Extracellular Fibrils of Pathogenic Yeast Cryptococcus gattii Are Important for Ecological Niche, Murine Virulence and Human Neutrophil Interactions

Abstract

Cryptococcus gattii, an emerging fungal pathogen of humans and animals, is found on a variety of trees in tropical and temperate regions. The ecological niche and virulence of this yeast remain poorly defined. We used Arabidopsis thaliana plants and plant-derived substrates to model C. gattii in its natural habitat. Yeast cells readily colonized scratch-wounded plant leaves and formed distinctive extracellular fibrils (40–100 nm diameter ×500–3000 nm length). Extracellular fibrils were observed on live plants and plant-derived substrates by scanning electron microscopy (SEM) and by high voltage- EM (HVEM). Only encapsulated yeast cells formed extracellular fibrils as a capsule-deficient C. gattii mutant completely lacked fibrils. Cells deficient in environmental sensing only formed disorganized extracellular fibrils as apparent from experiments with a C. gattii STE12α mutant. C. gattii cells with extracellular fibrils were more virulent in murine model of pulmonary and systemic cryptococcosis than cells lacking fibrils. C. gattii cells with extracellular fibrils were also significantly more resistant to killing by human polymorphonuclear neutrophils (PMN) in vitro even though these PMN produced elaborate neutrophil extracellular traps (NETs). These observations suggest that extracellular fibril formation could be a structural adaptation of C. gattii for cell-to-cell, cell-to-substrate and/or cell-to- phagocyte communications. Such ecological adaptation of C. gattii could play roles in enhanced virulence in mammalian hosts at least initially via inhibition of host PMN– mediated killing.

About the Authors:

Deborah J. Springer

Current address: Department of Molecular Genetics and Microbiology, Duke University Medical Center, Durham, North Carolina, United States of America

Affiliations Wadsworth Center, New York State Department of Health, Albany, New York, United States of America, Department of Biomedical Sciences, School of Public Health, University at Albany, Albany, New York, United States of America

Ping Ren

Affiliation: Wadsworth Center, New York State Department of Health, Albany, New York, United States of America

Ramesh Raina

Affiliation: Biology Department, Syracuse University, Syracuse, New York, United States of America

Yimin Dong

Affiliation: Wadsworth Center, New York State Department of Health, Albany, New York, United States of America

Melissa J. Behr

Current address: Wisconsin Veterinary Diagnostic Laboratory, Madison, Wisconsin, United States of America

Affiliation: Wadsworth Center, New York State Department of Health, Albany, New York, United States of America

Bruce F. McEwen

Affiliations Wadsworth Center, New York State Department of Health, Albany, New York, United States of America, Department of Biomedical Sciences, School of Public Health, University at Albany, Albany, New York, United States of America

Samuel S. Bowser

Affiliation: Wadsworth Center, New York State Department of Health, Albany, New York, United States of America

William A. Samsonoff

Affiliation: Wadsworth Center, New York State Department of Health, Albany, New York, United States of America

Sudha Chaturvedi

Affiliations Wadsworth Center, New York State Department of Health, Albany, New York, United States of America, Department of Biomedical Sciences, School of Public Health, University at Albany, Albany, New York, United States of America

Vishnu Chaturvedi

* E-mail: [email protected]

Affiliations Wadsworth Center, New York State Department of Health, Albany, New York, United States of America, Department of Biomedical Sciences, School of Public Health, University at Albany, Albany, New York, United States of America

Introduction

‘Primary’ pathogenic fungi that cause serious diseases in healthy humans occur in relatively specialized niches in nature. This trait differentiates them from ‘opportunistic’ fungal pathogens that afflict immunodeficient individuals, since ‘opportunistic’ pathogenic fungi are more widely distributed in soil and plant vegetable matter. During the last decade, more than 400 species of ‘opportunistic’ fungi have been recognized as pathogens for humans and animals [1]. The broad framework for understanding relationships between natural occurrence of the fungal pathogens and their human infectivity currently rests on the idea of ‘dual use’ factors. It suggests that human pathogenic fungi have attributes (‘virulence factors’) that allow them to survive in soil in competition with other life forms, to cycle through invertebrate hosts such as amoebae and to renew their ability to infect human cells [2], [3]. Not specifically addressed by this idea is whether growth on plants and vegetable matter plays a role in the virulence of pathogenic fungi. Such a scenario needs systematic investigation considering that many bacteria, especially enteric pathogens, acquire ecological fitness through growth on plants [4]. Indeed, the model plant Arabidopsis thaliana has proven to be a tractable host for the study of bacterial pathogenesis, especially in efforts to unravel virulence factors that are shared between plant pathogens and animal pathogens [5], [6].

