INTRODUCTION
Inositol is essential for all eukaryotes, including model and pathogenic fungi.
myo-Inositol is the precursor of phosphatidylinositol (PI), which plays key roles in both cellular structure and intracellular signal regulation. The intracellular inositol level is precisely regulated by specific PI kinases, phosphatases, and phospholipases. Inositol polyphosphates derived from PI orchestrate myriad cell functions, including nuclear export, telomere length, chromatin remodeling, and transcription (
1–5). Inositol-derived products have been reported to be important for fungal pathogenicity. Some enzymes involved in sphingolipid biosynthesis and degradation pathways have also been found to promote pathogenicity in
Cryptococcus neoformans, such as inositol-phosphoryl ceramide synthase 1 (Ipc1) (
6) and inositol phosphosphingolipid-phospholipase C1 (Isc1) (
7). The diacyglycerol (DAG)-protein kinase C1 (Pkc1) branch signaling pathway is also critical for virulence factor production and pathogenicity in
C. neoformans (
8–11). Inositol also functions as the precursor for phospholipomannan, a glycophosphatidylinositol (GPI)-anchored glycolipid on the cell surface of
Candida albicans that binds to human macrophages and is necessary for pathogenicity (
12).
Inositol can serve as a carbon source for fungi. There are two main sources by which fungal cells can acquire inositol. One route involves the conversion of intracellular glucose into
myo-inositol by a multiple-step inositol biosynthesis pathway (
13). Inositol 1-phosphate synthase (Ino1) is the key enzyme for this synthetic route and converts glucose 6-phosphate to inositol 3-phosphate in the rate-determining step (
14). Inositol can also be imported from the extracellular environment via inositol transporters. The
myo-inositol transporter gene family is part of the sugar transporter superfamily and plays an important role in inositol acquisition in fungi, including
Saccharomyces cerevisiae (
15–20),
C. albicans (
13,
21,
22), and
Schizosaccharomyces pombe (
23).
There are two
myo-inositol transporters (Itrs) in
S. cerevisiae, which were first isolated by complementation of a yeast mutant defective in
myo-inositol uptake. Itr1 is the major transporter, and its abundant mRNA is transcriptionally and posttranslationally repressed by inositol and choline. Itr2 is a minor transporter that is constitutively expressed at a low level (
18,
19). Depletion of inositol from the growth medium stimulates
ITR1 expression, while addition of inositol to the medium triggers repression of
ITR1 expression and inhibits uptake activity (
15). The
C. albicans myo-inositol transporter CaItr1 exhibits high substrate specificity for inositol, and interactions between the C-2, C-3, and C-4 hydroxyl groups of
myo-inositol and the transporter are critical for substrate recognition and binding (
22). A recent study showed that, similar to
S. cerevisiae,
C. albicans can generate inositol
de novo through Ino1 and also import it from the environment through CaItr1.
C. albicans may utilize these two complementary mechanisms to obtain inositol during host infection (
21). There is another phylogenetically distinct transporter (orf19.5447) that may represent a second
ITR gene, but it is expressed at a low level and less well studied (
21). The fission yeast
S. pombe is a natural auxotroph for inositol due to the absence of Ino1 and therefore cannot grow in the absence of inositol. Two transporters, Itr1 and Itr2, are involved in inositol uptake in
S. pombe. High concentrations of inositol in the culture medium stimulate mating and sporulation, while a low concentration supports only vegetative growth (
23). It was reported that
myo-inositol regulates the production of pheromone P and the response of cells to pheromones, but production of pheromone M is inositol independent. It is likely that inositol or one of its metabolites is involved in pheromone P secretion and pheromone signaling and thereby influences sexual reproduction (
24).
Cryptococcus neoformans is a major AIDS-associated human fungal pathogen that often infects immunocompromised individuals to cause fatal meningoencephalitis. Inositol metabolism is important for the growth and development of
C. neoformans and may be involved in its survival both in environmental niches, including plants and soil, and in humans and other hosts (
25,
26). The development of cryptococcosis is thought to be initiated by inhalation of spores and/or desiccated yeasts from the environment, as no human-to-human transmission (other than iatrogenic) has been reported, and spores are small enough to lodge in the alveoli of the lung (
27). Recent studies also demonstrate that spores are fully virulent (
28,
29). Our recent study revealed that high concentrations of inositol on plants (~6.5 µg/cm
2 on the
Eucalyptus camaldulensis leaf surface) and in media stimulate
Cryptococcus to complete the sexual cycle and produce spores, which could provide an explanation as to how spores are produced in nature (
26). Understanding how inositol triggers fungal mating will provide insights into the interactions between
