Fungi are an increasingly important cause of death and morbidity in both immunocompetent and immunocompromised patients. Cryptococcal meningitis caused by Cryptococcus neoformans is the most common cause of fungal central nervous system infection in the world. One million cases of Cryptococcal infection occur globally, largely in the context of AIDS and constitute one-third of all AIDS-associated deaths. Despite these public health threats, effective treatments for cryptococcosis are inadequate. Recent reports indicate a high importance of genome plasticity in the pathogenicity of C. neoformans. For example, changes in chromosomal copy number are a major factor contributing to the resistance to the azole drug fluconazole in vitro and in vivo. The list of key resistance genes whose copy number increases in fluconazole-resistant C. neoformans isolates is well established. However, very little is known about the molecular mechanisms that govern changes in chromosomal copy number in this organism. The main objective of this proposal is to elucidate mechanisms responsible for generation of aneuploidy when C. neoformans is exposed to fluconazole. We will perform a detailed analysis of the effects of fluconazole on cell growth and nuclear division. In addition, we will elucidate basic architecture of the spindle assembly checkpoint (SAC) pathway in C. neoformans, and explore the possibility that the inhibition of this pathway is one of the causes of fluconazole-triggered aneuploidy leading to drug resistance. This work will contribute to our understanding of the mechanisms that are involved in chromosomal changes of a fungal pathogen during infection. This project will engage graduate and undergraduate students and allow for hands-on research experience. Students will be exposed to various laboratory techniques and will learn formulating and testing research hypotheses.

Public Health Relevance

The proposed research aims at resolving an issue that is a significant concern in public health - drug resistance during infection of cryptococcal meningitis caused by Cryptococcus neoformans, which is the most common cause of fungal central nervous system infection in the world. C. neoformans becomes drug- resistant by changing gene copy number through unknown mechanisms. The main goal of this proposal is to uncover these mechanisms and to help to stop drug resistance in cryptococcosis and improve treatments of this devastating disease.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Academic Research Enhancement Awards (AREA) (R15)
Project #
1R15AI119801-01
Application #
8957277
Study Section
Special Emphasis Panel (ZRG1-IDM-S (81))
Program Officer
Duncan, Rory A
Project Start
2015-06-15
Project End
2018-05-31
Budget Start
2015-06-15
Budget End
2018-05-31
Support Year
1
Fiscal Year
2015
Total Cost
$437,246
Indirect Cost
$137,246
Name
Clemson University
Department
Biochemistry
Type
Schools of Earth Sciences/Natur
DUNS #
042629816
City
Clemson
State
SC
Country
United States
Zip Code
29634
Altamirano, Sophie; Simmons, Charles; Kozubowski, Lukasz (2018) Colony and Single Cell Level Analysis of the Heterogeneous Response of Cryptococcus neoformans to Fluconazole. Front Cell Infect Microbiol 8:203
Altamirano, Sophie; Chandrasekaran, Srikripa; Kozubowski, Lukasz (2017) Mechanisms of Cytokinesis in Basidiomycetous Yeasts. Fungal Biol Rev 31:73-87
Chen, Qi; Li, Di; Zielinski, Jessica et al. (2017) Yeast cell fractionation by morphology in dilute ferrofluids. Biomicrofluidics 11:064102
Altamirano, Sophie; Fang, Diana; Simmons, Charles et al. (2017) Fluconazole-Induced Ploidy Change in Cryptococcus neoformans Results from the Uncoupling of Cell Growth and Nuclear Division. mSphere 2: