Chemigenetic analysis and efficacy of novel antifungal drugs that target fungal pH signalling
Lead Research Organisation:
UNIVERSITY OF EXETER
Department Name: Biosciences
Abstract
Collectively, fungal diseases pose a greater threat to animals, plants and ecosystems than other types of infectious micro-organism. Fungal infections of man kill millions and most often occur in patients with severe underlying health conditions such as cancer, or chronic lung disorders such as cystic fibrosis. Fungal infections of plants destroy enough crops annually to feed many millions of people. However, there are a very limited number of antifungal drugs available for use agriculturally or in the clinic and some classes of antifungal drugs, for example the azoles. are therefore used to treat both human and plant fungal infections. In 2018 azole-based fungicides accounted for 34% of the antifungal agents used to treat crops. Worryingly, resistance to all classes of available antifungal drugs is increasing and azole resistance occurring in agricultural settings crosses over into the clinic in around 40% of cases in some settings. This project builds on decades of previous genetic and infection studies, including a PhD project where a new set of chemicals were showed as having antifungal activity. These chemicals attack a fungal signalling mechanism needed for infection and invasion by fungal pathogens in man, plants, animals and we will now work to understand how they work. We will also try to make them more potent, and work with industry to develop them for use in agriculture or in the clinic.
Technical Summary
The repertoire of antifungal agents available to treat fungal diseases is sparse, the rate at which we discover new antifungal modes of action (MOAs) is unacceptably slow, and antifungal resistance is on the rise.
The focus of this project is a highly conserved and fungus-specific signalling pathway used by fungi to adapt to the pH of the extracellular environment. Extracellular pH profoundly influences the production and functionality of fungal secreted proteases, toxins, and substrate degrading enzymes, as well as ion and nutrient transporters. As such, fungal viability is heavily dependent upon versatile adaptations to pH flux. pH adaptation is driven by the fungus-specific PacC/Rim signalling pathway which we discovered, and extensively characterised, in the model ascomycete Aspergillus nidulans. PacC/Rim signalling is highly conserved, and indispensable for full infectivity, in the overwhelming majority of fungal pathogens.
With recent BBSRC iCASE funding we devised a powerful genetic screen with which to seek chemical inhibitors of PacC/Rim signalling. We achieved this by repurposing of a genetic selection technique which was initially devised to seek novel regulators of PacC processing in A. nidulans. The aim of this programme is to identify novel antifungal MOAs which inhibit fungal pH signalling. To this end we have assembled an integrated workflow comprising phenotypic, genetic and chemical profiling intended to maximise efficiency of lead discovery and mitigate attrition due to off target or toxic activities.
The programme is comprised of four research objectives.
1. Screen reference libraries for hit-like chemistries and extant drugs which inhibit PacC/Rim signalling
2. Establish proof of on-target and pan-fungal activity and low toxicity
3. Pursuit and definition of Structure-Activity Relationships (SARs)
4. Identify targets and modes of action, and study antifungal efficacy
The focus of this project is a highly conserved and fungus-specific signalling pathway used by fungi to adapt to the pH of the extracellular environment. Extracellular pH profoundly influences the production and functionality of fungal secreted proteases, toxins, and substrate degrading enzymes, as well as ion and nutrient transporters. As such, fungal viability is heavily dependent upon versatile adaptations to pH flux. pH adaptation is driven by the fungus-specific PacC/Rim signalling pathway which we discovered, and extensively characterised, in the model ascomycete Aspergillus nidulans. PacC/Rim signalling is highly conserved, and indispensable for full infectivity, in the overwhelming majority of fungal pathogens.
With recent BBSRC iCASE funding we devised a powerful genetic screen with which to seek chemical inhibitors of PacC/Rim signalling. We achieved this by repurposing of a genetic selection technique which was initially devised to seek novel regulators of PacC processing in A. nidulans. The aim of this programme is to identify novel antifungal MOAs which inhibit fungal pH signalling. To this end we have assembled an integrated workflow comprising phenotypic, genetic and chemical profiling intended to maximise efficiency of lead discovery and mitigate attrition due to off target or toxic activities.
The programme is comprised of four research objectives.
