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ABSTRACT
Fungi are known to utilize transcriptional regulation of genes that encode efflux
transporters to detoxify xenobiotics; however, to date it is unknown how fungi transcriptionally
regulate and coordinate different phases of detoxification system (phase I, modification;
phase II, conjugation; and phase III, secretion). Here we present evidence of an evolutionary
convergence between the fungal and mammalian lineages, whereby xenobiotic detoxification
genes (phase I coding for cytochrome P450 monooxygenases [CYP450s] and phase III coding
for ATP-binding cassette [ABC] efflux transporters) are transcriptionally regulated
by structurally unrelated proteins. Following next-generation RNA sequencing (RNA-seq)
analyses of a filamentous fungus,
Sclerotinia homoeocarpa, the causal agent of dollar spot on turfgrasses, a multidrug resistant (MDR) field
strain was found to overexpress phase I and III genes, coding for CYP450s and ABC
transporters for xenobiotic detoxification. Furthermore, there was confirmation of
a gain-of-function mutation of the fungus-specific transcription factor
S. homoeocarpa XDR1 (ShXDR1), which is responsible for constitutive and induced overexpression of
the phase I and III genes, resulting in resistance to multiple classes of fungicidal
chemicals. This fungal pathogen detoxifies xenobiotics through coordinated transcriptional
control of CYP450s, biotransforming xenobiotics with different substrate specificities
and ABC transporters, excreting a broad spectrum of xenobiotics or biotransformed
metabolites. A
Botrytis cinerea strain harboring the mutated ShXDR1 showed increased expression of phase I (
BcCYP65) and III (
BcatrD) genes, resulting in resistance to fungicides. This indicates the regulatory system
is conserved in filamentous fungi. This molecular genetic mechanism for xenobiotic
detoxification in fungi holds potential for facilitating discovery of new antifungal
drugs and further studies of convergent and divergent evolution of xenobiotic detoxification
in eukaryote lineages.
IMPORTANCE
Emerging multidrug resistance (MDR) in pathogenic filamentous fungi is a significant
threat to human health and agricultural production. Understanding mechanisms of MDR
is essential to combating fungal pathogens; however, there is still limited information
on MDR mechanisms conferred by xenobiotic detoxification. Here, we report for the
first time that overexpression of phase I drug-metabolizing monooxygenases (cytochrome
P450s) and phase III ATP-binding cassette efflux transporters is regulated by a gain-of-function
mutation in the fungus-specific transcription factor in the MDR strains of the filamentous
plant-pathogenic fungus
Sclerotinia homoeocarpa. This study establishes a novel molecular mechanism of MDR through the xenobiotic
detoxification pathway in filamentous fungi, which may facilitate the discovery of
new antifungal drugs to control pathogenic fungi.
Drug metabolizing enzymes (DMEs) play central roles in the metabolism, elimination and detoxification of xenobiotics and drugs introduced into the human body. Most of the tissues and organs in our body are well equipped with diverse and various DMEs including phase I, phase II metabolizing enzymes and phase III transporters, which are present in abundance either at the basal unstimulated level, and/or are inducible at elevated level after exposure to xenobiotics. Recently, many important advances have been made in the mechanisms that regulate the expression of these drug metabolism genes. Various nuclear receptors including the aryl hydrocarbon receptor (AhR), orphan nuclear receptors, and nuclear factor-erythoroid 2 p45-related factor 2 (Nrf2) have been shown to be the key mediators of drug-induced changes in phase I, phase II metabolizing enzymes as well as phase III transporters involved in efflux mechanisms. For instance, the expression of CYP1 genes can be induced by AhR, which dimerizes with the AhR nuclear translocator (Arnt), in response to many polycyclic aromatic hydrocarbon (PAHs). Similarly, the steroid family of orphan nuclear receptors, the constitutive androstane receptor (CAR) and pregnane X receptor (PXR), both heterodimerize with the retinoid X receptor (RXR), are shown to transcriptionally activate the promoters of CYP2B and CYP3A gene expression by xenobiotics such as phenobarbital-like compounds (CAR) and dexamethasone and rifampin-type of agents (PXR). The peroxisome proliferator activated receptor (PPAR), which is one of the first characterized members of the nuclear hormone receptor, also dimerizes with RXR and has been shown to be activated by lipid lowering agent fibrate-type of compounds leading to transcriptional activation of the promoters on CYP4A gene. CYP7A was recognized as the first target gene of the liver X receptor (LXR), in which the elimination of cholesterol depends on CYP7A. Farnesoid X receptor (FXR) was identified as a bile acid receptor, and its activation results in the inhibition of hepatic acid biosynthesis and increased transport of bile acids from intestinal lumen to the liver, and CYP7A is one of its target genes. The transcriptional activation by these receptors upon binding to the promoters located at the 5-flanking region of these CYP genes generally leads to the induction of their mRNA gene expression. The physiological and the pharmacological implications of common partner of RXR for CAR, PXR, PPAR, LXR and FXR receptors largely remain unknown and are under intense investigations. For the phase II DMEs, phase II gene inducers such as the phenolic compounds butylated hydroxyanisol (BHA), tert-butylhydroquinone (tBHQ), green tea polyphenol (GTP), (-)-epigallocatechin-3-gallate (EGCG) and the isothiocyanates (PEITC, sulforaphane) generally appear to be electrophiles. They generally possess electrophilic-mediated stress response, resulting in the activation of bZIP transcription factors Nrf2 which dimerizes with Mafs and binds to the antioxidant/electrophile response element (ARE/EpRE) promoter, which is located in many phase II DMEs as well as many cellular defensive enzymes such as heme oxygenase-1 (HO-1), with the subsequent induction of the expression of these genes. Phase III transporters, for example, P-glycoprotein (P-gp), multidrug resistance-associated proteins (MRPs), and organic anion transporting polypeptide 2 (OATP2) are expressed in many tissues such as the liver, intestine, kidney, and brain, and play crucial roles in drug absorption, distribution, and excretion. The orphan nuclear receptors PXR and CAR have been shown to be involved in the regulation of these transporters. Along with phase I and phase II enzyme induction, pretreatment with several kinds of inducers has been shown to alter the expression of phase III transporters, and alter the excretion of xenobiotics, which implies that phase III transporters may also be similarly regulated in a coordinated fashion, and provides an important mean to protect the body from xenobiotics insults. It appears that in general, exposure to phase I, phase II and phase III gene inducers may trigger cellular "stress" response leading to the increase in their gene expression, which ultimately enhance the elimination and clearance of these xenobiotics and/or other "cellular stresses" including harmful reactive intermediates such as reactive oxygen species (ROS), so that the body will remove the "stress" expeditiously. Consequently, this homeostatic response of the body plays a central role in the protection of the body against "environmental" insults such as those elicited by exposure to xenobiotics.