C. gattii is an encapsulated yeast that causes pulmonary and cerebromeningeal cryptococcosis. C. gattii is an emerging pathogen that has triggered serious public health concerns due to (i) its appearance in previously unknown geographic areas, (ii) its outbreaks among healthy humans, pets, and wildlife, (iii) the intractable nature of cryptococcal disease, and (iv) the difficulty of diagnosis in clinical laboratories. Reliable estimates of cryptococcosis due to C. gattii are currently lacking, but one estimate suggests that one-third to one-tenth of cryptococcosis cases worldwide are caused by C. gattii [7]. Diagnostic laboratories routinely do not distinguish C. gattii from the closely related pathogen C. neoformans, since the reagents required are not readily available. Current information on C. gattii comes either from environmental surveys, which are patchy and far between or from retrospective evaluation of C. neoformans/C. gattii clinical isolates.

C. gattii is readily distinguished from closely related pathogen C. neoformans by occurrence on trees, rather than the pigeon droppings colonized by the latter. Other diagnostic characteristics of C. gattii include the presence of distinctive cigar-shaped yeast morphology in the host cerebrospinal fluid, agglutinating serotypes, creatinine assimilation and smooth, elongate, rod shaped basidiospores of the teleomorphic form Filobasidiella bacillispora [8]. Any of these characteristics could serve as the starting point for systematic studies into virulence of C. gattii, but other questions have arisen. Why do rural to semi-urban forested areas pose higher risks for C. gattii infection? How do trees figure in the infectious cycle? What is the nature of the infectious propagules, and how are they spread in the environment? Why are apparently healthy humans and animals so prone to infection by this pathogen?

To date, C. gattii has been associated with decayed hollows, in the trunks and/or branches of over 50 species of angiosperms and gymnosperms. The growing body of sampling data supports the idea that C. gattii is long established among the fungal flora of native trees in many parts of the world [7]. Some experimental studies also provide evidence for C. gattii–plant associations. Huerfano et al. [9] demonstrated that C. gattii can survive on and be recovered from experimentally infected stems of almond seedlings 100 days post-inoculation, demonstrative of this pathogen's ability to colonize and thrive on live plants. Previously, we reported that C. gattii will grow profusely on wood and wood extracts from a variety of trees [10]. This fungal growth was heavily melanized, which was significant as melanin is a known virulence factor. A mutation in transcription factor, Ste12α, caused impaired growth and loss of pigmentation on plant-based media, and a concomitant loss of virulence in a murine model of cryptococcosis. These experiments suggested a link between C. gattii ecological fitness and virulence. Xue et al. [11] reported that C. neoformans and C. gattii can colonize, cause leaf chlorosis, and produce basidiospores on young seedlings of A. thaliana and Eucalyptus camaldulensis in the laboratory; by extensions, fungal infectious propagules are to be produced on plants in nature [11]. Overall, preliminary work suggests that study of C. gattii–plant interactions could elucidate unknown facets of C. gattii biology and virulence.

We set out to develop an experimental system that captures native habitat and growth of wild-type C. gattii; use of enriched culture media to grow laboratory strains could mask the appearance of certain attributes, especially those that appear in nature early in the establishment of infection in the humans and animals. Further experiments focused on interactions between fungal cells and human phagocytes (PMN), to elucidate the factors that determine if the pathogen persists or is eliminated from the host.

Materials and Methods

Ethics Statement

Blood collection procedures from human volunteers complied with the New York State Department of Health Institutional Review Board (IRB) guidelines. Informed consent was obtained from the volunteers prior to the collection of specimens. All animal studies were conducted under full compliance with the guidelines of the Wadsworth Center's Institutional Animal Care and Use Committee (IACUC) in facilities accredited by the Association for Assessment and Accreditation of Laboratory Animal Care (AAALAC). The protocol approval numbers were 06-333 and 09-333. A daily animal welfare chart was maintained to monitor any overt signs of pain and illness and all animals were promptly euthanized according to recommended institution procedures.

Fungal Strains

C. gattii NIH444 (ATCC32609; serotype B, MATα), the wild-type strain isolated from cerebrospinal fluid (CSF), was a gift from Dr. K.J. Kwon-Chung (National Institutes of Health, Bethesda, MD). We have previously described this strain as optimum for C. gattii molecular pathogenesis studies [12]. C. gattii ste12αΔ, a mutant strain with targeted knockout of the transcription factor STE12α, was included as it exhibits reduced colonization of woody substrates, and reduced pathogenicity in mice as a result of defective environmental sensing [10]. We also included a capsular mutant of C. gattii (cap59Δ;), because the capsule of C. neoformans has critical roles in fungal biology and virulence [3], [13]. The C. gattii cap59Δ mutant was constructed by homologous recombination of the cap59::NAT disruption cassette based on sequences from C. neoformans CAP59 [14]. The PCR amplifications, biolistic transformation and confirmation of acapsular morphology was according to standard methods [10], [15], [16].

Growth Media

C. gattii cells were cultured in YPD broth at 30°C with shaking (180 rpm), and were maintained in YPD agar and preserved at −70°C in 15% sterile glycerol or in liquid N2. Un- treated black cherry (Prunus serotina) wood chips were obtained from Roger Dziengeleski, Finch, Pruyn & Co., Inc. (Glens Falls, NY). Leaf agar was prepared by mincing of 10 g of A. thaliana leaves into small pieces with scissors, and addition of 2% agar with 0.1% glucose followed by autoclaving for 15 min at 121°C [10].

