Calcineurin is required for virulence of Cryptococcus neoformans
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Cyclosporin A (CsA) and FK506 are antimicrobial, immunosuppressive natural products that inhibit signal transduction. In T cells and Saccharomyces cerevisiae, CsA and FK506 bind to the immunophilins cyclophilin A and FKBP12 and the resulting complexes inhibit the Ca2+-regulated protein phosphatase calcineurin. We find that growth of the opportunistic fungal pathogen Cryptococcus neoformans is sensitive to CsA and FK506 at 37 degrees C but not at 24 degrees C, suggesting that CsA and FK506 inhibit a protein required for C. neoformans growth at elevated temperature. Genetic evidence supports a model in which immunophilin-drug complexes inhibit calcineurin to prevent growth at 37 degrees C. The gene encoding the C. neoformans calcineurin A catalytic subunit was cloned and disrupted by homologous recombination. Calcineurin mutant strains are viable but do not survive in vitro conditions that mimic the host environment (elevated temperature, 5% CO2 or alkaline pH) and are no longer pathogenic in an animal model of cryptococcal meningitis. Introduction of the wild-type calcineurin A gene complemented these growth defects and restored virulence. Our findings demonstrate that calcineurin is required for C. neoformans virulence and may define signal transduction elements required for fungal pathogenesis that could be targets for therapeutic intervention.
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FK506, upon binding its intracellular receptor FKBP12, specifically inhibits calcineurin phosphatase activity-a mechanism conserved from yeast to humans and well-established in fungal pathogens.
“as FK506, upon binding its intracellular receptor FKBP12, specifically inhibits calcineurin phosphatase activity—a mechanism conserved from yeast to humans and well‐established in fungal pathogens [29].”
From Calcineurin‐Dependent Stress Adaptation Enables Caspofungin Heteroresistance Leading to Stable Resistance in <i>Candida Glabrata</i> (2026) · cites this paper as [29]
The C. glabrata Δcnb1 strain phenotype (increased susceptibility to azoles and cell wall-damaging agents, decreased virulence) is consistent with previous findings for other pathogenic fungi.
“For example, the observed C. glabrata Δcnb1 strain phenotype, which is characterized by an increased susceptibility to azoles and cell wall-damaging agents as well as decreased virulence, is consistent with previous findings for other pathogenic fungi, such as C. albicans (2-4, 27), C. neoformans (11, 18, 21), and A. fumigatus (9, 30).”
From Roles of Calcineurin and Crz1 in Antifungal Susceptibility and Virulence of <i>Candida glabrata</i> (2010) · cites this paper as [21]
In C. neoformans, calcineurin governs both morphogenesis during sexual reproduction and growth at host temperature.
“In C. neoformans, calcineurin governs both morphogenesis during sexual reproduction and growth at host temperature (Odom et al. 1997; Cruz et al. 2001).”
From Genetic analysis of Hsp90 function in <i>Cryptococcus neoformans</i> highlights key roles in stress tolerance and virulence (2022) · cites this paper as Odom et al. 1997
Calcineurin is a bona fide client of Hsp90 and has been implicated in growth at high temperature and virulence of Cryptococcus.
“For example, calcineurin, a bona fide client of Hsp90, has been implicated in growth at high temperature as well as virulence of the pathogen [47–49].”
From Heat shock protein 90 localizes to the surface and augments virulence factors of Cryptococcus neoformans (2017) · cites this paper as [49]
The C. neoformans calcineurin catalytic subunit disruption strain was not viable in conditions mimicking the host environment (37°C, 5% CO2 or alkaline pH) and was avirulent.
“While the S. cerevisiae calcineurin catalytic subunit null mutant was able to grow at higher temperature (Liu et al., 1991), the C. neoformans calcineurin catalytic subunit disruption strain was not viable in conditions that mimicked the host environment (37° C, 5% CO2 or alkaline pH) and was avirulent (Odom et al., 1997).”
From Calcineurin as a multifunctional regulator: Unraveling novel functions in fungal stress responses, hyphal growth, drug resistance, and pathogenesis (2014) · cites this paper as Odom et al., 1997
C. neoformans can survive at host temperature via calcineurin-mediated regulatory mechanisms and requires calcineurin for virulence.
“The pathogenic basidiomycete C. neoformans can survive at host temperature via calcineurin-mediated regulatory mechanisms and requires calcineurin for virulence (Brown et al., 2007; Odom et al., 1997).”
From Calcineurin as a multifunctional regulator: Unraveling novel functions in fungal stress responses, hyphal growth, drug resistance, and pathogenesis (2014) · cites this paper as Odom et al., 1997
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<i>CRZ1</i> , a target of the calcineurin pathway in <i>Candida albicans</i>
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Calcineurin Is Essential for <i>Candida albicans</i> Survival in Serum and Virulence
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Coping with stress: calmodulin and calcineurin in model and pathogenic fungi
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<i>Cryptococcus neoformans</i> Gene Expression during Experimental Cryptococcal Meningitis
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- Authors
- Odom, A., Muir, S., Lim, E., Toffaletti, D. L., Perfect, J., & Heitman, J.
- Affiliations
- Howard Hughes Medical Institute (US)
- Duke Medical Center (US)
- Corresponding author
- Heitman, Joseph
- Venue
- The EMBO Journal
- Published
- 1997-05-15
- Volume
- 16
- Issue
- 10
- Pages
- 2576-2589
- ISSN
- 0261-4189 (ISSN-L)
- 1460-2075
- PMC
- PMC1169869
- OpenAlex
- W2162294247
- Cited by
- 516
- References
- 80
- Citations by year
- 2026: 15 · 2025: 14 · 2024: 15 · 2023: 11 · 2022: 16 · 2021: 9 · 2020: 22 · 2019: 14 · 2018: 13 · 2017: 21 · 2016: 22 · 2015: 14 · 2014: 36 · 2013: 17 · 2012: 11
- FWCI
- 15.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The EMBO Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (AI28388)
- Topics
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Signaling Pathways in Disease
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Keywords
- calcineurin, Cryptococcus neoformans, fungal virulence, cyclosporine, FK506, immunophilins, FKBP12, temperature-dependent growth, opportunistic fungal pathogens, immunosuppression
- MeSH terms
- Amino Acid Sequence, Animals, Antifungal Agents, Base Sequence, Calmodulin-Binding Proteins, Cryptococcus neoformans, Drug Resistance, Microbial, Fungal Proteins, Genes, Fungal, Models, Genetic, Molecular Sequence Data, Phosphoprotein Phosphatases, Polyenes, Rabbits, Recombination, Genetic, Temperature, Virulence, Gene Expression Regulation, Fungal, Mutagenesis, Tacrolimus, Cyclosporine, Sequence Homology, Amino Acid, Calcineurin, Sirolimus
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