Clotrimazole as a Potent Agent for Treating the Oomycete Fish Pathogen Saprolegnia parasitica...
Transcript of Clotrimazole as a Potent Agent for Treating the Oomycete Fish Pathogen Saprolegnia parasitica...
Clotrimazole to treat Saprolegnia
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Clotrimazole as a potent Agent for Treating the Oomycete 1
Fish Pathogen Saprolegnia parasitica through Inhibition of 2
Sterol 14α-Demethylase (CYP51) 3
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Andrew G.S. Warrilow,a Claire M. Hull,a Nicola J. Rolley,a Josie E. Parker,a 5
W. David Nes,b Stephen N. Smith,a Diane E. Kelly,a# and Steven L. Kelly a# 6
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a Centre for Cytochrome P450 Biodiversity, Institute of Life Science, College of 8
Medicine, Swansea University, Swansea, Wales, SA2 8PP, United Kingdom, 9
b Center for Chemical Biology, Department of Chemistry and Biochemistry, 10
Texas Tech University, Lubbock, Texas 79409-1061. 11
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Running title: Clotrimazole to treat Saprolegnia 14
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# To whom correspondence should be addressed: 17
Phone: +44 (0)1792 292207 Fax: +44 (0)1792 503430 18
Email: [email protected] or [email protected] 19
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AEM Accepts, published online ahead of print on 1 August 2014Appl. Environ. Microbiol. doi:10.1128/AEM.01195-14Copyright © 2014, American Society for Microbiology. All Rights Reserved.
Clotrimazole to treat Saprolegnia
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A candidate CYP51 gene encoding sterol 14α-demethylase from the fish 21
oomycete pathogen Saprolegnia parasitica (SpCYP51) was identified based 22
on conserved CYP51 residues among CYPs in the genome. It was 23
heterologously expressed in Escherichia coli, purified and characterized. 24
Lanosterol, eburicol and obtusifoliol bound to purified SpCYP51 with 25
similar binding affinities (Ks 3 to 5 μM). Eight pharmaceutical and six 26
agricultural azole antifungal agents bound tightly to SpCYP51 with 27
posaconazole displaying the highest apparent affinity (Kd ≤3 nM) and 28
prothioconazole-desthio the lowest (Kd ~51 nM). The efficaciousness of 29
azole antifungals as SpCYP51 inhibitors was confirmed by IC50 values of 30
0.17 to 2.27 μM using CYP51 reconstitution assays. However, most azole 31
antifungal agents were less effective at inhibiting S. parasitica, S. diclina 32
and S. ferax growth. Epoxiconazole, fluconazole, itraconazole and 33
posaconazole failed to inhibit Saprolegnia growth (MIC100 >256 µg ml-1). The 34
remaining azoles only inhibited Saprolegnia growth at elevated 35
concentrations (MIC100 16 to 64 µg ml-1) with the exception of clotrimazole, 36
which was equally potent as malachite green (MIC100 ~1 µg ml-1). Sterol 37
profiles of azole treated Saprolegnia species confirmed that endogenous 38
CYP51 enzymes were being inhibited with the accumulation of lanosterol in 39
the sterol fraction. The effectiveness of clotrimazole against SpCYP51 40
activity (IC50 = ~1 µM) and inhibiting the growth of Saprolegnia species in 41
vitro (MIC100 ~1 to 2 µg ml-1) suggests that clotrimazole could be used 42
against Saprolegnia infections including as a preventative measure by 43
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pretreatment of fish eggs and for fresh water farmed fish as well as in 44
leisure activities. 45
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Keywords: Oomycete; Saprolegnia; CYP51; sterol; clotrimazole. 47
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Worldwide growth of aquaculture (at ~6% per annum from 2006 to 2011) is 50
reflective of increased consumption of fish, especially in China (1). Aquaculture 51
now accounts for more than 40% of the total fish production for human 52
consumption with freshwater aquaculture contributing ~70% in 2011 compared to 53
~30% from marine aquaculture (1). Diseased fish through bacterial and 54
oomycete (water mould) infections is the largest cause of economic loss in 55
aquaculture (2). Saprolegnia species are responsible for most oomycete 56
infections in farmed-fish (3) with S. parasitica being endemic to all fresh water 57
environments around the world. Losses in worldwide salmon aquaculture through 58
disease run into tens of millions of pounds per annum (4). S. parasitica has also 59
been implicated in the worldwide decline in wild salmon populations (5) and S. 60
ferax is thought to be partially responsible for declining numbers of amphibians in 61
natural ecosystems (6, 7). 62
Saprolegnia is an opportunistic pathogen that is saprotrophic and 63
necrotrophic (3), although some S. parasitica strains are very virulent and can 64
cause primary infections (8). Saprolegnia has a fairly wide range of temperature 65
tolerance (3 to 33°C) (9) with sudden changes in water temperature making fish 66
vulnerable to infection by Saprolegnia (3, 10). Saprolegnia infection can be 67
difficult to eradicate, especially in freshwater hatcheries and fish farms, in part 68
due to the ability of Saprolegnia species to form biofilm communities on its own 69
and with other microorganisms (11) which are more resistant to treatment with 70
antibiotic compounds and act as reservoirs of infection. Infections can affect both 71
eggs and fish. Salmonid eggs are particularly vulnerable to Saprolegnia infection 72
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during the several months spent on freshwater riverbeds prior to hatching (12). 73
Initial infections of ova result in dead eggs from which a mycelial mat spreads 74
with time to engulf neighboring live eggs (12) resulting in further losses and the 75
potential infection of hatchlings. Czeczuga et al (13) found Saprolegnia species 76
were present on the external surfaces of all sea trout eggs sampled from the 77
rivers and freshwater hatcheries of Poland. On fish, Saprolegnia invades 78
epidermal tissues, often beginning on the head or fins and eventually spreads 79
over the whole body surface (10) and is able to cause cellular necrosis as well as 80
dermal and epidermal damage (14). However, Saprolegnia infections do not 81
appear to be tissue specific. If untreated, Saprolegnia infection leads to death by 82
osmoregulatory failure (9, 14, 15). Up until 2002 Saprolegnia infections were well 83
controlled using the organic dye malachite green which is considered the most 84
effective chemical against Saprolegnia (3, 16). However, the use of malachite 85
green in aquaculture was banned by the USA and several other countries (17) 86
due to concerns the dye is a potential carcinogen (18) and a mutagen (3). Since 87
2002 infections caused by Saprolegnia species have re-emerged, with 88
Saprolgenia parasitica in particular being an economically important pathogen of 89
farmed fish such as salmon, trout and catfish (19). Improving water quality and 90
reducing stress and handling can significantly reduce the incidence and severity 91
of Saprolegnia infection in catfish (20). 92
Presently there are few licensed chemicals for controlling Saprolegnia 93
infection in salmonid eggs and no chemicals that give sufficient protection against 94
Saprolegnia infection after hatching (21). S. parasitica is inhibited by low 95
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concentrations of sodium chloride (22) with the sodium chloride helping to 96
counteract osmotic stress in affected fish with damaged skin. Sodium chloride at 97
high concentrations such as in sea water (~29 g/l) and salt water (~15 g/l) is 98
lethal to Saprolegnia (17, 23) and is effective for controlling S. parasitica (10). 99
However, use of sodium chloride in freshwater environments is not practical. 100
Ozone treatment of water has also been used to reduce S. parasitica infection 101
(21) although ozone can not be used to cure infected fish. Formalin has been 102
used to treat eggs and the first stages of larval development (3, 18, 24, 25). 103