1. Screen reference libraries for hit-like chemistries and extant drugs which inhibit PacC/Rim signalling
2. Establish proof of on-target and pan-fungal activity and low toxicity
3. Pursuit and definition of Structure-Activity Relationships (SARs)
4. Identify targets and modes of action, and study antifungal efficacy
Publications
Bertuzzi M
(2021)
On the lineage of Aspergillus fumigatus isolates in common laboratory use.
in Medical mycology
Farhadi Cheshmeh Morvari S
(2023)
Conserved and Divergent Features of pH Sensing in Major Fungal Pathogens
in Current Clinical Microbiology Reports
Fisher MC
(2022)
Tackling the emerging threat of antifungal resistance to human health.
in Nature reviews. Microbiology
Hameed T
(2024)
Inferring fungal growth rates from optical density data.
in PLoS computational biology
John L
(2023)
Heightened Efficacy of Anidulafungin When Used in Combination with Manogepix or 5-Flucytosine against Candida auris In Vitro
in Antimicrobial Agents and Chemotherapy
Okaa UJ
(2023)
Aspergillus fumigatus Drives Tissue Damage via Iterative Assaults upon Mucosal Integrity and Immune Homeostasis.
in Infection and immunity
Rahman S
(2022)
Distinct Cohorts of Aspergillus fumigatus Transcription Factors Are Required for Epithelial Damage Occurring via Contact- or Soluble Effector-Mediated Mechanisms.
in Frontiers in cellular and infection microbiology
Description | A fungal pH sensor has been characterised that is essential for fungal diseases of man. |
Exploitation Route | The genetic screening approach can be used for other drug discovery efforts. New chemicals we identified might become useful antifungal drugs. |
Sectors | Agriculture Food and Drink Healthcare Pharmaceuticals and Medical Biotechnology |
Description | Programme Grant |
Amount | £3,208,613 (GBP) |
Funding ID | MR/Y002164/1 |
Organisation | Medical Research Council (MRC) |
Sector | Public |
Country | United Kingdom |
Start | 02/2024 |
End | 01/2029 |
Description | Cryo EM integral membrane proteins |
Organisation | Medical Research Council (MRC) |
Department | MRC Laboratory of Molecular Biology (LMB) |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | A co-authored manuscript on importance of GPCR proteins as novel antifungal drug targets |
Collaborator Contribution | A co-authored manuscript on importance of GPCR proteins as novel antifungal drug targets |
Impact | Multi disciplinary structural biology medical mycology |
Start Year | 2023 |
Description | MRC Laboratory Molecular Biology |
Organisation | Medical Research Council (MRC) |
Department | MRC Laboratory of Molecular Biology (LMB) |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Constructs for expression of recombinant integral membrane protein in HEK cells (for reconstitution of multimolecular machine). |
Collaborator Contribution | Specialist expertise in heterologous protein expression (integral membrane proteins); vectors, cell lines. |
Impact | Multidisciplinary: Medical Mycology-Protein structure |
Start Year | 2022 |
Description | MRC Laboratory Molecular Biology |
Organisation | Medical Research Council (MRC) |
Department | MRC Laboratory of Molecular Biology (LMB) |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Constructs for expression of recombinant integral membrane protein in HEK cells (for reconstitution of multimolecular machine). |
Collaborator Contribution | Specialist expertise in heterologous protein expression (integral membrane proteins); vectors, cell lines. |
Impact | Multidisciplinary: Medical Mycology-Protein structure |
Start Year | 2022 |
Description | MRC Laboratory Molecular Biology |
Organisation | Medical Research Council (MRC) |
Department | MRC Laboratory of Molecular Biology (LMB) |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Constructs for expression of recombinant integral membrane protein in HEK cells (for reconstitution of multimolecular machine). |
Collaborator Contribution | Specialist expertise in heterologous protein expression (integral membrane proteins); vectors, cell lines. |
Impact | Multidisciplinary: Medical Mycology-Protein structure |
Start Year | 2022 |
Description | Appeared on BBC Radio (Paul Shuttleworth Radio Shropshire) |
Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Public/other audiences |
Results and Impact | Elaine Bignell appeared on BBC Radio (Paul Shuttleworth) to discuss fungal lung infections. //www.bbc.co.uk/sounds/play/p0f08k1c (1:15:34) |
Year(s) Of Engagement Activity | 2023 |
URL | http://www.bbc.co.uk/sounds/play/p0f08k1 |
Description | Darren Thomson presentation at British Society for Medical Mycology Annual Conference |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Darren Thomson presented a talk entitled: Live cell imaging of the hyphal response to antifungal drugs |
