Polyploid titan cells produce haploid and aneuploid progeny to promote stress adaptation
Open accessAbstract
Cryptococcus neoformans is a major life-threatening fungal pathogen. In response to the stress of the host environment, C. neoformans produces large polyploid titan cells. Titan cell production enhances the virulence of C. neoformans , yet whether the polyploid aspect of titan cells is specifically influential remains unknown. We show that titan cells were more likely to survive and produce offspring under multiple stress conditions than typical cells and that even their normally sized daughters maintained an advantage over typical cells in continued exposure to stress. Although polyploid titan cells generated haploid daughter cell progeny upon in vitro replication under nutrient-replete conditions, titan cells treated with the antifungal drug fluconazole produced fluconazole-resistant diploid and aneuploid daughter cells. Interestingly, a single titan mother cell was capable of generating multiple types of aneuploid daughter cells. The increased survival and genomic diversity of titan cell progeny promote rapid adaptation to new or high-stress conditions. IMPORTANCE The ability to adapt to stress is a key element for survival of pathogenic microbes in the host and thus plays an important role in pathogenesis. Here we investigated the predominantly haploid human fungal pathogen Cryptococcus neoformans , which is capable of ploidy and cell size increases during infection through production of titan cells. The enlarged polyploid titan cells are then able to rapidly undergo ploidy reduction to generate progeny with reduced ploidy and/or aneuploidy. Under stressful conditions, titan cell progeny have a growth and survival advantage over typical cell progeny. Understanding how titan cells enhance the rate of cryptococcal adaptation under stress conditions may assist in the development of novel drugs aimed at blocking ploidy transitions.
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During cryptococcosis treatment, newly emerged polyploid titan cells produced daughter cells that were more resistant to fluconazole.
“Gerstein et al. found that, during cryptococcosis treatment, newly emerged polyploid titan cells produced daughter cells that were more resistant to fluconazole and thus adapted to the host environment.”
From Insight into the Mechanisms and Clinical Relevance of Antifungal Heteroresistance (2025) · cites this paper as [56]
The Results and Discussion report that titan cells produced daughter cells with a fluconazole-resistance advantage over progeny of typical cells. However, the fluconazole experiments were conducted in culture using cells obtained from mice; the paper does not show titan cells emerging and producing resistant daughters during cryptococcosis treatment in a host. (LLM, conf=0.88)
Experimental — accuracy not yet measuredOne mechanism of C. neoformans heteroresistance is associated with multiple types of aneuploid daughter cells produced by titan cells.
“One of its mechanisms is associated with the multiple types of aneuploid daughter cells produced by titan cells [56,140,141].”
From Insight into the Mechanisms and Clinical Relevance of Antifungal Heteroresistance (2025) · cites this paper as [56]
A single titan mother cell produced multiple types of aneuploid daughter cells.
“Furthermore, a single titan mother cell produced multiple types of aneuploid daughter cells, which might contribute to the survivability of progeny under different environmental stresses [56].”
From Insight into the Mechanisms and Clinical Relevance of Antifungal Heteroresistance (2025) · cites this paper as [56]
Multiple types of aneuploid daughter cells might contribute to survivability of progeny under different environmental stresses.
“Furthermore, a single titan mother cell produced multiple types of aneuploid daughter cells, which might contribute to the survivability of progeny under different environmental stresses [56].”
From Insight into the Mechanisms and Clinical Relevance of Antifungal Heteroresistance (2025) · cites this paper as [56]
The titan cell plays a key part in stress adaptation and resistance to antifungal drugs.
“The titan cell also plays a key part in stress adaptation and resistance to antifungal drugs26,150.”
From Treatment strategies for cryptococcal infection: challenges, advances and future outlook (2021) · cites this paper as [26]
The drug resistance attribute of titan cells is retained in their progeny.
“An important contribution of the titan cell to drug resistance is that this attribute is retained in its progeny26.”
From Treatment strategies for cryptococcal infection: challenges, advances and future outlook (2021) · cites this paper as [26]
Under fluconazole-induced stress conditions, titan daughter cells are more often aneuploid, specifically with disomy of chromosomes 1 or 4, which results in improved growth in the presence of fluconazole.
“under fluconazole-induced stress conditions they are more often aneuploid, specifically with a disomy of chromosomes 1 or 4, which results in improved growth in the presence of fluconazole26.”
From Treatment strategies for cryptococcal infection: challenges, advances and future outlook (2021) · cites this paper as [26]
Titan cell populations have an increased growth advantage compared with typical haploid cells on exposure to oxidative and nitrosative stress, which is not mediated through aneuploid formation.
“titan cell populations also have an increased growth advantage compared with typical haploid cells on exposure to oxidative and nitrosative stress, which is not mediated through aneuploid formation26”
From Treatment strategies for cryptococcal infection: challenges, advances and future outlook (2021) · cites this paper as [26]
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“Furthermore, a single titan mother cell produced multiple types of aneuploid daughter cells, which might contribute to the survivability of progeny under different environmental stresses [56].”
- Authors
- Gerstein, A. C., Fu, M. S., Mukaremera, L., Li, Z., Ormerod, K. L., Fraser, J. A., Berman, J., & Nielsen, K.
- Affiliations
- University of Minnesota (US)
- The University of Queensland (AU)
- Corresponding author
- Nielsen, Kirsten
- ORCID
- Venue
- mBio
- Publisher
- American Society for Microbiology
- Published
- 2015-10-30
- Volume
- 6
- Issue
- 5
- Pages
- e01340-15
- ISSN
- 2150-7511 (ISSN-L)
- 2161-2129
- PMC
- PMC4620463
- OpenAlex
- W2177953885
- Cited by
- 167
- References
- 64
- Citations by year
- 2026: 13 · 2025: 11 · 2024: 14 · 2023: 12 · 2022: 24 · 2021: 23 · 2020: 15 · 2019: 17 · 2018: 14 · 2017: 15 · 2016: 8 · 2015: 1
- FWCI
- 9.93
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- mBio (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Mayo Clinic
- Azrieli Foundation
- National Institutes of Health (UL1TR000114)
- National Health and Medical Research Council
- National Institute of Allergy and Infectious Diseases (R01AI080275, R01AI0624273)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Keywords
- Cryptococcus neoformans, titan cells, polyploidy, aneuploidy, stress adaptation, fluconazole resistance, antifungal resistance, ploidy reduction, genomic diversity, fungal virulence, cell size
- MeSH terms
- Aneuploidy, Animals, Antifungal Agents, Cryptococcosis, Cryptococcus neoformans, Disease Models, Animal, Female, Haploidy, Mice, Inbred C57BL, Polyploidy, Stress, Physiological, Fluconazole, Drug Resistance, Fungal, Microbial Viability
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