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Paracoccidioides brasiliensis AND Paracoccidioides lutzii, A SECRET LOVE AFFAIR

Paracoccidioides brasiliensis e Paracoccidioides lutzii, um caso secreto de amor

SUMMARY

To commemorate Prof. Carlos da Silva Lacaz's centennial anniversary, the authors have written a brief account of a few, out of hundreds, biological, ecological, molecular and phylogenetic studies that led to the arrival of Paracoccidioides lutzii, hidden for more than a century within Paracoccidioides brasiliensis. Lacaz's permanent interest in this fungus, and particularly his conviction on the benefits that research on paracoccidioidomycosis would bring to patients, were pivotal in the development of the field.

Paracoccidioides brasiliensis ; Paracoccidioides lutzii ; Biology; Dimorphism; Ecology; Molecular phylogeny

RESUMO

Para comemorar o centenário de aniversário do Prof. Dr. Carlos da Silva Lacaz, os autores fazem um breve relato dos estudos sobre a biologia, ecologia e filogenia molecular que culminaram na revelação da espécie Paracoccidioides lutzii, que havia permanecido escondida por mais de um século ao lado de Paracoccidioides brasiliensis. O professor Lacaz exerceu papel central no desenvolvimento desta área do conhecimento, pois manteve interesse permanente nas pesquisas deste fungo e da paracoccidioidomicose, visando principalmente proporcionar benefícios aos pacientes acometidos por esta micose.

INTRODUCTION

In 2006, a seminal paper on the genomic variability of Paracoccidioides brasiliensis was published3131. Matute DR, McEwen JG, Puccia R, Montes BA, San-Blas G, Bagagli E, et al. Cryptic speciation and recombination in the fungus Paracoccidioides brasiliensis as revealed by gene genealogies. Mol Biol Evol. 2006;23:65-73. which brought a totally different perspective on the study of this fungal species. By then, Carlos da Silva Lacaz, that iconic figure in Latin American mycological circles, had been dead for four years, so that he could not greet the arrival of Paracoccidioides lutzii as a cryptic species within the genus Paracoccidioides 1313. Carrero LL, Niño-Vega G, Teixeira MM, Carvalho MJ, Soares CM, Pereira M, et al. New Paracoccidioides brasiliensis isolate reveals unexpected genomic variability in this human pathogen. Fungal Genet Biol. 2008;45:605-12. , 1515. Desjardins CA, Champion MD, Holder JW, Muszewska A, Goldberg J, Bailão AM, et al. Comparative genomic analysis of human fungal pathogens causing paracoccidioidomycosis. PLOS Genet. 2011;7:e1002345. , 5050. Teixeira MM, Theodoro RC, de Carvalho MJ, Fernandes L, Paes HC, Hahn RC, et al. Phylogenetic analysis reveals a high level of speciation in the Paracoccidioides genus. Mol Phylogenet Evol. 2009;52:273-83. , 5151. Teixeira MM, Theodoro RC, Oliveira FF, Machado GC, Hahn RC, Bagagli E, et al. Paracoccidioides lutzii sp. nov.: biological and clinical implications. Med Mycol. 2014;52:19-28., hidden as it was for a century under the guise of P. brasiliensis, ever since Adolpho Lutz described the fungus and its dimorphic nature for the first time in 19082828. Lutz A. Uma mycose pseudococcidica localizada na boca e observada no Brasil. Contribuição ao conhecimento das hyphoblastomycoses americanas. Brasil Med. 1908;22:121-41..

As usual in science, P. lutzii arrived as the outcome of decades of experiments on biochemistry, ultrastructure and molecular biology in P. brasiliensis, a very brief account of which we intend to summarize herein.

... AND THE WALLS CAME TUMBLING DOWN

The changing morphology of P. brasiliensis and its direct relationship to pathogenicity (i.e., yeast-like phase as the morphological phase in lesions; mycelial phase as a saprophyte) inspired researchers since the early 1970s to analyze fungal structures directly responsible for the final shape of the cell. In so doing, the San-Blas's group at the Venezuelan Institute for Scientific Research (IVIC) devoted those years to break down yeast and mycelial walls as the most obvious shape-defining structures, in order to analyze their chemical composition, studies already initiated by KANETSUNA et al.2323. Kanetsuna F, Carbonell LM, Moreno RE, Rodriguez J. Cell wall composition of the yeast and mycelial forms of Paracoccidioides brasiliensis. J Bacteriol. 1969;97:1036-41. as a follow-up of CARBONELL's1212. Carbonell LM. Cell wall changes during the budding process of Paracoccidioides brasiliensis and Blastomyces dermatitidis. J Bacteriol. 1967;94:213-23. ultrastructural analyses.

