCC
oLC3274 CaHSP90K27Q-R
GGAGATCAATTCTCTTAAGAAAA
TTTCCTGGTTTGAATAGACTG
oLC3275 CaHSP90K27R-F
CAGTCTATTCAAACAGGGAAATT
TTCTTAAGAGAATTGATCTCC
30
oLC3276 CaHSP90K27R-R
GGAGATCAATTCTCTTAAGAAAA
TTTCCCTGTTTGAATAGACTG
oLC664 CaHSP90-K271/Q-F
AACTGAAGAGTTGAACAAGACCC
AACCATTATGGACCAGAAACCC
oLC665 CaHSP90-K271/Q-R
GGGTTTCTGGTCCATAATGGTTGG
GTCTTGTTCAACTCTTCAGTT
oLC666 CaHSP90-K271/R-F
AACTGAAGAGTTGAACAAGACCA
GACCATTATGGACCAGAAACCC
oLC667 CaHSP90-K271/R-R
GGGTTTCTGGTCCATAATGGTCTG
GTCTTGTTCAACTCTTCAGTT
oLC2555 CaRPD31+937-F ACTATGAGAAATGTGGCTCG
oLC2556 CaRPD31+1384-R CTTCACTTTTATCAACTTGC
oLC752 GPD1+570-F AGTATGTGGAGCTTTACTGGGA
oLC753 GPD1+766-R CAGAAACACCAGCAACATCTTC
oLC750 HWP1+872-F CCACTACTACTGAAGCCAAATC
oLC751 HWP1+1111-R AAGTGGATACTGTACCAGTTGG
oLC4000 ScPMC1+1500-F GCCAATATTGTCCTGAATTC
oLC4001 ScPMC1+1718-R TTAGAGCCAATAAAGGGTTC
oLC4003 ScRTA1+458-F TCTATTACAAGCAATTGGTG
oLC4004 ScRTA1+534-R AGCTGTAACGAGATGAGAAC
oLC3928 ScENA1+1020-F GCTGCTGTTATGGTTTCTAG
oLC3929 ScENA1+1295-R TTCTGGAGAATACCAACGTC
oLC1458 ECE1+322-F CCATTTGTTGTCAGAGCTGT
oLC1459 ECE1+575-R GCTTGTTGAACAGTTTCCAG
oLC1460 UME6+1648-F GGAGGTGTAAGTAATGACAC
oLC1461 UME6+1976-R GGTTCTTCATTGACAACTTG
oLC1466 HGC1+1267-F CCAACTAGTTCTACTGGCTC
oLC1467 HGC1+1505-R CCTAATGACGTTGAAGAATTG
oLC3942 ScACT1+865-F CTGACTACTTGATGAAGATC
oLC3943 ScACT1+1067-R TCGTTACCAATAGTGATGAC
pLC336 - This is a construct to knock out RPD3 with the NAT resistance recyclable marker.
Homology upstream of RPD3 was PCR amplified from SC5314 with primers oLC388 and
31
oLC389 and cloned into pLC49 at KpnI and ApaI. Homology downstream of RPD3 was PCR
amplified from SC5314 with primers oLC390 and oLC391 and cloned into pLC49 at SacI and
SacII.
pLC365 - This is a construct to knock out HDA1 with the NAT resistance recyclable marker.
Homology downstream of HDA1 was amplified from SC5314 genomic DNA with primers
oLC538/oLC539 and cloned into pLC49 at NotI and SacII. Homology upstream of HDA1 was
amplified from SC5314 genomic DNA with primers oLC536/oLC537 and cloned into pLC49
containing the downstream homology at ApaI. The presence of the inserts were tested by PCR
with oLC274/oLC539 and oLC275/oLC536.
pLC553 - This is a construct to knock out HOS2 with the NAT resistance recyclable marker.
Homology upstream of HOS2 was amplified from SC5314 genomic DNA with primers
oLC1448/oLC1449 and cloned into pLC49 at KpnI and ApaI. Homology downstream of HOS2
was amplified from SC5314 genomic DNA with primers oLC1450/1451 and cloned into pLC49
containing the upstream homology at NotI, SacII. The presence of the inserts were tested by PCR
with oLC274/oLC1451 and oLC275/oLC1449.
pLC705 - This is a construct to knock out RPD31 with the NAT resistance recyclable marker.
Homology upstream of RPD31was amplified from SC5314 genomic DNA with primers
oLC2413/oLC2414 and cloned into pLC49 at ApaI. Homology downstream of RPD31 was
amplified from SC5314 genomic DNA with primers oLC2416/2417 and cloned into pLC49
containing the upstream homology at NotI, SacI. The presence of the inserts were tested by PCR
with oLC274/oLC2417 and oLC275/oLC2414. Presence of the inserts was also verified by
sequencing. No mutations were found.
pLC361 - This is a construct to knock out ERG3 with the NAT resistance recyclable marker.
Homology downstream of ERG3was amplified from SC5314 genomic DNA with primers
oLC497/oLC498 and cloned into pLC49 at SacII and SacI. Homology upstream of ERG3 was
amplified from SC5314 genomic DNA with primers oLC495/oLC496 and cloned into pLC49
containing the downstream homology at ApaI. The presence of the inserts were tested by PCR
with oLC274/oLC498 and oLC275/oLC496.
32
pLC809 - This is a construct to complement tetO-RPD31 with endogenous RPD31 promoter.
