The number of invasive fungal infections has been increasing due to the growing number of immunocompromised patients worldwide. Cryptococcus neoformans is an encapsulated yeast that has become a significant human pathogen in individuals immunosuppressed by human immunodeficiency virus infection, malignancies, or organ transplants and in individuals receiving long-term treatment with corticosteroids.C. neoformans may also infect apparently healthy hosts. With these pathogenic features, C. neoformans has become a model yeast for the study of virulence factors of both primary and secondary fungal pathogens.
C. neoformans infection begins in the lung following the inhalation of yeasts or basidiospores and then spreads hematogenously to the brain, which results in life-threatening meningoencephalitis in high-risk individuals (
5,
16). The pathogenesis of cryptococcosis is primarily influenced by three factors: (i) the status of the host defenses, (ii) the virulence of the
C. neoformans strain, and (iii) the size of the inoculum. Numerous studies have documented the importance of host defenses and inoculum sizes by both experimental and clinical observations (
8,
12,
15,
19,
25,
33). On the other hand, the importance of strain variation and the genetic basis of virulence have just begun to be explored. For instance, the study of the molecular pathogenesis of
C. neoformans has recently been advanced by the introduction of new molecular tools and genetic analyses such as high-frequency transformation systems, site-directed gene disruption protocols, and genomic methods to capture differential gene expression at the site of infection (
2,
9,
14,
27,
28,
38). These molecular strategies can now be used to identify the expression of specific genes associated with infection and then confirm their importance for virulence in animal models. The identification of these virulence genes and the genetic circuits which control expression will allow a better understanding of fungal pathogenesis in cryptococcosis and possibly allow researchers to exploit the concept that specific virulence genes might be used as novel targets for new antifungal drugs or vaccine development. Moreover, the development and adaptation of new technologies that allow the monitoring of the gene expression of
C. neoformans in vivo will have an important impact on investigations of general fungal pathogenesis in the era of functional genomics (
22).
To identify and characterize in vivo gene expression patterns for fungal pathogens, it will be particularly important to use relevant animal models. A series of excellent animal models has been developed for
C. neoformans. For instance, the rabbit model of cryptococcal meningitis has been well established and shares many features with human cryptococcosis: (i) immunosuppression is required, (ii) cerebrospinal fluid (CSF) leukopenia develops, (iii) the infection is prolonged and eventually fatal, (iv) dissemination to multiple organs occurs, and (v) response to treatment regimens for cryptococcal meningitis parallels those in recent human trials. Furthermore, CSF can be continuously sampled throughout the infection and thus provides a “biological window” during studies of host-regulated gene expression (
21,
23,
24,
26).
The green fluorescent protein (GFP) from the jellyfish
Aequorea victoriae has been developed (
1) and expressed as a reporter in a variety of heterologous systems, including
Escherichia coli,
Caenorhabditis elegans,
Drosophila melanogaster,
Saccharomyces cerevisiae, mammals, and plants (
1,
6,
30,
42). Cormack et al. have isolated a synthetic GFP (yEGFP3) that generates much more fluorescence than wild-type GFP in the fungi
S. cerevisiaeand
Candida albicans (
3). In this study, we used this synthetic GFP as a reporter to analyze in vitro and in vivo specific gene expression of
C. neoformans. This study illustrates how promoter fusions can be used to monitor regulated gene expressions in
C. neoformans during host infection. We also demonstrate that the expression of genes such as the mating-type alpha pheromone (MFα1) gene are regulated by the length and/or stage of infection. Therefore, it will be important to serially follow
C. neoformans cells and their genetic expression in order to understand gene expressions which are regulated during infection; the rabbit model of cryptococcal meningitis allows continuous yeast cell sampling from the site of infection and is thus ideally suited for these studies.
MATERIALS AND METHODS
Strains and media.
C. neoformans M001, an
ade2 auxotroph of H99, was used as the recipient of biolistic transformation. The pYGFP3 plasmid, containing the synthetic GFP, made by Cormack et al. (
3) and the
C. albicans CAI4, containing the aldehyde dehydrogenase::GFP expression plasmid (ADH1-yEGFP3), were gifts from Aaron P. Mitchell.
