Small, Cationic Antifungal Proteins from Filamentous Fungi Inhibit Candida albicans Growth in 3D Skin Infection Models

ABSTRACT The emerging resistance of human-pathogenic fungi to antifungal drugs urges the development of alternative therapeutic strategies. The small, cationic antifungal proteins (AFPs) from filamentous ascomycetes represent promising candidates for next-generation antifungals. These bio-molecules...

Full description

Bibliographic Details
Main Authors: Jeanett Holzknecht, Sandrine Dubrac, Sarah Hedtrich, László Galgóczy, Florentine Marx
Format: Article
Language:English
Published: American Society for Microbiology 2022-06-01
Series:Microbiology Spectrum
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/spectrum.00299-22
_version_ 1818546861644972032
author Jeanett Holzknecht
Sandrine Dubrac
Sarah Hedtrich
László Galgóczy
Florentine Marx
author_facet Jeanett Holzknecht
Sandrine Dubrac
Sarah Hedtrich
László Galgóczy
Florentine Marx
author_sort Jeanett Holzknecht
collection DOAJ
description ABSTRACT The emerging resistance of human-pathogenic fungi to antifungal drugs urges the development of alternative therapeutic strategies. The small, cationic antifungal proteins (AFPs) from filamentous ascomycetes represent promising candidates for next-generation antifungals. These bio-molecules need to be tested for tolerance in the host and efficacy against fungal pathogens before they can be safely applied in humans. Testing of the efficacy and possible adverse effects of new drug candidates in three-dimensional (3D) human-cell based models represents an advantageous alternative to animal experiments. In, this study, as a proof-of-principle, we demonstrate the usefulness of 3D skin infection models for screening new antifungal drug candidates for topical application. We established a cutaneous infection with the opportunistic human-pathogenic yeast Candida albicans in a commercially available 3D full-thickness (FT) skin model to test the curative potential of distinct AFPs from Penicillium chrysogenum (PAFopt, PAFB, and PAFC) and Neosartorya (Aspergillus) fischeri (NFAP2) in vitro. All tested AFPs were comparably well tolerated by the skin models. The infected 3D models exhibited reduced epidermal permeability barriers, allowing C. albicans to colonize the epidermal and dermal layers, and showed increased secretion of the pro-inflammatory cytokine IL-6 and the chemokine IL-8. AFP treatment diminished the fungal burden and penetration depth of C. albicans in the infected models. The epidermal permeability barrier was restored and the secretion of IL-8 was decreased following AFP treatment. In summary, our study proves that the tested AFPs exhibit antifungal potential against cutaneous C. albicans infection in a 3D FT skin model. IMPORTANCE Candida albicans represents one of the most prevalent opportunistic fungal pathogens, causing superficial skin and mucosal infections in humans with certain predisposing health conditions and life-threatening systemic infections in immunosuppressed patients. The emerging drug resistance of this human-pathogenic yeast and the limited number of antifungal drugs for prevention and treatment of infections urgently demands the identification of new antifungal compounds with novel mechanisms of action. Small, cationic antifungal proteins (AFPs) from filamentous fungi represent promising candidates for next-generation antifungals for topical application. These bio-molecules need to be tested for tolerance by the host and efficacy in pathogen clearance prior to being involved in clinical trials. In a proof-of-principle study, we provide evidence for the suitability of 3D human-cell based models as advantageous alternatives to animal experiments. We document the tolerance of specific AFPs and their curative efficacy against cutaneous C. albicans infection in a 3D skin model.
first_indexed 2024-12-12T07:58:54Z
format Article
id doaj.art-e6f6873667d9461e8ac8f4ac7d9fb5c4
institution Directory Open Access Journal
issn 2165-0497
language English
last_indexed 2024-12-12T07:58:54Z
publishDate 2022-06-01
publisher American Society for Microbiology
record_format Article
series Microbiology Spectrum
spelling doaj.art-e6f6873667d9461e8ac8f4ac7d9fb5c42022-12-22T00:32:13ZengAmerican Society for MicrobiologyMicrobiology Spectrum2165-04972022-06-0110310.1128/spectrum.00299-22Small, Cationic Antifungal Proteins from Filamentous Fungi Inhibit Candida albicans Growth in 3D Skin Infection ModelsJeanett Holzknecht0Sandrine Dubrac1Sarah Hedtrich2László Galgóczy3Florentine Marx4Biocenter, Institute of Molecular Biology, Medical University of Innsbruck, Innsbruck, AustriaDepartment of Dermatology, Venereology and Allergology, Medical University of Innsbruck, Innsbruck, AustriaFaculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Biotechnology, Faculty of Science and Informatics, University of Szeged, Szeged, HungaryBiocenter, Institute of Molecular Biology, Medical University of Innsbruck, Innsbruck, AustriaABSTRACT The