In fact, the possible role of a-1,3-glucan as a dimorphic determinant2424. Kanetsuna F, Carbonell LM, Azuma I, Yamamura Y. Biochemical studies on the thermal dimorphism of Paracoccidioides brasiliensis. J Bacteriol. 1972;110:208-18. and virulence factor4646. San-Blas G, San-Blas F, Serrano LE. Host-parasite relationships in the yeastlike form of Paracoccidioides brasiliensis strain IVIC Pb9. Infect Immun. 1977;15:343-6. was first reported in this fungus. This polysaccharide is present in the P. brasiliensis yeastlike cell wall but disappears when the fungus changes to its mycelial phase, as it is substituted by a b-1,3-glucan which is almost exclusively present in this morphotype4545. San-Blas G, San-Blas F. Biochemistry of Paracoccidioides brasiliensis dimorphism. In: Franco M, Lacaz CS, Restrepo-Moreno A, Del Negro G, editors. Paracoccidioidomycosis. Boca Raton: CRC Press; 1994. p. 49-66.. As in all pathogenic fungi, chitin was also a major structural component of the cell wall and therefore, subjected to analysis on its role on morphology and pathogenicity4242. San-Blas G, Niño-Vega G. Morphogenesis of agents of endemic mycoses. In: San-Blas G, Calderone R, editors. Pathogenic fungi: structural biology and taxonomy. Wymondham: Caister Academic Press; 2004. p. 167-220. , 4343. San-Blas G, Niño-Vega G. Paracoccidioides brasiliensis: chemical and molecular tools for research on cell walls, antifungals, diagnosis, taxonomy. Mycopathologia. 2008;165:183-95..

Chitin, the b-1,4-linked homopolymer of N-acetylglucosamine, is one of the major components of the fungal cell wall, with important functions in wall integrity as structural component, and involved in morphogenesis and conidiophore development22. Aufauvre-Brown A, Mellado E, Gow NAR, Holden DW. Aspergillus fumigatus chsE: a gene related to CHS3 of Saccharomyces cerevisiae and important for hyphal growth and conidiophore development, but not pathogenicity. Fungal Genet Biol. 1997;21:141-52.. In earlier times, its synthesis was proposed as a potential antifungal target by researchers in the field. However, the complexities of its synthesis, where multiple chitin synthases participate at different stages of growth, have cooled down the initial enthusiasm for the search of chitin-inhibitory antibiotics. In Paracoccidioides spp., seven chitin synthases, one for each of the fungal chitin synthase classes1515. Desjardins CA, Champion MD, Holder JW, Muszewska A, Goldberg J, Bailão AM, et al. Comparative genomic analysis of human fungal pathogens causing paracoccidioidomycosis. PLOS Genet. 2011;7:e1002345. , 3333. Niño-Vega G, Buurman ET, Gooday GW, San-Blas G, Gow NAR. Molecular cloning and sequencing of a chitin synthase gene (CHS2) of Paracoccidioides brasiliensis. Yeast. 1998;14:181-7. , 3434. Niño-Vega GA, Munro CA, San-Blas G, Gooday GW, Gow NA. Differential expression of chitin synthase genes during temperature-induced dimorphic transitions in Paracoccidioides brasiliensis. Med Mycol. 2000;38:31-9. , 5757. Tomazett PK, Cruz AH, Bonfim SM, Soares CM, Pereira M. The cell wall of Paracoccidioides brasiliensis: insights from its transcriptome. Genet Mol Res. 2005;4:309-25., have been reported.

b-1,3-glucan is also a structural component of the fungal cell walls, but unlike chitin, b-1,3-glucan synthesis appears less complex. In P. brasiliensis and P. lutzii, a single b-1,3-glucan synthase gene has been reported, which is overexpressed in the yeast phase of both species4848. Sorais F, Barreto L, Leal JA, Bernabé M, San-Blas G, Niño-Vega GA. Cell wall glucan synthases and GTPases in Paracoccidioides brasiliensis. Med Mycol. 2010;48:35-47. , 5858. Tomazett PK, Félix CR, Lenzi HL, de Paula Faria F, de Almeida Soares CM, Pereira M. 1,3-beta-D-Glucan synthase of Paracoccidioides brasiliensis: recombinant protein, expression and cytolocalization in the yeast and mycelium phases. Fungal Biol. 2010;114:809-16., a result that contradicts the fact that b-1,3-glucan content is higher in the cell wall of the mycelial phase. However, they agree with earlier in vitro biochemical data, that indicated a higher activity of P. brasiliensis b-1,3-glucan synthase in particulate preparations of yeast-like cells than those of mycelial cultures4949. Sorais-Landáez F, San-Blas G. Localization of b-glucan synthetase in membranes of Paracoccidioides brasiliensis. J Med Vet Mycol. 1993;31:421-6.. It might indicate a post-transcriptional regulation of the b-1,3-glucan synthesis in Paracoccidioides spp., perhaps requiring the participation of a regulatory subunit of the b-1,3-glucan synthase complex, as already reported in other fungi4848. Sorais F, Barreto L, Leal JA, Bernabé M, San-Blas G, Niño-Vega GA. Cell wall glucan synthases and GTPases in Paracoccidioides brasiliensis. Med Mycol. 2010;48:35-47.. The partial inhibition of yeast growth in P. brasiliensis by echinocandin inhibitors (which target b-1,3-glucan synthases) and their higher growth inhibition in its mycelial phase, are in agreement with the relative content of this polysaccharide in each morphological phase4040. Rodríguez-Brito S, Niño-Vega G, San-Blas G. Caspofungin affects growth of Paracoccidioides brasiliensis in both morphological phases. Antimicrob Agents Chemother. 2010;54:5391-4. , 4343. San-Blas G, Niño-Vega G. Paracoccidioides brasiliensis: chemical and molecular tools for research on cell walls, antifungals, diagnosis, taxonomy. Mycopathologia. 2008;165:183-95.; it also indicates that despite the role of b-1,3-glucan as a structural component in fungal cell walls, its importance for the maintenance of the Paracoccidioides yeast cell wall is not enough to consider its synthesis as a promising antifungal target.

