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Disruption of the ATP-dependent unfoldase ClpX reverses antifungal resistance in Cryptococcus neoformans
by
Gutierrez-Gongora, D.
, McAlister, J. A.
, Ball, B.
, Sieber, S. A.
, Ramezanpour, S.
, Chan, N.
, Geddes-McAlister, J.
, Bermas, A.
, Muselius, B.
, Woods, M.
in
631/326/193/2542
/ 631/326/22/1434
/ 631/45/612/1248
/ 64
/ 82/58
/ Adenosine Triphosphate - metabolism
/ Animal models
/ Animals
/ Antifungal Agents - pharmacology
/ Biosynthesis
/ Cell cycle
/ Cryptococcosis - drug therapy
/ Cryptococcosis - microbiology
/ Cryptococcus neoformans
/ Cryptococcus neoformans - drug effects
/ Cryptococcus neoformans - enzymology
/ Cryptococcus neoformans - genetics
/ Cryptococcus neoformans - metabolism
/ Dehydrogenases
/ Disruption
/ Drug Resistance, Fungal - drug effects
/ Drug Resistance, Fungal - genetics
/ Effectiveness
/ Endopeptidase Clp - genetics
/ Endopeptidase Clp - metabolism
/ Ergosterol
/ Ergosterol - biosynthesis
/ Ergosterol - metabolism
/ Fatalities
/ Fluconazole
/ Fluconazole - pharmacology
/ Fungal diseases
/ Fungal Proteins - genetics
/ Fungal Proteins - metabolism
/ Fungi
/ Fungicides
/ Gene deletion
/ Humanities and Social Sciences
/ Humans
/ Immune system
/ Infections
/ Macrophages
/ Mice
/ Microbial Sensitivity Tests
/ multidisciplinary
/ Opportunist infection
/ Pathogens
/ Principal components analysis
/ Proteins
/ Proteomics
/ Science
/ Science (multidisciplinary)
/ Trends
/ Virulence
2025
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Disruption of the ATP-dependent unfoldase ClpX reverses antifungal resistance in Cryptococcus neoformans
by
Gutierrez-Gongora, D.
, McAlister, J. A.
, Ball, B.
, Sieber, S. A.
, Ramezanpour, S.
, Chan, N.
, Geddes-McAlister, J.
, Bermas, A.
, Muselius, B.
, Woods, M.
in
631/326/193/2542
/ 631/326/22/1434
/ 631/45/612/1248
/ 64
/ 82/58
/ Adenosine Triphosphate - metabolism
/ Animal models
/ Animals
/ Antifungal Agents - pharmacology
/ Biosynthesis
/ Cell cycle
/ Cryptococcosis - drug therapy
/ Cryptococcosis - microbiology
/ Cryptococcus neoformans
/ Cryptococcus neoformans - drug effects
/ Cryptococcus neoformans - enzymology
/ Cryptococcus neoformans - genetics
/ Cryptococcus neoformans - metabolism
/ Dehydrogenases
/ Disruption
/ Drug Resistance, Fungal - drug effects
/ Drug Resistance, Fungal - genetics
/ Effectiveness
/ Endopeptidase Clp - genetics
/ Endopeptidase Clp - metabolism
/ Ergosterol
/ Ergosterol - biosynthesis
/ Ergosterol - metabolism
/ Fatalities
/ Fluconazole
/ Fluconazole - pharmacology
/ Fungal diseases
/ Fungal Proteins - genetics
/ Fungal Proteins - metabolism
/ Fungi
/ Fungicides
/ Gene deletion
/ Humanities and Social Sciences
/ Humans
/ Immune system
/ Infections
/ Macrophages
/ Mice
/ Microbial Sensitivity Tests
/ multidisciplinary
/ Opportunist infection
/ Pathogens
/ Principal components analysis
/ Proteins
/ Proteomics
/ Science
/ Science (multidisciplinary)
/ Trends
/ Virulence
2025
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Disruption of the ATP-dependent unfoldase ClpX reverses antifungal resistance in Cryptococcus neoformans
by
Gutierrez-Gongora, D.
, McAlister, J. A.
, Ball, B.
, Sieber, S. A.
, Ramezanpour, S.
, Chan, N.
, Geddes-McAlister, J.
