The Ptk2-Pma1 pathway enhances tolerance to terbinafine in Trichophyton rubrum

The increasing prevalence of dermatophyte resistance to terbinafine, a key drug in the treatment of dermatophytosis, represents a significant obstacle to treatment. is the most commonly isolated fungus in dermatophytosis. In , we identified TERG_07844, a gene encoding a previously uncharacterized pu...

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Veröffentlicht in:Antimicrobial agents and chemotherapy 2024-05, Vol.68 (5), p.e0160923-e0160923
Hauptverfasser: Ishii, Masaki, Yamada, Tsuyoshi, Ishikawa, Kazuki, Ichinose, Koji, Monod, Michel, Ohata, Shinya
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container_issue 5
container_start_page e0160923
container_title Antimicrobial agents and chemotherapy
container_volume 68
creator Ishii, Masaki
Yamada, Tsuyoshi
Ishikawa, Kazuki
Ichinose, Koji
Monod, Michel
Ohata, Shinya
description The increasing prevalence of dermatophyte resistance to terbinafine, a key drug in the treatment of dermatophytosis, represents a significant obstacle to treatment. is the most commonly isolated fungus in dermatophytosis. In , we identified TERG_07844, a gene encoding a previously uncharacterized putative protein kinase, as an ortholog of budding yeast polyamine transport kinase 2 (Ptk2), and found that Ptk2 (TrPtk2) is involved in terbinafine tolerance. In both and , Ptk2 knockout strains were more sensitive to terbinafine compared with the wild types, suggesting that promotion of terbinafine tolerance is a conserved function of fungal Ptk2. Pma1 is activated through phosphorylation by Ptk2 in . Overexpression of Pma1 (TrPma1) in Ptk2 knockout strain (ΔTrPtk2) suppressed terbinafine sensitivity, suggesting that the induction of terbinafine tolerance by TrPtk2 is mediated by TrPma1. Furthermore, omeprazole, an inhibitor of plasma membrane proton pump Pma1, increased the terbinafine sensitivity of clinically isolated terbinafine-resistant strains. These findings suggest that, in dermatophytes, the TrPtk2-TrPma1 pathway plays a key role in promoting intrinsic terbinafine tolerance and may serve as a potential target for combinational antifungal therapy against terbinafine-resistant dermatophytes.
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subjects Antifungal Agents - pharmacology
Arthrodermataceae - drug effects
Arthrodermataceae - genetics
Drug Resistance, Fungal - genetics
Fungal Proteins - genetics
Fungal Proteins - metabolism
Mechanisms of Action: Physiological Effects
Microbial Sensitivity Tests
Mycology
Phosphorylation
Proton-Translocating ATPases - genetics
Proton-Translocating ATPases - metabolism
Saccharomyces cerevisiae - drug effects
Saccharomyces cerevisiae - genetics
Saccharomyces cerevisiae Proteins - genetics
Saccharomyces cerevisiae Proteins - metabolism
Terbinafine - pharmacology
title The Ptk2-Pma1 pathway enhances tolerance to terbinafine in Trichophyton rubrum
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