Introduction Synthetic fungicides are used worldwide that provide protection of major crops from destruction by fungal plant pathogens [1]. As a result of repeated fungicide treatments, however, resistant strains of the pathogens are being selected [2]. Different resistance mechanisms have been reported that reduce fungicide effectiveness in field and greenhouse environments. Mutations leading to changes in the target proteins that are still functional but less sensitive to the drugs are most common in plant pathogenic fungi. For example, rapid accumulation of mutations in the gene encoding ß-tubulin have been observed in a variety of plant pathogens after introduction of the benzimidazole fungicides, leading to resistance against these fungicides [3]. Other mechanisms, such as overexpression of the gene encoding the target site or increased fungicide metabolism have also been described [3]–[6]. Multidrug resistance (MDR), an important resistance mechanism in human pathogenic microbes and cancer cells, has often been correlated with the activity of energy dependent plasma membrane efflux transporters with low substrate specificity. Mutations leading to overexpression of individual transporters can result in increased export and thereby reduced sensitivity to a variety of drug molecules [7]–[9]. In fungi, the major types of drug efflux proteins are ATP binding cassette (ABC) and major facilitator superfamily (MFS) transporters [10]–[12]. Constitutive overexpression of the ABC transporters CDR1 and CDR2, or the MFS transporter MDR1 has been observed in Candida spp. with MDR phenotypes that have been selected by prolonged fluconazole treatments in humans [13]. In filamentous fungi, the role of ABC and MFS transporters in the efflux of natural and synthetic toxicants is well known [14]. For example, analysis of knock-out mutants revealed that the ABC transporter AtrB from Aspergillus nidulans and its orthologue AtrB from Botrytis cinerea transport a wide variety of fungicides as well as toxins of plant and microbial origins [14]–[16]. Similarly, the MFS transporter Mfs1 of B. cinerea was found to mediate efflux of several fungicides as well as plant derived and microbial toxins [17]. Several efflux transporter genes have been shown to be rapidly induced by fungicides or natural toxins, such as Mycosphaerella graminicola Atr1 and Atr2, or B. cinerea atrD and atrB [16],[18]. Some ABC transporters have been shown to be involved in plant pathogenesis [19]–[22]. This is probably mainly due to the export of plant defence compounds, for example the Arabidopsis phytoalexin camalexin in the case of B. cinerea AtrB [22]. For the ABC1 transporter of Magnaporthe grisea, evidence was provided that it is required for tolerance to oxidative stress during appressorial penetration [19]. Despite some reports of MDR phenotypes in laboratory mutants of B. cinerea [16],[18] and field strains of Penicillium digitatum and Mycosphaerella graminicola [23],[24], a significant role of MDR in agricultural environments has not yet been described for plant pathogens. However, a long term monitoring for fungicide resistance of B. cinerea initiated in French wine-growing regions has revealed, in addition to drug specific resistance mechanisms, the appearance of strains with cross resistance to chemically unrelated fungicides in the Champagne [4],[25],[26]. In this report, we have investigated these strains in further detail and describe the increasing prevalence of three different MDR populations in commercial vineyards. We show that their phenotypes are caused by mutations leading to overexpression of efflux transporters, and present evidence for long-distance migration of MDR strains from France to German wine-growing regions. Results Increasing occurrence of B. cinerea MDR strains in commercial vineyards In 1994, strains with two different MDR phenotypes, formerly designated AniR2 (here MDR1) and AniR3 (here MDR2), because of their reduced sensitivity to anilinopyrimidine fungicides, have been identified for the first time in the Champagne (Fig. 1A) [26]. A third MDR phenotype (MDR3) was first detected in 2001. Since then, the frequency of MDR strains in the Champagne steadily increased until 2008, when the three MDR phenotypes together represented 55% of the total population (Fig. 1A). In vineyards of the German Wine Road region, a similar survey of B. cinerea isolates for fungicide sensitivity was performed for three years. Between 2006 and 2008, increasing MDR populations were also observed, but in contrast to the Champagne the MDR1 phenotype was clearly dominating (Fig. 1B). As previously described [26], MDR1 and MDR2 strains had overlapping but distinct profiles of increased tolerance to a number of different classes of fungicides and other drugs (Table 1). Although the levels of tolerance observed were not as high as specific resistance mechanisms (e.g. target site mutations), they were clearly genetically based and heritable and therefore called resistance throughout this paper. While MDR1 strains showed considerable resistance levels mainly towards fludioxonil, cyprodinil and tolnaftate, MDR2 strains were characterized by increased resistance to fenhexamid, tolnaftate, cycloheximide and cyprodinil. MDR3 strains showed the highest levels and broadest spectrum of resistance against most fungicides tested (Table 1). 10.1371/journal.ppat.1000696.g001 Figure 1 Isolation frequencies of B. cinerea MDR strains from French and German wine-growing regions. (A) Appearance of MDR strains in the Champagne. While MDR1 and MDR2 strains, named initially AniR2 and AniR3, respectively, were first detected in 1994 [4],[25], MDR3 strains have been observed since 2001. (B) Frequency of MDR strains in the German Wine Road region. 10.1371/journal.ppat.1000696.t001 Table 1 Classification of B. cinerea MDR strains by their drug sensitivities. Fludioxonil Fenhexamid Cyprodinil Carbendazim Boscalid Iprodione Tebucoazole Bitertanol Tolnaftate1 Cycloheximide Sensitive strains (EC50: mg/l) 0.03±0.01 0.05±0.01 0.006±0.001 0.04±0.01 0.08±0.01 1.03±0.08 0.66±0.31 2.6±0.65 0.65±0.08 3.2±0.68 Resistance factors (x fold of sensitive) MDR1 strains 8.1x±1.3** 1.6x±0.5 n.s. 18.2x±4.5* 2.8x±0.2*** 1.6x±0.2 n.s. 1.4x±0.3 n.s. 0.7x±0.4 n.s. 1.0x±0.4 n.s. 20.4x±2.3*** 0.7x±0.1 n.s. MDR2 strains 2.6x±0.3*** 9.8x±0.6*** 6.2x±2.8** 1.1x±0.1 n.s. 2.0x±0.8* 5.4x±1.0*** 1.8x±0.2* 1.7x±0.2* >25x*** 13.7x±1.5** MDR3 strains 11.4x±1.9** 14.7x±3.2** 25.7x±5.2** 3.1x±0.5** 3.5x±0.9* 6.4x±1.0** 2.3x±0.6* 1.6x±0.1* >25x*** 14.1x±0.3*** Mean values from three French and three German isolates each of sensitive strains, MDR1 strains, MDR2 strains, and MDR3 strains are shown. For sensitive strains, EC50 values, and for MDR strains, resistance factors relative to the corresponding values of sensitive strains are shown. 