C. albicans A39 and serotype A
C. neoformans H99 were used as negative control strains.
C. albicans strains and
C. neoformans H99 and M001 were routinely grown on enriched medium (yeast extract-peptone-dextrose [YEPD]). V-8 starvation medium contained 5% V-8 vegetable juice (Campbell’s Soup Co.), 0.5 g of KH
2PO
4 per liter, and 4% agar and was adjusted to pH 7.2 with KOH before autoclaving.
C. neoformansisolates transformed with pACT::GFP/
ADE2 and pMFα1::GFP/
ADE2 were selected on synthetic medium containing 6.7 g of yeast nitrogen base without amino acids (YNB w/o) per liter, 1.3 g of amino acid mix lacking adenine per liter, 180 g of sorbitol per liter, 20 g of glucose per liter, and 20 g of agar per liter.
C. neoformansisolates transformed with pGAL7::GFP/
ADE2 were selected on synthetic medium containing 6.7 g of YNB w/o per liter, 1.3 g of amino acid mix lacking adenine per liter, 180 g of sorbitol per liter, 180 g of sorbitol per liter, 20 g of galactose per liter, and 20 g of agar per liter. YNB-glucose and YNB-galactose media contained 6.7 g of YNB w/o per liter, 1.3 g of amino acid mix lacking adenine per liter, 20 g of agar per liter, and 20 g of glucose or galactose per liter, respectively.
Construction of plasmids to examine gene expression in C. neoformans.
Three cryptococcal promoters from the following genes were used: the actin gene isolated from serotype A strain H99 (
4), the GAL7 gene (
40), and an MFα1 gene from serotype D strain JEC21 (
18). The GAL7 promoter was isolated from the plasmid pAUG-MF, originally cloned by Wickes and Edman (
40), with PCR using two primers containing
HindIII restriction sites (in bold and underlined): 6G, 5′-GAC C
AA GCT TGT GGA AAG AAG CAG GTC TTG TCGA-3′, and 6H, 5′-GGC T
AA GCT TTC TCA AGA GGG GAT TGA GCG CTGA-3′. PCR conditions were 95°C for 5 min (1 cycle); 93°C for 50 s, 50°C for 50 s, and 72°C for 80 s (25 cycles); and 72°C for 2 min (1 cycle). This amplification strategy produced a 585-bp fragment which was digested with
HindIII and inserted into the
HindIII site of pYGFP3. The
C. neoformans ADE2 gene from strain B3501 was then inserted downstream from the GFP gene into an
EcoRI site to yield plasmid pGAL7::GFP/
ADE2 (Fig.
1A).
The second fusion construct, pACT::GFP/
ADE2, was engineered by cloning a
HindIII-restricted, partially filled-in, and
EcoRI-restricted 738-bp GFP fragment from pYGFP3 into an
XbaI-restricted, partially filled-in, and
EcoRI-restricted site of the expression plasmid pACT::lacZ/
ADE2 (
37) from which the 5.7-kb
lacZ fragment had been deleted (Fig.
1B).
The third fusion construct, pMFα1::GFP/
ADE2, was generated by cloning a
HindIII- and
EcoRI-restricted and blunt-ended 738-bp GFP fragment into a
SalI restricted and filled-in site located at the 3′ promoter region of a putative pheromone gene,
MFα1, using the pΔMFα1 plasmid. Briefly, the pΔMFα1 plasmid was made in two steps. First, the 2.1-kb fragment from the
MATα locus of
C. neoformans serotype D, strain JEC21, was generated by PCR with genomic DNA as the template, primer 1 (5′-TCG ACT ATC TAG AAA GCT TGG ATG TGA ATG CTAAA-3′), and primer 4 (5′-AGT TAA AGC AGT TTA TAG TGCA-3′). This fragment was cloned into pBluescript SK and the resulting plasmid was named pMFα1. Then, fragment A was generated by PCR with pMFα1 as the template and primers 1 and 2 (5′-CCGT AGA
GTCGAC GGC AGT ATT GTA ACTGG-3′), which contains a
SalI site (bold and underlined). Fragment B was generated by PCR with pMFα-1 as the template and the primers 4 and 3 (5′-CTGCC
GTCGAC TCT ACG GTA GAC CCA ACG TCC CCT CTGC-3′), which also contains a
SalI site (bold and underlined). Fragments A and B were combined and used as the template for PCR overlapping with primers 1 and 4, generating fragment C, which contains a new
SalI site at the 3′ end of the MFα-1 promoter and the deletion of 114 bp of the open reading frame. This fragment was cloned and sequenced to make sure that no mutations were introduced by PCR manipulations, and the resulting plasmid was named pΔMFα1. Then, the
HindIII- and
EcoRI-restricted and blunt-ended 738-bp GFP fragment was cloned into the
SalI-restricted and filled-in site of the pΔMFα-1 plasmid, generating the pMFα1::GFP plasmid. Finally, the
ADE2 gene was inserted into an
EcoRI site downstream from the pheromone gene, generating the pMFα1::GFP/
ADE2 construct (Fig.
