Crystal Structures of Full-Length Lanosterol 14α-Demethylases of Prominent Fungal Pathogens Candida albicans and Candida glabrata Provide Tools for Antifungal Discovery
Abstract:Targeting lanosterol 14α-demethylase (LDM) with azole drugs provides prophylaxis and treatments for superficial and disseminated fungal infections, but cure rates are not optimal for immunocompromised patients and individuals with comorbidities. The efficacy of azole drugs has also been reduced due to the emergence of drug-resistant fungal pathogens. We have addressed the need to improve the potency, spectrum, and specificity for azoles by expressing in functional, recombinant, hexahistidine-tagged, full-lengt… Show more
“…The presence of PCZ instead of VT-1161 in the SEC allows N-truncCaLDM6ϫHis A61-Q66, F238-F235, and Y506-M509 to adopt a conformation significantly closer to that found in the full-length ScLDM6ϫHis structures. The PCZ ligand has a conformation essentially identical to its congener ITC in crystal structures obtained with fulllength ScLDM6ϫHis and full-length CaLDM6ϫHis (36). Like ScLDM6ϫHis in complex with ITC, the PCZ complex has the piperazine ring in a chair conformation ( Fig.…”
Section: Figmentioning
confidence: 92%
“…The crystal structures include the complete protein primary sequence from serine 6 (S6) for the ScLDM-VT-1161 complex and from valine 8 (V8) to the first histidine in the C-terminal hexahistidine tag for the ScLDM-PCZ complex. (36). The crystal structure of ScLDM6ϫHis in complex with PCZ shows a 2.1-Å 6th axial (distal) coordination with the heme iron via N-3 of the triazole ring, which projects toward helix I (Fig.…”
Section: Fig 1 Susceptibilities Of Yeast Constructs and Clinical Isolmentioning
confidence: 98%
“…8). The loop has polar and nonpolar interactions with the transmembrane helix in full-length ScLDM complexed with several ligands (3,19,20) and CaLDM in complex with ITC (PDB ID 5V5Z) (36). Subtle differences between the conformation for the F= helix and its C-terminal loop (P230 -H241) and Y505-M508 in the loop between the 4-1 and 4-2 sheets differentially shape the sides and mouth of the SEC (Fig.…”
Tetrazole antifungals designed to target fungal lanosterol 14α-demethylase (LDM) appear to be effective against a range of fungal pathogens. In addition, a crystal structure of the catalytic domain of Candida albicans LDM in complex with the tetrazole VT-1161 has been obtained. We have addressed concern about artifacts that might arise from crystallizing VT-1161 with truncated recombinant CYP51s and measured the impact on VT-1161 susceptibility of genotypes known to confer azole resistance. A yeast system was used to overexpress recombinant full-length Saccharomyces cerevisiae LDM with a C-terminal hexahistidine tag (ScLDM6×His) for phenotypic analysis and crystallographic studies with VT-1161 or with the widely used triazole drug posaconazole (PCZ). We determined the effect of characterized mutations in LDM on VT-1161 activity and identified drug efflux pumps from fungi, including key fungal pathogens, that efflux VT-1161. The relevance of these yeast-based observations on drug efflux was verified using clinical isolates of C. albicans and Candida glabrata. VT-1161 binding elicits a significant conformational difference between the full-length and truncated enzymes not found when posaconazole is bound. Susceptibility to VT-1161 is reduced by ATP-binding cassette (ABC) and major facilitator superfamily (MFS) drug efflux pumps, the overexpression of LDM, and mutations within the drug binding pocket of LDM that affect interaction with the tertiary alcohol of the drug.