1Due to limited solubility of tolnaftate, accurate values above 25-fold could not be determined. Significant differences to mean values of sensitive strains: n.s.: Not significant; * p<0.05; ** p<0.01; *** p<0.001. MDR phenotypes show increased efflux transporter activity and expression MDR phenotypes in fungi are usually correlated with increased drug efflux [8]. When the B. cinerea MDR strains were tested, they showed indeed lower fungicide accumulation than sensitive strains, indicating increased efflux activity. As previously reported [16], sensitive strains show a transient accumulation of 14C-fludioxonil, followed by efflux of the drug after approximately 30 min, due to activation of efflux transporters (Fig. 2A). In contrast, two MDR1 strains showed only low initial fludioxonil accumulation. After addition of the uncoupler CCCP, rapid influx was observed for all strains indicating the presence of energy-dependent efflux systems (Fig. 2A) [16]. Similarly, MDR3 strains accumulated little fludioxonil, while MDR2 strains behaved similar to sensitive strains (Fig. 2B). These data indicated the presence of a constitutive efflux system in MDR1 and MDR3 strains. With 14C-bitertanol, all MDR strains showed reduced initial accumulation levels compared to sensitive strains, although this effect was less pronounced in MDR1 than in MDR2 and MDR3 strains (Fig. 2B). In accordance with these data, lower accumulation of tebuconazole and triadimenol by a B. cinerea strain with MDR2 phenotype has been described previously [25]. The specificity of the uptake experiments was confirmed by experiments with heat-inactivated germlings, which displayed very high, non-transient fungicide accumulation (Fig. 2C). The phenotype of MDR1 strains, including the low initial fludioxonil accumulation, was similar to that of a B. cinerea laboratory mutant which showed overexpression of the ABC transporter AtrB [16]. AtrB and its orthologs in other filamentous fungi, including Aspergillus nidulans and Penicillium digitatum, is a conserved efflux pump that contributes tolerance to various fungicides and natural antifungal compounds [14]–[16],[21],[22],[27],[28]. Indeed, atrB was constitutively upregulated in MDR1 and MDR3 strains, but not in MDR2 strains, showing 50–150 fold overexpression relative to sensitive strains. As previously reported, high levels of atrB expression were observed in sensitive strains after 30 min treatment with fludioxonil (Fig. 3) [16]. Two other genes encoding ABC transporters, atrK and BMR3, were also upregulated in the absence of drug induction in MDR1 and MDR3 strains when compared to sensitive strains, but only 2.5–5 fold (Fig. 3B). To identify efflux transporters that are specifically upregulated in MDR2 strains, microarray hybridizations with B. cinerea whole genome chips were performed (data not shown). These experiments revealed that mfsM2 (Major facilitator superfamily transporter involved in MDR2), which showed very weak expression in sensitive and MDR1 strains, was more than 600 fold overexpressed in MDR2 and MDR3 strains (Fig. 3). 10.1371/journal.ppat.1000696.g002 Figure 2 Differential fungicide accumulation by B. cinerea sensitive and MDR strains. (A) Kinetics of fludioxonil (14C-labeled) accumulation by germinated spores of sensitive strain B05.10 (square) and of MDR1 strains D04.375 (circle) and D04.104 (triangle). Addition of carbonyl cyanide m-chlorophenylhydrazone (CCCP, 10 µM) after 90 min led to a net influx of the fungicide into the cells (dashed lines). (B) Accumulation of 14C-fludioxonil and 14C-bitertanol by sensitive and MDR strains. Samples were taken 10 min (shaded bars) and 60 min (white bars) after addition of labeled fungicide. The following strains were analyzed (from left to right): B05.10, D06.6-15 (sensitive); D06.5-16, D04.375 (MDR1); D06.2-6, D06.6-5 (MDR2); D06.7-33, D06.7-39 (MDR3). Significant differences of values (10 min) to those of sensitive strain B05.10 are indicated: n.s.: not significant; * p<0.05; ** p<0.01; *** p<0.001. (C) Control experiments demonstrating large differences in 14C-fungicide uptake between living and heat-killed germlings of sensitive (B05.10) and MDR3 (D06.7-33) strains. 10.1371/journal.ppat.1000696.g003 Figure 3 B. cinerea MDR strains show constitutive overexpression of efflux transporter genes. (A) Expression analysis by Northern hybridization of atrB and mfsM2 in B. cinerea germlings. For hybridization with atrB, RNA of the following strains was loaded (from left to right): B05.10, D06.6-15 (sensitive, two lanes each); D06.5-16, D06.7-27 (MDR1, two lanes each); D06.6-5, D06.2-6 (MDR2); D06.7-39, D06.7-33 (MDR3). Below the hybridization signals, the corresponding RNA samples after agarose electrophoresis and ethidium bromide staining are shown as loading controls. ---: no treatment; +: 30 min treatment with 1 mg/l fludioxonil. For hybridization with mfsM2, RNAs of non-treated germlings were loaded in the same order as for atrB. (B) Expression analysis by quantitative RT-PCR of efflux transporter genes in sensitive and MDR strains. Values indicate fold-increases in expression levels, relative to the levels in sensitive strains without fludioxonil treatment (---). Mean values are shown from three strains each with sensitive, MDR1, MDR2, and MDR3 phenotypes. n.d.: Not determined. Overexpression of transporter genes is responsible for MDR phenotypes To confirm a causal relationship between overexpression of efflux transporters and MDR phenotypes, atrB and mfsM2 mutants were generated. As described further below, MDR1 strains with atrB deletions had lost the MDR phenotype. Two MDR2 strains with mfsM2 deletions had lost increased efflux activity for 14C-bitertanol (Fig. 4A). Furthermore, the mfsM2 deletion mutants had lost the reduced sensitivity to various fungicides, showing levels similar to sensitive strains (Fig. 4B, C). In contrast, when a sensitive strain was transformed with a construct providing constitutive overexpression of mfsM2 (mfsM2ox ), which led to 1481(±309)-fold upregulation of mfsM2 relative to the parent strain, it acquired drug resistance levels similar to MDR2 strains (Fig. 4B, C). Overexpression of atrB and mfsM2 is therefore necessary and probably sufficient to generate MDR1 and MDR2 phenotypes, respectively, in B. cinerea field strains. Apart from its role in MDR, we found only slight growth differences of the mfsM2 deletion mutants. When tested for pathogenicity, the mfsM2 deletion mutants showed no significant differences compared to their parent strains (data not shown). 10.1371/journal.ppat.1000696.g004 Figure 4 The MfsM2 efflux transporter controls MDR2. (A) Bitertanol (14C-labeled) accumulation after 10 min (shaded) and 60 min (white bars). Significant differences of values (10 min) of the mutants to those of their MDR2 parent strains are indicated: ** p<0.01. (B) Drug sensitivities. Mean values of resistance factors relative to B05.10 are shown, from two MDR2 strains (D06.2-6, D06.6-5; white bars), strains D06.2-6(ΔmfsM2) and D06.6-5(ΔmfsM2) (black bars), and from two transformants of strain B05.Hyg-3(mfsM2ox ) (grey bars). Significant differences of corresponding values are indicated between MDR2 (ΔmfsM2) mutants and their parent strains, and between strain B05.Hyg-3(mfsM2ox ) and strain B05.Hyg-3: n.s.: Not significant; * p<0.05; ** p<0.01; *** p<0.001. §Due to limited solubility of tolnaftate, no accurate values above 25-fold could be determined. Drugs (abbreviated) are listed in the same order as in Table 1, except for the omission of carbendazim. (C) Drug sensitivity phenotypes on HA plates. 