Homology downstream of RPD31 was amplified from SC5314 genomic DNA with primers
oLC2602/oLC2603 and cloned into pLC49 at NotI and SacI. Homology upstream of RPD31
promoter was amplified from SC5314 genomic DNA with primers oLC2606/oLC2607 and
cloned into pLC49 containing the downstream homology at ApaI and KpnI. The presence of the
inserts were tested by PCR with oLC274/oLC2602 and oLC275/oLC2607.
pLC834 - This is a construct to complement CaERG3. Sequence containing ERG3 and its
promoter was amplified from SC5314 genomic DNA with primers was amplified from SC5314
genomic DNA with primers oLC496/oLC3405 and cloned into pLC49 at ApaI. The presence of
the insert was tested by PCR with oLC243/166 and oLC275/162, and sequence verified with
oLC243, oLC159, oLC160, and oLC161. Homology downstream of ERG3 was amplified from
SC5314 genomic DNA with primers oLC3406/oLC3407 and cloned into pLC49 containing
ERG3 at SacI and SacII. The presence of the insert was tested by PCR with oLC274/oLC500 and
oLC3406/oLC244.
pLC868 - C. albicans HSP90 gDNA open reading frame (no introns in C. albicans HSP90) was
amplified and cloned into the pDONR221 Entry vector using the BP reaction (Life
Technologies). This ORF was then flipped into the Gateway Expression vector pAGD424GPD
(aka pLC773).
pLC899 - This plasmid is based on pLC868. It underwent site directed mutagenesis to mutate
Lysine 30 to a glutamine residue using primers oLC3273 and oLC3274. The purpose was to
mimic a permanently acetylated Hsp90. The clone was sequence verified with primers oLC199,
oLC2899, oLC321, oLC322, and oLC323.
pLC900 - This plasmid is based on pLC868. It underwent site directed mutagenesis to mutate
Lysine 30 to an arginine residue using primers oLC3275 and oLC3276. The purpose was to
mimic a permanently deacetylated Hsp90. The clone was sequence verified with primers
oLC199, oLC2899, oLC321, oLC322, and oLC323.
pLC903 - This plasmid is based on pLC868. It underwent site directed mutagenesis to mutate
Lysine 271 to a glutamine residue using primers oLC664 and oLC665. The purpose was to
33
mimic a permanently acetylated Hsp90. The clone was sequence verified with primers oLC199,
oLC2899, oLC321, oLC322, and oLC323.
pLC904 - This plasmid is based on pLC868. It underwent site directed mutagenesis to mutate
Lysine 271 to an arginine residue using primers oLC666 and oLC667. The purpose was to mimic
a permanently deacetylated Hsp90. The clone was sequence verified with primers oLC199,
oLC2899, oLC321, oLC322, and oLC323.
pLC905 - This plasmid is based on pLC899. It underwent site directed mutagenesis to mutate
Lysine 271 to a glutamine residue using primers oLC664 and oLC665. The purpose was to
mimic a permanently acetylated Hsp90. The clone was sequence verified with primers oLC199,
oLC2899, oLC321, oLC322, and oLC323.
pLC906 - This plasmid is based on pLC900. It underwent site directed mutagenesis to mutate
Lysine 271 to an arginine residue using primers oLC666 and oLC667. The purpose was to mimic
a permanently deacetylated Hsp90. The clone was sequence verified with primers oLC199,
oLC2899, oLC321, oLC322, and oLC323.
2.2.2 Bacterial Strain Culturing Conditions
Plasmids that have undergone site-directed mutagenesis were maintained in Top10 cells. All
other plasmids used were maintained in DH5α. Archives of bacterial strains were maintained at -
-80°C in 35% glycerol. Strains used in experiments were maintained on solid lysogeny broth
medium (LB, 1% tryptone, 0.5% yeast extract, 0.5% NaCl) containing appropriate selective
antibiotics at 4°C for no more than one month. For bacterial transformation experiments strains
were routinely grown in LB medium or super optimal broth with catabolite repression medium
(SOC, 0.5% yeast extract, 8.6mM NaCl, 2.5mM KCl, 20mM MgSO4, 20mM glucose). For mini-
prepping plasmids from E. coli strains, cells were grown at 37°C overnight in LB medium
containing appropriate selective antibiotics. Plasmid DNA was isolated from strains using
GenElute™ Plasmid Miniprep Kit (Sigma- Aldrich). *2% agar was added to solid media.
2.2.3 Quantitative Reverse Transcription PCR (qRT-PCR)
qRT-PCR was performed using FastSYBR Green Master Mix (Applied Biosystems) and BioRad
CFX384 Real Time System, with the following cycling conditions: 95 °C for 3min, then 95 °C
34
for 10s and 60 °C for 30s, for 40 cycles. Reactions were performed in triplicate, for two
biological replicates using the primers oLC2555/oLC2556 (RPD31), oLC752/oLC753 (GPD1),
oLC750/oLC751 (HWP1), oLC4000/oLC4001 (PMC1), oLC4003/oLC4004 (RTA1),
oLC3928/oLC3929 (ENA1), oLC1458/oLC1459 (ECE1), oLC1466/oLC1467 (HGC1),
oLC1460/oLC1461 (UME6), oLC3942/oLC3943 (ScACT1). Primer sequences are included in
Table 3. Data were analyzed using the BioRad CFX Manager 3.1. All data were normalized to
the either GPD1 or ACT1 reference gene. Error bars show the standard error.
2.3 Drug Susceptibility Assays
Minimum inhibitory concentration assays were performed using 96-well microtiter plates, as
previously described (Cowen and Lindquist 2005, Singh, Robbins et al. 2009). A gradient of
Fluconazole (Sequoia Research Products) was initiated at a starting concentration of 256 µg/ml
and diluted 2-fold per well, where the final well contained no fluconazole. When a constant
amount of doxycycline (DOX) was present, it was at a concentration of 1 µg/ml. Fluconazole
stock was prepared in ddH2O; DOX was prepared in ddH2O. Overnight cultures were diluted to
~103 cells/ml and used to inoculate wells to a final volume of 0.2 ml/well. Plates were wrapped
in foil and incubated at 30°C for 48 hrs. Final cell densities were determined by measuring OD
600 using a spectrophotometer (Molecular Devices). Data were plotted using Java Treeview
1.1.3. Susceptibility was assessed in duplicate for at least two biological replicates. To test
cidality, cells from the MIC plates were spotted on YPD agar plates using a spotter (Frogger,
V&P Scientific, Inc). Spots were photographed after 48hrs of incubations at 30°C.
2.4 Protein Quantification
2.4.1 Western
Saturated overnight yeast cultures were diluted and grown to mid-log phase in YPD at 30°C.