Besides its role on cell wall maintenance, b-1,3-glucan has been shown to be an immunostimulatory molecule, inducing TNFa production by macrophages and recognized by the pattern-recognition receptor (PRR) dectin-1, a C-type lectin expressed on the surface of many mammal cell types, including macrophages, monocytes, neutrophils and T-cells88. Brown GD. Dectin-1: a signalling non-TLR pattern-recognition receptor. Nat Rev Immun. 2006;6:33-43. , 3737. Rappleye CA, Eissenberg LG, Goldman WE. Histoplasma capsulatum b-(1,3)-glucan blocks innate immune recognition by the b-glucan receptor. Proc Nat Acad Sci USA. 2007;104:1366-70. , 6262. Werner JL, Metz AE, Horn D, Schoeb TR, Hewitt MM, Schwiebert LM, et al. Requisite role for the dectin-1 beta-glucan receptor in pulmonary defense against Aspergillus fumigatus. J Immunol. 2009;182:4938-46.. The drastic reduction of b-1,3-glucan in the cell wall of the pathogenic yeast phase of Paracoccidioides, and its replacement by a-1,3-glucan as an outermost layer, could work as an evolved mechanism to avoid host recognition by the fungus.

Alpha-1,3-glucan, also present as the outermost layer in Histoplasma capsulatum, has been shown to block innate immune recognition by host cells in this fungus3737. Rappleye CA, Eissenberg LG, Goldman WE. Histoplasma capsulatum b-(1,3)-glucan blocks innate immune recognition by the b-glucan receptor. Proc Nat Acad Sci USA. 2007;104:1366-70., reinforcing SAN-BLAS et al. 4646. San-Blas G, San-Blas F, Serrano LE. Host-parasite relationships in the yeastlike form of Paracoccidioides brasiliensis strain IVIC Pb9. Infect Immun. 1977;15:343-6. original proposal of this polysaccharide as a fungal virulence factor, and its emergence as a potential antifungal target. In P. brasiliensis, a-1,3-glucan is essentially a linear polysaccharide, with less than 3% of a-1,4-linked glucose branches, occasionally attached as single units to the a-1,3-backbone. A sole a-1,3-glucan synthase, Ags1, has been identified as responsible for the polysaccharide synthesis in Paracoccidioides 4848. Sorais F, Barreto L, Leal JA, Bernabé M, San-Blas G, Niño-Vega GA. Cell wall glucan synthases and GTPases in Paracoccidioides brasiliensis. Med Mycol. 2010;48:35-47.. Also one a-1,3-glucanase, Agn1, has been identified in the Paracoccidioides spp. genomes as the only hydrolase gene present in them6060. Villalobos-Duno H, San-Blas G, Paulinkevicius M, Sánchez-Martín Y, Nino-Vega G. Biochemical characterization of Paracoccidioides brasiliensis a-1,3-glucanase Agn1p, and its functionality by heterologous expression in Schizosaccharomyces pombe. PLOS ONE. 2013;8:e66853..

A second element with a probable role in the synthesis of a-1,3-glucan has been identified. We refer to P. brasiliensis Amy1, a cytoplasmic a-1,4-amylase homologous to the H. capsulatum Amy1 (involved in the synthesis of a-1,3-glucan in the latter), that complements an H. capsulatum Amy1 mutant1111. Camacho E, Sepulveda VE, Goldman WE, San-Blas G, Niño-Vega GA. Expression of Paracoccidioides brasiliensis AMY1 in a Histoplasma capsulatum amy1 mutant, relates an a-(1,4)-amylase to cell wall a-(1,3)-glucan synthesis. PLOS ONE. 2012;7:e50201.. The enzyme showed a relatively higher hydrolyzing activity on amylopeptin than in starch, producing oligosaccharides 4 to 5 glucose residues long. The role of P. brasiliensis Amy1 in the synthesis of a-1,3-glucan is still unclear, although the authors suggest that it could be related to the generation of oligosaccharides that might act as primers for the biosynthesis of this polysaccharide by Ags1p1111. Camacho E, Sepulveda VE, Goldman WE, San-Blas G, Niño-Vega GA. Expression of Paracoccidioides brasiliensis AMY1 in a Histoplasma capsulatum amy1 mutant, relates an a-(1,4)-amylase to cell wall a-(1,3)-glucan synthesis. PLOS ONE. 2012;7:e50201..