1: D06.2-6(MDR2); 2: D06.2-6(ΔmfsM2); 3: B05.10 (sensitive); 4: B05.Hyg-3(mfsM2ox )-4, 5: D06.6-5(MDR2); 6: D06.6-5(ΔmfsM2); 7: B05.Hyg-3 (sensitive); 8: B05.Hyg-3(mfsM2ox )-11. Strains with mfsM2 mutations showed a slight growth difference to their parent strains. Pictures were taken 3 d.p.i., except for bitertanol (4 d.p.i.). Concentrations of drugs were adjusted to reveal clear differences between the strains which overexpress mfsM2 and those which do not. Mutations leading to changes in gene expression are often located either in the promoters of these genes, or in regulatory genes. Sequencing of the atrB promoter regions from several sensitive, MDR1 and MDR3 strains did not reveal any MDR1-specific mutations (not shown). Since other ABC-transporter genes besides atrB were also found to be upregulated in MDR1 and MDR3 strains (Fig. 3B), we assumed that the MDR1 phenotype might have been generated by mutations in a regulatory gene. In order to locate the suspected MDR1-specific regulator gene, a map-based cloning approach was performed. When F1 progeny isolates of several crosses with MDR strains were analyzed, the segregation data confirmed that MDR1 and MDR2 phenotypes are determined by just one genetic locus each, and that strains with MDR3 phenotype can originate from recombination between MDR1 and MDR2 strains (Table S1) [26]. By identifying polymorphic molecular markers that cosegregate with MDR1 and MDR3 phenotypes in the F1 progeny, it was possible to localize and identify mrr1 (multidrug resistance regulator 1) encoding a putative Zn(II)2Cys6 zinc cluster transcription factor (TF; Table S2) [29]. The genetic marker closest to mrr1, BC63-17, located 1.8 kb away from mrr1, showed 100 percent cosegregation with MDR1 phenotypes. Similarly, using crosses with MDR2 strains, a marker located just 1.6 kb away from the efflux transporter gene mfsM2 was found completely cosegregate with MDR2 phenotypes, indicating that they are caused by mutations in mfsM2 (Table S3). Activating mutations in the Mrr1 transcription factor lead to MDR1 Sequencing of mrr1 from eight sensitive field strains revealed no or only silent nucleotide changes when compared to mrr1 of the sequenced reference strains T4 and B05.10 (data not shown). In contrast, all MDR1 (n = 15) and MDR3 (n = 5) strains analyzed showed at least one point mutation leading to amino acid changes in Mrr1. In total, at least eight different MDR1-related mutations were identified (Fig. 5; Table S4). Their role in generation of the MDR1 phenotype was supported by the observation that five of these mutations had occurred in more than one MDR1 or MDR3 strain. To confirm that mrr1 encodes the TF responsible for MDR1-related atrB overexpression, mrr1 and atrB deletions were generated in MDR1 strains and a sensitive strain. Consistent with the expected phenotype of a regulatory mutant, mrr1 mutants showed very low levels of atrB expression, not inducible by fludioxonil. Furthermore, they showed reduced expression of the ABC transporter genes BMR3 and atrK that are also upregulated in MDR1 strains (Fig. 6A). Both the mrr1 and atrB mutants of the MDR1 strain showed increased fludioxonil uptake, indicating loss of AtrB-mediated efflux activity (Fig. 6B). With regard to their drug sensitivity, the mrr1 and atrB mutants of MDR1 strains had completely lost their MDR1 phenotypes and were slightly hypersensitive to fludioxonil, similar to previously described atrB mutants (Fig. 6C, D) [16]. The MDR1 strain D06.7-27 showed an unusually high cyprodinil resistance and a rather low tolnaftate resistance, compared to other MDR1 strains, for unknown reasons. In the D06.7-27(Δmrr1) mutant, the cyprodinil resistance was significantly reduced, but still higher than in sensitive strains (Fig. 6C). To confirm that single mrr1 mutations are sufficient for generation of the MDR1 phenotype, a sensitive strain was transformed with the mrr1V575M allele from MDR1 strain D06.7-27. The transformants, expressing both wild type mrr1 and mrr1 V575M, showed constitutive upregulation of atrB and, to a lower extent, atrK and BMR3 (Fig. 6A), as well as a drug resistance phenotype similar to MDR1 strains (Fig. 6C, D). The atrB and mrr1 mutants showed only little changes in sensitivity to fenhexamid, a substrate for MfsM2 but not AtrB, which confirmed that the functions of AtrB and Mrr1 are fungicide specific. These data confirmed that Mrr1 is the main transcriptional activator of atrB, and that activating mutations of mrr1 lead to overexpression of atrB and thus to MDR1 phenotypes. There are interesting parallels to the yeasts S. cerevisiae and C. albicans, in which MDR-related efflux transporter genes are regulated by Zn(II)2Cys6 TFs as well. C. albicans MDR strains selected by fluconazole treatments in humans also resulted from gain-of-function TF mutations, leading to overexpression of ABC- and MFS-type MDR transporters [13],[30]. 10.1371/journal.ppat.1000696.g005 Figure 5 MDR1-related mutations in the Mrr1 transcription factor. Amino acid positions and exchanges found in MDR1 and MDR3 strains, and the observed frequencies of each mutation (in parentheses) are indicated. For a detailed list with Mrr1 sequences of individual strains, see Table S4. 10.1371/journal.ppat.1000696.g006 Figure 6 Mrr1 regulates MDR1 phenotypes via modulation of atrB expression. (A) Expression of ABC transporter genes in strains with different levels of mrr1 expression. Mean values are shown from two sensitive strains (B05.10, B05.-Hyg3), two MDR1 strains (D06.5-16, D06.7-27), two MDR1 mrr1 k.o. transformants (D06.5-16(Δmrr1)-5, -7), and two B05.Hyg-3 transformants expressing mrr1V575M (B05.Hyg-3(+mrr1V575M )-5, -6). (B) Fludioxonil (14C-labeled) accumulation by wild type strains and strains with mutations in atrB and mrr1, after 10 min (shaded) and 60 min (white bars). Significant differences between the values of the mutants and those of their parent strains are indicated separately for 10 min and 60 min values (n.s.: not significant; **: p<0.01; ***: p<0.001). (C) Drug sensitivities of atrB and mrr1 mutants. For each mutant, mean values of two or three transformants were used to calculate resistance factors relative to sensitive strain B05.10 or (in case of B05.Hyg-3(+mrr1V575M ) to strain B05.Hyg-3. #MDR1 strain D06.7-27 showed higher resistance to cyprodinil (standard deviation = 12.0) and lower resistance to tolnaftate, compared to other MDR1 strains. Significantly different resistance values of the transformants relative to their parent strains are indicated (O Not significant; * p<0.05; ** p<0.01; *** p<0.001). §Due to limited solubility of tolnaftate, no accurate values above 25-fold could be determined. (D) Fungicide sensitivity phenotypes on agar plates. 1: B05.10 (sensitive); 2: B05.10(ΔatrB)-4; 3: B05.10(ΔatrB)-5; 4: B05.10(Δmrr1)-8; 5: B05.10(Δmrr1)-18; 6: D06.5-16 (MDR1); 7: D06.5-16(ΔatrB)-1; 8: D06.5-16(ΔatrB)-2; 9: D06.5-16(Δmrr1)-5; 10: D06.5-16(Δmrr1)-7; 11: B05.Hyg-3 (sensitive); 12: B05.Hyg-3(+mrr1V575M )-5; 13: B05.Hyg-3(+mrr1V575M )-6; 14: B05.Hyg-3(+mrr1V575M )-10. Top: HA, 2.5 d.p.i.; middle: HA, 0.03 mg/l fludioxonil, 4 d.p.i.; bottom: GB5 (glucose), 0.01 mg/l cyprodinil, 4 d.p.i.. A unique promoter rearrangement leads to MDR2 Focusing on the search for mutations that are responsible for mfsM2 upregulation in MDR2 and MDR3 strains, we found a rearrangement in the mfsM2 upstream region, caused by insertion of a foreign gene fragment and concurrent deletion of a portion of the putative mfsM2 promoter. The inserted DNA, 1326 bp in length, is probably derived from an as yet unknown fungal long-terminal-repeat (LTR) retrotransposon (Fig. 7A) [31]. Surprisingly, this sequence is not present in the published genome sequences of the two B. cinerea strains B05.10 and T4. It encodes truncated portions of a putative enzyme with domains of reverse transcriptase and RNase H, with closest homologs to sequences in the REAL retrotransposon of the plant pathogenic fungus Alternaria alternata [32] and in the Boty retroelement of B. cinerea (Fig. S1) [33]. Out of 17 MDR2 and MDR3 strains analyzed from the Champagne (9 strains) and from the German Wine Road (8 strains) by sequencing or PCR analysis, all revealed the identical mfsM2 promoter rearrangement. In contrast, in 8 sensitive and 15 MDR1 strains no such rearrangement was found (Table S5; data not shown). This observation strongly suggests that the mfsM2 alleles of these MDR2 and MDR3 strains have a common progenitor. That the promoter rearrangement is responsible for mfsM2 overexpression, was supported by the already described MDR2-like phenotype of a sensitive strain transformed with an mfsM2 overexpression construct. This was further confirmed by creating B. cinerea strains expressing mfsM2::uidA reporter gene fusion constructs. Only with the mfsM2 promoter fragment from an MDR2 strain, but not with a fragment from a sensitive strain, strong expression of ß-glucuronidase was observed (Fig. 7B). 