Cells were pelleted, washed with PBS, and resuspended in 200 μl of lysis buffer containing 50
mM Hepes pH 7.5, 150 mM NaCl, 5 mM EDTA, and 1% Triton. Cells were transferred to a 2
mL screw-cap tube filled with ~250 μl glass beads. Cells were disrupted by bead beating for 4
minutes. Total collected lysates were cleared by centrifugation for 10 minutes at 4°C and protein
concentrations were determined by Bradford analysis. Protein samples were mixed with one fifth
volume of 6X sample buffer, boiled for 5 minutes, and then separated on a 8% acrylamide SDS-
35
PAGE gel. Protein was electrotransferred to PVDF membrane (Bio-Rad Laboratories, Inc.) and
blocked with 5% skim milk in phosphate buffered saline with 0.1% tween 20. Blots were
hybridized with antibody against CaHsp90 (1:10000 dilution, (Burt, Daly et al. 2003)), Cdc28
(1:5000, anti-PSTAIRE, Santa Cruz Biotechnology, Santa Cruz, CA), Tub1 (1:5000, AbD
Serotec).
2.5 Hsp90 Function Assays
2.5.1 Growth Curve
Overnight cultures were diluted to ~103 cells/ml and used to inoculate wells to a final volume of
0.2 ml/well in 96-well microtiter plates (Sarstedt). Cells were grown in YPD at 30°C with and
without 65 µM of geldanamycin. Optical density measurements (OD600) were taken every 2
hours for 72 hours.
2.5.2 Glucocorticoid Receptor Activity Assay
Overnight S. cerevisiae cultures were diluted and grown to mid-log phase in SD at 30°C.
Cultures were then diluted to OD600 of 0.2 and added to 96-well microtiter plates (Sarstedt) at
50 µl per well. Cells were treated with or without 10µM deoxycorticosterone (Sigma D6875,
dissolved in ethanol) for 1 hour at 30°C while shaking. 100 µl of chlorophenol red-β-D-
galactopyranoside (CPRG) substrate (100 mM Hepes, 150 mM NaCl, 5 mM L-aspartate, 10 g/L
BSA, 0.05% Tween, 0.5% SDS, 1.2 mM CPRG (Roche 884308) dissolved in ddH2O, pH 7.25)
were added to each well and shaken at 20°C for 15 min. Absorption values were taken at OD578
using a spectrophotometer.
2.5.3 Calcineurin Activation
Overnight cultures were diluted and grown to mid-log phase in YPD at 30°C. Cells were
exposed to 200 mM CaCl2 for 30 min and immediately pelleted for RNA extraction, as described
below. Transcript levels of ENA1, RTA1, and PMC1 were monitored, referenced to ACT1.
36
2.6 Gene expression
2.6.1 RNA extraction
For determining RPD31 expression in KDAC mutants, overnight cultures were diluted and
grown to mid-log phase in YPD with or without 1 µg/ml of DOX. DOX treated cells were
exposed to DOX for at least 6 hours.
For determining expression of hyphal-specific genes in response to TSA, overnight cultures were
diluted and grown in YPD at 30 °C in the absence or presence of 6 or 24 μg/mL TSA for 6 hours.
RNA extraction was performed using a Qiagen RNeasy mini kit using following the protocol:
Frozen cell pellets were resuspended in 600 μL RLT lysis buffer containing β-mercaptoethanol
(BME) and 600 μL acid-washed silica beads in a 2 mL screw cap tube. Cells were mechanically
disrupted by bead-beating for 30 seconds for four cycles with 1 minute on ice between each
cycle. Lysate (~350 μL) was transferred to an eppendorf and centrifuged at max speed for 2
minutes. Lysate was transferred to a new eppendorf and 350 μL of 70% EtOH was added and
mixed gently before solution was added to a spin column and centrifuged at max speed for 15
seconds. Flow through was discarded and the column was washed with 350 μL of RW1 buffer
followed by two washes with 500 μL of RPE buffer. RNA was eluted from column with 87.5 μL
of RNAse free water and treated with RNasefree DNase (QIAGEN). Purified RNA was
immediately placed on ice or at -80°C for long-term storage. RNA concentration in samples was
determined by Nanodrop and 2μg of RNA was used for subsequent cDNA synthesis using the
AffinityScript Multi Temperature cDNA Synthesis Kit (Agilent Technologies). RNA samples
were only used for experiments if the RNA did not appear degraded when run on a 1% agarose
gel and visualized by ethidium bromide staining.
2.7 Microscopy
To determine the changes in C.albicans morphology in response to KDAC inhibition, overnight
cultures were diluted and grown in YPD at 30 °C in the absence or presence of 24 μg/mL TSA.
TSA treated cells were exposed to TSA for 6 hours. For determining cell morphology in KDAC
mutants, overnight cultures were diluted and grown to mid-log phase in YPD with or without 1
µg/ml of DOX. DOX treated cells were exposed to DOX for at least 6 hours. Imaging was
37
performed with differential interference contrast microscopy using a Zeiss Axio Imager.MI with
Axiovision software (Carl Zeiss) at 40x magnification.
38
3 Results
3.1 KDACs regulate azole resistance
3.1.1 Combined deletion of HDA1, HOS2, and RPD3, and doxycycline-
mediated transcriptional repression of RPD31 abrogate azole
resistance in the erg3Δ/erg3Δ mutant background.
To identify the KDAC(s) responsible for mediating azole resistance, Nicole Robbins generated
various KDAC deletion mutants in an erg3Δ/erg3Δ mutant background. Unlike in S. cerevisiae,
deletion of HDA1 and RPD3 did not phenocopy TSA and had no effect on azole resistance of C.
albicans erg3 mutants, implicating additional or alternate KDACs. Another candidate KDAC is
Hos2, which was identified as an Hsp90 genetic interactor in C. albicans based on
hypersensitivity of the hos2Δ/hos2Δ mutant to Hsp90 inhibitors under diverse growth conditions
(Diezmann, Michaut et al. 2012). Hos2 is likely to function upstream of Hsp90 regulating its
function given that Hos2 stability was not affected by depletion of Hsp90. Hos2 has also been
found to have a modest repressive effect on filamentation, providing an additional link between
Hos2 and phenotypes influenced by Hsp90 (Hnisz, Majer et al. 2010). Surprisingly, deletion of
all three of these KDACs had no impact on azole resistance of the erg3Δ/erg3Δ mutant.
