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Brilacidin, a novel antifungal agent against Cryptococcus neoformans

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Diehl, Camila ; Pinzan, Camila Figueiredo ; de Castro, Patricia Alves ; Delbaje, Endrews ; Carnero, Laura C. Garcia ; Sanchez-Leon, Eddy ; Bhalla, Kabir ; Kronstad, James W. ; Kim, Dong-gyu ; Doering, Tamara L. ; Alkhazraji, Sondus ; Mishra, Nagendra N. ; Ibrahim, Ashraf S. ; Yoshimura, Mami ; Isuhuaylas, Luis Alberto Vega ; Pham, Lien Thi Kim ; Yashiroda, Yoko ; Boone, Charles ; dos Reis, Thaila Fernanda ; Goldman, Gustavo H.
Total Authors: 20
Document type: Journal article
Source: MBIO; v. 15, n. 7, p. 28-pg., 2024-06-25.
Abstract

Cryptococcus neoformans causes cryptococcosis, one of the most prevalent fungal diseases, generally characterized by meningitis. There is a limited and not very effective number of drugs available to combat this disease. In this manuscript, we show the host defense peptide mimetic brilacidin (BRI) as a promising antifungal drug against C. neoformans. BRI can affect the organization of the cell membrane, increasing the fungal cell permeability. We also investigated the effects of BRI against the model system Saccharomyces cerevisiae by analyzing libraries of mutants grown in the presence of BRI. In S. cerevisiae, BRI also affects the cell membrane organization, but in addition the cell wall integrity pathway and calcium metabolism. In vivo experiments show BRI significantly reduces C. neoformans survival inside macrophages and partially clears C. neoformans lung infection in an immunocompetent murine model of invasive pulmonary cryptococcosis. We also observed that BRI interacts with caspofungin (CAS) and amphotericin (AmB), potentiating their mechanism of action against C. neoformans. BRI + CAS affects endocytic movement, calcineurin, and mitogen-activated protein kinases. Our results indicate that BRI is a novel antifungal drug against cryptococcosis. IMPORTANCE Invasive fungal infections have a high mortality rate causing more deaths annually than tuberculosis or malaria. Cryptococcosis, one of the most prevalent fungal diseases, is generally characterized by meningitis and is mainly caused by two closely related species of basidiomycetous yeasts, Cryptococcus neoformans and Cryptococcus gattii. There are few therapeutic options for treating cryptococcosis, and searching for new antifungal agents against this disease is very important. Here, we present brilacidin (BRI) as a potential antifungal agent against C. neoformans. BRI is a small molecule host defense peptide mimetic that has previously exhibited broad-spectrum immunomodulatory/anti-inflammatory activity against bacteria and viruses. BRI alone was shown to inhibit the growth of C. neoformans, acting as a fungicidal drug, but surprisingly also potentiated the activity of caspofungin (CAS) against this species. We investigated the mechanism of action of BRI and BRI + CAS against C. neoformans. We propose BRI as a new antifungal agent against cryptococcosis. (AU)

FAPESP's process: 22/13603-4 - Large-scale data integration to study gene expression dynamics of Aspergillus fumigatus metabolic pathways related to caspofungin's antifungal action
Grantee:Endrews Delbaje
Support Opportunities: Scholarships in Brazil - Technical Training Program - Technical Training
FAPESP's process: 22/08796-8 - Molecular characterization of putative effector proteins in the human fungal pathogen Aspergillus fumigatus
Grantee:Camila Diehl da Rosa
Support Opportunities: Scholarships in Brazil - Post-Doctoral
FAPESP's process: 21/10599-3 - The Antimicrobial Resistance Institute of São Paulo (The Aries Project)
Grantee:Arnaldo Lopes Colombo
Support Opportunities: Research Grants - Research, Innovation and Dissemination Centers - RIDC
FAPESP's process: 21/04977-5 - The identification of new pathways and compounds that can enhance caspofungin activity against Aspergillus fumigatus
Grantee:Gustavo Henrique Goldman
Support Opportunities: Research Projects - Thematic Grants