However formaldehyde is harmful to the environment and personal health. 104
Hydrogen peroxide is a promising chemical for the treatment of Saprolegnia (17, 105
18, 26) with minimal impact to the environment and has been used as a 106
treatment of catfish eggs (20). Cupric sulphate and diquat (0.125 ppm) have 107
been used as prophylactic treatments to inhibit zoospores (20). Recently 108
alternate chemical approaches have been tried to control S. parasitica infection 109
with varying success including chemically modified chitosans (27), peracetic acid 110
(28), saprolmycins (29), oridamycins (30), pyceze (2-bromo-2-nitropropane-1,3-111
diol) (12) and essential oils and ethanol extracts of medicinal plants (31). In 112
addition, chitin synthases responsible for tip growth in Saprolegnia have been 113
demonstrated as potential targets for anti-oomycete drugs (32). Effective 114
strategies and chemicals still need to be developed to control or eradicate 115
Saprolegnia infections in aquaculture, especially in fresh-water environments, 116
with at least the same efficacy as malachite green. 117
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Previously oomycetes, such as Phytophthora species, were considered 118
sterol auxotrophs utilizing sterols from the surrounding environment or the host 119
organism (33) and lacked functional CYP51 genes (34). This explained the 120
ineffectiveness of azole antifungal agents against many oomycete species as the 121
azole target enzyme CYP51 was absent. However, the recent discovery of a 122
sterol metabolism pathway in the oomycete Aphanomyces euteiches (a legume 123
root pathogen) (35), including a CYP51 gene, led us to investigate whether such 124
a pathway was also present in S. parasitica. Previous investigations into the 125
sterol profile of Saprolegnia were limited to S. ferax (36, 37). 126
In this study we identified the CYP51 gene from the genome sequence of 127
S. parisitica, cloned, expressed and purified the recombinant CYP51 protein in an 128
active state. We characterized the effectiveness of fifteen azole antifungal agents 129
used in the clinic (pharmazoles) and in agriculture (agriazoles) at inhibiting S. 130
parasitica CYP51 activity in vitro and growth of Saprolegnia species. Finally we 131
discuss the potential of using azole antifungal agents to control Saprolegnia 132
infections in freshwater aquaculture. 133
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MATERIALS AND METHODS 136
Construction of the pCWori+:SpCYP51 expression vector. The S. parasitica 137
CYP51 gene (BROAD Institute accession number SPRG_09493.2 - 138
http://www.broadinstitute.org/annotation/genome/Saprolegnia_parasitica/MultiHo139
me.html) was identified by performing a BLASTP search against the S. parasitica 140
genome database using the amino acid sequence of Candida albicans CYP51 141
(UniProtKB accession number P10613). The SpCYP51 gene was synthesized by 142
Eurofins MWG Operon (Ebersberg, Germany) incorporating an NdeI restriction 143
site at the 5' end and a HindIII restriction site at the 3' end of the gene cloned into 144
pUC57 plasmid. In addition the first eight amino acids were changed to 145
'MALLLAVF' (38) and a six-histidine extension (CATCACCATCACCATCAC) was 146
inserted immediately before the stop codon to facilitate protein purification by 147
Ni2+-NTA agarose affinity chromatography. The SpCYP51 gene was excised by 148
NdeI / HindIII restriction digestion followed by cloning into the pCWori+ 149
expression vector using Roche T4 DNA ligase. Gene integrity was confirmed by 150
DNA sequencing. 151
Heterologous expression in E. coli and isolation of recombinant 152
SpCYP51 protein. The pCWori+:SpCYP51 construct was transformed into 153
competent DH5α E. coli cells and transformants selected using 0.1 mg ml-1 154
ampicillin. Growth and expression conditions were identical to those previously 155
reported (39). Protein isolation was according to the method of Arase et al (40) 156
except that 2% sodium cholate was used in the sonication buffer. The solubilized 157
SpCYP51 protein was purified by Ni2+-NTA agarose affinity chromatography as 158
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previously described (41) using 1% L-histidine in 0.1 M Tris-HCl (pH 8.1) and 159
25% glycerol to elute SpCYP51, followed by dialysis against 5 liters of 25 mM 160
Tris-HCl (pH 8.1) and 10% glycerol. Ni2+-NTA agarose purified SpCYP51 was 161
used for all subsequent spectral and IC50 determinations. Protein purity was 162
assessed by SDS polyacrylamide gel electrophoresis followed by staining with 163
Coomassie Brilliant Blue R-250. 164
Determination of cytochrome P450 protein concentrations. 165
Cytochrome P450 concentration was determined by reduced carbon monoxide 166
difference spectra (42), with carbon monoxide passed through the cytochrome 167
P450 solution prior to addition of sodium dithionite to the sample cuvette, using 168
an extinction coefficient of 91 mM-1 cm-1 (43) for the absorbance difference 169
between 447 and 490 nm. Absolute spectra (700 to 300 nm) were determined 170
using 2 μM SpCYP51 in 0.1 M Tris-HCl (pH 8.1) and 25% glycerol as previously 171
described (41). Confirmation that isolated SpCYP51 was active was 172
demonstrated by measuring the 14α-demethylation of lanosterol, eburicol and 173
obtusifoliol using the CYP51 reconstitution assay detailed below. 174
CYP51 reconstitution assay system. IC50 determinations were 175
performed using the CYP51 reconstitution assay system (500 μl final reaction 176
volume) previously described (44) containing 0.5 μM SpCYP51, 1 μM Aspergillus 177
fumigatus cytochrome P450 reductase (AfCPR1 - UniProtKB accession number 178
Q4WM67), 50 μM eburicol, 50 μM dilaurylphosphatidylcholine, 4% (wt/vol) (2-179
hydroxypropyl)-β-cyclodextrin (HPCD), 0.4 mg ml-1 isocitrate dehydrogenase, 25 180
mM trisodium isocitrate, 50 mM NaCl, 5 mM MgCl2 and 40 mM MOPS (pH ~7.2). 181
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Azole antifungal agents were added in 2.5 μl dimethylformamide followed by 10 182
min incubation at 30°C prior to assay initiation with 4 mM β-NADPH-Na4. 183
Samples were then shaken for 30 min at 30°C. In addition, trial SpCYP51 assays 184
were also performed using 50 μM lanosterol and 50 μM obtusifoliol as substrates. 185
Sterol metabolites were recovered by extraction with ethyl acetate followed by 186
derivatization with N,O-bis(trimethylsilyl)trifluoroacetamide and tetramethylsilane 187
in pyridine prior to analysis by gas chromatography mass spectrometry (45). 188
Eburicol was chosen as the substrate for the CYP51-azole IC50 determinations 189
as the TMS-derivatized 14-demethylated product could be readily separated from 190
TMS-derivatized eburicol during gas chromatography. IC50 in this study is defined 191
as the inhibitor concentration required causing 50% inhibition of CYP51 activity 192
under the stated assay conditions. 193
Sterol binding properties of SpCYP51. Stock 2.5 mM solutions of 194
lanosterol (the CYP51 substrate in animals and most yeasts), eburicol (the 195
CYP51 substrate in higher fungi) and obtusifoliol (the CYP51 substrate in plants) 196
were prepared in 40% (wt/vol) HPCD. Sterol was progressively titrated against 4 197
μM SpCYP51 protein in a quartz semi-micro cuvette (light path 4.5 mm) with 198
equivalent amounts of 40% (wt/vol) HPCD added to the reference cuvette also 199
containing 4 μM SpCYP51. The absorbance difference spectrum between 500 200
and 350 nm was determined after each incremental addition of sterol (up to 75 201
μM). Sterol saturation curves were constructed from ΔA385-421 derived from the 202
difference spectra. The substrate binding constants (Ks) were determined by non-203
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linear regression (Levenberg-Marquardt algorithm) using the Michaelis-Menten 204
equation. Each binding determination was performed in triplicate. 205