C. neoformans and its environmental niches.
The high rate of cryptococcal meningitis may be related to the elevated inositol levels found in the mammalian brain and the preference of the fungus for proliferation in this tissue (
30–32). Inositol concentrations in human cerebrospinal fluid (CSF) are ~25 mg/liter compared to an average concentration of 4.3 mg/liter in plasma (
33). Serial analysis of gene expression (SAGE) has been applied to characterize gene expression profiles during experimental cryptococcal meningitis in a rabbit model (
34). The
INO1 gene and inositol monophosphatase were found to be abundant in a SAGE library generated from RNAs isolated during brain infection, suggesting that the
myo-inositol internal synthesis pathway is functional and that inositol could be important for the development of meningitis (
34). Inositol metabolism has also been linked to PKA signaling, which is critical for the virulence of
C. neoformans (
35). Another unique feature of
C. neoformans is that it can utilize inositol as a sole carbon source, which was first described in 1976 (
36,
37). We recently identified an undefined
myo-inositol transporter gene family that contains seven members with high similarity based on the
ITR sequences in
S. cerevisiae (
26). It is unusual to find this expanded family of inositol transporters in
C. neoformans, considering that most other fungi have only two or three related inositol transporters; this finding also supports the importance of inositol for
Cryptococcus physiology and virulence.
In this study, we describe the full suite of expanded ITR genes found in Cryptococcus. Our results with real-time PCR showed that these ITR genes are differentially expressed in response to myo-inositol induction. Phenotypic complementation of an S. cerevisiae itr1 itr2 double mutant strain by some ITR genes from C. neoformans supports the idea that these ITR homologs are bona fide inositol transporters. Phenotypic analyses of itr mutants revealed that inositol acquisition is important for fungal mating and that virulence and functional redundancy exist among ITR genes and between the ITR gene family and the inositol internal biosynthesis pathway. Our results further support the hypothesis that inositol is important for C. neoformans sexual reproduction and virulence.
DISCUSSION
Inositol metabolism and catabolism have been found to play important roles in both cellular structure and intracellular signaling and, thus, are critical for cell development. Our previous study identified
myo-inositol as an important elicitor for
Cryptococcus mating, both in media and on living plants (
26). The importance of
myo-inositol for fungal mating and the facts that
Cryptococcus can utilize
myo-inositol as a sole carbon source and that the human brain contains a high concentration of
myo-inositol all indicate that
myo-inositol is important for this fungus. In accord, we found that
Cryptococcus has an unusually large, expanded inositol transporter gene family. These findings raise the following questions. How do fungal cells sense and transport inositol, and how does inositol affect fungal mating? What is the role of each inositol transporter? Does inositol sensing/transport play a role in fungal virulence? Is there a correlation or causative role between inositol sensing and the high rate of cryptococcal meningitis?
It is likely that the presence of a large
ITR gene family in
Cryptococcus is the result of coevolution between this yeast and its environmental niches and host conditions. As one major environmental niche, soil often contains abundant decayed plant materials that are rich in phytic acid (IP6) and other inositol-derived compounds. Although the addition of phytic acid to media did not yield a clear effect on fungal development or mating (data not shown), this may be because IP6 is charged and cannot enter fungal cells directly; IP6 may be converted into other inositol forms that can be utilized by
Cryptococcus.
Cryptococcus species, especially
C. gattii, are commonly isolated from living plants, including
Eucalyptus species, as environmental niches. We found that free
myo-inositol exists on several living plant surfaces, and the concentration on
Eucalyptus is much higher than on
Arabidopsis, which could have significant implications for how this human pathogen completes its sexual cycle in nature, since
Eucalyptus is the major environmental niche for
C. gattii (
26).
Sexual reproduction in
Cryptococcus is important for both genetic manipulation and the production of the suspected primary infectious particles (basidiospores) and has been extensively studied (