10.1371/journal.ppat.1000696.g007 Figure 7 MDR2 strains carry a retroelement-like gene fragment in the mfsM2 promoter. (A) Structure of the mfsM2 upstream region, and the insertion-deletion rearrangement (in red) in MDR2 and MDR3 strains. The retroelement-like gene fragment encodes truncated reverse transcriptase (RT) and RNase H domains. The deleted region is indicated as hatched bar. (B) The rearrangement leads to activation of the mfsM2 promoter. B. cinerea transformants carrying uidA fusions with mfsM2 upstream fragments from strain B05.10 and MDR2 strain D08.2-12 were stained for ß-glucuronidase activity. Scale bars: 20 µm. MDR3 strains are selected by fungicide treatments in the field The rapidly increasing MDR populations in French and German wine-growing regions indicate that strong selection for MDR phenotypes occurs by fungicide treatments. This was confirmed by two field experiments, in which mixtures of an MDR3 strain and a sensitive strain were introduced into two vineyards. A single treatment with a commercial fungicide mixture (fludioxonil and cyprodinil) during early berry development led to a significantly increased recovery of the MDR3 strain relative to the sensitive strain during grape harvest (Fig. 8). The recovery rates of the introduced MDR3 strain were 16% (untreated vineyard) and 62% (treated vineyard) in 2007, and 34% (untreated) and 55% (treated) in 2008, while the recovery rates of the introduced sensitive strain were 26% (untreated) and 14% (treated) in 2007, and 28% (untreated) and 15% (treated) in 2008. In addition, the MDR3 strain showed high survival rates after the following winter periods in the absence of fungicide treatments (40% in spring 2008, 62% in spring 2009). These data indicate also that the mutations in mrr1 and mfsM2 do not impair the fitness of MDR strains to a major extent. 10.1371/journal.ppat.1000696.g008 Figure 8 Field competitiveness of an MDR3 strain is increased by fungicide selection. Recovery rates of B. cinerea isolates from inoculated grapevine plants during grape harvest (autumn), and in the following spring, in two successive years. Fungicide treated (+) and non-treated (−) grapevine plants were inoculated with a 1∶1 mixture of an MDR3 and a sensitive strain. Grey: Introduced MDR3 strain; White: Introduced sensitive strain; Black: Resident strains. Significantly different recovery rates for the introduced strains are shown. Discussion Since the introduction of modern fungicides with specific modes of action, resistance development in fungal field populations has been observed, notably in B. cinerea which is considered to be a high risk pathogen [2]. Therefore, rules for fungicide resistance management have been established that include a recommendation to avoid the repetitive use of fungicides with similar targets within one growing season [2],[5]. For Botrytis control in commercial European vineyards, two or three treatments with different mode-of-action fungicides are common. The increasing and widespread prevalence of MDR strains indicates that they have been selected under these conditions within the last decade. The three MDR phenotypes found in French and German vineyards were clearly correlated with increased drug efflux activity. Increased fludioxonil efflux was observed for MDR1 and MDR3 strains but not for MDR2 strains, while bitertanol efflux was observed for all MDR phenotypes, although more weakly for MDR1. Furthermore, all MDR strains showed strong constitutive overexpression of one (MDR1, MDR2) or two (MDR3) drug efflux transporter genes. In addition, weak overexpression of two other ABC transporter genes was observed in MDR1 and MDR3 strains. A causal correlation of MDR1 phenotypes with overexpression of the ABC transporter atrB, and of MDR2 phenotypes with MFS transporter mfsM2 overexpression was confirmed by the analysis of deletion and overexpression mutants. Two MDR1 strains with an atrB mutation had lost the MDR1 phenotype, and two MDR2 strains with an mfsM2 mutation had lost the MDR2 phenotypes. In addition, a sensitive strain which artificially overexpressed mfsM2 showed an MDR2-like phenotype. Thus, overexpression of atrB and mfsM2 are likely to be sufficient for the observed MDR1 and MDR2 phenotypes in B. cinerea field strains. While the role of atrB in the export of multiple natural and synthetic toxicants has been described in detail [14],[28], the function of mfsM2 in sensitive strains remains unknown. The protein is not highly conserved in other fungi, and even in the genome sequence of the closely related Sclerotinia sclerotiorum, no apparent orthologue to B. cinerea mfsM2 could be identified. In sensitive strains mfsM2 expression is very low, and up to now we did not find any fungicide or other compounds that induce mfsM2 (data not shown). In MDR1 strains, the mutations leading to atrB overexpression were found to be located not in atrB itself, but in the transcription factor gene mrr1. Out of 20 MDR1 and MDR3 strains analyzed, all carried mutations in the coding region of mrr1, and several strains with different geographical origin or collected in different years showed identical mutations. Because mrr1 mutants failed to express atrB to significant levels, and because sensitive strains expressing an activated version of Mrr1 (Mrr1V575M) showed an MDR1-like phenotype, Mrr1 was confirmed to be a transcriptional activator of atrB. The mrr1 mutants also showed reduced expression of atrK and BMR3, when compared to MDR1 strains, indicating that Mrr1 also plays a role in activation of other efflux transporter genes. However, since the drug sensitivity phenotypes of MDR1 strains with either atrB or mrr1 mutations were indistinguishable from each other, and since MDR1 atrB mutants have completely lost their MDR1 phenotypes, the weak overexpression of atrK and BMR3 does not seem to contribute significantly to the phenotype of MDR1 strains. While our data indicate that the main physiological role of Mrr1 is regulation of atrB, the whole set of genes controlled by Mrr1 in the genome of B. cinerea remains to be determined. Interestingly, while structurally and also functionally conserved orthologues of B. cinerea AtrB occur in other ascomycetous fungi, e.g. in A. nidulans, P. digitatum [15],[22], no clear orthologues (best bidirectional hits) of B. cinerea Mrr1 could be identified in other fungi. This indicates that the regulation of ABC transporters in filamentous fungi might be not highly conserved. Similar observations have been made for yeasts, because the major efflux transporter in S. cerevisiae, PDR5, and its orthologue pair CDR1/CDR2 in C. albicans, are under control of different transcription factors [34]. With regard to fungicide resistance, efflux activities, efflux transporter gene overexpression, and genetic data, MDR3 strains were clearly identified as recombinants carrying both MDR1-specific mutations in mrr1 and MDR2-specific mutations in mfsM2. Collectively, all data indicate that the three MDR phenotypes in B. cinerea have originated by mutations in just two genes. Obviously, the different mrr1 point mutations leading to MDR1 have occurred repeatedly. Thus MDR1 phenotypes could appear (and might have already appeared) in different agricultural environments in which selective conditions