201. Pneumocystis jiroveciDihydropteroate Synthase Polymorphisms Confer Resistance to Sulfadoxine and Sulfanilamide in Saccharomyces cerevisiae
- Author
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Meneau, I., Sanglard, D., Bille, J., and Hauser, P. M.
- Abstract
ABSTRACTFailure of anti-Pneumocystis jiroveciprophylaxis with sulfa drugs is associated with mutations within the putative active site of the fungal dihydropteroate synthase (DHPS), an enzyme encoded by the multidomain FASgene. This enzyme is involved in the essential biosynthesis of folic acid. The most frequent polymorphisms are two mutations leading to two amino acid changes (55Trp-Arg-57Pro to 55Ala-Arg-57Ser), observed as a single or double mutation in the same P. jiroveciisolate. In the absence of a culture method for P. jiroveci, we studied potential resistance to sulfa drugs conferred by these polymorphisms by using Saccharomyces cerevisiaeas a model. Single or double mutations identical to those observed in the DHPS domain of the P. jiroveci FASgene were introduced by in vitro site-directed mutagenesis into alleles of the S. cerevisiae FOL1gene, which is the orthologue of the P. jiroveci FASgene. The mutated alleles were integrated at the genomic locus in S. cerevisiaeand expressed by functional complementation in a strain with a disrupted FOL1allele. The single mutation 55Trp to 55Ala conferred resistance to sulfanilamide, whereas the single mutation 57Pro to 57Ser conferred resistance to both sulfanilamide and sulfadoxine. Both single mutations also separately conferred hypersensitivity to sulfamethoxazole and dapsone. The resistance to sulfadoxine is consistent with epidemiological data on P. jiroveci. The double mutation 55Trp-Arg-57Pro to 55Ala-Arg-57Ser conferred on S. cerevisiaea requirement for p-aminobenzoate, suggesting reduced affinity of DHPS for this substrate. This characteristic is commonly observed in mutated DHPS enzymes conferring sulfa drug resistance from other organisms. However, the double mutation conferred hypersensitivity to sulfamethoxazole, which is not in agreement with epidemiological data on P. jiroveci. Taken together, our results suggest that the DHPS polymorphisms observed in P. jiroveciconfer sulfa drug resistance on this pathogen.
- Published
- 2004
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