The absence of a-1,3-glucan from the natural fungal host, its role in virulence and the apparent simplicity of the mechanisms of synthesis and hydrolysis of this polysaccharide (one synthase, one hydrolase), make both processes attractive targets for the development of specific drugs. Blocking the mechanism of synthesis (by inhibiting either Ags1 or Amy1 activities), or increasing its degradation (by stimulating Ang1 activity), might result in the depression of fungal virulence, and trigger the natural immune response of the infected organism against the fungus1111. Camacho E, Sepulveda VE, Goldman WE, San-Blas G, Niño-Vega GA. Expression of Paracoccidioides brasiliensis AMY1 in a Histoplasma capsulatum amy1 mutant, relates an a-(1,4)-amylase to cell wall a-(1,3)-glucan synthesis. PLOS ONE. 2012;7:e50201..

Despite its role in shaping the cell, the fungal wall is a dynamic structure. Rather than a rigid structure shaped only by polysaccharides such as chitin and b-1-3-glucan, the cell wall is a plastic and permeable structure, where those structural polysaccharides serve as scaffolds for proteins involved in signaling, cell-cell interactions, host attachment, as well as lipids related to the fungal secretion system, playing roles in the maintenance and modulation of the wall3030. Malavazi I, Goldman GH, Brown NA. The importance of connections between the cell wall integrity pathway and the unfolded protein response in filamentous fungi. Brief Funct Genomics. 2014;13:456-70., all of which gives the fungal cell the ability to adapt to environmental changes.

Contrary to the abundant information on cell wall polysaccharides in Paracoccidioides spp., data on the composition of cell wall proteins and lipids are scarce, mostly going back to the earlier and general data of KANETSUNA and SAN-BLAS. Recently, the PUCCIA's group in São Paulo, have started a thorough work on lipid composition of P. brasiliensis cell wall, comparing isolates Pb3 and Pb18, which belong to the PS2 and S1 species, respectively, isolates whose infection profiles in murine models are different2727. Longo LVG, Nakayasu ES, Gazos-Lopes F, Vallejo MC, Matsuo AL, Almeida IC, et al. Characterization of cell wall lipids from the pathogenic phase of Paracoccidioides brasiliensis cultivated in the presence or absence of human plasma. PLOS ONE. 2013;8:e63372. , 3636. Puccia R, Vallejo MC, Matsuo AL, Longo LVG. The Paracoccidioides cell wall: past and present layers towards understanding interaction with the host. Front Microbiol. 2011;2:257.. They found 49 phospholipid species in Pb3 and 38 in Pb18, phosphatidylcholine and phosphatidylethanolamine being the most abundant phospholipidic molecules in both isolates. Brassicasterol was the most abundant sterol in the cell walls of both isolates, a compound already reported as the main sterol in the cytoplasmic membrane of P. brasiliensis yeast phase6161. Visbal G, Alvarez A, Moreno B, San-Blas G. S-Adenosyl-L-methionine inhibitors d-24-sterol methyltransferase and d-24(28)-sterol methylreductase as possible agents against Paracoccidioides brasiliensis. Antimicrob Agents Chemother. 2003;47:2966-70..

Strategies for studies on gene function have proven cumbersome in Paracoccidioides spp., and although antisense RNA technology has recently emerged to overcome problems with gene knockout, the multinucleated nature of Paracoccidioides cells makes it difficult to apply it as a universal technique, since it only appears to work in a few strains. Progress towards development of molecular tools for gene function studies that work in all Paracoccidioidescryptic species are still needed, in order to provide information for definitely determine the roles of genes associated with regulation, synthesis and hydrolysis of the cell wall on growth, morphogenesis and pathogenesis of these important human pathogens. Not all has been said about their cell walls and therefore, we must expect further developments to arrive in due time.