Consistent with the possibility of additional functional redundancy, we identified a second
homolog of S. cerevisiae RPD3 in C. albicans, called RPD31. Nicole was unable to delete
RPD31 in the KDAC mutant backgrounds and thus constructed doxycycline (DOX)-repressible
RPD31 conditional expression strains. Replacing the native RPD31 promoter with the tetO
promoter had no impact on erg3-mediated azole resistance on its own or in the context of the
erg3Δ/erg3Δ hda1/hda1Δ rpd3Δ/rpd3Δ mutant, but abrogated azole resistance of the
erg3Δ/erg3Δ hda1/hda1Δ rpd3Δ/rpd3Δ hos2Δ/hos2Δ mutant in the presence of DOX. DOX-
mediated transcriptional repression of RPD31 in this background also caused a major growth
defect, which could explain the difficulty in generating the deletion mutant. I have confirmed
Nicole’s original phenotypic characterization of these strains using a fluconazole minimum
inhibitory concentration assay (Figure 1). These results indicate that the combined deletion of
HDA1, HOS2, RPD3, and DOX-mediated transcriptional repression of RPD31 abrogate azole
resistance in the erg3Δ/erg3Δ mutant background.
39
40
Figure 1. Azole resistance phenotypes of KDAC mutants. Left panel: Fluconazole MIC assays
were conducted in YPD medium without DOX (-) or with 1 µg/mL DOX. Growth was measured
by absorbance at 600 nm after 24 hours at 30°C. Optical densities were averaged for duplicate
measurements. Data was quantitatively displayed with colour using Treeview (see colour bar).
Right panel: combined deletion of HDA1, HOS2, and RPD3, and doxycycline-mediated
transcriptional repression of RPD31 creates a fungicidal combination with fluconazole. Cells
from the MIC assays were then spotted onto YPD medium plate without drug and incubated at
30°C for 48 hours to assess viability.
41
To validate that the observed phenotype was indeed due to depletion of RPD31, I complemented
the tetO-RPD31/rpd31Δ mutant strain by replacing the tetO promoter of RPD31 with the wild-
type promoter (WTp-RPD31). To confirm restoration of the wild-type phenotypes, I performed a
fluconazole minimum inhibitory concentration (MIC) assays in the presence and absence DOX
(Figure 1). The complemented strain regained fluconazole resistance and demonstrated the same
phenotype as the erg3Δ/erg3Δ hda1/hda1Δ rpd3Δ/rpd3Δ hos2Δ/hos2Δ strain, confirming that the
loss of fluconazole resistance is indeed due to depletion of RPD31 in the erg3Δ/erg3Δ
hda1/hda1Δ rpd3Δ/rpd3Δ hos2Δ/hos2Δ background.
I further performed cidality assays by spotting cells from the MIC plates onto solid medium
without drug and assaying for viability (Figure 1). This reveals the fungistatic nature of
fluconazole – while it was successful at inhibiting growth of wild-type fungal cells, the cells are
able to proliferate once they are removed from the drug. However, in the presence of DOX, the
erg3Δ/erg3Δ hda1/hda1Δ rpd3Δ/rpd3Δ hos2Δ/hos2Δ tetO-RPD31/rpd31Δ mutant strain was
hypersensitive to fluconazole. Even very low concentrations of fluconazole were fungicidal, as
shown by the lack of colony formation on solid agar following drug exposure. This is
reminiscent of the treatment with either the Hsp90 inhibitor geldanamycin or pan-specific KDAC
inhibitor TSA, which both created fungicidal combinations with fluconazole (Robbins, Leach et
al. 2012).
Notably, azole resistance was partially reduced in the KDAC depletion strain even in the absence
of DOX. This could reflect the insufficient expression of the RPD31 transcript by a single allele
in this background, or that the transcript is misregulated under the exogenous tetO promoter.
3.1.2 Doxycycline-mediated transcriptional repression of RPD31
confirmed with qRT-PCR.
To confirm appropriate regulation of RPD31 expression and to address the reason for the partial
reduction in azole resistance without DOX, I performed quantitative RT-PCR to monitor RPD31
transcript levels in various KDAC deletion mutants in the presence and absence of DOX (Figure
2). RPD31 transcript level was drastically down regulated in the erg3Δ/erg3Δ hda1/hda1Δ
rpd3Δ/rpd3Δ hos2Δ/hos2Δ tetO-RPD31/rpd31Δ mutant strain in the presence of DOX,
confirming appropriate DOX-dependent repression of RPD31 under the tetO promoter. RPD31
42
expression in the complemented strain was comparable to the erg3Δ/erg3Δ hda1/hda1Δ
rpd3Δ/rpd3Δ hos2Δ/hos2Δ RPD31/rpd31Δ strain with and without the addition of DOX,
confirming successful restoration of RPD31 expression by replacing the tetO promoter with the
WT promoter. RPD31 transcript level was overexpressed in the erg3Δ/erg3Δ hda1/hda1Δ
rpd3Δ/rpd3Δ hos2Δ/hos2Δ tetO-RPD31/rpd31Δ strain in the absence of DOX, which could
contribute to the partial reduction in azole resistance. This suggests that both over-expression and
repression of RPD31 can affect azole resistance in this context, and that RPD31 levels must be
carefully regulated in the cell.
43
Figure 2. RPD31 transcript level is repressed with doxycycline when under the control of
tetO-promoter, and restored with the complemented wild-type promoter. Strains were
grown in the absence (blue bars) or presence of 1 μg/mL DOX (red bars). RPD31 transcript
levels were normalized to GPD1. Data are means +/- standard error for triplicate samples.