28,
29,
41–44). In
Cryptococcus species that infect humans and animals,
C. neoformans strains are mostly fertile.
C. neoformans var.
neoformans (serotype D) is even more fertile than
C. neoformans var.
grubii (serotype A), while most isolates of the sibling species
C. gattii strains (serotype B and serotype C) have lower levels of mating efficiency or are even sterile. We found that the serotype D strain JEC21 has 11 potential
ITR genes, more
ITR homologs than any other
Cryptococcus strain, while the serotype A strain H99 contains 10
ITR genes, the serotype B VGI strain WM276 has 7, and the serotype B VGII strain R265 has only 6
ITR homologs. Thus, there is an interesting potential correlation between the number of
ITR genes in each serotype strain and fertility. Further functional studies are required to verify whether all of the candidate
ITR genes indeed encode functional inositol transporters. The comparison of
ITR genes among different
Cryptococcus strains clearly indicates that subgroup 3 has undergone a major expansion in
C. neoformans compared to those in
C. gattii. The facts that most of the
ITR genes in this subgroup are localized in the telomeric regions of a single chromosome and that all of them share similar intron locations provide further insight into this expansion. Besides environmental niches, human and animal brains have been widely reported to have high concentrations of
myo-inositol (
30–32,
45,
46). Because the major lethal infection caused by
Cryptococcus is in the CNS and results in cryptococcal meningoencephalitis, there may be a potential correlation between inositol sensing and acquisition and cryptococcal pathogenesis. It is possible that the organism adapted to inositol-rich environments by expanding the
ITR gene family to promote survival under harsh host conditions.
The subtelomeric location of the
ITR gene family is interesting and may explain the rapid expansion of
ITR genes in
C. neoformans, since genes in such a chromosomal location are commonly rapidly evolving. Our functional genomic analysis also revealed gene duplication events within the genomes of H99 and JEC21 (see
Fig. S2 in the supplemental material). Other large gene families have also been observed to have telomeric or subtelomeric locations. The
EPA (epithelial adhesin) gene family in
Candida glabrata is important for cell adhesin and contains at least 17 members in the CBS138 strain and 23 in the BG2 strain, and most of them are located in telomeric or subtelomeric regions (
47). Interestingly, many are subject to chromatin-based transcriptional silencing that involves telomere-associated proteins, including the Rap1, Hdf1, and Sir proteins (Sir2, Sir3, and Sir4) (
47–49). In contrast, we did not observe such transcriptional silencing for the
ITR genes we studied, because all seven
ITR genes in H99 were expressed based on our RT-PCR results (
Fig. 4).
We identified two groups of ITR homologs based on the known inositol transporter sequences in other yeasts; functional studies are important to verify whether they are indeed involved in inositol transport or sensing. In this study, we focused on the seven ITR homologs in group 1 of H99. Our quantitative RT-PCR results showed that all seven ITR genes are expressed with different expression patterns in response to inositol induction, an indication that this gene family might have both functional redundancy and specificity. Overall, most ITR genes were expressed at higher levels at the later time points, suggesting that at later incubation stages, fungal cells require more inositol from the environment as internal inositol and other stored carbon sources are depleted, triggering the induction of ITR expression. Also, most ITR genes were induced at a higher level in strains during mating than when individual strains were grown alone, suggesting that mating may require more inositol, either as an energy source, a signaling compound, or both. ITR1A and ITR3C were highly induced by inositol, and both of them complemented the growth defect of the S. cerevisiae itr1 itr2 double mutant in YPD at 37°C, suggesting that these two are bona fide ITR genes and play important roles in inositol uptake in H99. Inositol uptake assays in this yeast heterologous expression system will be important to understand the inositol affinity and specificity for each Itr from C. neoformans.
Interestingly, single-gene deletion mutants of the first seven
ITR genes in group 1 still undergo cell fusion, mating filament production, and sporulation, indicating that none of these Itrs is essential for fungal mating. However, the mating dikaryotic hyphal production in the bilateral
itr1 ×
itr1 mutant mating was reduced, especially at early time points, indicating that Itr1 may be important for fungal inositol acquisition. In our qRT-PCR study,
ITR1 is the only
ITR gene whose expression was consistently repressed when grown in MS medium as a single strain. Because the expression of the major inositol transporter in
S. cerevisiae,
ITR1, is also repressed when additional inositol is available (
18), Itr1 could also be important for inositol transport or sensing in
C. neoformans. The fact that expression of
ITR1 in the
S. cerevisiae itr1 ir2 double mutant strain failed to rescue the YPD growth mutant phenotype suggests that Itr1 may be a sensor rather than a transporter. In
S. cerevisiae, a large glucose transporter gene family has been identified to differentially control glucose uptake, and two permease homologs, Snf3 and Rgt2, function as sensors rather than transporters; these two proteins play important roles in regulating the expression of the other hexose transporters (
50,
51). A similar paradigm may exist in
Cryptococcus to sense inositol using one or more members of the expanded
ITR gene family. The significant changes in other expression patterns of
ITR genes in the
itr1 mutant background provide further evidence that Itr1 could be an inositol sensor that regulates the function of other Itrs. It is also possible that the expression of
ITR1 from
C. neoformans in
S. cerevisiae may not be stable or functional. On the other hand, Itr1A is clearly an important inositol transporter in
C. neoformans because
ITR1A is constitutively highly expressed under inositol induction conditions and it also complemented the growth defect of the