WHEN ONE BECAME TWO... OR MORE

The observation that distinct isolates of P. brasiliensis were variable in mycological, antigenic and virulence aspects did not pass unnoticed through the years1717. Franco M, Bagagli E, Cunha M, Chamma LG, Fecchio D. Paracoccidioides brasiliensis antigen batches from the same isolate show immunological and biochemical differences. Mycopathologia. 1996;135:13-9. , 2020. Hebeler-Barbosa F, Montenegro MR, Bagagli E. Virulence profiles of ten Paracoccidioides brasiliensis isolates obtained from armadillos (Dasypus novemcinctus). Med Mycol. 2003;41:89-96. , 2525. Lacaz CS. Historical evolution or the knowledge on Paracoccidioidomycosis and its etiologic agent, Paracoccidioides brasiliensis. In: Franco M, Lacaz CS, Restrepo A, Del Negro G, editors. Paracoccidioidomycosis. Boca Raton: CRC Press, 1994. , 2929. Macoris SA, Sugizaki MF, Peraçoli MT, Bosco SMG, Hebeler-Barbosa F, Simões LB, et al. Virulence attenuation and phenotypic variation of Paracoccidioides brasiliensis isolates obtained from armadillos and patients. Mem Inst Oswaldo Cruz. 2006;101:331-4. , 4747. Sano A, Tanaka R, Yokoyama K, Franco M, Bagagli E, Montenegro MR, et al. Comparison between human and armadillo Paracoccidioides brasiliensis isolates by random amplified polymorphic DNA analysis. Mycopathologia. 1999;143:165-9.. The first molecular typing studies, such as RAPD analysis, had already indicated that the genetic variability among P. brasiliensis isolates might be beyond the species level1010. Calcagno AM, Niño-Vega G, San-Blas F, San-Blas G. Geographic discrimination of Paracoccidioides brasiliensis strains by randomly amplified polymorphic DNA analysis. J Clin Microbiol. 1998;36:1733-6. , 1919. Hahn RC, Macedo AM, Fontes CJ, Batista RD, Santos NL, Hamdan JS. Randomly amplified polymorphic DNA as a valuable tool for epidemiological studies of Paracoccidioides brasiliensis. J Clin Microbiol. 2003;41:2849-54. , 2121. Hebeler-Barbosa F, Morais FV, Montenegro MR, Kuramae EE, Montes B, McEwen JG, et al. Comparison of the sequences of the internal transcribed spacer regions and PbGP43 genes of Paracoccidioides brasiliensis from patients and armadillos (Dasypus novemcinctus). J Clin Microbiol. 2003;41:5735-7.. After applying the Phylogenetic Species Concept (PSC) in studies of Multi-Locus Sequence Type (MLST)3131. Matute DR, McEwen JG, Puccia R, Montes BA, San-Blas G, Bagagli E, et al. Cryptic speciation and recombination in the fungus Paracoccidioides brasiliensis as revealed by gene genealogies. Mol Biol Evol. 2006;23:65-73., it became clear that instead of a unique species, P. brasiliensis might contain several different cryptic species, a fact that was confirmed by additional studies1313. Carrero LL, Niño-Vega G, Teixeira MM, Carvalho MJ, Soares CM, Pereira M, et al. New Paracoccidioides brasiliensis isolate reveals unexpected genomic variability in this human pathogen. Fungal Genet Biol. 2008;45:605-12. , 3232. Matute DR, Sepulveda VE, Quesada LM, Goldman GH, Taylor JW, Restrepo A, et al. Microsatellite analysis of three phylogenetic species of Paracoccidioides brasiliensis. J Clin Microbiol. 2006;44:2153-7. , 5050. Teixeira MM, Theodoro RC, de Carvalho MJ, Fernandes L, Paes HC, Hahn RC, et al. Phylogenetic analysis reveals a high level of speciation in the Paracoccidioides genus. Mol Phylogenet Evol. 2009;52:273-83. , 5454. Theodoro RC, de Moraes Gimenes Bosco S, Araújo JP Jr, Candeias JM, Macoris SA, Trinca LA, et al. Dimorphism, thermal tolerance, virulence and heat shock protein 70 transcription in different isolates of Paracoccidioides brasiliensis. Mycopathologia. 2008;165:355-65.. Initially, three phylogenetic species were recognized: S1, a paraphyletic and recombining species; PS2, a monophyletic and recombining species; and PS3, a monophyletic and clonal species3131. Matute DR, McEwen JG, Puccia R, Montes BA, San-Blas G, Bagagli E, et al. Cryptic speciation and recombination in the fungus Paracoccidioides brasiliensis as revealed by gene genealogies. Mol Biol Evol. 2006;23:65-73. , 3232. Matute DR, Sepulveda VE, Quesada LM, Goldman GH, Taylor JW, Restrepo A, et al. Microsatellite analysis of three phylogenetic species of Paracoccidioides brasiliensis. J Clin Microbiol. 2006;44:2153-7.. Once additional isolates, mainly from the Brazilian Central-Western Amazonia, were subjected to the same1313. Carrero LL, Niño-Vega G, Teixeira MM, Carvalho MJ, Soares CM, Pereira M, et al. New Paracoccidioides brasiliensis isolate reveals unexpected genomic variability in this human pathogen. Fungal Genet Biol. 2008;45:605-12. , 5050. Teixeira MM, Theodoro RC, de Carvalho MJ, Fernandes L, Paes HC, Hahn RC, et al. Phylogenetic analysis reveals a high level of speciation in the Paracoccidioides genus. Mol Phylogenet Evol. 2009;52:273-83. or different molecular analyses5454. Theodoro RC, de Moraes Gimenes Bosco S, Araújo JP Jr, Candeias JM, Macoris SA, Trinca LA, et al. Dimorphism, thermal tolerance, virulence and heat shock protein 70 transcription in different isolates of Paracoccidioides brasiliensis. Mycopathologia. 2008;165:355-65. , 5555. Theodoro RC, Teixeira M de M, Felipe MS, Paduan K dos S, Ribolla PM, San-Blas G, et al. Genus Paracoccidioides: species recognition and biogeographic aspects. PLOS One. 2012;7:e37694., a fourth more diverging phylogenetic species (Pb01-like) emerged, later designated as P. lutzii 5151. Teixeira MM, Theodoro RC, Oliveira FF, Machado GC, Hahn RC, Bagagli E, et al. Paracoccidioides lutzii sp. nov.: biological and clinical implications. Med Mycol. 2014;52:19-28. , 5252. Teixeira MM, Theodoro RC, Nino-Vega G, Bagagli E, Felipe MS. Paracoccidioides species complex: ecology, phylogeny, sexual reproduction, and virulence. PLOS Pathog. 2014;10(10):e1004397..