44
3.1.3 Hda1, Rpd3, Hos2, and Rpd31 do not affect Hsp90 protein level.
Next, I performed Western analysis to determine whether these KDACs affect Hsp90 protein
level (Figure 3). Hsp90 protein level was not altered in the erg3Δ/erg3Δ hda1/hda1Δ
rpd3Δ/rpd3Δ hos2Δ/hos2Δ tetO-RPD31/rpd31Δ mutant strain in the presence of DOX compared
to the wild-type strain, indicating these KDACs do not regulate Hsp90 protein expression or
stability. This is consistent with the previous finding that shows pharmacological KDAC
inhibition by TSA impaired Hsp90 protein function, but did not reduce Hsp90 transcript or
protein levels (Robbins, Leach et al. 2012).
45
Figure 3. Hda1, Rpd3, Hos2, and Rpd31 do not affect Hsp90 protein level. Strains were
grown to log phase in the absence or presence of 1 μg/mL DOX. Cdc28 protein level and
Ponceau S stain are used to ensure equivalent amount of protein was loaded per sample.
46
3.1.4 Contribution of KDACs to azole resistance is not limited to the erg3Δ/erg3Δ mutant background.
To ensure that the KDAC dependent azole resistance I observed is not restricted to the
erg3Δ/erg3Δ mutant background, I generated ERG3 complementation strains of a number of key
KDAC mutants. By re-introducing the wild-type ERG3 allele to the erg3Δ/erg3Δ mutant
background, I was able to effectively test the impact of KDAC depletion on basal fluconazole
tolerance of cells with functional Erg3. The complemented erg3Δ/erg3Δ+ERG3 strain regained
azole sensitivity and displayed growth similar to that of a wild-type strain, confirming the proper
function of the introduced ERG3 allele. As before, the hda1/hda1Δ rpd3Δ/rpd3Δ hos2Δ/hos2Δ
tetO-RPD31/rpd31Δ mutant showed partial increase in azole sensitivity even in the absence of
DOX, indicated by reduced growth at concentrations above the MIC. However, based on the
spotting assay for cidality, it is clear that the cells are still viable. Combined deletion of HDA1,
HOS2, and RPD3, and doxycycline-mediated transcriptional repression of RPD31 creates a
fungicidal combination with fluconazole (Figure 4), as indicated by the lack of colony formation
in spotting assays even after 48hrs of incubation, confirming that the contribution of KDAC to
azole resistance is not limited to the erg3Δ/erg3Δ mutant background but rather a general
phenomenon.
47
Figure 4. Azole susceptibility phenotypes of KDAC mutants. Left panel: Fluconazole MIC
assays were conducted in YPD medium without DOX (-) or with 1 µg/mL DOX. Growth was
measured by absorbance at 600 nm after 72 hours at 30°C. Optical densities were averaged for
duplicate measurements. Data was quantitatively displayed with colour using Treeview (see
colour bar). Right panel: combined deletion of HDA1, HOS2, and RPD3, and doxycycline-
mediated transcriptional repression of RPD31 creates a fungicidal combination with fluconazole.
Cells from the MIC assays were then spotted onto YPD medium plate without drug and
incubated at 30°C for 48 hours to assess viability.
48
3.2 Characterizing C. albicans Hsp90 acetylation mutants in S. cerevisiae.
3.2.1 Generating Hsp90 acetylation mutants in S. cerevisiae
To test the connection between KDAC mediated loss of azole resistance and Hsp90, and
understand how the acetylation status of C. albicans Hsp90 affects its function, I aimed to make
Hsp90 acetylation mutants. I began by attempting to identify the critical acetylation sites on
Hsp90 that are responsible for azole resistance in C. albicans. The two candidate residues that I
focused on were lysine residues K30 and K271. Changes in acetylation status of the
corresponding residues were found to affect Hsp90 function in both S. cerevisiae and the
pathogenic mold Aspergillus fumigatus (Robbins, Leach et al. 2012, Lamoth, Juvvadi et al.
2014). Thus, I tried to generate acetylation mimic (lysine to glutamine, K30Q and K271Q) and
deacetylation mimic (lysine to arginine, K30R and K271R) mutations for these Hsp90 residues
either individually or combined.
However, after months of trying different cloning and transformation techniques, including using
various strain backgrounds, changing the order of how each construct is introduced to the cell, as
well as using constitutive or conditional expression systems, I was not able to introduce these
mutations in C. albicans without amplification of a wild-type HSP90 allele. Ultimately, I turned
to the model yeast S. cerevisiae, which has many more genetic tools available compared to C.
albicans, as well as the ability to maintain plasmids. In S. cerevisiae, Hsp90 is encoded by two
nearly identical genes, HSC82 and HSP82. We obtained a strain that carries a copy of HSC82 on
a plasmid as the only source of Hsp90 in the cell (Nathan and Lindquist 1995). Using a plasmid
shuffling technique, I introduced expression plasmids that contained either the wild-type C.
albicans HSP90 (CaHSP90) or the various acetylation mutant CaHSP90 genes. Transformants
were then allowed to lose the original plasmid containing HSC82 (ScHSP90), generating S.
cerevisiae strains that rely on CaHSP90 as the only source of Hsp90.
3.2.2 Acetylation mutations on Hsp90 do not affect protein expression or
stability.
First, I examined CaHsp90 proteins levels in these strains by performing Western blots (Figure
5). Acetylation mutations at either one or both candidate residues did not alter Hsp90 protein
49
levels relative to the wild type, indicating these mutations do not affect the expression or stability
of the protein.
50
Figure 5. Acetylation mutations do not affect Hsp90 protein level. Western performed on S.
cerevisiae strains carrying either the wild-type or various acetylation mutant versions of C.
albicans HSP90. Proteins were extracted from log phase growing cells. Tubulin level is used as
loading control.
51
3.2.3 Acetylation mutations in Hsp90 result in hypersensitivity to Hsp90
inhibition.
Next, I went on to look at whether these mutations affected Hsp90 protein function. Based on
results from S. cerevisiae, I anticipated that impairing the ability of Hsp90 to cycle between
acetylated and de-acetylated states might impair Hsp90 function and cause hypersensitivity to
Hsp90 inhibition (Robbins, Leach et al. 2012). I tested this hypothesis by growing the various
mutants in the presence and absence of the pharmacological Hsp90 inhibitor geldanamycin
(Figure 6). In YPD rich medium, strains carrying either the wild-type or mutant versions of
CaHSP90 showed comparable growth to the strain carrying wild-type ScHSP90, indicating that
both wild-type and acetylation mutant CaHSP90 is able to support robust growth in S. cerevisiae.