S. cerevisiae itr1 itr2 double mutant.
There are two possible explanations as to why none of the itr mutants was completely blocked in mating or significantly altered for virulence factor production. First, potential functional redundancy of these ITR genes could compensate for a defect conferred by any ITR single mutation. Second, it is also possible that since the internal inositol biosynthesis pathway is functional in C. neoformans and converts glucose-6-phosphate into myo-inositol, this may compensate for any defect in inositol uptake caused by an itr mutation. Although none of the seven itr single mutants tested showed an obvious effect on fungal virulence in a murine systemic infection model, the mating and virulence defects observed in the ino1 itr1 and ino1 itr1a double mutants provide evidence for a coordinated inositol acquisition mechanism that includes inositol internal biosynthesis and environmental inositol sensing/transport pathways. The virulence attenuation in these two double mutants supports our hypothesis that inositol acquisition is important not only for fungal sexual reproduction but also for fungal disease development. Interesting, although Itr3C could complement the growth defect of the S. cerevisiae itr1 itr2 mutant strain, ino1 itr3c double mutants did not show any obvious phenotype in either mating or virulence factor development. It will still be of interest to test this double mutant in the murine model in the future to determine whether Itr3c is also involved in virulence. It will also be important and necessary in future studies to generate multiple itr mutations in the ino1 mutant strain background (such as ino1 itr1 itr1a) to understand the function of each Itr in C. neoformans.
We found that
ino1 mutants, similar to
itr single mutants,
C. neoformans are still fully virulent and have normal
in vitro growth, which is consistent with what has been reported in
C. albicans (
21) but different from what has been reported in the bacterial pathogen
Mycobacterium tuberculosis (
52) and the parasite
Trypanosoma brucei (
53). Similar to
C. neoformans, both
M. tuberculosis and
T. brucei maintain functional inositol biosynthetic pathways and active inositol transporters, but the imported inositol is not sufficient for full cell activity, and the Ino1 protein is required for cell growth and full virulence. However, despite the fact that the
C. albicans itr1 and
ino1 homozygous single mutants have normal growth and full virulence, similar to what we found in
C. neoformans, inositol is essential for the viability of
C. albicans, and the
itr1/itr1 ino1/ino1 double mutant is inviable. The lethality of such double mutations suggests that
C. albicans also utilizes both the internal biosynthetic pathway and environmental uptake mechanism to acquire inositol, and these two pathways can complement each other (
13,
21). Such inositol acquisition machinery could be conserved in other pathogens as well. Because
itr1 ino1 double mutants of
C. albicans are inviable, it is a challenge to score an effect on virulence. The conditional double mutant (
ino1/ino1 itr1/PMET3::
ITR1) was found to be avirulent, suggesting that inositol is also important for the development of candidiasis (
21). In
C. neoformans,
ino1 itr1 and
ino1 itr1a double mutants have normal
in vitro growth and show virulence attenuation, which indicates that
Cryptococcus has a more well-developed system for acquiring inositol than
Candida albicans or other pathogens and thus provides a valuable system to evaluate the effect of inositol sensing/transporting on fungal disease development.
It is still unclear how these mutations affect virulence. Although
ino1 itr1 and
ino1 itr1a double mutants show virulence attenuation, they still produce normal virulence factors
in vitro and cause lethal infection. One possibility is that the high concentrations of inositol in the human central nervous system (CNS) play a role in the development of cryptococcal meningitis.
C. neoformans cells may sense inositol via a mechanism similar to chemotaxis in other microorganisms. Such a chemotactic response could attract yeast cells to cross the blood-brain barrier (BBB) and to reach the CNS, where large amounts of inositol are present. Once inside the brain, yeast cells could utilize inositol in the brain, either as a carbon source, signaling molecule, or both; thus, inositol may facilitate fungal proliferation and accelerate the development of meningitis. Itr1 and Itr1A may be required for yeast cells to cross the BBB and/or proliferate in the CNS. In fact, our preliminary animal study results have shown that the
ino1 itr1a double mutant produced ~10 times fewer CFU in the brain (average, 1.7 × 10
5 cells/g organ) than the wild-type strain (average, 7.1 × 10
6 cells/g organ) at the end point of the infection, while in the lung and spleen, both the mutant and wild-type strains reached equivalent levels of fungal burden (
Fig. 7C). This result suggests that the
ino1 itr1a mutant strain may be slower to disseminate and cross the BBB and/or proliferate in the CNS, and thus, mice infected with the
ino1 itr1a mutant survived longer in our experiments. It would be very interesting to further investigate this hypothesis, which may ultimately contribute to our understanding of why
C. neoformans so frequently causes lethal cryptococcal meningitis.