Genomic analysis of P. brasiliensis and P. lutzii pointed to significant differences. While the genome sizes of the two cryptic species (S1/Pb18 and PS2/Pb03) of P. brasiliensis are similar (30.0 Mb and 29.1 Mb respectively), the P. lutzii genome is nearly 3 Mb larger (32.9 Mb). The total number of initial predicted genes varies between 7,875 in P. brasiliensis to 9,132 in P. lutzii. The three genomes are highly syntenic, though S1/Pb18 and PS2/Pb03 of P. brasiliensis, share a significantly higher percentage of sequence similarity (96%) to each other in comparison to P. lutzii (90%). Transposons may be one of the reasons for the enlargement of P. lutzii genome, as they constitute 16% of it, twice as much as that of P. brasiliensis S1/Pb18 and PS2/Pb03 genomes (8-9%)1515. Desjardins CA, Champion MD, Holder JW, Muszewska A, Goldberg J, Bailão AM, et al. Comparative genomic analysis of human fungal pathogens causing paracoccidioidomycosis. PLOS Genet. 2011;7:e1002345..

Differences between P. lutzii and P. brasiliensis (S1, PS2 and PS3 species) were also detected in their proteomic yeast profiles by means of 2D electrophoresis and mass spectrometry. Out of 343 protein spots, 267 were differentially expressed, and 193 proteins were identified. Glycolysis/gluconeogenesis and alcohol fermentation-related proteins were more abundant in P. lutzii, indicating a higher use of anaerobic pathways for energy production. Antigenic proteins such as GP43 and 27-kDa, were less abundant in P. lutzii and PS2 genotype of P. brasiliensis 3535. Pigosso LL, Parente AF, Coelho AS, Silva LP, Borges CL, Bailão AM, et al. Comparative proteomics in the genus Paracoccidioides. Fungal Genet Biol. 2013;60:87-100.. The P. lutzii GP43 orthologue is poorly expressed and contains few epitopes in common with the P. brasiliensis immunodominant antigen GP432626. Leitão NP Jr, Vallejo MC, Conceição PM, Camargo ZP, Hahn R, Puccia R. Paracoccidioides lutzii Plp43 is an active glucanase with partial antigenic identity with P. brasiliensis gp43. PLOS Negl Trop Dis. 2014 28;8:e3111., contributing to serological diagnostic difficulties in patients infected with P. lutzii 66. Batista J Jr, de Camargo ZP, Fernandes GF, Vicentini AP, Fontes CJ, Hahn RC. Is the geographical origin of a Paracoccidioides brasiliensis isolate important for antigen production for regional diagnosis of paracoccidioidomycosis? Mycoses. 2010;53:176-80..

Before P. lutzii was actually recognized as a new species, HAHN et al.1919. Hahn RC, Macedo AM, Fontes CJ, Batista RD, Santos NL, Hamdan JS. Randomly amplified polymorphic DNA as a valuable tool for epidemiological studies of Paracoccidioides brasiliensis. J Clin Microbiol. 2003;41:2849-54. observed differences in pathology and response to treatment in paracoccidioidomycosis patients from the Central-Western region of Brazil where most P. lutzii isolates have been reported so far, as compared with other regions in which P. brasiliensis predominates (see below). This is a field that deserves urgent attention, in order to preserve the life of patients afflicted by this severe and frequently lethal disease.

FAMILIES ARE MESSY

Morphological and molecular findings indicate that both Paracoccidioidesspecies might be classified as Ascomycota, order Onygenales, family Ajellomycetaceae5959. Untereiner WA, Scott JA, Naveau FA, Sigler L, Bachewich J, Angus A. The Ajellomycetaceae, a new family of vertebrate-associate Onygenales. Mycologia. 2004;96:812-21., in a natural group that also includes other vertebrate-associated fungi of the genera Histoplasma, Blastomyces, Emmonsia and Lacazia 2222. Herr RA, Tarcha EJ, Taborda PR, Taylor JW, Ajello L, Mendoza L. Phylogenetic analysis of Lacazia loboi places this previously uncharacterized pathogen within the dimorphic Onygenales. J Clin Microbiol. 2001;39:309-14. , 4444. San-Blas G, Niño-Vega G, Iturriaga T. Paracoccidioides brasiliensis and paracoccidioidomycosis: molecular approaches to morphogenesis, diagnosis, epidemiology, taxonomy and genetics. Med Mycol. 2002;40:225-42.. This fungal family presents some common mycological and ecological features, such as dimorphism, arthroconidia production and occurrence in restricted geographic areas, and affinities for animal product derivatives or remnants like feces and uric acid99. Bustamante-Simon B, McEwen JG, Tabares AM, Arango M, Restrepo-Moreno A. Characteristics of the conidia produced by the mycelial form of Paracoccidioides brasiliensis. Sabouraudia. 1985;23:407-14..