In the presence of geldanamycin, the strain carrying wild-type CaHSP90 grew worse than the
strain carrying wild-type ScHSP90, suggesting that exogenous CaHSP90 is not able to fully
compensate for the function of endogenous ScHSP90. Strains with a single acetylation mutation
at either K30 or K271 were hypersensitive to geldanamycin, and the phenotype was exacerbated
when both residues were mutated. This suggests that the acetylation status of both K30 and K271
influences Hsp90 function. Importantly, the geldanamycin hypersensitivity was seen with both
the acetylation mimic and the deacetylation mimic mutants, indicating that neither the acetylated
nor the deacetylated form is sufficient, but rather the proper cycling of the post-translational
modification is required.
52
Figure 6. Acetylation mutations result in hypersensitivity to Hsp90 inhibition. Area under
the curve calculated for growth curves over 72hrs at 30°C in YPD rich medium with or without
geldanamycin. Growth was measured by absorbance at 600 nm.
53
3.2.4 Acetylation mutations on Hsp90 impair glucocorticoid receptor
activity.
Next, I tested the activity of various known client proteins of Hsp90 to assess the impact of K30
and K271 on Hsp90 client protein function. First, I examined the effect of Hsp90 acetylation on
glucocorticoid receptor (GR) activation. GR is a well characterized Hsp90 client protein in
mammals, and it has been used extensively in yeast as a reporter of Hsp90 function (Pratt,
Galigniana et al. 2004). I transformed my acetylation mutant strains with a plasmid that contains
the mouse GR under the control of a constitutive promoter as well as a lacZ reporter gene under
the control of glucocorticosteroid response elements (Nathan and Lindquist 1995). When Hsp90
is functional and can assist in proper folding of GR, addition of the hormone deoxycorticosterone
leads to activation of GR, allowing it to translocate to the nucleus and bind to response elements
in the promoter of its target genes, thereby activating their transcription. Testing GR activation in
response to deoxycorticosterone in the acetylation mutants revealed a similar trend as the
geldanamycin sensitivity assay (Figure 7). Strains carrying CaHSP90 showed reduced activation
compared to strain carrying wild-type ScHSP90. Acetylation mutations resulted in various
degrees of reduced GR activation compared to the wild-type CaHSP90, with the double mutants
having the most severe phenotype. This is consistent with the previous observation that the
proper regulation of acetylation states at both K30 and K271 are critical for Hsp90 function.
54
Figure 7. Hsp90 acetylation mutations impair glucocorticoid receptor activity. Log phase
cells were diluted to OD600 of 0.2 and grown for 1 hour in YPD at 30°C with or without 10 µM
deoxycorticosterone. β-galactosidase activity was measured by incubating the cells for 15 min
with CPRG substrate, and taking absorbance at 578 nm. Fold induction was calculated by taking
the ratio of the deoxycorticosterone induced cells over the uninduced.
55
3.2.5 Acetylation mutations on Hsp90 do not impair calcineurin activity.
I then tested whether acetylation mutations on Hsp90 affected the function of the client protein
phosphatase calcineurin. Normally, upon activation in response to calcium, calcineurin
dephosphorylates the transcription factor Crz1 to drive expression of its target genes containing
calcineurin-dependent response elements in their promoters. When Hsp90 function is
compromised, it can no longer bind and stabilize calcineurin to keep it poised for activation, and
the activation is therefore blocked. Previous gene expression analyses have identified a number
of genes that are faithfully upregulated in a calcineurin/Crz1 dependent manner in S. cerevisiae
upon calcium activation, including ENA1, RTA1, and PMC1 (Karababa, Valentino et al. 2006). I
used qualitative RT-PCR to monitor the transcript of these genes in the various Hsp90
acetylation mutants after exposure to calcium chloride (Figure 8). While all three genes tested
showed robust increase in expression following treatment, no consistent decrease in activation
was observed for the various acetylation mutant strains compared to the wild-type CaHSP90
strain, and no clear trend can be seen between the single and the double acetylation mutants. This
suggests that the acetylation states at K30 and K271 on Hsp90 do not have a major effect on
Hsp90’s ability to chaperone calcineurin.
The fact that acetylation mutants of Hsp90 had impaired GR activation but had no major defect
in calcineurin activity suggests that Hsp90 acetylation may have distinct effects on different
client proteins. This would be consistent with previous finding for regulation of S. cerevisiae
Hsp90 by acetylation (Robbins, Leach et al. 2012), and phosphorylation (Mollapour, Tsutsumi et
al. 2010).
56
57
Figure 8. Hsp90 acetylation mutations do not impair calcineurin function. Transcript levels
of known calcineurin target genes ENA1, PMC1, and RTA1 were determined by qRT-PCR. Log
phase cells were treated with either blank or 200 mM calcium chloride for 30 min before RNA
extractions. Data are means +/- standard error for triplicate samples. *, p<0.05 compared to
Sc+CaHSP90 for strains with Hsp90 acetylation mutations.
58
3.3 Role of KDACs in C. albicans Morphogenesis
C. albicans is a polymorphic organism, and the transition between yeast and filamentous forms is
crucial for virulence, as mutants locked in either form are generally avirulent (Shapiro, Robbins
et al. 2011). Our lab has shown that compromising Hsp90 function induces a switch from yeast
to filamentous growth (Shapiro, Uppuluri et al. 2009). Since Hsp90 acetylation state is an
important determinant of its function, KDACs are expected to play a role in morphogenesis.
3.3.1 KDAC inhibition induces pseudohyphal morphology
First, to explore the connection between KDACs and filamentaton, I grew cells in the presence
of TSA and observed their morphology (Figure 9). Treatment with TSA consistently induced
pseudohyphal morphology in C. albicans. This is distinct from the filamentation phenotype
induced by Hsp90 inhibition (Shapiro, Uppuluri et al. 2009, Senn, Shapiro et al. 2012, Shapiro,
Sellam et al. 2012). While it does provide a link between KDACs and phenotypes influenced by
Hsp90, it also suggests that KDACs have additional targets that also influence morphogenesis.