Azole binding studies. Binding azole antifungal agents to 2 μM 206
SpCYP51 were performed as previously described (46) using quartz split-207
cuvettes with a 4.5 mm light path. Stock 1, 0.5, 0.2 and 0.1 mg ml-1 solutions of 208
the pharmaceutical azole antifungals (pharmazoles) clotrimazole, econazole, 209
fluconazole, itraconazole, ketoconazole, miconazole, posaconazole and 210
voriconazole and the agricultural azole antifungals (agriazoles) epoxiconazole, 211
prochloraz, propiconazole, prothioconazole, prothioconazole-desthio, 212
tebuconazole and triadimenol were prepared in dimethylformamide. Azole 213
antifungals were progressively titrated against 2 μM SpCYP51 in 0.1 M Tris-HCl 214
(pH 8.1) and 25% glycerol at 22°C with equivalent volumes of dimethylformamide 215
also being added to the SpCYP51-containing compartment of the reference 216
cuvette. The absorbance difference spectra between 500 and 350 nm were 217
determined after each incremental addition of azole with binding saturation 218
curves constructed from ΔA428-412 against azole concentration. The dissociation 219
constant of the enzyme-azole complex (Kd) for each azole was determined by 220
non-linear regression (Levenberg-Marquardt algorithm) using a rearrangement of 221
the Morrison equation for tight ligand binding (47, 48). Kd values determined 222
using the Morrison equation are accurate to ~1/100th of the protein concentration 223
(49). Each binding determination was performed in triplicate. The chemical 224
structures of the azole antifungals used in this study are shown in Fig. 1. 225
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MIC studies with Saprolegnia species. Saprolegnia parasitica Coker 226
(CBS 223 63), Saprolegnia diclina Humphrey (CBS 326 35) and Saprolegnia 227
ferax Gruith (CBS 173 42) were retrieved from the CBS-KNAW Fungal 228
Biodiversity Centre (Netherlands) and maintained on 90 mm diameter Yeast Mold 229
agar plates (ATCC YM Medium 200) containing yeast extract (3%), malt extract 230
(3%), glucose (1%), peptone (0.5%) and agar (2%). Agar plates were routinely 231
inoculated with a single 5 mm plug of mycelium cut from stock cultures exhibiting 232
active radial growth. All strains were grown for 3 days at 20°C (± 2°C) prior to 233
use. Azole susceptibility assays were performed in 24-well (flat bottom, 16 mm 234
diameter round well) culture plates (IWAKI: 3820-024) using an adaptation of the 235
Clinical and Laboratory Standards Institute (CLSI) M27-A2 broth dilution method. 236
Briefly, all azoles and malachite green were dissolved in dimethylsulfoxide to a 237
stock concentration of 25.6 mg ml-1. Dilutions were then made with 238
dimethylsulfoxide to achieve 100-times stock solutions (1 ml volumes) of 25.6, 239
12.8, 6.4, 3.2, 1.6, 0.8, 0.4, 0.2, 0.1, 0.05 and 0.025 mg ml-1. These stocks were 240
initially diluted 10-fold using YM medium prior to addition of 100 µl directly into 241
culture plate wells containing 900 µl YM to achieve final azole concentrations of 242
256, 128, 64, 32, 16, 8, 4, 2, 1, 0.5 and 0.25 µg ml-1 and control wells containing 243
1% (vol/vol) dimethylsulfoxide. Culture wells were inoculated centrally with a 244
single 3 mm plug of mycelium excised from YM agar plates and incubated for 3 245
days at 20°C (± 2°C). Minimum inhibitory concentrations (MIC) were performed in 246
duplicate and scored manually. MIC100 is defined here as the lowest antifungal 247
concentration at which growth remained completely inhibited after 72 h at 20°C. 248
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Sterol composition of Saprolegnia species. Mycelial cakes were 249
removed from the plate wells of treated (compound concentration immediately 250
below MIC100) and untreated Saprolegnia species and then washed thrice with 251
sterile water. Nonsaponifiable lipids were extracted as previously reported (50) 252
and were derivatization with N,O-bis(trimethylsilyl)trifluoroacetamide and 253
tetramethylsilane in pyridine prior to analysis by gas chromatography mass 254
spectrometry (45). Sterol composition was calculated using peak areas from the 255
gas chromatograms and the mass fragmentation patterns were used to confirm 256
sterol identity. 257
Data analysis. Curve-fitting of ligand binding data were performed using 258
the computer program ProFit 6.1.12 (QuantumSoft, Zurich, Switzerland). Spectral 259
determinations were made using quartz semi-micro cuvettes with a Hitachi U-260
3310 UV/VIS spectrophotometer (San Jose, California). 261
The N-terminal membrane anchor region of SpCYP51 was predicted using 262
the TargetP version 1.1 (http://www.cbs.dtu.dk/services/TargetP/) software. 263
Subcellular location was predicted using WoLF PSORT (http://wolfpsort.org/) 264
software. Phylogenetic analyses were performed by comparing the SpCYP51 265
amino acid sequence (SPRG_09493.2) against selected fungal, plant and animal 266
CYP51 proteins from the UniProtKB database 267
(http://www.uniprot.org/help/uniprotkb) using NCBI BLAST2 268
(http://blast.ncbi.nlm.nih.gov/Blast.cgi?PAGE_TYPE=BlastSearch&PROG_DEF=269
blastn&BLAST_PROG_DEF=megaBlast&BLAST_SPEC=blast2seq) and 270
ClustalX version 1.81 (http://www.clustal.org/) sequence alignment software with 271
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a phylogenetic tree produced from the ClustalX generated Phylip-dnd file using 272
TreeviewX (http://www.darwin.zoology.gla.ac.uk/~rpage/treeviewx/) software. 273
The eukaryotic CYP51 sequences used for phylogenetic comparison are 274
detailed in the supplementary table. BLASTP searches of the Broad Institute S. 275
parasitica genome database 276
(http://www.broadinstitute.org/annotation/genome/Saprolegnia_parasitica/MultiHo277
me.html) were performed using sterol biosynthesis protein homologs from A. 278
euteiches (35), Aspergillus fumigatus (Δ5 sterol desaturase Q4WDL3, Δ3 sterol 279
dehydrogenase Q4X017) and Homo sapiens (Δ8 sterol isomerase Q15125). 280
Several sequences for ∆3 sterol keto reductase (fungal and mammalian) were 281
used. All S. parasitica protein sequences so identified were then used as query 282
sequences at NCBI BLASTP 283
(http://blast.ncbi.nlm.nih.gov/Blast.cgi?PROGRAM=blastp&PAGE_TYPE=BlastS284
earch&LINK_LOC=blasthome) to elucidate the most likely sterol biosynthesis 285
candidate. 286
Chemicals. All chemicals, including azole antifungals except 287
voriconazole, were obtained from Sigma Chemical Company (Poole, UK). 288
Voriconazole was supplied by Discovery Fine Chemicals (Bournemouth, UK). 289
Growth media, sodium ampicillin, IPTG and 5-aminolevulenic acid were obtained 290
from Foremedium Ltd (Hunstanton, UK). Ni2+-NTA agarose affinity 291
chromatography matrix was obtained from Qiagen (Crawley, UK). 292
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RESULTS 295
Analysis of SpCYP51 protein sequence. The SpCYP51 sequence we identified 296
agreed with that published (SPRG_09493.2) by Jiang et al (51) during the course 297
of our work. TargetP predicted the SpCYP51 N-terminal membrane anchor to 298
consist of the first 36 amino acid residues whilst WoLF PSORT predicted 299
SpCYP51 would be located in the endoplasmic reticulum. This agrees with the 300
observation that eukaryotic CYP51 proteins are associated with the membranes 301
of the endoplasmic reticulum (52). Alignment of SpCYP51 against other 302
eukaryotic CYP51 proteins confirmed that all 23 conserved amino acid residues 303
previously identified for CYP51 proteins were present (53). The resultant 304
phylogenetic tree (Fig. 2) showed SpCYP51 clustered with the CYP51 of fellow 305
oomycete A. euteiches, sharing 79% sequence identity. S. parasitica CYP51 was 306
more closely related to plant and animal CYP51 proteins than to fungal CYP51 307
proteins. For example, SpCYP51 shared 48% sequence identity with the marine 308
diatom T. psuedonana CYP51 and 45% identity with the thermo-acidophilic 309
unicellular red-alga G. sulphuraria CYP51. SpCYP51 shared 41-44% sequence 310