1C).
Nucleotide sequencing.
Sequencing was performed by the dideoxy chain termination method (
35) with Sequenase, version 2.0 (Amersham Life Science, Cleveland, Ohio).
Transformation.
The three constructs were transformed into
C. neoformans M001 by biolistic delivery of DNA following the protocol described by Toffaletti et al. (
38). Adenine prototrophic transformants were selected on synthetic medium (1 M sorbitol) lacking adenine at 30°C, as described above. Adenine transformants were subcultured onto selective medium (YNB-glucose or YNB-galactose) and then passaged twice on YEPD agar. Stable adenine transformants, selected by the retention of a white colony color phenotype, were stored at 4°C.
Analysis of transformants.
Genomic DNA was isolated from each transformant as follows: yeast cells from a 10-ml mid- to late-log-phase YEPD broth culture were pelleted, transferred to a 2-ml screw-cap tube, and washed once in 1.5 ml of sterile distilled water. Cells were resuspended in 0.5 ml of TENTS (10 mM Tris [pH 7.5], 1 mM EDTA [pH 8.0], 100 mM NaCl, 2% Triton X-100, 1% sodium dodecyl sulfate) with a toothpick. Five milligrams of glass beads (diameter, 0.5 mm) and 0.5 ml of phenol-chloroform were added, and samples were vortexed for 2 min and centrifuged for 10 min in a microcentrifuge. The aqueous phase was transferred to a fresh tube, and DNA was precipitated by the addition of 2 volumes of 100% ethanol and incubated at −20°C for 10 min. DNA was pelleted, resuspended in 0.5 ml Tris-EDTA (pH 8.0) containing 10 μg of RNAse A per ml, and incubated at 37°C for 20 min. DNA was extracted once with phenol-chloroform, reprecipitated, washed with 70% ethanol, resuspended in 100 μl of Tris-EDTA, and stored at −20°C.
The integration of the fusion constructs was analyzed by Southern blot analysis (
34). Briefly, 1 μg of genomic DNA, either undigested or digested with appropriate restriction enzymes, was electrophoresed in a 0.7% agarose gel, transferred to a nitrocellulose membrane, and probed with fragments carrying the GFP gene and the respective cryptococcal promoter. These DNA fragments carrying the GFP and the GAL7, actin, or pheromone promoters were labeled with [
32P]dCTP (New England Nuclear) by using a random primer labeling kit (Gibco-BRL).
In vitro promoter expression.
Three stable transformants, each carrying the GFP gene fused to either the actin (Cn-ACT::GFP), GAL7 (Cn-GAL7::GFP), or pheromone (Cn-MFα1::GFP) promoter and integrated into the genome, were examined for the ability to express GFP when grown on enriched or selective medium. A Cn-ACT::GFP transformant was inoculated onto YEPD agar, and aCn-MFα1::GFP transformant was inoculated onto both YEPD and V-8 agars. A Cn-GAL7::GFP transformant was inoculated onto both YNB-galactose and YNB-glucose agars. Yeast cells were incubated for 3 days at 30°C and assessed for GFP expression by fluorescent microscopy and flow cytometry. Wild-type H99, propagated on YEPD, was used as a negative C. neoformans control strain. C. albicans A39 and CAI4 carrying the ADH1-yEGFP3 expression plasmid were grown on YEPD and used as negative and positive candida control strains, respectively.
In vivo promoter expression.