Year(s) Of Engagement Activity | 2022 |
URL | https://anti-infectives-gilead.com/resource/28/ |
Description | Edinburgh Science Festival: How to kill a fungus? |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Public/other audiences |
Results and Impact | Elaine Bignell gave a talk at the Edinburgh Science Festival 2022. |
Year(s) Of Engagement Activity | 2022 |
Description | January 2022 MRC Seminar Series: Tackling fungi that cause human lung disease (Elaine Bignell) |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Policymakers/politicians |
Results and Impact | Tackling fungi that cause human lung disease - A talk delivered to the Directorate, Board & Programme Managers and Institute staff of the Medical Research Council |
Year(s) Of Engagement Activity | 2022 |
URL | https://www.youtube.com/watch?v=_WKtneF1wrk&list=PLSus4fp7v7sQuXdUwREyHbUMR8cqNZKYj&index=15 |
Description | Killer Fungus Outbreak at British Science Festival |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Public/other audiences |
Results and Impact | Escape room experience - find the cure for a killer fungus |
Year(s) Of Engagement Activity | 2023 |
Description | MRC Seminar Series: Tackling fungi that cause lung disease |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Third sector organisations |
Results and Impact | Elaine Bignell delivered a talk for the MRC Seminar Series attended by all MRC Centre members and MRC personnel. The talk focused upon the fundamental basis of environmental sensing in fungi and how such research can become translated for drug discovery. The talk resulted in a new collaboration with Chris Tate (of the MRC Laboratory of Molecular Biology) and joint authorship of an opinion-piece publication on novel routes to antifungal drug discovery. |
Year(s) Of Engagement Activity | 2022 |
URL | https://www.youtube.com/watch?v=_WKtneF1wrk&list=PLSus4fp7v7sQuXdUwREyHbUMR8cqNZKYj&index=15 |
Description | MRC Seminar Series: Tackling fungi that cause lung disease |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Third sector organisations |
Results and Impact | Elaine Bignell delivered a talk for the MRC Seminar Series attended by all MRC Centre members and MRC personnel. The talk focused upon the fundamental basis of environmental sensing in fungi and how such research can become translated for drug discovery. The talk resulted in a new collaboration with Chris Tate (of the MRC Laboratory of Molecular Biology) and joint authorship of an opinion-piece publication on novel routes to antifungal drug discovery. |
Year(s) Of Engagement Activity | 2022 |
URL | https://www.youtube.com/watch?v=_WKtneF1wrk&list=PLSus4fp7v7sQuXdUwREyHbUMR8cqNZKYj&index=15 |
Description | Mycotalks: S1 E12 Antivirulence strategies for tackling Aspergilloses |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Postgraduate students |
Results and Impact | A talk delivered to Medical Mycologists of all career stages that describes molecular genetic approaches to novel antifungal drug discovery |
Year(s) Of Engagement Activity | 2022 |
URL | https://www.youtube.com/watch?v=iGB64q16cgc |
Description | SKY News online interview |
Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Public/other audiences |
Results and Impact | Elaine Bignell gave an interview for SKY News: The Last Of Us: The science behind the real 'zombie' fungus - and is it an actual threat? | Science & Tech News | Sky News |
Year(s) Of Engagement Activity | 2023 |
URL | https://news.sky.com/story/the-last-of-us-the-science-behind-the-real-zombie-fungus-and-is-it-an-act... |
Description | Studies of Aspergillosis at the MRC Centre for Medical Mycology: World Aspergillosis Day 2022 (Elaine Bignell) |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Patients, carers and/or patient groups |
Results and Impact | An overview (for patients suffering from Aspergilloses) of ongoing research aimed at tackling the problem |
Year(s) Of Engagement Activity | 2022 |
URL | https://www.aspergillosisday.org/WAD2022/national-aspergillosis-centre-seminar-series/ |
Description | The Evening Standard (A Podcast) Tech & Science Daily podcast: The Last of Us secrets revealed |
Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Public/other audiences |
Results and Impact | Elaine Bignell recorded a podcast for the Evening Standard discussing the Last of Us. The Evening Standard (A Podcast) Tech & Science Daily podcast: The Last of Us secrets revealed | Evening Standard |
Year(s) Of Engagement Activity | 2023 |
URL | https://www.standard.co.uk/tech/the-last-of-us-secrets-revealed-b1059439.html |