identity with higher plant CYP51 enzymes (44% with cucumber CYP51) and 36-311
38% identity with animal CYP51 proteins (37% identity with human CYP51) in 312
contrast to just 30-35% sequence identity with the 'true' fungal CYP51 proteins 313
(34% identity with C. albicans CYP51 and 31% identity with A. fumigatus 314
CYP51A). 315
Expression and purification of SpCYP51. The yield of SpCYP51 was 316
~120 (±20) nmoles per liter E. coli culture as determined by absolute 317
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spectroscopy (41) after purification by Ni2+-NTA agarose chromatography. This 318
yield was ~10-fold greater than that calculated by carbon monoxide difference 319
spectroscopy under reductive conditions (42) of the crude sodium cholate cell 320
extract due to the reduced CO-SpCYP51 adduct formed being unstable. SDS 321
polyacrylamide gel electrophoresis confirmed the purity of the Ni2+-NTA agarose 322
eluted SpCYP51 protein to be greater than 95% when assessed by Coomassie 323
Brilliant Blue R-250 staining intensity, with an apparent molecular weight of 324
~52,000 ±2,000 which was close to the predicted value of 55,487 including the 325
six-histidine C-terminal extension. 326
Spectral properties of recombinant SpCYP51 protein. The absolute 327
spectrum of SpCYP51 (Fig. 3A) was typical for a ferric cytochrome P450 enzyme 328
predominantly (~80%) in the low-spin state (41, 54) with α, β, Soret (γ) and δ 329
spectral bands at 565, 535, 417 and 360 nm, respectively. Reduced carbon 330
monoxide difference spectra (Fig. 3B) produced the characteristic red-shifted 331
Soret peak at 445-7 nm typical of ferrous cytochrome P450 enzymes complexed 332
with CO (42, 43). However, the reduced CO-adduct at 447 nm was unstable with 333
the absorbance peak quickly dissipating (t0.5 = 3.2 ±0.2 min) along with an 334
accompanying increase in the 'inactive' P-420 complex absorbance at 421 nm. 335
Binding studies with sterols. All three 14α-methylsterols produced 336
strong type I binding spectra with SpCYP51 (Fig. 4A) which was typical of the 337
interaction of substrates with cytochromes P450 (54) with a peak at ~385 nm and 338
trough at ~420 nm. Sterol saturation curves were constructed (Fig. 4B) to derive 339
substrate binding constants (Ks). SpCYP51 had similar affinity for all three sterols 340
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at 2.8 ±0.4, 3.3 ±0.5 and 4.6 ±0.2 μM for lanosterol, eburicol and obtusifoliol, 341
respectively. All three sterols were 14α-demethylated in the CYP51 reconstitution 342
assay using purified SpCYP51 protein and AfCPR1 as the redox partner with 343
turnover numbers of 0.63, 1.04 and 2.55 min-1 for lanosterol, eburicol and 344
obtusifoliol, respectively. This confirmed the putative CYP51 was indeed as 345
predicted and that SpCYP51 had been isolated in a fully functional form. 346
Azole antifungal agent binding studies. Tight type II binding spectra 347
were observed between 2 μM SpCYP51 and all fifteen azole antifungal agents 348
(Fig. 5 and 6), with the exception of prothioconazole, yielding a peak at ~428 nm 349
and a trough at ~412 nm. Type II binding spectra are caused by the triazole N-4 350
nitrogen (Fig. 1 - voriconazole) or the imidazole N-3 nitrogen (Fig. 1 - econazole) 351
coordinating as the sixth ligand with the heme iron (55) to form the low-spin 352
CYP51-azole complex resulting in a 'red-shift' of the heme Soret peak. No 353
reproducible binding spectra between prothioconazole and 2 μM SpCYP51 could 354
be obtained (data not shown) probably because of steric hindrance from the 355
sulfur atom preventing the direct coordination of the triazole N-4 nitrogen atom 356
with the heme ferric ion (Fig. 1). Tight binding is normally observed for azole 357
antifungals against fungal CYP51 proteins where the Kd for a ligand is similar or 358
lower than the concentration of the enzyme present (49). The imidazole-based 359
pharmazoles gave approximately 30% more intense (greater ΔAmax) difference 360
spectra with SpCYP51 than the triazole-based pharmazoles (Fig. 5), whereas the 361
agriazoles (all triazoles with the exception of the imidazole prochloraz) gave type 362
II difference spectra (Fig. 6) of similar intensity to the triazole-based 363
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pharmazoles. Azole-SpCYP51 saturation curves (Fig. 7) indicated that azole 364
binding affinities were similar with Kd values typically between 3 and 16 nM 365
(Table 1) with the exception of clotrimazole, fluconazole and prothioconazole-366
desthio which bound slightly less tightly with Kd values of 25, 40 and 51 nM, 367
respectively. These marginally higher Kd values may result from the relative 368
compactness of these three azoles preventing additional stabilizing interactions 369
with amino acid side-chains that line the SpCYP51 heme binding pocket. This 370
would need to be verified by in silico ligand docking experiments. Therefore 371
SpCYP51-catalyzed sterol demethylation should be strongly inhibited by azole 372
antifungal agents. 373
IC50 determinations for azole antifungal agents on SpCYP51 activity. 374
IC50 determinations using 0.5 μM SpCYP51 with the pharmazoles fluconazole, 375
itraconazole, ketoconazole and clotrimazole (Fig. 8A) and the agriazoles 376
epoxiconazole, propiconazole, prochloraz and tebuconazole (Fig. 8B) confirmed 377
that all eight azoles severely inhibited SpCYP51 activity using eburicol as 378
substrate and AfCPR1 as redox partner. The binding of epoxiconazole, 379
propiconazole and prochloraz to SpCYP51 was tight with similar IC50 values of 380
0.17, 0.20 and 0.15 μM, respectively, being observed along with no residual 381
CYP51 activity in the presence of 2 μM azole. The IC50 value for a tight binding 382
azole that can not be displaced by substrate would be half the CYP51 383
concentration (~0.25 μM) as was observed for epoxiconazole, propiconazole or 384
prochloraz. The binding of tebuconazole, itraconazole, clotrimazole, fluconazole 385
and ketoconazole appeared slightly less tight with IC50 values of 0.47, 0.84, 0.95, 386
Clotrimazole to treat Saprolegnia
19
1.35 and 2.27 μM, respectively, with residual SpCYP51 activities of 27%, 19%, 387
27%, 30% and 38% observed at 4 μM azole, suggesting these five azoles were 388
displaced from the SpCYP51 heme by substrate during catalysis. 389
MIC studies with Saprolegnia species. The MIC results obtained with 390
most of the azole antifungals (Fig. 9 and Table 2) were surprising as all three 391
Saprolegnia species were insensitive to epoxiconazole, fluconazole, itraconazole 392
and posaconazole (MIC100 >256 µg ml-1) whilst the remaining azoles, except 393
clotrimazole, gave MIC100 values between 8 and 64 µg ml-1 in comparison to 1 µg 394
ml-1 for malachite green. Hu et al (56) also determined the MIC for malachite 395
green to be 1 μg ml-1 for Saprolegnia supporting the validity of our MIC 396
methodology. Clotrimazole though proved to be as effective as malachite green 397
against Saprolegnia species with an MIC100 value of 1 to 2 µg ml-1. Clotrimazole 398
proved to be effective despite having an apparent eight-fold lower affinity for 399
SpCYP51 than posaconazole (Kd ~25 nM compared to ≤3 nM) and an IC50 value 400
6-fold higher than prochloraz. The next effective azoles were econazole and 401
miconazole (MIC100 8 μg ml-1) suggesting imidazoles were generally more 402
effective at controlling Saprolegnia infection then triazoles. 403
Sterol composition of Saprolegnia species. The sterol composition of 404
untreated and prochloraz-treated (16 µg ml-1) S. diclina, S. ferax and S. parasitica 405
were determined after 72 h at 20°C (Fig. 10 and Table 3). Untreated S. diclina, S. 406
ferax and S. parasitica contained four main sterols desmosterol, 24-methylene 407
cholesterol, fucosterol (the Saprolgenia equivalent to ergosterol in fungi) and 408
cholesterol with traces of lanosterol also detectable. S. diclina and S. ferax had 409
Clotrimazole to treat Saprolegnia
20