TWO HOMES, TWO WORLDS IN TENSION

The ecological niche of Paracoccidioides spp. is not completely understood1818. Franco M, Bagagli E, Scapolio S, da Silva Lacaz C. A critical analysis of isolation of Paracoccidioides brasiliensis from soil. Med Mycol. 2000;38:185-91. , 3838. Restrepo A. The ecology of Paracoccidioides brasiliensis: a puzzle still unsolved. Sabouraudia. 1985;23:323-34.. P. brasiliensis has been isolated sporadically from soil and related materials (animal feces and dog food mixture with soil), and frequently from armadillos55. Bagagli E, Theodoro RC, Bosco SM, McEwen J. Paracoccidioides brasiliensis: phylogenetic and ecological aspects. Mycopathologia. 2008;165:197-207.. Several other domestic and wild mammals appear to be infected by the fungus, as determined by intradermic test, serology and molecular procedures77. Belitardo DR, Calefi AS, Borges IK, de Oliveira GG, Sbeghen MR, Itano EN, et al. Detection of antibodies against Paracoccidioides brasiliensis in free-range domestic pigs (Sus scrofa). Mycopathologia. 2014;177:91-5. , 1616. Ferreira JB, Navarro IT, Freire RL, Oliveira GG, Omori AM, Belitardo DR, et al. Evaluation of Paracoccidioides brasiliensis infection in dairy goats. Mycopathologia. 2013;176:95-9. , 3939. Richini-Pereira VB, Bosco SMG, Griese J, Theodoro RC, Macoris SAG, da Silva RJ, et al. Molecular detection of Paracoccidioides brasiliensis in road-killed wild animals. Med Mycol. 2008;46:35-40.. The fungus has been demonstrated by molecular tools in soil samples from burrows of the nine-banded-armadillo, Dasypus novemcinctus 44. Bagagli E, Bosco SM, Theodoro RC, Franco M. Phylogenetic and evolutionary aspects of Paracoccidioides brasiliensis reveal a long coexistence with animal hosts that explain several biological features of the pathogen. Infect Genet Evol. 2006;6:344-51. , 1414. Corredor GG, Castaño JH, Peralta LA, Díez S, Arango M, McEwen J, et al. Isolation of Paracoccidioides brasiliensis from the nine-banded armadillo Dasypus novemcinctus, in an endemic area for paracoccidioidomycosis in Colombia. Rev Iberoam Micol. 1999;16:216-20. , 5353. Terçarioli GR, Bagagli E, Reis GM, Theodoro RC, Bosco S de M, Macoris SA, et al. Ecological study of Paracoccidioides brasiliensis in soil: growth ability, conidia production and molecular detection. BMC Microbiol. 2007;7:92. , 5656. Theodoro RC, Candeias JM, Araújo JP Jr, Bosco S de M, Macoris SA, Padula LO, et al. Molecular detection of Paracoccidioides brasiliensis in soil. Med Mycol. 2005;43:725-9., and also in aerosol samples, confirming the spread of the fungus by inhalation11. Arantes TD, Theodoro RC, Da Graça Macoris SA, Bagagli E. Detection of Paracoccidioides spp. in environmental aerosol samples. Med Mycol. 2013;51:83-92..

The recent genome survey of the Paracoccidioides species proved that this pathogen has the metabolic apparatus to degrade cellulosic plant material in the soil3535. Pigosso LL, Parente AF, Coelho AS, Silva LP, Borges CL, Bailão AM, et al. Comparative proteomics in the genus Paracoccidioides. Fungal Genet Biol. 2013;60:87-100., making soil a probable saprobe habitat for Paracoccidioides. But more important is to elucidate its environmental requirements, tolerance and interaction with other species, in a multidimensional space. Paracoccidioides spp. and other Ajellomycetacean fungi, except Lacazia loboi, typically present at least two ecological niches, because of their dual saprobic and parasitic life style. During the saprobic mycelial phase these pathogens interact with different conditions and resources, such as periodic changes in temperature and humidity, competition with other microorganisms, and probable predation by amoebae and nematodes, commonly found in soil; during the parasitic yeast phase they are exposed to the mammal tissues, with temperature increase, hormone influences and response to the immune system.