ACn-MFα1::GFP transformant was also assessed for the ability to detect the expression of GFP and thus measure the induction of MFα1 in the subarachnoid space of immunosuppressed rabbits. Both the wild-type H99 and theCn-MFα1::GFP transformants were grown in YEPD broth for 48 h at 30°C. The cells were pelleted, washed once in 0.015 M phosphate-buffered saline (PBS), and resuspended in PBS at a concentration of 3.3 × 108 cells/ml. Approximately 108 viable yeast cells of each C. neoformansstrain in a volume of 0.3 ml were inoculated intracisternally into two New Zealand White male rabbits that had received an intramuscular injection of cortisone acetate at 7.5 mg/kg (Merck Sharpe and Dohme, West Point, Pa.) 1 day earlier and then received daily injections for 22 days. Expression of GFP was monitored during the infection by withdrawing 0.5 ml of CSF from the infected rabbits at 6, 9, 16, and 22 days after inoculation and assessing the CSF yeast cells for fluorescence by epimicroscopy and flow cytometry. This experiment was repeated with a second set of rabbits. Moreover, two independent transformants containing fewer integrated copies ofCn-MFα1::GFP at different locations were also inoculated separately into rabbits and monitored for detection of fluorescence. C. neoformans H99 was used as a negative control.
Fluorescent microscopy and flow cytometry.
GFP expression was assessed in vitro and in vivo by fluorescent microscopy and flow cytometry. Yeast cells from a single colony (in vitro) and CSF (in vivo) were washed twice in 1 ml of sterile distilled water and resuspended in 0.5 ml of PBS. Microscopic analysis was performed with an Olympus BH2-RFCA epifluorescence microscope with a 420- to 490-nm excitation filter, a 500-nm dichroic filter, and a 515-nm emission filter. Images were recorded on Ektachrome color slide film (ASA 400; Kodak, Rochester, N.Y.).
Fluorescence-activated cell sorter (FACS) analysis was performed with a FACScan (Becton Dickinson Immunocytometry Systems). Analysis of the data was performed by the CellQUEST program (version 3.1f) and statistical analysis was performed with Kolmogorov-Smirnov statistic analysis, where the Kolmogorov-Smirnov statistic (
D) is the index of similarity for two curves: if
D is 0, the curves are identical; if
D is 1, the curves are completely different (
43).
DISCUSSION
With the completion of the
S. cerevisiae genome project and progress being made with other microbial genomes, attention is now focused on functional genomic approaches. Multiple molecular tools to screen large numbers of genes for differential expression have been developed (
11,
13,
20,
36,
44). The ability to monitor and identify gene expression patterns will provide insights into how microbial pathogens respond to the host environment. For instance, in a genomic screen of gene expressions Wodicka et al. employed high-density oligonucleotide arrays on glass chips and found that when
S. cerevisiae is grown on rich or minimal media, only 10% of all mRNAs differ appreciably in expression and less than 3% of mRNAs differ more than fivefold in expression level (
41). It is clear from these studies that fungi alter their gene expression in response to environmental cues and that identification of these regulated genes is both possible and foreseeable. In fact, De Bernardis et al. recently examined the expression of
C. albicansaspartyl protease genes (
SAP1 and
SAP2) in vivo during an experimental candida vaginal infection of rats (
7). For fungi like
C. neoformans, for which the molecular biological databases are less fully developed, other techniques will be required to discover genes regulated during infection. For instance, both differential hybridization and differential display reverse transcription-PCR have been used to screen for regulated genes during
C. neoformans infection (
29,
31). Specific
C. neoformans gene expression in the CSF has already been reported for one gene,
CnLAC1, by reverse transcription-PCR (
32), and another gene,
COX1, has been identified by differential hybridization due to its expression at this CNS site of infection (
29).
Three promoters (for the GAL7, actin, and MFα1 genes) fused with the synthetic reporter GFP gene were successfully constructed and confirmed by sequencing of the fusion junctions. Using flow cytometry, we found both in vitro and in vivo expression of GFP driven by these regulated
C. neoformans promoters. Although the induced
C. neoformans fluorescence was not as intense as the fluorescence for
C. albicans CAI4 containing ADH1-yEGFP3 (for which it was originally optimized because of its unique codon usage), the GFP fluorescence from this construct was more than adequate for the detection of differential promoter expression in
C. neoformans. Although 100% of the cells were not equally fluorescent (a phenomenon which is also seen in
C. albicans[Fig.
3A
1 and B
1]) with both microscopy and flow cytometry, it was easy to distinguish the induction of the promoter construct in a strain from the baseline fluorescence of the uninduced strain. This study demonstrates that the synthetic GFP developed by Cormack et al. (
3) can be used effectively as a reporter gene for monitoring gene expressions both in vivo and in vitro for this serotype A strain (H99). Future studies could attempt to further optimize GFP expression for
C. neoformans.
Serotypes A and D are phylogenetically classified within the same variety (
Cryptococcus neoformans var.