for these phenotypes prevail. Similarly, a variety of gain-of-function mutations have been found in transcription factor genes TAC1 and MRR1 of clinical MDR isolates of C. albicans, leading to overexpression of the efflux transporter genes MDR1 and CDR1 or CDR2, respectively [13],[30],[35]. In contrast, the rearrangement in the mfsM2 promoter appeared to be a unique event, found in all MDR2 and MDR3 strains analyzed so far. Based on the time course of appearance of these strains in the Champagne, and their lower frequency compared to MDR1 strains in Germany, we assume that the rearrangement in mfsM2 originated once in the Champagne, possibly in the early 1990s. The rearranged mfsM2 allele later spread into the German Wine Road region, 250 km east of the Champagne, possibly by air currents. Because of the small size of the retrotransposon-derived gene fragment and of the lack of any remaining LTR sequences, the origin of the sequence inserted into mfsM2 and the mechanism of the insertion-deletion rearrangement remain obscure. The absence of the integrated sequence in the published genomes of strains B05.10 and T4 indicates that it occurs only in subpopulations of B. cinerea. A search for the presence of the sequence in a variety of field strains by using PCR, Southern hybridization and sequencing revealed that similar but non-identical sequences are present in some sensitive strains (data not shown). The mfsM2 mutation is reminiscent of a transposable element insertion into the promoter of a gene for a cytochrome P450 monooxygenase involved in insecticide detoxification and resistance in Drosophila, leading to overexpression and global spread of the mutated gene [36]. A summarizing model of the data in this paper is shown in Fig. 9. It is assumed that MDR strains in the Champagne have appeared due to selection pressure in fungicide treated vineyards, and to mutations leading to the appearance of MDR1 and MDR2 strains, and a few years later also to the appearance of MDR3 strains. Because a repeated occurrence of the unusual rearrangement found in the mfsM2 promoter appears to be highly unlikely, we assume that MDR2 strains carrying this rearrangement have migrated from France to Germany, probably in the last decade. To support this hypothesis, population genetic studies with MDR strains from different geographical origins are currently performed. In addition, we are searching for MDR strains in other regions with different crop cultures and different fungicide treatment schedules, in order to achieve a better understanding of the distribution of MDR strains, and the factors leading to their appearance and selection. 10.1371/journal.ppat.1000696.g009 Figure 9 Model for the appearance of MDR phenotypes in B. cinerea vineyard populations. Regularly alternating treatments with modern fungicides, in particular the anilinopyrimidines pyrimethanil and cyprodinil (since 1990), the phenylpyrrole fludioxonil (since 1995), and the hydroxyanilide fenhexamid (since 2000) are assumed to be responsible for the selection of MDR phenotypes in Champagne vineyards. Repeatedly occurring point mutations in the transcription factor gene mrr1 (blue rose symbol) lead to overexpression of the ABC transporter gene atrB (unlinked to mrr1) and thus to MDR1 phenotype. In contrast, a unique promoter rearrangement in the MFS transporter gene mfsM2 (red asterisk) is responsible for its overexpression and MDR2 phenotype. Strains with MDR3 phenotype, carrying both types of mutations and showing increased MDR, might have originated either by natural MDR1×MDR2 crosses or by secondary mrr1 mutations in MDR2 strains. MDR2 and MDR3 strains, and possibly also MDR1 strains, have migrated within and out of the Champagne, reaching at least the German Wine Road region, 250 km east of the Champagne. Further evidences for the migration are the delayed appearance of MDR2/3 strains in Germany, and the failure until now to detect them in France outside of the Champagne. Gene expression is indicated by arrows, bold arrows indicate overexpression, and the dotted arrows with the ‘+’ sign indicate transcription factor-mediated activation. A field experiment has clearly demonstrated selection of an artificially introduced MDR3 strain by a standard fungicide treatment. This confirms that the MDR3 phenotype confers selective advantage to B. cinerea in fungicide-treated vineyards, and that this advantage outweighs possible fitness defects. Furthermore, the MDR3 strain was recovered with high albeit varying frequencies after overwintering periods, in the absence of fungicide selection pressure. These data indicate that the general fitness of strains showing atrB and/or mfsM2 overexpression can be rather high in field environments, but this needs further studies. We are currently testing various fitness parameters in isogenic atrB, mrr1 and mfsM2 knock-out and overexpression strains in order to estimate the performance of these strains. Because the natural role of MDR-related efflux transporters seems to be the protection against various biotic toxic compounds [14],[26],[28], it is possible that the MDR strains have acquired properties that increase their fitness in natural environments even in the absence of fungicides. Our work is the first documented case of a massive appearance of MDR populations in a major plant pathogen in fungicide-treated agricultural environments. To what extent the effectiveness of fungicide treatments against MDR strains is reduced in comparison to sensitive strains needs to be investigated. Nevertheless, the possibilities of a further rise of MDR3 strains and of additional mutations leading to higher levels of broad-spectrum fungicide resistance are expected to be a major threat for chemical control of grey mould disease in the near future. Methods Isolation and cultivation of B. cinerea strains Strains were isolated from commercial vineyards in the Champagne and the German Wine Road (Palatinate). In the Champagne, samples were collected from vineyards located around Moulins, Hautvillers, Vandières and Courteron, Moulins being the northernmost (49°34′N/03°28′E) and Courteron the southernmost (48°01′N/04°26′E) town, 167 km apart from each other. Samples were collected from approximately 200 locations each year. Each sample represented a bulk population consisting of spores of at least 20 infected berries within the chosen plot. The spores from each bulk sample were spread onto agar media containing different fungicides, and analyzed for different phenotypes as described [25],[37]. In the German Palatinate, the same six vineyards were used for sampling each year. The plots are located along the German Wine Road, between Dackenheim (northernmost: 49°53′N/8°19′E) and Walsheim (southernmost: 49°23′N/8°13′E), 32 km apart from each other. Thirty isolates were obtained per vineyard from single infected berries, resulting in about 180 isolates per year. From each sample, HA (1% (w/v) malt extract, 0.4% (w/v) yeast extract, 0.4% (w/v) glucose, pH 5.5) cultures were grown, and terminal mycelial fragments cut off for subculture of isolates. Conidia were used for fungicide tests. A list of B. cinerea strains is shown in Table S5. Fungicide sensitivity tests Fludioxonil, cyprodinil (Syngenta-Agro, Maintal, Germany), fenhexamid, tebuconazole (Bayer Crop Sciences, Monheim, Germany), boscalid, iprodione (BASF, Ludwigshafen, Germany), were kindly provided by the companies, carbendazim, tolnaftate and cycloheximide were purchased from Sigma-Aldrich (St. Louis, USA). The drugs were dissolved in 100% ethanol or 100% DMSO (carbendazim), and added to the required concentrations to the assays. For dilution