“…The presence of PCZ instead of VT-1161 in the SEC allows N-truncCaLDM6ϫHis A61-Q66, F238-F235, and Y506-M509 to adopt a conformation significantly closer to that found in the full-length ScLDM6ϫHis structures. The PCZ ligand has a conformation essentially identical to its congener ITC in crystal structures obtained with fulllength ScLDM6ϫHis and full-length CaLDM6ϫHis (36). Like ScLDM6ϫHis in complex with ITC, the PCZ complex has the piperazine ring in a chair conformation ( Fig.…”
Section: Figmentioning
confidence: 92%
“…The crystal structures include the complete protein primary sequence from serine 6 (S6) for the ScLDM-VT-1161 complex and from valine 8 (V8) to the first histidine in the C-terminal hexahistidine tag for the ScLDM-PCZ complex. (36). The crystal structure of ScLDM6ϫHis in complex with PCZ shows a 2.1-Å 6th axial (distal) coordination with the heme iron via N-3 of the triazole ring, which projects toward helix I (Fig.…”
Section: Fig 1 Susceptibilities Of Yeast Constructs and Clinical Isolmentioning
confidence: 98%
“…8). The loop has polar and nonpolar interactions with the transmembrane helix in full-length ScLDM complexed with several ligands (3,19,20) and CaLDM in complex with ITC (PDB ID 5V5Z) (36). Subtle differences between the conformation for the F= helix and its C-terminal loop (P230 -H241) and Y505-M508 in the loop between the 4-1 and 4-2 sheets differentially shape the sides and mouth of the SEC (Fig.…”
Tetrazole antifungals designed to target fungal lanosterol 14α-demethylase (LDM) appear to be effective against a range of fungal pathogens. In addition, a crystal structure of the catalytic domain of Candida albicans LDM in complex with the tetrazole VT-1161 has been obtained. We have addressed concern about artifacts that might arise from crystallizing VT-1161 with truncated recombinant CYP51s and measured the impact on VT-1161 susceptibility of genotypes known to confer azole resistance. A yeast system was used to overexpress recombinant full-length Saccharomyces cerevisiae LDM with a C-terminal hexahistidine tag (ScLDM6×His) for phenotypic analysis and crystallographic studies with VT-1161 or with the widely used triazole drug posaconazole (PCZ). We determined the effect of characterized mutations in LDM on VT-1161 activity and identified drug efflux pumps from fungi, including key fungal pathogens, that efflux VT-1161. The relevance of these yeast-based observations on drug efflux was verified using clinical isolates of C. albicans and Candida glabrata. VT-1161 binding elicits a significant conformational difference between the full-length and truncated enzymes not found when posaconazole is bound. Susceptibility to VT-1161 is reduced by ATP-binding cassette (ABC) and major facilitator superfamily (MFS) drug efflux pumps, the overexpression of LDM, and mutations within the drug binding pocket of LDM that affect interaction with the tertiary alcohol of the drug.
“…This approach has enabled robust assessment of the response of LDMs from two major fungal pathogens of humans to both established and novel antifungals and expression of functional fungal LDMs for structural analysis. For example, we have used X-ray crystal structures for full-length S. cerevisiae (2), C. glabrata, and C. albicans LDMs (see the companion paper [33]) to define a deep LBP comprised of an active site, SEC, and putative product exit channel relevant to a wide range of fungal pathogens. In silico screens that identify and rank hits that dock with the crystal structures and derived homology models can now be combined with phenotypic screens to identify agents that target the fungal enzyme in biological contexts.…”
Section: Ergosterol Content Is Affected By Ldm and Ncp1 Expressionmentioning
Targeting lanosterol 14α-demethylase (LDM) with azole drugs provides prophylaxis and treatments for superficial and disseminated fungal infections, but cure rates are modest for immunocompromised patients and individuals with comorbidities. The efficacy of azole drugs has also been reduced due to the emergence of drug-resistant fungal pathogens. We have addressed these problems by expressing in functional, hexahistidine-tagged, full-length LDM (CaLDM6×His) and LDM (CgLDM6×His) for drug discovery purposes and determining their X-ray crystal structures. Compared with overexpressing LDM6×His (ScLDM6×His), the reduced susceptibility of CgLDM6×His to all azole drugs tested correlated with its level of overexpression. In contrast, the reduced susceptibility to short-tailed (fluconazole and voriconazole) but not medium-tailed (VT-1161) or long-tailed azoles (itraconazole and posaconazole) indicates CaLDM6×His works best when coexpressed with its cognate NADPH-cytochrome P450 reductase (CaNcp1A) rather than the host reductase (ScNcp1). Overexpression of LDM or Ncp1 modified the ergosterol content of yeast and affected growth inhibition by the polyene antibiotic amphotericin B. Affinity-purified recombinant LDMs bind carbon monoxide and show tight type II binding of a range of azole drugs, including itraconazole, posaconazole, fluconazole, and voriconazole. This study provides a practical basis for the phenotype-, biochemistry-, and structure-directed discovery of novel antifungals that target LDMs of fungal pathogens.
“…As discussed in the previous section, azole drugs bind with lanosterol 14a-demethylase and inhibit ergosterol biosynthesis 24 Here, we performed in silico molecular docking studies of 5n with CaCYP51 to validate our sterol quantitation analysis. Interestingly, the study revealed that compound 5n showed polar interaction with heme atom in the binding site.…”
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