similar sterol profiles, whilst S. parasitica had a ten-fold lower abundance of 410
fucosterol and a two- to three-fold higher abundance of desmosterol. 411
The large build-up of lanosterol in the prochloraz-treated samples (Fig. 10 412
and Table 3) indicated prochloraz uptake in Saprolegnia and inhibition of CYP51 413
activity preventing the 14α-demethylation of lanosterol, which leads to the 414
depletion of the other major Saprolegnia sterols. Prochloraz-treated S. parasitica 415
and S. diclina had similar sterol profiles with lanosterol constituting 90 to 97% of 416
the total sterol and the depletion of cholesterol, desmosterol, 24-methylene 417
cholesterol and fucosterol. However, the sterol profile of prochloraz-treated S. 418
ferax differed in that fucosterol content remained constant whilst cholesterol, 419
desmosterol and 24-methylene cholesterol content were depleted and lanosterol 420
accumulation was less at only 58% of the sterol content. Further investigations 421
are required to explain the differences in sterol composition amongst Saprolegnia 422
species in response to azole treatment. Clotrimazole-treated (0.5 μg ml-1) S. 423
parasitica also resulted in a large accumulation of lanosterol (92% of total sterol) 424
and the depletion of the other sterols (Table 3). Therefore clotrimazole was 425
effective at inhibiting CYP51 activity in vivo at a 32-fold lower concentration than 426
prochloraz. In contrast the sterol profiles of malachite green-treated Saprolegnia 427
were unaltered indicating that the mode of action of malachite green was different 428
to azole antifungals and did not inhibit CYP51. 429
Searching the Broad Institute S. parasitica genome database for sterol 430
biosynthesis enzymes identified twelve enzymes (Table 4). For lanosterol 431
synthase and Δ5 sterol desaturase two potential candidates were identified for 432
Clotrimazole to treat Saprolegnia
21
each gene, in agreement with Jiang et al (51). For lanosterol synthase 433
SPRG_117832.2 (805 amino acids) and SPRG_17895.2 (472 amino acids) 434
shared 99% identity. SPRG_17895.2 was a truncated version of 435
SPRG_117832.2 starting at residue 334 and contained five point mutations. For 436
Δ5 sterol desaturase SPRG_11773.2 (270 amino acids) and SPRG_18544.2 (272 437
amino acids) also shared 99% identity with just three point mutations in the first 438
263 amino acid residues, however the C-termini (7 to 9 residues) of the two 439
proteins differed. Functional analysis of the lanosterol synthase and Δ5 sterol 440
desaturase candidates (expression, purification and reconstitution assays) will be 441
required to demonstrate the catalytic function of each protein. The S. parasitica 442
sterol biosynthesis enzymes identified here (Table 4) agree with those identified 443
by Jiang et al (51). However, Jiang et al's (51) proposed sterol pathway did not 444
relate to the sterols identified in this study. Our pathway (Fig. 11) shows the four 445
main sterols identified in Saprolegnia (desmosterol, 24-methylene cholesterol, 446
fucosterol and cholesterol) although the exact catalytic sequence of the enzymes 447
is not known. We could not identify a Δ3 sterol keto reductase candidate in S. 448
parasitica although the presence of desmosterol and 24-methylene cholesterol in 449
the cell membranes indicates that this chemical reaction occurs in vivo. This may 450
be due to the S. parasitica Δ3 sterol keto reductase having low sequence identity 451
to mammalian and fungal Δ3 sterol keto reductases or that this chemical reaction 452
is performed by a phylogenetically unrelated enzyme in S. parasitica. Jiang et al 453
(51) were unable to identify a Δ3 sterol keto reductase candidate in S. parasitica 454
as were Madoui et al (35) in A. euteiches. 455
456
Clotrimazole to treat Saprolegnia
22
DISCUSSION 457
Our phylogenetic analysis of the SpCYP51 protein suggested that S. parasitica 458
was more closely related to plants and animals than 'true' fungi in agreement with 459
previous findings that 'true' fungi and oomycetes were phylogenically distinct (35, 460
57). However, the low sequence identity between SpCYP51 and the fungal 461
CYP51 proteins suggests that azole antifungal agents commonly used to fight 462
fungal infection in the clinic and in agriculture may not be so efficacious against 463
oomycetes containing CYP51 enzymes. 464
SpCYP51 sterol binding affinities were similar to those reported for the 465
trypanosomal CYP51 enzymes of T. cruzi and L. infantum (58, 59). However, 466
purified SpCYP51 displayed 3- to 8-fold higher affinity for sterol than the CYP51 467
enzymes of C. albicans, A. fumigatus, M. graminicola and H. sapiens (60-62). 468
The ability of SpCYP51 to 14α-demethylate lanosterol, eburicol and obtusifoliol 469
confirmed the putative CYP51 was indeed as predicted and that SpCYP51 had 470
been isolated in a fully functional form. 471
SpCYP51 binding affinities for pharmazoles were similar to those reported 472
for C. albicans CYP51 (Kd 10 to 56 nM) (60). SpCYP51 binding affinities for the 473
agriazoles epoxiconazole, prochloraz, propiconazole and triadimenol were 5-, 8-, 474
6- and 4-fold tighter (Kd 4 to 16 nM) than those observed with C. albicans CYP51 475
(Kd 22 to 68 nM) (60). Therefore SpCYP51 should be strongly inhibited by azole 476
antifungal agents as no inherent resistance (high Kd values) towards azole 477
antifungals was evident unlike A. fumigatus CYP51A and CYP51B which both 478
bound fluconazole weakly (Kd 11930 and 4030 nM) (61). This was further 479
Clotrimazole to treat Saprolegnia
23
supported by the IC50 results which showed strong inhibition of CYP51 activity by 480
azole antifungal agents (Fig. 7), especially epoxiconazole, propiconazole and 481
prochloraz (IC50 values 0.17, 0.20 and 0.15 μM). The SpCYP51 IC50 values with 482
the agriazoles were two- to three-fold lower than the equivalent IC50 values with 483
C. albicans CYP51 (60) suggesting agriazoles would prove effective at inhibiting 484
Saprolegnia growth. However, the relatively poor performance of most azoles 485
against Saprolegnia, with the exception of clotrimazole, in terms of MIC100 values 486
was in agreement with the limited previous azole antifungal studies with 487
Saprolegnia species. 488
Heeres et al (63) established the MIC50 for terconazole was 10 μg ml-1 and 489
the MIC100 was 100 μg ml-1 whereas the MIC100 for clotrimazole was >100 μg ml-1 490
in Sabouraud broth (63) which was ~100-fold higher than that determined in this 491
study. Heeres et al (63) also determined the MIC100 for clotrimazole with C. 492
albicans to be >100 μg ml-1 in Sabouraud broth which was surprisingly high 493
considering clotrimazole is used for the treatment of Candida infections in 494
humans and calls the methodology into question. More recent MIC 495
determinations for clotrimazole against C. albicans range from 0.03 to 1 μg ml-1 496
(64-66), suggesting Heeres et al's (63) MIC determinations were over 100-fold 497
higher than present day determinations. In contrast, Marking et al (67) found the 498
MIC for clotrimazole to be 10 to 30 μg ml-1 after 15 min exposure which fell to 10 499
μg ml-1 after 60 min with Saprolegnia hypogyna. Our MIC determinations 500
exposed Saprolegnia to azoles for 72 h and included a number of different 501
species with similar results to Marking et al (67). Hu et al (56) determined the 502
Clotrimazole to treat Saprolegnia
24
Saprolegnia MIC for propiconazole to be 100 μg ml-1, compared to 64 μg ml-1 in 503
this study, and Saprolegnia MIC values for thiabendazole, difenoconazole and 504
diniconazole to be >100, 50 and 100 μg ml-1. High azole MIC100 values were 505
probably due to either poor uptake into the cells or the efficient efflux of the 506
azoles out of the cells. Clotrimazole is a relatively compact molecule, unlike many 507
of the ineffective azoles, suggesting size is important in efficient uptake of azole 508
antifungals in Saprolegnia. 509
For azole antifungal agents to be effective at combating Saprolegnia 510