neoformans), but further studies may actually determine that they are separated by millions of years of evolution. For instance, there are slight differences in their ribosomal DNA sequences, differences between 3 and 7% exist in their allelic sequences, and different karyotype patterns are observed. However, the
ADE2gene from a serotype D strain has been previously expressed in a serotype A strain (
38). In this study, we confirm that these two serotypes can recognize and use promoters from each other. Since heterologous promoters from conserved genes of other basidiomycetes do not function well in
C. neoformans (unpublished data), our observations with promoters from one serotype being recognized by another serotype suggest a functional evolutionary closeness between these two serotypes compared to other basidiomycetes.
Although it has been shown through analysis of congenic isolates which differed at the mating locus (
12) that the
MATαlocus contributes to the virulence of
C. neoformans in mice, this is the first study to specifically suggest the possibility that a putative pheromone gene within this locus might be directly implicated in the pathogenesis of
C. neoformans. Expression of the MFα1 gene, which has been detected only during the mating process (
18), is induced during growth on nutritionally depleted media, such as V-8 agar. We hypothesized that the low-nitrogen and -carbohydrate conditions of the subarachnoid space might contain a nutritional signal(s) similar to that of minimal media that results in the induction of MFα1 expression. This hypothesis may be correct, but the temporal gene activation during infection might support the presence of other inducible factors. For instance, the MFα1 promoter is activated during the proliferative stage of infection within the subarachnoid space and not during the early induction or exposure phase of infection. These findings suggest that the MFα1 promoter may be controlled or regulated by a central regulatory circuit that responds to either specific nutrient deprivation during infection (such as the changing of glucose or protein concentrations in CSF) or specific host signals (such as cytokines or chemokines). It is unlikely that delayed
MFα1 induction is related to the aging of the yeast cells in vivo because the full expression of GFP by this strain is observed within 3 to 5 days after the strain is placed on V-8 agar. Its regulation also appears to be specific for the environmental site, since CSF yeasts returned to in vitro growth on complete media have the MFα1 promoter again repressed. Moreover, the specific in vivo MFα1 promoter induction is supported by the similar findings of three different and independent transformants.
It is important to recognize that these studies provide only an association of the regulated expression of MFα1 with infection. For instance, this up-regulation of the MFα1 promoter might be part of a global regulatory mechanism(s) for the stress response and growth of yeast under certain nutritional exposures both in vitro and in vivo. However, to prove whether MFα1 is directly related to the virulence composite of C. neoformansor simply part of an environmental response will require making a null mutant of MFα1 and testing the site-directed mutant’s effect on virulence in animal models.
Finally, the ability to use GFP as a reporter in
C. neoformans suggests a number of interesting applications for studies of pathogenesis. For instance, the construction of heterologous fusion constructs comprising GFP fused to the promoters of genes that are preferentially expressed at a certain site of infection will be beneficial in identifying and timing the transcriptional regulation of these genes during infection, as we did with
MFα1 in this study. GFP can also be used to detect unique gene regulations dependent on specific host infection sites. For example, yeast cells can migrate from the lung to the central nervous system during infection, and genes that are specifically induced in the lung but not in the central nervous system can be identified by this approach. Another strategy is to use GFP to find promoter sequences in
C. neoformans that are induced or repressed during infection. By cloning small, random, genomic fragments (500 to 1,500 bp) upstream of the GFP gene, transforming these fragments into
C. neoformans, and infecting rabbits with these transformants, it is feasible to identify promoters that are differentially expressed during infection. Viable yeast cells can then be specifically recovered by a FACS, and the promoters rescued from these cells can be used as probes to clone infection-regulated genes. These types of promoter-trap strategies used in conjunction with in vivo expression technology have been useful for detecting regulated promoters in single cells during bacterial infection. In fact, under in vivo conditions, GFP may be a more sensitive indicator of gene regulation in yeast than the original in vivo expression technology strategies which rely on both adenine complementation and the survival of the infecting organism (
15).