In an independent approach to quantify changes in cell morphology, I monitored the transcript
levels of filament-specific genes by performing qRT-PCR on wild-type C. albicans treated with
low or high doses of TSA (Figure 10). Multiple filament-specific genes were included in my
analysis. As expected, the transcript level of all filament-specific genes tested increased in the
presence of TSA, and the effect was even stronger with the higher drug concentration. This
shows that KDAC inhibition does indeed lead to a shift towards filamentous growth, and
validates that these genes can be used as representative reporter genes for assessing
morphogenesis in this context.
59
Figure 9. KDAC inhibition induces pseudohyphal morphology. Strains were grown in liquid
rich medium at 30 °C in the absence or presence of 24 μg/mL TSA. Images are representative
fields of view.
60
Figure 10. KDAC inhibition results in increased expression of hyphal specific genes. Wild-
type C. albicans cells were grown in liquid rich medium at 30 °C in the absence or presence of 6
or 24 μg/mL TSA for 6 hours. HWP1, ECE1, HGC1, and UME6 transcript levels were
normalized to GPD1. Data are means +/- standard deviations for triplicate samples. *, p<0.005
compared to the YP only condition.
61
3.3.2 Combined deletion of HDA1, RPD3, and HOS2, and depletion of
RPD31 results in pseudohyphae formation
Next, I wanted to determine which KDACs are responsible for mediating the TSA induced
pseudohyphal morphology. While the KDAC deletion strains were initially generated in the
erg3Δ/erg3Δ background to assess their effects on azole resistance, they are not appropriate for
morphogenesis analyses, as erg3 loss of function has been associated with impaired
filamentation. Using the various KDAC mutant strains complemented with the wild-type allele
of ERG3, I investigated the effects of these KDACs on morphogenesis (Figure 11a). Cells
became more pseudohyphal as more KDACs are deleted. The hda1/hda1Δ rpd3Δ/rpd3Δ
hos2Δ/hos2Δ tetO-RPD31/rpd31Δ strain was the most pseudohyphal in both the absence or
presence of DOX, similar to TSA treated wild-type cells (Figure 11a, Figure 9).
I also monitored the changes in cell morphology by quantifying the transcript level of hyphal cell
wall protein Hwp1 through qRT-PCR (Figure 11b). The hda1/hda1Δ rpd3Δ/rpd3Δ hos2Δ/hos2Δ
tetO-RPD31/rpd31Δ strain displayed the highest level of HWP1 transcript in both the absence
and presence of DOX, confirming the microscopy results. The increased filamentation in the
absence of DOX in this strain is likely attributed to the overexpression of RPD31 under the tetO
promoter (Figure 2), reminiscent of the increased azole sensitivity under the same condition
(Figure 1, Figure 4), and once again highlight the importance of proper regulation of RPD31.
The RPD31 promoter complemented strain had similar morphology and HWP1 expression as the
hda1/hda1Δ rpd3Δ/rpd3Δ hos2Δ/hos2Δ RPD31/rpd31Δ strain, confirming that the filamentous
phenotype is indeed due to the replacement of the native RPD31 promoter with the tetO
promoter in the hda1/hda1Δ rpd3Δ/rpd3Δ hos2Δ/hos2Δ background. These results indicate that
Hda1, Hos2, Rpd3, and Rpd31 together regulate KDAC-dependent morphogenesis.
62
63
Figure 11. Combined deletion of HDA1, RPD3, and HOS2, and depletion of RPD31
enhances filamentation. A. DIC microscopy images of strains grown in liquid rich medium at
30°C in the absence or presence of 1 μg/mL DOX for 6 hours. Images are representative fields of
view. B. Cells grown in the same condition were used for quantitative RT-PCR. HWP1 transcript
levels were normalized to GPD1. Data are means +/- standard deviations for triplicate samples.*,
p<0.005 compared to the wild-type in the same condition.
64
4 Discussion
4.1 Summary of Findings and Discussion
My work established Hda1, Rpd3, Hos2, and Rpd31 as key KDACs regulating azole resistance
in C. albicans. Together, the loss of these four KDACs abrogated resistance and basal tolerance
of azoles, recapitulating the effect of inhibition of KDACs or Hsp90 (Figure 1, Figure 4). The
effect of KDACs on Hsp90 is likely through altering chaperone function, as Hsp90 protein levels
were unchanged (Figure 3). K30 and K271 are critical acetylation sites on CaHSP90, as
mutations that mimic acetylation or deacetylation at these residues resulted in impaired Hsp90
function, shown by the increased sensitivity to Hsp90 inhibitor (Figure 6). Both K30 and K271
appear to be making independent contributions to Hsp90 regulation, as mutations of both sites
resulted in a more severe phenotype than either of the single mutations alone. This led to a defect
in the activity of GR (Figure 7), but had no effect on the activation of calcineurin dependent
genes (Figure 8), suggesting that Hsp90 acetylation might be differentially regulating a specific
subset of its client proteins. The same four KDACs also resulted in a stable pseudohyphal
morphology (Figure 11), consistent with exposure to TSA (Figure 9, Figure 10).
KDACs have been previously implicated in azole resistance. TSA was the first KDAC inhibitor
that was demonstrated to increase susceptibility to azoles, and this effect to initially largely
attributed to its effect on gene expression (Smith and Edlind 2002). A fungal specific inhibitor of
Hos2 activity has also been shown to be synergistic with azoles in multiple fungal pathogens,
including C. albicans (Pfaller, Messer et al. 2009). More recently, in a different strain
background, deletion of either Rpd3 or Hda1 alone was able to enhance the efficacy of azoles
(Li, Cai et al. 2015). All of these results support the contribution of KDACs to azole resistance.