infection they need to display high potency against the intended target CYP51 511
(SpCYP51) enzyme with minimal interaction with the host CYP51 (and other off-512
target host CYP enzymes). Morrison et al (68) determined the Kd values for 513
ketoconazole and propiconazole to be 260 and 640 nM with recombinant Danio 514
rerio (zebrafish) CYP51 by type II difference ligand binding spectroscopy and 76 515
and 3700 nM by in silico azole ligand docking experiments. Therefore the 516
apparent selectivities for SpCYP51 over the zebrafish homolog based on azole 517
Kd values were 20- and 112-fold for ketoconazole and propiconazole (azole 518
binding studies) or 6- and 649-fold (in silico studies). This is encouraging and it 519
would be of interest to determine the selectivity for the more potent Saprolegnia 520
inhibitor clotrimazole. 521
The change in sterol composition of Saprolegnia in response to exposure 522
to prochloraz and clotrimazole confirmed that CYP51 was being inhibited in vivo 523
by the accumulation of lanosterol in the cell membranes. Similar lanosterol 524
accumulation was observed in S. ferax when treated with triarimol, a CYP51 525
Clotrimazole to treat Saprolegnia
25
inhibiting pyrimidine fungicide (36) and accumulation of eburicol in fungi treated 526
with azole antifungals (69-71). Malachite green-treated Saprolegnia had 527
unaltered sterol profiles indicating that the mode of action of malachite green was 528
different to azole antifungals with no inhibition of CYP51 function. This is in 529
agreement with previous findings that malachite green acts independently of 530
known antifungal targets such as sterol biosynthesis and drug efflux pump 531
proteins in C. albicans (MIC50 0.1 μg ml-1) (72). Malachite green was found to 532
affect 207 genes in C. albicans with the up-regulation of 167 genes involved in 533
oxidative stress, virulence, carbohydrate metabolism, heat shock and amino acid 534
metabolism and the down-regulation of 37 genes involved in iron acquisition, 535
filamentous growth and mitochondrial respiration (72). Malachite green affects 536
multiple mechanisms to exert its antifungal effect and leads to a shift in 537
metabolism towards fermentation, increased generation of reactive oxygen 538
species, iron depletion and cell necrosis in C. albicans (72) and is likely to 539
behave similarly in Saprolegnia species. 540
There appear to be no published studies investigating the effectiveness of 541
clotrimazole at combating Saprolegnia infection of salmonid eggs and fry in vivo. 542
Bailey and Jeffrey (73) screened 215 candidate fungicides for suitability as 543
aquatic fungicides, 120 of which they deemed unsuitable, including clotrimazole 544
but did not elaborate why clotrimazole was deemed unsuitable. The OSPAR 545
commission (74) established that clotrimazole was not acutely or chronically toxic 546
to fish (Brachyodanio rerio and Oncorhynchus mykiss). The report, however, 547
concludes that at present there is no risk to the environment over the current 548
Clotrimazole to treat Saprolegnia
26
usage of clotrimazole. Azole antifungal agents are not presently used to treat 549
Saprolegnia infections in aquaculture. However, azole antifungal agents are 550
widely used in medicine to combat infections by human fungal pathogens such 551
as Candida and Aspergillus species and in agriculture to combat infections by 552
plant fungal pathogens such as Mycosphaerella graminicola and Fusarium 553
species. Clotrimazole proved to be as effective at inhibiting Saprolegnia growth in 554
vitro as malachite green (MIC ~1 µg ml-1). It is our contention that clotrimazole 555
would prove an effective control agent of Saprolegnia infection, especially if used 556
to pretreat salmonid eggs in commercial hatcheries. Fungal diseases have been 557
reported in many commercially important fish species besides salmonids, 558
including catfish, pike, bass, tilapia, roach, carp, mullet and sturgeon (3, 75-78), 559
such that treatment with clotrimazole analogs could potentially reduce financial 560
losses significantly by effective control of oomycete and fungal infections. 561
Therefore studies need to be performed on salmonid eggs in vivo to determine 562
optimum clotrimazole doses and pretreatment lengths for the prevention of 563
Saprolegnia infections as well as for other farmed species and for infected fish. 564
Hu et al (56) found that the two strobilurin antifungals kresoxim-methyl and 565
azoxystrobin were most effective against Saprolegnia with MIC values of 1 and 566
0.5 μg ml-1, however, both of these compounds are toxic to fish, highlighting the 567
problems of translating successful in vitro experiments into effective in vivo 568
treatments. 569
570
571
Clotrimazole to treat Saprolegnia
27
ACKNOWLEDGMENT 572
We are grateful to the Engineering and Physical Sciences Research 573
Council National Mass Spectrometry Service Centre at Swansea University for 574
assistance in GC/MS analyses. 575
This work was in part supported by the European Regional Development 576
Fund / Welsh Government funded BEACON research program (Swansea 577
University) and the National Science Foundation of the United States grant NSF-578
MCB-09020212 awarded to W. David Nes (Texas Tech University). 579
580
581
Clotrimazole to treat Saprolegnia
28
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B, Fan L, Gaulin E, Govers F, Grenville-Briggs LJ, Horner NR, Levin 747
JZ, Mammella M, Meijer HJG, Morris P, Nusbaum C, Oome S, Phillips 748
AJ, van Rooyen D, Rzeszutek E, Saraiva M, Secombes CJ, Seidl MF, 749
Snel B, Stassen JHM, Sykes S, Tripathy S, van den Berg H, Vega-750
Arreguin JC, Wawra S, Young SK, Zeng Q, Dieguez-Uribeondo J, 751
Russ C, Tyler BM, van West P. 2013. Distinctive expansion of potential 752
virulence genes in the genome of the oomycete fish pathogen Saprolegnia 753
parasitic. PLoS Genetics 9:e1003272. 754
52. Lepesheva GI, Waterman MR. 2007. Sterol 14α-demethylase 755
cytochrome P450 (CYP51), a P450 in all biological kingdoms. Biochim. 756
Biophys. Acta. 1770:467-477. 757
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53. Lepesheva GI, Waterman MR. 2011. Structural basis for conservation in 758
the CYP51 family. Biochim. Biophys. Acta. 1814:88-93. 759
54. Jefcoate CR. 1978. Measurement of substrate and inhibitor binding to 760
microsomal cytochrome P-450 by optical-difference spectroscopy. In 761
Fleischer S, Packer L (eds), Biomembranes Part C, Methods in 762
Enzymology Vol. 52. Elsevier Inc, USA. pp 258-279. 763
55. Jefcoate CR, Gaylor JL, Calabrese RL. 1969. Ligand interactions with 764
cytochrome P450. I. Binding of primary amines. Biochemistry 8:3455-765
3463. 766
56. Hu X-G, Liu L, Hu K, Yang X-L, Wang G-X. 2013. In vitro screening of 767
fungicidal chemicals for antifungal activity against Saprolegnia. J. World 768
Aquac. Soc. 44:528-535. 769
57. Baldauf SL, Roger AJ, Wenk-Siefert I, Doolittle WF. 2000. A kingdom-770
level phylogeny of eukaryotes based on combined protein data. Science 771
290:972-977. 772
58. Lepesheva GI, Zaitseva NG, Nes WD, Zhou W, Arase M, Liu J, Hill GC, 773
Waterman MR. 2006. CYP51 from Trypanosoma cruzi – a phyla-specific 774
residue in the B' helix defines substrate preferences of sterol 14α-775
demethylase. J. Biol. Chem. 281:3577-3585. 776
59. Hargrove TY, Wawrzak Z, Liu J, Nes WD, Waterman MR. 2011. 777
Substrate preferences and catalytic parameters determined by structural 778
characteristics of sterol 14α-demethylase (CYP51) from Leishmania 779
infantum. J. Biol. Chem. 286:26838-26848. 780
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60. Warrilow AGS, Parker JE, Kelly DE, Kelly SL. 2013. Azole affinity of 781
sterol 14α-demethylase (CYP51) enzymes from Candida albicans and 782
Homo sapiens. Antimicrob. Agents Chemother. 57:1352-1360. 783
61. Warrilow AGS, Melo N, Martel CM, Parker JE, Nes WD, Kelly SL, Kelly 784
DE. 2010. Expression, purification, and characterization of Aspergillus 785
fumigatus sterol 14-α demethylase (CYP51) isoenzymes A and B. 786