As noticed in previous paragraphs, there are much more studies about the parasitic niche of Paracoccidioides than in its saprobic phase, reason for which BUSTAMANTE et al. 99. Bustamante-Simon B, McEwen JG, Tabares AM, Arango M, Restrepo-Moreno A. Characteristics of the conidia produced by the mycelial form of Paracoccidioides brasiliensis. Sabouraudia. 1985;23:407-14. or TERÇARIOLI et al. 5353. Terçarioli GR, Bagagli E, Reis GM, Theodoro RC, Bosco S de M, Macoris SA, et al. Ecological study of Paracoccidioides brasiliensis in soil: growth ability, conidia production and molecular detection. BMC Microbiol. 2007;7:92., among others, evaluated the growth and conidia production of P. brasiliensis on soil in order to understand how the pathogen interacts with some abiotic factors, such as soil texture and availability of water. P. brasiliensis grows well both in clay and sand soil, provided they are saturated with water, a limiting factor for the fungal growth. It was also observed that soil containing high amount of exchangeable aluminium (H+Al) and low base saturation inhibit growth of the fungus; at the same time, it turned out that armadillos infected with P. brasiliensis were more easily found in soils low in H+Al, sandy and with medium to low concentrations of organic matter33. Bagagli E, Franco M, Bosco S de M, Hebeler-Barbosa F, Trinca LA, Montenegro MR. High frequency of Paracoccidioides brasiliensis infection in armadillos (Dasypus novemcinctus): an ecological study. Med Mycol. 2003;41:217-23.. Most isolates were able to produce arthroconidia though a lower conidia production in PS2 genotype was observed in comparison with S1 isolates, a fact that could explain the unbalanced proportion of 1:9 (PS2:S1) isolates found in the same endemic area of Botucatu, SP, Brazil5555. Theodoro RC, Teixeira M de M, Felipe MS, Paduan K dos S, Ribolla PM, San-Blas G, et al. Genus Paracoccidioides: species recognition and biogeographic aspects. PLOS One. 2012;7:e37694..

Additional ecological studies are pending in order to detect and differentiate the cryptic species in soil, a survey that is already under way in several regions of the Brazilian geography, i.e., ARANTES et al.'s11. Arantes TD, Theodoro RC, Da Graça Macoris SA, Bagagli E. Detection of Paracoccidioides spp. in environmental aerosol samples. Med Mycol. 2013;51:83-92.detection of P. lutzii in a hyperendemic area for P. brasiliensis by means of nested PCR amplicons from the ITS region, that clearly differentiates both species5050. Teixeira MM, Theodoro RC, de Carvalho MJ, Fernandes L, Paes HC, Hahn RC, et al. Phylogenetic analysis reveals a high level of speciation in the Paracoccidioides genus. Mol Phylogenet Evol. 2009;52:273-83.. Such studies will help strengthen phylogeographic information on Paracoccidioides, operational to design a possible evolutionary scenario for the speciation process of this genus44. Bagagli E, Bosco SM, Theodoro RC, Franco M. Phylogenetic and evolutionary aspects of Paracoccidioides brasiliensis reveal a long coexistence with animal hosts that explain several biological features of the pathogen. Infect Genet Evol. 2006;6:344-51..

So far, phylogeographic inferences revealed simultaneous geographic expansions of S1 isolates5555. Theodoro RC, Teixeira M de M, Felipe MS, Paduan K dos S, Ribolla PM, San-Blas G, et al. Genus Paracoccidioides: species recognition and biogeographic aspects. PLOS One. 2012;7:e37694., one of which is now considered a S1 subspecies, represented by Venezuelan isolates4141. Salgado-Salazar C, Jones LR, Restrepo A, McEwen JG. The human fungal pathogen Paracoccidioides brasiliensis (Onygenales: Ajellomycetaceae) is a complex of two species: phylogenetic evidence from five mitochondrial markers. Cladistics. 2010;26:613-24.. Another expansion gave rise to the Colombian PS3 species, geographically isolated in the Andes, once they emerged around eight million years ago. As there are no clear geographic barriers in the Brazilian Shield, there are no obvious geological allopatric events to explain the speciation processes that gave rise to S1, PS2, and P. lutzii. Probably this is a kind of microallopatry, where the ecological differences in the same geographic area may play an important role in the isolation and divergence of the species.

CLOSING REMARKS

When Carlos da Silva Lacaz was born in 1915, seven years had already passed since P. brasiliensis made its début in the annals of the Latin American medical mycology2828. Lutz A. Uma mycose pseudococcidica localizada na boca e observada no Brasil. Contribuição ao conhecimento das hyphoblastomycoses americanas. Brasil Med. 1908;22:121-41.. The fungus turned out to be the agent of one of the most relevant fungal diseases of the region, in terms of frequency and devastating consequences both for patient and society. The efforts and funds invested in state-of-art research on the subject have paid in the huge amount of information now available on biology, immunology, ecology, phylogeny and much more, leading to the design of better treatment procedures for the benefit of paracoccidioidomycosis patients, either from P. brasiliensis or P. lutzii. However, the puzzle is far from been solved, and improved protocols still await further fundamental and applied research to comply with one apothegm of the Hyppocratic Oath: ἐπὶ δηλήσει δὲ καὶ ἀδικίῃ εἴρξειν (abstain from doing harm), popularized in a Latin version as "Primum non nocere", (first of all, do not harm), a maxim that Lacaz always had in mind to act accordingly.

ACKNOWLEDGEMENTS

TDA, EB and RCT thank Fundação de Amparo à Pesquisa do Estado de São Paulo(FAPESP) for grants 2012/14047-6 and 2012/03233-3. GNV and GSB acknowledge the support of the Venezuelan Institute for Scientific Research (IVIC) for grants 112 and 116, and the International Centre for Genetic Engineering and Biotechnology (ICGEB), project CRPVEN05/ 01.

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Publication Dates

  • Publication in this collection
    Sept 2015
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