In this study, I showed that it is actually the combined loss of four KDACs – Hda1, Rpd3, Hos2,
and Rpd31 – that is required to abrogate azole resistance. The fact that all four KDACs had to be
depleted before loss of resistance is observed demonstrates the surprisingly high level of
functional redundancy among the fungal KDACs. These KDACs function in distinct complexes,
and previous work in S. cerevisiae typically demonstrates a division of labour, with the KDACs
carrying out largely non-overlapping functions, both in terms of regulation of gene expression
and general protein acetylation (Robyr, Suka et al. 2002, Kaluarachchi Duffy, Friesen et al.
2012). Here, my results suggest they have overlapping roles in azole resistance, and could
65
compensate for the loss of each other through their functional redundancy, well enough for the
cell to survive the effect of the antifungal.
In all three Hsp90 functional assays tested, the acetylation mimic (K to Q) and deacetylation
mimic (K to R) mutations yielded similar phenotypes. When a defect is present, such as during
growth in geldanamycin or GR activation, the severity was similar regardless whether the residue
was mimicking the acetylated or deacetylated state. This suggest that it is not the acetylation
state of the residue that matters, but rather the ability to cycle between the acetylated and the
deacetylated forms that’s critical for proper Hsp90 function. This is not a new concept. Hsp90
chaperone cycle is an incredibly dynamic process, where it associated and dissociates with co-
chaperones and client proteins as it is pushed through the cycle with ATP hydrolysis (Taipale,
Jarosz et al. 2010, Li, Soroka et al. 2012). Similarly, CK2 is known to phosphorylate Hsp90 at
threonine 22 (Mollapour, Tsutsumi et al. 2011). In this case, both the phosphomimic mutants and
mutants that cannot be phosphorylated destabilize its client kinases and alter GR activity
(Mollapour, Tsutsumi et al. 2011), suggesting that the ability to cycle between phospho states is
key for proper Hsp90 function.
Differential regulation of client proteins appears to be a common theme with post-translational
modifications that regulate Hsp90 function. For example, in S. cerevisiae, compromising
phosphorylation of Hsp90 by Swe1 resulted in destabilization of client kinases, but did not affect
GR activation (Mollapour, Tsutsumi et al. 2010). Similarly, acetylation of Hsp90 in S. cerevisiae
regulates calcineurin activation, the heat shock response, and GR activation, but had no effect on
v-Src-induced toxicity (Robbins, Leach et al. 2012). In my study, I showed that acetylation of
Candida Hsp90 modulates the activity of GR, but did not impair calcineurin activity, again
demonstrating selectivity. Interestingly, calcineurin activity has been shown to be blocked by
TSA in C. albicans (Robbins, Leach et al. 2012), which suggests that calcineurin function is
indeed modulated by Hsp90 acetylation. One possible explanation for the apparent disparity seen
here it that there are additional Hsp90 acetylation sites apart from K30 and K271 that are
mediating Hsp90 interaction with calcineurin, such that substitution of K30 and K271 is not
sufficient to recapitulate the effects of TSA on calcineurin function.
66
4.2 Future Directions
In this study, using the GR reporter and calcineurin activity, I demonstrated that Hsp90
acetylation is likely regulating Hsp90 function in enabling activation of a selected subset of
client proteins. However, the precise mechanisms that underlie this selectivity and the members
of this specific subset remain elusive. Future experiments should take an unbiased approached to
investigate the global effect of Hsp90 acetylation state on all Hsp90 clients and how it shifts the
Hsp90 chaperone network. One approach is to compare the physical interactors of Hsp90 in the
wild type vs. acetylation mutant strains using mass spectrometry. Determining interactors that
are specifically gained or lost in the acetylation mutant strains could provide a much more
comprehensive list of clients influenced by Hsp90 acetylation. This approach also allows us to
probe whether acetylation alters Hsp90’s interaction with its co-chaperones. Hsp90 has multiple
co-chaperones that help provide specificity in terms of client proteins, as co-chaperones can
modulate Hsp90 interaction with specific subsets of clients (Taipale, Jarosz et al. 2010). Loss of
interaction with a single co-chaperone could mean the loss of proper regulation for all the clients
recognized by that particular co-chaperone. Comparison should also be made between the
different acetylation mutants as well to assess the independent contributions to client regulation
by different acetylation sites on Hsp90. Together, these can provide valuable insights into Hsp90
regulation by acetylation, and reveal which downstream effectors are mediating the KDAC
mediated loss of azole resistance.
While much of my work focused on Hsp90 mediated effects of KDACs, it is important to
recognize that the KDACs likely influence azole resistance and morphogenesis through other
mechanisms as well. KDACs play a major role in epigenetics and regulation of gene expression
by controlling acetylation state of histones (Kurdistani and Grunstein 2003). Depending on the
identity of the KDAC and the regulation of its target genes, this could have profound effects on
C. albicans biology. To fully appreciate the effect of KDACs, it would be beneficial to identify
and characterize additional targets of KDACs that are important for azole resistance and
morphogenesis. Gene expression studies could be performed with the various mutants to identify
genes only modulated in the higher order mutant that has azole sensitivity and pseudohyphal
phenotypes. This could also reveal level of functional redundancy in terms of regulation of gene
expression. Alternatively, this could be done in an unbiased approach by screening through
various available libraries of C. albicans mutants, and search for mutants that no longer filaments
67
in response to KDAC inhibition, which would indicate their requirement in KDAC-dependent
morphogenesis.
Given the connection between Hsp90 and C. albicans pathogenicity, it would be valuable to
know how Hsp90 acetylation affects C. albicans virulence in animal models of infection. In A.
fumigatus, strains carrying an acetylation mutant version of Hsp90 showed a significant decrease
in virulence in a murine model of inhalational invasive aspergillosis (Lamoth, Juvvadi et al.
2014). A similar experiment could be conducted with Candida Hsp90 acetylation mutants in a
murine model of disseminated candidiasis. This would provide a direct test of the potential
efficacy of a KDAC inhibitor in an in vivo system.
Overall, by investigating the circuitry through which KDACs regulate drug resistance and
morphogenesis, my work provides important insights into the regulatory network of C. albicans
Hsp90, and suggests new targets for treating life-threatening fungal infections.
68
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