series, fungicide stock solutions were adjusted to keep the final solvent concentrations between 0.2 and 1.5% (v/v) for ethanol and between 0.3 and 1.0% (v/v) for DMSO. Control assays revealed no significant differences in growth of the strains at these concentrations relative to no-solvent controls (not shown). For each isolate tested, 2×105 conidia were pre-incubated for 1.5 hours in 1 ml malt extract broth (pH 5.5; Difco) before use. Effective inhibitory drug concentrations (EC50; mg/l) were determined with 1000 spores in 0.1 ml 96-microplate cultures, using threefold drug dilution series. Tests were performed in malt extract broth, except for cyprodinil (Gamborg B5 minimal medium supplemented with 10mM KH2PO4, 50mM glucose; pH 5.5), and boscalid [38]. After 48 h (boscalid: 96 h) incubation at 20°C, A600 was determined. The assays were repeated at least 3 times. Mean data, with standard deviations are presented. For calculation of EC50 values, the Origin6.0 software package (Origin Lab Cooperation, USA) was used. Accumulation of 14C-labeled fungicides Fungicide accumulation assays with 14C-labeled fludioxonil and bitertanol were performed with 14 h old germlings germinated as described previously [27]. Experiments were initiated by adding the labeled fungicide to final concentrations of 6 µM (10 Bq/nmol) fludioxonil, or 10 µM (10 Bq/nmol) bitertanol. The uncoupler CCCP was added at a final concentration of 10 µM. Three 5 ml samples each were taken 10 and 60 min after adding the fungicide. Heat inactivation of germlings for control experiments was performed for 10 min at 60°C. Experiments were done in triplicates and repeated at least three times. DNA and RNA manipulations and measurements DNA isolation and manipulation was performed according to established protocols. For transcript studies, B. cinerea conidia (2×106) were germinated for 15 h in polystyrene Petri dishes coated with apple wax (0.01 mg/cm2) using Gamborg B5 medium supplemented with 10 mM fructose and 10 mM KH2PO4 (pH 5.5). The germlings were incubated for further 30 min either without or with 1 mg/l fludioxonil. For RNA isolation, the wax with the embedded germlings was scraped from the surfaces with a tissue cell scraper (TPP AG, Trasadingen, Switzerland), centrifuged for 5 min at 4000 rpm at 4°C, washed with 20 ml of ice-cold water and centrifuged once more. The pellet was transferred into a mortar containing liquid nitrogen and sea sand for grinding. Total fungal RNA was isolated using the RNeasy Plant Mini Kit (Qiagen, Hilden, Germany), and reverse transcribed into cDNA with oligo(dT) primers (Verso cDNA Kit; Thermo Fisher Scientific, Surrey, United Kingdom). Northern hybridization and quantitative RT-PCR were performed according to standard protocols. Expression of the genes was calculated according to Pfaffel [39]. Transcript levels were normalised against the expression levels of housekeeping genes encoding elongation factor 1α (BC1G_09492.1) and actin (BC1G_08198.1), and shown as normalized fold-expression relative to expression levels of non-induced germlings from sensitive strains. Means of at least two biological replicates, with three strains of each phenotype, are shown. The following efflux transporter genes were analyzed: (Bc)atrB [16], (Bc)atrD [18], (Bc)atrA [40], (Bc)atrF (BC1G_01454.1), (Bc)atrK/BMR1 [16], BMR3 (BAC67160; BC1G_02799) [41], (Bc)mfsM2 (BofuT4_P024110.1). For identification of mutations in the mrr1 alleles of sensitive, MDR1 and MDR3 strains, mrr1 fragments were amplified from total DNA by PCR, using primers mrr1_TF1-1 and mrr1_TF1-4, and sequenced. For identification of the mfsM2 alleles in sensitive and MDR2/MDR3 strains, the mfsM2 upstream region was amplified from genomic DNA by primers mfsM2-pfor/mfsM2-prev, yielding a 1625 bp fragment with sensitive strains, and a 2273 bp fragment with MDR2 and MDR3 strains. For confirmation of their identity, the insertions of 6 MDR2 strains were sequenced. Generation of B. cinerea knock-out, overexpression and reporter fusion mutants For atrB mutagenesis, the construct described by Vermeulen et al. [16] was used. For mrr1 deletion, a genomic B. cinerea mrr1 fragment was amplified (primers mrr1-for1/mrr1-rev2), digested (ApaI/SacII) and cloned into pBSKS(+). Inverse PCR was performed (primers mrr1-rev1/mrr1-for2), the product digested (EcoRV/XmaI) and ligated with a hygromycin cassette [42]. After transformation into B. cinerea [43], mutants were identified with primers mrr1-for1/tubB-inv (yielding a 1304 bp product in k.o. mutants). For mfsM2 deletion, two mfsM2 flanking fragments were amplified (1: mfsM2-KO1/mfsM2-KO2; 2: mfsM2-KO3/mfsM2-KO4), digested (1: XbaI/EcoRI; 2: KpnI/XhoI), and successively cloned into pBSKS(+). The hygromycin cassette from pLOB1 (AJ439603) was inserted between the fragments via EcoRI and XhoI. The construct was amplified (primers mfsM2KO/mfsM2-KO4) and transformed into MDR2 strains D06.6-5 and D06.2-6. The ΔmfsM2 mutants were confirmed by PCR (primers mfsM2-KO1/oliC-Sma-Rev), yielding a 1605 bp product in k.o. mutants. To construct strains expressing an mrr1 allele conferring MDR1, mrr1V575M of strain D06.7-27 was amplified (primers mrr1-atg/mrr1-uaa), digested (XmaI/PvuII) and cloned into pBSKS(+) carrying a 5′-fragment of the hygromycin resistance gene driven by the oliC promoter [44]. Additional 1578 bp of the mrr1 upstream region were amplified (primers mrr1-pro1/mrr1-rev1), digested (BamHI/XmaI) and ligated next to mrr1V575M . The resulting plasmid was linearized (KpnI) and transformed into B. cinerea B05.Hyg-3 [44]. To generate mfsM2 overexpression strains (mfsM2ox ), mfsM2 was fused to the oliC promoter. The mfsM2 coding sequence was amplified (primers mfsM2-ATG-SmaI/mfsM2-TAG-EcoRI), digested (SmaI/EcoRI) and ligated into poliGUS-Hyg5, replacing uidA. poliGUS-Hyg5 was constructed by fusing an oliC promoter fragment from pLOB1 (primers KO-Hyg1-BamHI/oliC-Sma-Rev), an uidA coding sequence from p35S-GUS [45] (primers 35S-gus-for-Sma/35S-gus-rev-Eco), the B. cinerea niaD terminator (primers niaDTerm-for-Eco/niaDTerm-rev-Hind) and the 5′ part of a splitted hygromycin resistance cassette from pBS.Hyg-5 [44] (HindIII/XhoI) into pBSKS(+). The resulting plasmid was linearized (KpnI) and transformed into strain B05.Hyg-3, yielding B05.Hyg-3(mfsM2ox ). To construct mfsM2 promoter-reporter fusions, the oliC promoter fragment in poliGUS-Hyg5 was replaced either by a 1501 bp mfsM2 upstream fragment from strain B05.10, or by a 2149 bp fragment from MDR2 strain D08.2-12 including the 1326 bp retrotransposon-derived fragment and the remaining mfsM2 upstream region (primers mfsM2-pfor-Not/mfsM2-prev-Sma), before transformation into B05.Hyg-3. B. cinerea B05.Hyg-3 transformants were analyzed for correct genomic integration of the constructs by PCR. GUS staining of transformants was performed as described [46]. Field competitiveness of an MDR strain in a fungicide-treated vineyard MDR3 strain D06.7-33 and the sensitive (BenR) strain D06.5-25 were chosen for a mixed-inoculation experiment, performed twice in 2007 and 2008 in experimental vineyards at the German Wine Road (Neustadt an der Weinstrasse). In June (berry stage BBCH-77) the vineyards received a standard treatment with Teldor. In summer, immature grapes (stage BBCH-81) were inoculated, using hand spraying bottles, with a 1∶1 strain mixture (2×104 conidia/ml per strain) in water until runoff. The vineyards were randomly divided into three fungicide-treated and three untreated plots. The first inoculation was one day before, the second one day after standard treatment with Switch in the treated plots, and in the same way in non-treated plots. Before grape