Abstract

Cryptococcosis is a fungal infection caused mainly by the pathogenic yeasts Cryptococcus neoformans and Cryptococcus gattii. The infection initiates with the inhalation of propagules that are then deposited in the lungs. If not properly treated, cryptococci cells can disseminate and reach the central nervous system. The current recommended treatment for cryptococcosis employs a three-stage regimen, with the administration of amphotericin B, flucytosine and fluconazole. Although effective, these drugs are often unavailable worldwide, can lead to resistance development, and may display toxic effects on the patients. Thus, new drugs for cryptococcosis treatment are needed. Recently, an iridoid named plumieridine was found in Allamanda polyantha seed extract; it exhibited antifungal activity against C. neoformans with a MIC of 250 μg/mL. To address the mode of action of plumieridine, several in silico and in vitro experiments were performed. Through a ligand-based a virtual screening approach, chitinases were identified as potential targets. Confirmatory in vitro assays showed that C. neoformans cell-free supernatant incubated with plumieridine displayed reduced chitinase activity, while chitinolytic activity was not inhibited in the insoluble cell fraction. Additionally, confocal microscopy revealed changes in the distribution of chitooligomers in the cryptococcal cell wall, from a polarized to a diffuse cell pattern state. Remarkably, further assays have shown that plumieridine can also inhibit the chitinolytic activity from the supernatant and cell-free extracts of bacteria, insect and mouse-derived macrophage cells (J774.A1). Together, our results suggest that plumieridine can be a broad-spectrum chitinase inhibitor.

Highlights

  • Cryptococcosis is a neglected fungal infection caused predominantly by Cryptococcus neoformans and Cryptococcus gattii (Kwon-Chung et al, 2017)

  • The results were ranked according to free energy and A. fumigatus chitinase B1 in complex with the tripeptide VR0 (PDB 3CHE) was considered the most likely plumieridine target (Full results for A. fumigatus predicted targets are available in Supplementary Table S2.)

  • The antifungal activity displayed by plumieridine against C. neoformans, led us to investigate the potential drug-target interactions

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Summary

Introduction

Cryptococcosis is a neglected fungal infection caused predominantly by Cryptococcus neoformans and Cryptococcus gattii (Kwon-Chung et al, 2017). C. neoformans is considered an opportunistic pathogen that infects mainly immunocompromised patients, while C. gattii is capable of infecting immunocompetent individuals (Kwon-Chung et al, 2014). Cases of cryptococcosis are closely related to the pandemic events of AIDS, with less than 300 reports in the late 1950s and more than a million in 2006 (Park et al, 2009). Reports of cryptococcosis in immunocompetent patients are increasing (Chen et al, 2008; Suchitha et al, 2012; Poley et al, 2019)

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