Amphotericin B resistance in Leishmania mexicana: alterations to sterol metabolism and oxidative stress response

Amphotericin B is increasingly used in treatment of leishmaniasis. Here, fourteen independent lines of Leishmania mexicana and one L. infantum line were selected for resistance to either amphotericin B or the related polyene antimicrobial, nystatin. Sterol profiling revealed that, in each resistant...

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Main Authors: Alpizar-Sosa, Edubiel A., Ithnin, Nur Raihana, Wenbin, Wei, Pountain, Andrew W., Weidt, Stefan K., Donachie, Anne M., Ritchie, Ryan, Dickie, Emily A., Burchmore, Richard J. S., Denny, Paul W., Barrett, Michael P.
Format: Article
Published: Public Library of Science 2022
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author Alpizar-Sosa, Edubiel A.
Ithnin, Nur Raihana
Wenbin, Wei
Pountain, Andrew W.
Weidt, Stefan K.
Donachie, Anne M.
Ritchie, Ryan
Dickie, Emily A.
Burchmore, Richard J. S.
Denny, Paul W.
Barrett, Michael P.
author_facet Alpizar-Sosa, Edubiel A.
Ithnin, Nur Raihana
Wenbin, Wei
Pountain, Andrew W.
Weidt, Stefan K.
Donachie, Anne M.
Ritchie, Ryan
Dickie, Emily A.
Burchmore, Richard J. S.
Denny, Paul W.
Barrett, Michael P.
author_sort Alpizar-Sosa, Edubiel A.
collection UPM
description Amphotericin B is increasingly used in treatment of leishmaniasis. Here, fourteen independent lines of Leishmania mexicana and one L. infantum line were selected for resistance to either amphotericin B or the related polyene antimicrobial, nystatin. Sterol profiling revealed that, in each resistant line, the predominant wild-type sterol, ergosta-5,7,24-trienol, was replaced by other sterol intermediates. Broadly, two different profiles emerged among the resistant lines. Whole genome sequencing then showed that these distinct profiles were due either to mutations in the sterol methyl transferase (C24SMT) gene locus or the sterol C5 desaturase (C5DS) gene. In three lines an additional deletion of the miltefosine transporter gene was found. Differences in sensitivity to amphotericin B were apparent, depending on whether cells were grown in HOMEM, supplemented with foetal bovine serum, or a serum free defined medium (DM). Metabolomic analysis after exposure to AmB showed that a large increase in glucose flux via the pentose phosphate pathway preceded cell death in cells sustained in HOMEM but not DM, indicating the oxidative stress was more significantly induced under HOMEM conditions. Several of the lines were tested for their ability to infect macrophages and replicate as amastigote forms, alongside their ability to establish infections in mice. While several AmB resistant lines showed reduced virulence, at least two lines displayed heightened virulence in mice whilst retaining their resistance phenotype, emphasising the risks of resistance emerging to this critical drug.
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spelling upm.eprints-1001882024-07-15T03:27:26Z http://psasir.upm.edu.my/id/eprint/100188/ Amphotericin B resistance in Leishmania mexicana: alterations to sterol metabolism and oxidative stress response Alpizar-Sosa, Edubiel A. Ithnin, Nur Raihana Wenbin, Wei Pountain, Andrew W. Weidt, Stefan K. Donachie, Anne M. Ritchie, Ryan Dickie, Emily A. Burchmore, Richard J. S. Denny, Paul W. Barrett, Michael P. Amphotericin B is increasingly used in treatment of leishmaniasis. Here, fourteen independent lines of Leishmania mexicana and one L. infantum line were selected for resistance to either amphotericin B or the related polyene antimicrobial, nystatin. Sterol profiling revealed that, in each resistant line, the predominant wild-type sterol, ergosta-5,7,24-trienol, was replaced by other sterol intermediates. Broadly, two different profiles emerged among the resistant lines. Whole genome sequencing then showed that these distinct profiles were due either to mutations in the sterol methyl transferase (C24SMT) gene locus or the sterol C5 desaturase (C5DS) gene. In three lines an additional deletion of the miltefosine transporter gene was found. Differences in sensitivity to amphotericin B were apparent, depending on whether cells were grown in HOMEM, supplemented with foetal bovine serum, or a serum free defined medium (DM). Metabolomic analysis after exposure to AmB showed that a large increase in glucose flux via the pentose phosphate pathway preceded cell death in cells sustained in HOMEM but not DM, indicating the oxidative stress was more significantly induced under HOMEM conditions. Several of the lines were tested for their ability to infect macrophages and replicate as amastigote forms, alongside their ability to establish infections in mice. While several AmB resistant lines showed reduced virulence, at least two lines displayed heightened virulence in mice whilst retaining their resistance phenotype, emphasising the risks of resistance emerging to this critical drug. Public Library of Science 2022-09-28 Article PeerReviewed Alpizar-Sosa, Edubiel A. and Ithnin, Nur Raihana and Wenbin, Wei and Pountain, Andrew W. and Weidt, Stefan K. and Donachie, Anne M. and Ritchie, Ryan and Dickie, Emily A. and Burchmore, Richard J. S. and Denny, Paul W. and Barrett, Michael P. (2022) Amphotericin B resistance in Leishmania mexicana: alterations to sterol metabolism and oxidative stress response. PLOS Neglected Tropical Diseases, 16 (9). art. no. 0010779. pp. 1-35. ISSN 1935-2735; ESSN: 1935-2727 https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0010779 10.1371/journal.pntd.0010779
spellingShingle Alpizar-Sosa, Edubiel A.
Ithnin, Nur Raihana
Wenbin, Wei
Pountain, Andrew W.
Weidt, Stefan K.
Donachie, Anne M.
Ritchie, Ryan
Dickie, Emily A.
Burchmore, Richard J. S.
Denny, Paul W.
Barrett, Michael P.
Amphotericin B resistance in Leishmania mexicana: alterations to sterol metabolism and oxidative stress response
title Amphotericin B resistance in Leishmania mexicana: alterations to sterol metabolism and oxidative stress response
title_full Amphotericin B resistance in Leishmania mexicana: alterations to sterol metabolism and oxidative stress response
title_fullStr Amphotericin B resistance in Leishmania mexicana: alterations to sterol metabolism and oxidative stress response
title_full_unstemmed Amphotericin B resistance in Leishmania mexicana: alterations to sterol metabolism and oxidative stress response
title_short Amphotericin B resistance in Leishmania mexicana: alterations to sterol metabolism and oxidative stress response
title_sort amphotericin b resistance in leishmania mexicana alterations to sterol metabolism and oxidative stress response
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