emerging resistance of human-pathogenic fungi to antifungal drugs urges the development of alternative therapeutic strategies. The small, cationic antifungal proteins (AFPs) from filamentous ascomycetes represent promising candidates for next-generation antifungals. These bio-molecules need to be tested for tolerance in the host and efficacy against fungal pathogens before they can be safely applied in humans. Testing of the efficacy and possible adverse effects of new drug candidates in three-dimensional (3D) human-cell based models represents an advantageous alternative to animal experiments. In, this study, as a proof-of-principle, we demonstrate the usefulness of 3D skin infection models for screening new antifungal drug candidates for topical application. We established a cutaneous infection with the opportunistic human-pathogenic yeast Candida albicans in a commercially available 3D full-thickness (FT) skin model to test the curative potential of distinct AFPs from Penicillium chrysogenum (PAFopt, PAFB, and PAFC) and Neosartorya (Aspergillus) fischeri (NFAP2) in vitro. All tested AFPs were comparably well tolerated by the skin models. The infected 3D models exhibited reduced epidermal permeability barriers, allowing C. albicans to colonize the epidermal and dermal layers, and showed increased secretion of the pro-inflammatory cytokine IL-6 and the chemokine IL-8. AFP treatment diminished the fungal burden and penetration depth of C. albicans in the infected models. The epidermal permeability barrier was restored and the secretion of IL-8 was decreased following AFP treatment. In summary, our study proves that the tested AFPs exhibit antifungal potential against cutaneous C. albicans infection in a 3D FT skin model. IMPORTANCE Candida albicans represents one of the most prevalent opportunistic fungal pathogens, causing superficial skin and mucosal infections in humans with certain predisposing health conditions and life-threatening systemic infections in immunosuppressed patients. The emerging drug resistance of this human-pathogenic yeast and the limited number of antifungal drugs for prevention and treatment of infections urgently demands the identification of new antifungal compounds with novel mechanisms of action. Small, cationic antifungal proteins (AFPs) from filamentous fungi represent promising candidates for next-generation antifungals for topical application. These bio-molecules need to be tested for tolerance by the host and efficacy in pathogen clearance prior to being involved in clinical trials. In a proof-of-principle study, we provide evidence for the suitability of 3D human-cell based models as advantageous alternatives to animal experiments. We document the tolerance of specific AFPs and their curative efficacy against cutaneous C. albicans infection in a 3D skin model.https://journals.asm.org/doi/10.1128/spectrum.00299-223D skin infection modelCandida albicansfull-thickness modelNeosartorya (Aspergillus) fischeriPenicillium chrysogenumantifungal proteins
spellingShingle Jeanett Holzknecht
Sandrine Dubrac
Sarah Hedtrich
László Galgóczy
Florentine Marx
Small, Cationic Antifungal Proteins from Filamentous Fungi Inhibit Candida albicans Growth in 3D Skin Infection Models
Microbiology Spectrum
3D skin infection model
Candida albicans
full-thickness model
Neosartorya (Aspergillus) fischeri
Penicillium chrysogenum
antifungal proteins
title Small, Cationic Antifungal Proteins from Filamentous Fungi Inhibit Candida albicans Growth in 3D Skin Infection Models
title_full Small, Cationic Antifungal Proteins from Filamentous Fungi Inhibit Candida albicans Growth in 3D Skin Infection Models
title_fullStr Small, Cationic Antifungal Proteins from Filamentous Fungi Inhibit Candida albicans Growth in 3D Skin Infection Models
title_full_unstemmed Small, Cationic Antifungal Proteins from Filamentous Fungi Inhibit Candida albicans Growth in 3D Skin Infection Models
title_short Small, Cationic Antifungal Proteins from Filamentous Fungi Inhibit Candida albicans Growth in 3D Skin Infection Models
title_sort small cationic antifungal proteins from filamentous fungi inhibit candida albicans growth in 3d skin infection models
topic 3D skin infection model
Candida albicans
full-thickness model
Neosartorya (Aspergillus) fischeri
Penicillium chrysogenum
antifungal proteins
url https://journals.asm.org/doi/10.1128/spectrum.00299-22
work_keys_str_mv AT jeanettholzknecht smallcationicantifungalproteinsfromfilamentousfungiinhibitcandidaalbicansgrowthin3dskininfectionmodels
AT sandrinedubrac smallcationicantifungalproteinsfromfilamentousfungiinhibitcandidaalbicansgrowthin3dskininfectionmodels
AT sarahhedtrich smallcationicantifungalproteinsfromfilamentousfungiinhibitcandidaalbicansgrowthin3dskininfectionmodels
AT laszlogalgoczy smallcationicantifungalproteinsfromfilamentousfungiinhibitcandidaalbicansgrowthin3dskininfectionmodels
AT florentinemarx smallcationicantifungalproteinsfromfilamentousfungiinhibitcandidaalbicansgrowthin3dskininfectionmodels