harvest at late September, 50 (2007) and 90 (2008) isolates per plot were recovered from moulded berries from the inoculated plots and from a non-inoculated, untreated control plot nearby. The introduced isolates were identified by fungicide tests, using HA plates containing 0.2 mg/l fludioxonil, 5 mg/l iprodione, or 5 mg/l carbendazim. In the control plot, MDR3 strains were never detected, while BenR strains were found with frequencies of 12% (2007) and 6% (2008). Their genetic identity was further confirmed by IGS-AFLP markers [31]. For analysis of the overwintered populations, B. cinerea isolates were recovered in the following spring from bark fragments of inoculated grapevines (2008: 137; 2009: 313 isolates), by incubation on a selection medium for B. cinerea [47], followed by fungicide tests. Statistics Experiments were performed at least three times, unless indicated otherwise. Statistical differences of data were checked by unpaired, two-tailed t tests, and labeled as follows: n.s.: not significant; * p<0.05; ** p<0.01; *** p<0.001. In the graphs, standard deviations are indicated. Accession numbers The DNA sequence reported in this paper has been deposited in GenBank, under accession number GQ292709 (RE-like gene fragment inserted in mfsM2). Further accession numbers: mfsM2: BofuT4_P024110.1; mrr1: BofuT4_P063510.1 (http://urgi.versailles.inra.fr/projects/Botrytis/). Supporting Information Figure S1 Similarity between the retroelement-like sequences in the mfsM2 promoter of B. cinerea MDR2 and MDR3 strains and in other fungal retrotransposons. Alignment of the translated retroelement-derived gene fragment in the mfsM2 promoter region of MDR2 and MDR3 strains with predicted reverse transcriptase-RNase H sequences from the REAL [32] (Alternaria alternata; acc. BAA24352; 551 amino acids) and Boty [33] (B. cinerea; acc. XP_001548698; 1618 amino acids) retrotransposons. Conserved reverse transcriptase (RT) and RNase H domains are marked. Dashes: No amino acids. (0.54 MB TIF) Click here for additional data file. Table S1 B. cinerea crosses. Crosses were performed for map-based cloning of the MDR1 regulator, mrr1 (multidrug resistance regulator 1), and mapping of mfsM2 (major facilitator superfamily transporter involved in MDR2) in MDR2 and MDR3 strains. Conformity of the observed segregation data with the involvement of single dominant genes for MDR1 (cross 1) and MDR2 (cross 2), and for two independently segregating, codominant genes for MDR1, MDR2 and MDR3 (crosses 3, 4) was analyzed by χ2 test, with χ2 values calculated for p = 0.05. #Consistent with segregation of two co-dominant genes. Cross 4 showed a deviation from the expected 1∶1∶1∶1 segregation. The reason for this is not clear. An explanation could be unequal survival of the progeny strains, because some of the strains analyzed showed very slow growth. (0.04 MB RTF) Click here for additional data file. Table S2 Molecular markers showing linkage of mrr1 with MDR1 phenotype. The markers were generated by searching for polymorphic microsatellites (MS) in the genomes of B. cinerea strains B05.10 (http://www.broad.mit.edu/) and T4 (http://urgi.versailles.inra.fr/gbrowse/cgi-bin/gbrowse/BOTRYTIS_T4). Length polymorphisms of the PCR-amplified marker fragments between the parent strains of crosses 1, 3 and 4 were detected by agarose gel electrophoresis. A total of 24 polymorphic MS markers were initially used for screening the F1 progeny strains derived from crosses 1, 3 and 4, revealing markers BC218 and BC274 as cosegregating with MDR1. Markers BC294-2 and BC63-17 were subsequently generated for fine-mapping of the MDR1 locus. Because mutations leading to overexpression of efflux transporter genes and MDR in Candida albicans have been located in transcription factor genes [13],[30], the transcription factor gene mrr1 which showed the closest linkage with MDR1 in the B. cinerea genome, was selected for further analysis. *Fragments obtained after digestion with SacI. (0.03 MB RTF) Click here for additional data file. Table S3 Molecular markers confirming linkage of mfsM2 to MDR2 and MDR3 phenotypes. Based on evidence that mfsM2 mutations are responsible for the appearance of MDR2 and MDR3 phenotypes, markers located close to mfsM2 were analyzed. The markers are polymorphic between the parent strains of the indicated crosses. * Fragments obtained after digestion with HindIII. (0.03 MB RTF) Click here for additional data file. Table S4 Sequence polymorphisms of mrr1 in B. cinerea strains with different MDR phenotypes. All nucleotide exchanges (top row) in the mrr1 coding region leading to amino acid changes (second row) and silent exchanges relative to the sequences of the sensitive reference strains B05.10 and T4 are shown. To the strain names, the phenotypes are added. Δ23A24P: 6 bp deletion in the mrr1 coding region, leading to deletion of two codons encoding Ala and Pro. Seven sensitive field strains from Palatinate vineyards had the same Mrr1 sequence as strains T4 and B05.10. Neither the Δ23A24P deletion in several but not all MDR1 strains, nor the conservative V227I exchange in MDR2 strain IXa14 are likely to alter the properties of Mrr1. (0.20 MB RTF) Click here for additional data file. Table S5 B. cinerea strains used in this study. BenR, ImiR: Strains resistant to benzimidazoles and the dicarboximide iprodione, respectively. If tested, the mrr1 and the mfsM2 alleles are indicated. HygR, PhleoR: Transformation-mediated resistance to hygromycin and phleomycin, respectively. 1Derived from a cross between strains 4.33.10b (MDR1, isolated in the Champagne in 1994) and SAS56. 2Derived from a cross between strains SAS405 and B.692 (MDR2, isolated in the Champagne in 1994) and strain SAS56. 3Site of isolation within the Champagne unknown. n.t.: not tested. Rearrangement of the mfsM2 promoter was tested either by sequencing (mfsM2 seq(+): rearranged; mfsM2 seq(−): not rearranged) or by PCR (mfsM2 pcr(+) or mfsM2 pcr(−)). (0.15 MB RTF) Click here for additional data file. Table S6 Oligonucleotide primers used in this study. Introduced restriction sites are underlined. (0.08 MB RTF) Click here for additional data file.
Multidrug resistance (MDR) is a serious complication during treatment of opportunistic fungal infections that frequently afflict immunocompromised individuals, such as transplant recipients and cancer patients undergoing cytotoxic chemotherapy. Improved knowledge of the molecular pathways controlling MDR in pathogenic fungi should facilitate the development of novel therapies to combat these intransigent infections. MDR is often caused by upregulation of drug efflux pumps by members of the fungal zinc-cluster transcription-factor family (for example Pdr1p orthologues). However, the molecular mechanisms are poorly understood. Here we show that Pdr1p family members in Saccharomyces cerevisiae and the human pathogen Candida glabrata directly bind to structurally diverse drugs and xenobiotics, resulting in stimulated expression of drug efflux pumps and induction of MDR. Notably, this is mechanistically similar to regulation of MDR in vertebrates by the PXR nuclear receptor, revealing an unexpected functional analogy of fungal and metazoan regulators of MDR. We have also uncovered a critical and specific role of the Gal11p/MED15 subunit of the Mediator co-activator and its activator-targeted KIX domain in antifungal/xenobiotic-dependent regulation of MDR. This detailed mechanistic understanding of a fungal nuclear receptor-like gene regulatory pathway provides novel therapeutic targets for the treatment of multidrug-resistant fungal infections.
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