Abstract

ABSTRACTFungi in the genus Pneumocystis live in the lungs of mammals, where they can cause a fatal pneumonia (PCP [Pneumocystis pneumonia]) in hosts with compromised immune systems. The absence of a continuous in vitro culture system for any species of Pneumocystis has led to limited understanding of these fungi, especially for the discovery of new therapies. We recently reported that Pneumocystis carinii, Pneumocystis murina, and most significantly, Pneumocystis jirovecii lack both enzymes necessary for myo-inositol biosynthesis but contain genes with homologies to fungal myo-inositol transporters. Since myo-inositol is essential for eukaryotic viability, the primary transporter, ITR1, was functionally and structurally characterized in P. carinii. The predicted structure of P. carinii ITR1 (PcITR1) contained 12 transmembrane alpha-helices with intracellular C and N termini, consistent with other inositol transporters. The apparent Km was 0.94 ± 0.08 (mean ± standard deviation), suggesting that myo-inositol transport in P. carinii is likely through a low-affinity, highly selective transport system, as no other sugars or inositol stereoisomers were significant competitive inhibitors. Glucose transport was shown to use a different transport system. The myo-inositol transport was distinct from mammalian transporters, as it was not sodium dependent and was cytochalasin B resistant. Inositol transport in these fungi offers an attractive new drug target because of the reliance of the fungi on its transport, clear differences between the mammalian and fungal transporters, and the ability of the host to both synthesize and transport this critical nutrient, predicting low toxicity of potential inhibitors to the fungal transporter.

Highlights

  • Fungi in the genus Pneumocystis live in the lungs of mammals, where they can cause a fatal pneumonia (PCP [Pneumocystis pneumonia]) in hosts with compromised immune systems

  • The model indicates the presence of 12 transmembrane alpha-helical regions, forming a transport channel that is capped by nonmembrane-spanning alpha-helices (Fig. 1, blue) from one side, suggesting their possible role in regulating the permeability of the transporter. This suggestion is in line with the publications detailing the resolved structures used as templates to model P. carinii ITR1 (PcITR1)

  • Eukaryotic cells typically obtain myo-inositol from three sources: they can make it from glucose-6-phosphate using just 2 enzymes, 1-D-myo-inositol-phosphate synthase and inositol monophosphatase, they can sequester it from extracellular sources by specialized myo-inositol transporters, or it can be obtained by dephosphorylation or recycling of inositol-containing membrane or cellular phospholipids [30]. myo-Inositol is involved in at least three essential cellular functions

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Summary

Introduction

Fungi in the genus Pneumocystis live in the lungs of mammals, where they can cause a fatal pneumonia (PCP [Pneumocystis pneumonia]) in hosts with compromised immune systems. It is well appreciated that the absence of a continuous in vitro culture system for any species of Pneumocystis has led to limited understanding of the life cycles, transmission, and natural histories of Pneumocystis fungi These shortcomings have in turn led to a dearth of new therapies for treatment and prophylaxis of PCP. We recently used comparative genomics to reveal that Pneumocystis carinii, P. murina, and most significantly, P. jirovecii lack both of the enzymes necessary for myo-inositol biosynthesis, inositol-3-phosphate synthase and inositol monophosphatase, which use glucose-6-phosphate as the initial substrate [16]. The lack of these two enzymes was later upheld by another comparative genomics study of the three Pneumocystis species [17]. P. jirovecii is available in only limited numbers, and such studies could not be conducted using it at present

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