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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

Publications

10 25 50
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Velazhahan V (2023) Developing novel antifungals: lessons from G protein-coupled receptors in Trends in Pharmacological Sciences

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Hameed T (2024) Inferring fungal growth rates from optical density data in PLOS Computational Biology

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Giner-Llorca M (2024) Dynamics of interaction and internalisation of the antifungal protein PeAfpA into Penicillium digitatum morphotypes. in International journal of biological macromolecules

 
Description A fungal pH sensor has been characterised that is essential for fungal diseases of man. Novel drugs that modulate its function have been discovered.
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 Conference Co-Chair HFP2024: Molecular mechanisms of host-pathogen interactions and virulence in human fungal pathogens
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact The number of early career participants (students and post-doctoral fellows) was 120. In addition, we accepted 30 junior and senior investigators in order to promote discussions on scientific issues from many different angles.
URL https://www.febs.org/event/hfp2024-molecular-mechanisms-of-host-pathogen-interactions-and-virulence-...
 
Description GILEAD Aspergillosis Update Meeting
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact Under development
 
Description Irish Fungal Society invited lecture: Modus operandi of an accidental fungal pathogen of humans
Geographic Reach Europe 
Policy Influence Type Influenced training of practitioners or researchers
Impact 100 attendees
 
Description President of British Mycological Society
Geographic Reach Multiple continents/international 
Policy Influence Type Contribution to new or improved professional practice
Impact Delivered programme of monthly online talks, participated in the International Mycological Congress, launched the BMS and ISM's inaugural Naresh Magan Lecture Award and networking event for BMS members - was very well received, attracting around 60 people from across the globe. BMS members were awarded research grants to facilitate new research directions or ideas. Awarded UG student vacation bursary's to six students, supervised by BMS members in research centres across Scotland, England and Wales and covering diverse areas of mycological research. 11 small grants have been awarded through the year, supporting a range of activities including participation in meetings and practical courses, and purchase of equipment for projects. Six postgraduate members have been supported by the Eunice Jones bequest fund (purpose is to fund postgraduate students to visit laboratories to undertake collaborative work, or to attend conferences or workshops) Two music-themed projects supported by the Massee Arts Grant.
URL https://www.britmycolsoc.org.uk/events.html
 
Description Top Ten Mycology papers of 2023: British Thoracic Society
Geographic Reach National 
Policy Influence Type Contribution to new or improved professional practice
Impact Top Ten Mycology papers of 2023: British Thoracic Society
URL https://www.brit-thoracic.org.uk/media/rtkfencl/bts-winter-meeting-2023-final-programme-thorax-suppl...
 
Description Development of Novel Antifungal Drugs
Amount £17,000,000 (GBP)
Funding ID WT5752757 
Organisation Wellcome Trust 
Sector Charity/Non Profit
Country United Kingdom
Start 03/2025 
End 03/2030
 
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
 
Title Genetic screening methodology for antifungal drug discovery 
Description A genetic screen was developed to identify compounds directly inhibiting fungal pH signalling. A methodology for high throughput screening was developed. 
Type Of Material Technology assay or reagent 
Year Produced 2020 
Provided To Others? No  
Impact A new funding application was submitted to BBSRC 
 
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 Tripartite catalyst for antifungal drug discovery 
Organisation University of Dundee
Department Drug Discovery Unit
Country United Kingdom 
Sector Academic/University 
PI Contribution We developed methods for high throughput screening of antifungal drug susceptibility & time-killing that will be utilised for novel drug discovery, with a particular emphasis on drugs that are effective against Candida auris and Cryptococcus neoformans.
Collaborator Contribution DDU have developed workflows (includung libraries of small molecules) for drug discovery that will be pivoted towards the identification of novel mode of action antifungal drugs.
Impact A multidisciplinary consortium has been assembled, including industry partners GSK. A 5 year Wellcome Trust grant, total value more than £17m has been awarded, with £2.2m to MRC CMM.
Start Year 2024
 
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 Invited lecture: British Mycological Society Annual Scientific Conference 2023 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Modus operandi of an accidental fungal pathogen of humans - delivered to 100+ delegates
Year(s) Of Engagement Activity 2023
 
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 Presentation at All Things Fungi Festival 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact ATF is an educational and community-oriented festival involving local and national fungi groups. Using Fungi as the focus the festival aims to cover Mushroom identification, cultivation, microscopy, DNA sequencing and topics surrounding the soil food web, composting, permaculture & and rewilding. Most importantly, it celebrates the people at the forefront of mycology in the UK and beyond.
My presentation "From Bugs to Drugs" addressed the enormous threat posed by fungal pathogens, and antifungal drug resistance and new strategies for tackling this.
Year(s) Of Engagement Activity 2024
URL https://www.allthingsfungi.co.uk/about-1
 
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
 
Description World Fungus Day Online Presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Through UK Fungus Day, the British Mycological Society shares the importance of fungi to our lives and aims to inspire others to help preserve our native fungi and improve our scientific knowledge of these unique and remarkable organisms. Fungi Around the World brought together 12 mycologists from around the globe to deliver online symposia in all time zones via 3 workshops.
My presentation "From Bugs to Drugs" addressed the enormous threat posed by fungal pathogens, and antifungal drug resistance and new strategies for tackling this.
Year(s) Of Engagement Activity 2008,2024
URL https://www.ukfungusday.co.uk/webinar