Antimicrob. Agents Chemother. 54:4225-4234. 787
62. Parker JE, Warrilow AGS, Cools HJ, Martel CM, Nes WD, Fraaije BA, 788
Lucas JA, Kelly DE, Kelly SL. 2011. Mechanism of binding of 789
prothioconazole to Mycosphaerella graminicola CYP51 differs from that of 790
other azole antifungals. Appl. Environ. Microbiol. 77:1460-1465. 791
63. Heeres J, Hendrickx R, Van Cutsem J. 1983. Antimycotic azoles. 6. 792
Synthesis and antifungal properties of terconazole, a novel triazole ketal. 793
J. Med. Chem. 26:611-613. 794
64. Pelletier R, Peter J, Antin C, Gonzalez C, Wood L, Walsh TJ. 2000. 795
Emergence of resistance of Candida albicans to clotrimazole in human 796
immunodeficiency virus-infected children: in vitro and clinical correlations. 797
J. Clin. Microbiol. 38:1563-1568. 798
65. Bulik CC, Sobel JD, Nailor MD. 2011. Susceptibility profile of vaginal 799
isolates of Candida albicans prior to and following fluconazole induction - 800
impact of two decades. Mycoses 54:34-38. 801
66. Martel CM, Parker JE, Bader O, Weig M, Gross U, Warrilow AGS, 802
Rolley N, Kelly DE, Kelly SL. 2010. Identification and characterization of 803
Clotrimazole to treat Saprolegnia
38
four azole- resistant erg3 mutations of Candida albicans. Antimicrob. 804
Agents Chemother. 54:4527– 4533. 805
67. Marking LL, Rach JJ, Schreier TM. 1994. Search for antifungal agents in 806
fish culture. In Mueller GJ (ed), Salmon Saprolegniasis. US department of 807
energy, Bonneville Power administration, Portland Oregon. pp 131-148. 808
68. Morrison AMS, Goldstone JV, Lamb DC, Kubota A, Lemaire B, 809
Stegeman JJ. 2014. Identification, modeling and ligand affinity of early 810
deuterostome CYP51s, and functional characterization of recombinant 811
zebrafish sterol 14α-demethylase. Biochim. Biophys. Acta. 1840:1825-812
1836. 813
69. Kelly SL, Lamb DC, Kelly DE, Loeffler J, Einsele H. 1996. Resistance to 814
fluconazole and amphotericin in Candida albicans from AIDS patients. 815
Lancet 348:1523–1524. 816
70. Martel CM, Parker JE, Bader O, Weig M, Gross U, Warrilow AGS, 817
Kelly DE, Kelly SL. 2010. A clinical isolate of Candida albicans with 818
mutations in ERG11 (encoding sterol 14α-demethylase) and ERG5 819
(encoding C22 desaturase) is cross resistant to azoles and amphotericin 820
B. Antimicrob. Agents Chemother. 54:3578– 3583. 821
71. Watson PF, Rose ME, Ellis SW, England H, Kelly SL. 1989. Defective 822
sterol C5-6 desaturation and azole resistance: a new hypothesis for the 823
mode of action of azole antifungals. Biochem. Biophys. Res. Comm. 824
164:1170 –1175. 825
Clotrimazole to treat Saprolegnia
39
72. Dhamgaye S, Devaux F, Manoharlal R, Vandeputte P, Shah AH, Singh 826
A, Blugeon C, Sanglard D, Prasad R. 2012. In vitro effect of malachite 827
green on Candida albicans involves multiple pathways and transcriptional 828
regulators UPC2 and STP2. Antimicrob. Agents Chemother. 56:495-506. 829
73. Bailey TA, Jeffrey SM. 1989. Investigations in fish control: 99. Evaluation 830
of 215 candidate fungicides for use in fish culture. United States 831
Department of the Interior, Fish and Wildlife Service. ISSN 0565-0704. 832
74. Dallet M. 2013. Background document on clotrimazole (2013 update). A 833
report published by the OSPAR Commission, London. ISBN: 978-1-9-834
9159-28-0. 835
75. Bly JE, Lawson LA, Dale DJ, Szalai AJ, Durborow RM, Clem LW. 836
1992. Winter saprolegniosis in channel catfish. Dis. Aquat. Organ. 13:155-837
165. 838
76. Noga EJ. 1996. Fish disease diagnosis and treatment. Mosby-Year Book 839
Inc, St. Louis. 840
77. Willoughby LG. 1989. Continued defense of salmonid fish against 841
Saprolegnia fungus, after its establishment. J. Fish Dis. 12:63-67.. 842
78. Zaki MS, Fawzi OM, Jackey JE. 2008. Pathological and biochemical 843
studies in Tilapia nilotica infected with Saprolegnia parasitica and treated 844
with potassium permanganate. J. Agricul. Environ. Sci. 3:677-680. 845
846
Clotrimazole to treat Saprolegnia
40
847
Clotrimazole to treat Saprolegnia
41
FIG 1 Chemical structures of azole antifungal agents. The chemical structures of clotrimazole (molecular weight [MW], 848
345), econazole (MW, 445 as nitrate salt), fluconazole (MW, 306), itraconazole (MW, 706), ketoconazole (MW, 531), 849
miconazole (MW, 479 as nitrate salt), posaconazole (MW, 701), voriconazole (MW, 349), epoxiconazole (MW, 330), 850
prochloraz (MW, 377), propiconazole (MW, 342), prothioconazole (MW, 344), prothioconazole-desthio (MW, 312), 851
tebuconazole (MW, 308) and triadimenol (MW, 296) are shown. Also shown are the triazole and imidazole ring numbering 852
systems, using the voriconazole and econazole structures as examples. 853
Clotrimazole to treat Saprolegnia
42
854
855
Clotrimazole to treat Saprolegnia
43
FIG 2 Phylogenetic tree of eukaryotic CYP51 enzymes. A phylogenetic tree of 856
selected eukaryotic CYP51 proteins, including members from the fungi, plant and 857
animal kingdoms in addition to trypanosomal and oomycete CYP51 proteins, was 858
constructed. The individual CYP51 sequences used to construct the phylogenetic 859
tree are detailed in the supplementary table. Species names have been left non-860
italicized for clarity with (A) and (B) indicating CYP51A and CYP51B, 861
respectively. 862
863
864
Clotrimazole to treat Saprolegnia
44
865
FIG 3 Spectral properties of SpCYP51. The absolute oxidized absorption 866
spectrum (A) between 700 and 300 nm for 2 μM SpCYP51 is shown. Reduced 867
carbon monoxide difference spectra (B) between 500 and 400 nm using 2 μM 868
SpCYP51 is shown at sequential 45 second intervals with arrows indicating the 869
progressive fall in A447 and rise in A421 with time. Matched quartz semi-micro 870
cuvettes of light path 10 mm were used. 871
Clotrimazole to treat Saprolegnia
45
872
FIG 4 Sterol binding properties of SpCYP51. Type I difference spectra (A) were 873
obtained by progressive titration of lanosterol, eburicol and obtusifoliol against 4 874
μM SpCYP51 using 4.5 mm light path quartz semi-micro cuvettes. Sterol 875
Clotrimazole to treat Saprolegnia
46
saturation curves (B) were constructed for lanosterol (filled circles), eburicol 876
(hollow circles) and obtusifoliol (bullets). All spectral determinations were 877
performed in triplicate although only one replicate is shown. 878
879
880
Clotrimazole to treat Saprolegnia
47
881
FIG 5 Pharmazole binding to SpCYP51. Type II difference spectra were obtained 882
by progressive titration of 2 μM SpCYP51 with individual pharmazoles. Matched 883
quartz semi-micro cuvettes of light path 4.5 mm were used and all spectral 884
determinations were performed in triplicate although only one replicate is shown. 885
886
887
Clotrimazole to treat Saprolegnia
48
888
FIG 6 Agriazole binding to SpCYP51. Type II difference spectra were obtained by 889
progressive titration of 2 μM SpCYP51 with individual agriazoles. No reproducible 890
difference spectra were obtained between prothioconazole and 2 μM SpCYP51 891
(data not shown). Matched quartz semi-micro cuvettes of light path 4.5 mm were 892
used and all spectral determinations were performed in triplicate although only 893
one replicate is shown. 894
895
896
Clotrimazole to treat Saprolegnia
49
897
FIG 7 Azole saturation curves for SpCYP51. Saturation curves were constructed 898
for the imidazole-based pharmazoles (A), triazole-based pharmazoles (B) and 899
agriazoles (C) from the change in absorbance (ΔA428-412) against azole 900
concentration using a rearrangement of the Morrison equation (47) for the tight 901
ligand binding observed with SpCYP51 (Fig. 5 and 6). The imidazole-based 902
pharmazoles (A) used were clotrimazole (filled circles), econazole (hollow 903
circles), ketoconazole (bullets) and miconazole (crosses). The triazole-based 904
pharmazoles (B) used were fluconazole (filled circles), itraconazole (hollow 905
Clotrimazole to treat Saprolegnia
50
circles), posaconazole (bullets) and voriconazole (crosses). The agriazoles (C) 906