, Bermas, A.
, Muselius, B.
, Woods, M.
in
631/326/193/2542
/ 631/326/22/1434
/ 631/45/612/1248
/ 64
/ 82/58
/ Adenosine Triphosphate - metabolism
/ Animal models
/ Animals
/ Antifungal Agents - pharmacology
/ Biosynthesis
/ Cell cycle
/ Cryptococcosis - drug therapy
/ Cryptococcosis - microbiology
/ Cryptococcus neoformans
/ Cryptococcus neoformans - drug effects
/ Cryptococcus neoformans - enzymology
/ Cryptococcus neoformans - genetics
/ Cryptococcus neoformans - metabolism
/ Dehydrogenases
/ Disruption
/ Drug Resistance, Fungal - drug effects
/ Drug Resistance, Fungal - genetics
/ Effectiveness
/ Endopeptidase Clp - genetics
/ Endopeptidase Clp - metabolism
/ Ergosterol
/ Ergosterol - biosynthesis
/ Ergosterol - metabolism
/ Fatalities
/ Fluconazole
/ Fluconazole - pharmacology
/ Fungal diseases
/ Fungal Proteins - genetics
/ Fungal Proteins - metabolism
/ Fungi
/ Fungicides
/ Gene deletion
/ Humanities and Social Sciences
/ Humans
/ Immune system
/ Infections
/ Macrophages
/ Mice
/ Microbial Sensitivity Tests
/ multidisciplinary
/ Opportunist infection
/ Pathogens
/ Principal components analysis
/ Proteins
/ Proteomics
/ Science
/ Science (multidisciplinary)
/ Trends
/ Virulence
2025
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Disruption of the ATP-dependent unfoldase ClpX reverses antifungal resistance in Cryptococcus neoformans
Journal Article
Disruption of the ATP-dependent unfoldase ClpX reverses antifungal resistance in Cryptococcus neoformans
2025
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Overview
Fungal diseases impact the lives of a millions of people across the globe, and with our current repertoire of therapeutic options dwindling, effective treatment strategies are urgently needed. Critically, the emergence of azole-resistant isolates in the clinic following prolonged treatment regimes, environmental fungicide exposure, and fungal evolution, threatens the outcome of current therapeutics, further endangering the survival of infected individuals. Here, we investigate the underpinnings of antifungal resistance using quantitative proteomics to discover protein-level signatures of fluconazole (FLC) resistance in the opportunistic human fungal pathogen,
Cryptococcus neoformans
. We explore ClpX, an ATP-dependent unfoldase, as a target to overcome FLC resistance and explore target efficacy through macrophage and murine models of cryptococcal infection. Here we show that disruption of ClpX, following gene deletion or targeted inhibition, re-introduces FLC susceptibility into resistant strains, rendering FLC treatment effective once again. Further, we identify and experimentally confirm mechanisms by which ClpX influences susceptibility to FLC, through association with both heme biosynthesis and ergosterol production. Overall, our results contribute to the understanding of mechanisms driving FLC resistance in a globally important fungal pathogen, and we provide avenues for targeting proteins as a therapeutic strategy to reverse antifungal resistance.
Here, the authors reveal that the ATP-dependent unfoldase ClpX is a key driver of fluconazole resistance in
Cryptococcus neoformans
, and show that targeting ClpX restores drug susceptibility, offering a potential therapeutic strategy to reverse antifungal resistance and to render current drugs effective.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
Subject
/ 64
/ 82/58
/ Adenosine Triphosphate - metabolism
/ Animals
/ Antifungal Agents - pharmacology
/ Cryptococcosis - drug therapy
/ Cryptococcosis - microbiology
/ Cryptococcus neoformans - drug effects
/ Cryptococcus neoformans - enzymology
/ Cryptococcus neoformans - genetics
/ Cryptococcus neoformans - metabolism
/ Drug Resistance, Fungal - drug effects
/ Drug Resistance, Fungal - genetics
/ Endopeptidase Clp - genetics
/ Endopeptidase Clp - metabolism
/ Fungal Proteins - metabolism
/ Fungi
/ Humanities and Social Sciences
/ Humans
/ Mice
/ Principal components analysis
/ Proteins
/ Science
/ Trends
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