Cryptococcus neoformans Resistance to Echinocandins: (1,3)β-Glucan Synthase Activity Is Sensitive to Echinocandins
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(1,3)β- d -Glucan synthase (EC 2.4.1.34. UDP-glucose: 1,3-β- d -glucan 3-β-glucosyltransferase) uses UDP-glucose as substrate and catalyzes the polymerization of glucose ([1,3]-β-linkages) to form the major carbohydrate component of the fungal cell wall. We have optimized in vitro assay conditions for (1,3)β-glucan synthase activity from Cryptococcus neoformans . Cells lysed in 50 mM Tris, pH 7.75, containing 20% glycerol, 2 mM NaF, 1 mM dithiothreitol, 0.1 mM phenylmethylsulfonyl fluoride, 5 mM MgCl 2 , 0.1% protease and phosphatase inhibitor cocktails, and 60 μM GTPγS produced maximum specific activity in vitro. We tested in vitro C. neoformans (1,3)β-glucan synthase activity against the (1,3)β-glucan synthase inhibitors, caspofungin and cilofungin, and have determined that (1,3)β-glucan synthase activity is very sensitive (apparent K i of 0.17 ± 0.02 μM and 22 ± 5.7 μM, respectively) to these echinocandins. Taken together with high MICs for C. neoformans (caspofungin MIC, 16 μg/ml; cilofungin MIC, 64 μg/ml), our results indicate that C. neoformans is resistant to caspofungin and cilofungin by a mechanism(s) unrelated to (1,3)β-glucan synthase resistance.
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The resistance of Cryptococcus to echinocandins is paradoxical because β-1,3-glucan synthase, the enzymatic target of echinocandins, is essential in Cryptococcus and has been demonstrated to be potently inhibited by echinocandins biochemically.
“This resistance is paradoxical, as β-1,3-glucan synthase, the enzymatic target of the echinocandins, is essential in Cryptococcus and has been demonstrated to be potently inhibited by echinocandins biochemically44,45.”
From Treatment strategies for cryptococcal infection: challenges, advances and future outlook (2021) · cites this paper as [45]
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- Authors
- Maligie, M. A., & Selitrennikoff, C. P.
- Affiliations
- University of Colorado Health (US)
- Venue
- Antimicrobial Agents and Chemotherapy
- Publisher
- American Society for Microbiology
- Published
- 2005-07
- Volume
- 49
- Issue
- 7
- Pages
- 2851-2856
- ISSN
- 0066-4804 (ISSN-L)
- 1098-6596
- PMC
- PMC1168702
- OpenAlex
- W2128575896
- Cited by
- 178
- References
- 52
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 7 · 2023: 13 · 2022: 11 · 2021: 13 · 2020: 14 · 2019: 9 · 2018: 10 · 2017: 10 · 2016: 10 · 2015: 3 · 2014: 9 · 2013: 4 · 2012: 4
- FWCI
- 4.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Antimicrobial Agents and Chemotherapy (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Allergy and Infectious Diseases (1 R21 AI05883)
- Topics
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Keywords
- Cryptococcus neoformans, echinocandin resistance, caspofungin, beta-1,3-glucan synthase, fungal cell wall, UDP-glucose, enzyme inhibition, minimum inhibitory concentration, antifungal resistance
- MeSH terms
- Caspofungin, Antifungal Agents, Cryptococcus neoformans, Fungal Proteins, Glucosyltransferases, Humans, Microbial Sensitivity Tests, Peptides, Cyclic, Drug Resistance, Fungal, Echinocandins, Lipopeptides
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