used were epoxiconazole (filled circles), prochloraz (hollow circles), 907
propiconazole (bullets), prothioconazole-desthio (crosses), tebuconazole 908
(asterisks) and triadimenol (filled triangles). All determinations were performed in 909
triplicate although only one replicate is shown. 910
911
912
Clotrimazole to treat Saprolegnia
51
913
FIG 8 Azole IC50 determinations for SpCYP51. IC50 values were determined for 914
the pharmazoles (A) clotrimazole (filled circles) fluconazole (hollow circles), 915
itraconazole (bullets), ketoconazole (crosses) and the agriazoles (B) 916
epoxiconazole (hollow circles), propiconazole (bullets), prochloraz (crosses) and 917
tebuconazole (asterisks) with clotrimazole (filled circles) as a reference in panel 918
Clotrimazole to treat Saprolegnia
52
B. The CYP51 reconstitution assays contained 0.5 μM SpCYP51 and 1 μM 919
AfCPR1 using 50 μM eburicol as substrate. Relative velocities of 1.00 920
corresponded to actual velocities of 0.87 ±0.21 min-1 for SpCYP51. The mean 921
values of two replicates are shown along with the associated standard error bars. 922
923
924
Clotrimazole to treat Saprolegnia
53
925
FIG 9 MIC determinations for Saprolegnia species. MIC100 values were 926
determined in duplicate after 72 h at 20°C using serial dilutions of 256, 128, 64, 927
32, 16, 8, 4, 2, 1, 0.5 and 0.25 µg ml-1 compound along with a dimethylsulfoxide 928
control. The MIC plates for epoxiconazole, prochloraz, clotrimazole and 929
malachite green are shown for S. parasitica, although identical results were 930
obtained with S. diclina and S. ferax. 931
932
933
Clotrimazole to treat Saprolegnia
54
934
Clotrimazole to treat Saprolegnia
55
FIG 10 Gas chromatograms of sterol content of Saprolegnia species. The 935
nonsaponifiable lipid fraction was isolated (50) from untreated and prochloraz-936
treated (16 µg ml-1) S. diclina, S. ferax and S. parasitica after 72 h growth at 937
20°C. Samples were derivatized with TMS prior to analysis by GC/MS (45). The 938
gas chromatograms are shown for untreated (solid lines) and prochloraz-treated 939
(dashed lines) samples. Gas chromatogram peaks were confirmed to be 940
cholesterol (1), desmosterol (2), 24-methylene cholesterol (3), fucosterol (4) and 941
lanosterol (5) by the mass fragmentation patterns obtained (see supplementary 942
figure S1). 943
944
945
Clotrimazole to treat Saprolegnia
56
946
FIG 11 Post-lanosterol sterol biosynthetic pathway in Saprolegnia 947
parasitica. The post-lanosterol biosynthetic pathway was elucidated based on 948
the sterol metabolites observed (Fig. 10) and searching the S. parasitica genome 949
database using homologs from A. euteiches, A. fumigatus and H. sapiens. 950
Dashed lines indicate reactions that involve several enzymes. 951
Clotrimazole to treat Saprolegnia
57
TABLE 1 Affinity of SpCYP51 for azole antifungal agents. 952 953 __________________________________________________________________________
Azole Kd (nM) IC50 (μM) Residual CYP51 activity a (%)
__________________________________________________________________________ Imidazole
Pharmazoles
Clotrimazole 24.6 ±5.2 0.95 27 Econazole ≤7.8 ±1.5 nd -
Ketoconazole ≤12.7 ±5.2 2.27 38 Miconazole ≤8.8 ±3.1 nd -
Triazole
Pharmazoles
Fluconazole 39.5 ±5.0 1.35 30 Itraconazole ≤8.9 ±3.7 0.84 19
Posaconazole ≤3.2 ±1.4 nd - Voriconazole ≤14.6 ±6.3 nd -
Imidazole Agriazole
Prochloraz ≤5.8 ±1.2 0.15 0
Triazole Agriazoles Epoxiconazole ≤3.5 ±1.1 0.17 0 Propiconazole ≤5.7 ±2.1 0.20 0
Prothioconazole-desthio
50.8 ±16.8 nd -
Tebuconazole ≤14.6 ±5.7 0.47 27 Triadimenol ≤16.4 ±11.8 nd -
__________________________________________________________________________ 954 a Residual CYP51 activity observed in the presence of 4 μM azole antifungal agent expressed as 955
a percentage of the CYP51 activity observed in the absence of azole. Prothioconazole did not 956
bind to SpCYP51. Mean Kd values of three replicates are shown along with the associated 957
standard deviations. 958
nd - not determined. 959
960
961
Clotrimazole to treat Saprolegnia
58
TABLE 2 MIC100 for azole antifungals against Saprolgenia species. 962 963 _____________________________________________________________________________
MIC100 (t = 72 h) a Inhibitor __________________________________________________
µg ml-1 µM _____________________________________________________________________________
Clotrimazole 1 to 2 3 to 6 Econazole 8 18
Epoxiconazole >256 >776 Fluconazole >256 >836 Itraconazole >256 >363
Ketoconazole 64 >120 Miconazole 8 17
Posaconazole >256 >365 Prochloraz 32 85
Propiconazole 64 187 Prothioconazole 16 46
Prothioconazole-desthio 32 to 64 103 to 205 Tebuconazole 64 208 Triadimenol 64 216
Malachite green 1 3
_____________________________________________________________________________ 964 a MIC100 experiments were performed in duplicate using S. parasitica, S. diclina and S. ferax. All 965
three Saprolegnia species displayed identical azole susceptibilities to the azoles tested and to the 966
malachite green positive control at 20°C. We have previously shown that prothioconazole is 967
progressively converted to prothioconazole-desthio in the media over time (45, 62) explaining 968
why a compound that can not bind to SpCYP51 can inhibit SpCYP51 activity and sterol 969
biosynthesis in Saprolegnia. 970
971
Clotrimazole to treat Saprolegnia
59
972 973 TABLE 3 Sterol compositions of untreated and azole-treated Saprolegnia species. 974 975 ____________________________________________________________________________________________________________________
Sterol composition (%) ___________________________________________________________________________________________
Sterol Untreated Prochloraz-treated (16 µg ml-1) Clotrimazole-treated (0.5 µg ml-1) ______________________________ ______________________________ __________________________ S. ferax S. parasitica S. diclina S. ferax S. parasitica S. diclina S. parasitica
____________________________________________________________________________________________________________________ Cholesterol 2.6 2.0 4.2 0.6 - - 0.8 Desmosterol 17.3 54.7 19.8 0.6 2.5 9.3 1.9
24-methylene cholesterol 46.3 39.4 49.1 5.9 0.6 - 4.9 Fucosterol 33.8 3.9 26.9 34.5 - - - Lanosterol trace trace trace 58.4 96.9 90.7 92.4
____________________________________________________________________________________________________________________ 976
The sterol compositions of untreated and prochloraz-treated S. ferax, S. parasitica and S. diclina, in addition to clotrimazole-treated S. parasitica, 977
were determined by extraction of the nonsaponifiable lipid fraction (50) followed by derivatization with BSTFA/TMS/pyridine and analysis by 978
GC/MS (45). All analyses were performed in duplicate. 979
980
Clotrimazole to treat Saprolegnia
60
TABLE 4 Sterol biosynthetic genes in Saprolegnia parasitica. 981 982 _________________________________________________________________________________
Enzyme Gene Locus ID Query Accession Number _________________________________________________________________________________
Squalene synthase SPRG_06233.2 B2ZWF5 Squalene epoxidase SPRG_11641.2 B2ZWF6 Lanosterol synthase SPRG_11783.2 & B2ZWF7
SPRG_17895.2
Δ14 sterol demethylase (CYP51) SPRG_09493.2 B2ZWE1 Δ14 sterol reductase SPRG_00418.2 B2ZWF8
Δ4 sterol methyl oxidase SPRG_01623.2 B2ZWF9 Δ3 sterol dehydrogenase SPRG_01499.2 Q4X017 Δ3 sterol keto reductase Not Identified -
Δ24 sterol methyltransferase SPRG_05001.2 B2ZWE2
Δ8 sterol isomerase SPRG_13330.2 Q15125 Δ5 sterol desaturase SPRG_11773.2 & Q4WDL3
SPRG_18544.2 Δ7 sterol reductase SPRG_01085.2 B2ZWG0 Δ24 sterol reductase SPRG_04988.2 B2ZWG1
_________________________________________________________________________________
983
The gene locus IDs of the most likely candidate(s) are shown along with the UniProtKB accession 984
number of the sequence used as the query in NCBI BLASTP searches. Sterol biosynthetic gene 985
homologs from A. euteiches (35), A. fumigatus (Q4WDL3 and Q4X017) and H. sapiens (Q15125) 986
were used for the BLASTP searches. 987
988