Arabidopsis thaliana

A. thaliana ecotype Columbia (Col-0) and Landsberg erecta (Ler-0), and various mutant lines eds1 (enhanced disease susceptibility 1; lipase/signal transducer/triacylglycerol lipase), nahG (transgenic line degrading salicylic acid; SA), npr1 (nonexpressor of PR genes 1; pathogenesis-related 1), sid1 (SA-induction deficient), rpm1 (resistance to Pseudomonas syringae pv maculicola 1), were grown in a greenhouse at the Biology Department, Syracuse University, Syracuse, NY [17], [18], [19], [20]. Four- to six-week old plants were transferred to the Mycology Laboratory of the Wadsworth Center where they were maintained at 20–23°C with a 12 hr light/dark cycle under 50–70% humidity, in a modified incubator with HEPA filtration.

Plant inoculation, harvest and light microscopy

C. gattii cells were subcultured twice in YPD broth at 30°C with 180 rpm shaking and were then collected by centrifugation (3 min at 3,800 rpm), washed twice in deionized sterile water (DSW) and re-suspended to a final concentration of 1.0×106 cells/ml, by counting in a hemacytometer. A. thaliana plants from the growth chamber were placed in a sealed carrier case and moved to a BSL-2 safety cabinet. Four to six leaves on each A. thaliana plant were marked with a glass marker. Leaves were lightly wounded on the adaxial leaf surface with a 2–3 mm shallow scratch (without complete puncture) on either side of the mid-vein with a 27-gauge syringe needle [21], [22], [23]. Two 5-µl drops of 106 C. gattii cells/ml were placed at the wound site, and allowed to air dry (5–10 min). Plants were replaced in modified growth incubator maintained at 20–23°C, 12 hr light/dark cycle, and 50–70% humidity. Macro-photographic images of A. thaliana plants and leaves were obtained with a consumer digital camera.

Infected A. thaliana leaves were chosen at random and cut from the plant 7 days post-inoculation and homogenized with a tissue grinder in 1 ml of DSW, and the homogenate was serially diluted. 100-µL of each dilution was plated onto YPD agar and incubated for 3–5 days at 25°C, and colonies were counted for determination of fungal viability.

For light microscopy, leaves were cut from plants 7 or 14 days post-inoculation, fixed in 2% glutaraldehyde (EM grade) in phosphate-buffered saline (PBS) or in 0.2 M sodium cacodylate buffer, pH 7.4, alcohol dehydrated by graded series (25%, 50%, 75%, 95% 100%), and stored for further processing in 100% ethanol at 4°C [24]. Staining of whole leaves was accomplished by soaking of leaves in an aqueous solution of equal parts of Trypan blue (1 mg/ml), lactic acid, deionized water, and glycerol for 4-min [25]. Leaves were destained in chloral hydrate (2.5 g/ml), slide-mounted, and viewed and imaged with a table top scanner and light microscope.

Growth on plant-based and artificial substrates

A number of natural and artificial substrates were used to study growth characteristics of C. gattii. The natural substrates were intended to recapitulate growth of C. gattii on plants in nature, and for comparisons to growth on organic or synthetic substrates. Wild-type and C. gattii cap59Δ mutant strains were grown to mid-logarithmic phase in YPD broth. Cells were collected by centrifugation, washed two times in minimal asparagine medium, with 1% glucose, and re-suspended in the same medium to a final concentration of 1×106 cells/ml. Wild-type C. gattii cap59Δ mutant cells were treated with sodium azide (2 mM), followed by incubation at 65°C for 30 minutes to render them non-viable; these cells were used in experiments that compared effects of viable and non-viable cells. The plant-based and artificial substrates used were: autoclaved black cherry wood shavings (Finch, Pruyn & Co., Inc., Glens Falls, NY), consumer brown paper bag, Whatman #1 qualitative filter paper with 98% cellulose (Whatman Limited, Kent, England), Thermanox® plastic coverslips surface treated for optimal cell adhesion (Nalge Nunc International, Rochester, NY), and glass coverslip (Ted Pella, Inc., Redding, CA) and dialysis membrane. The substrate was placed at the bottom of 18-mm round wells of a 24-well flat-bottom polystyrene cell culture plate. One milliliter of 1×106 cells in minimal asparagine medium, was added to each well in one row of the 24 wells in duplicate. The culture plates were covered and incubated for 24- or 48-hr at 25°C. The cell suspension was removed, and wells were washed 3 times with 0.05% Tween-80 in Tris-buffered saline (TBS), to remove non-adherent cells. Substrates were fixed with 2% glutaraldehyde in 0.2 M sodium cacodylate buffer, pH 7.4 for 24 hr at 4°C, and dehydrated by exposure to a graded ethanol-water series, and stored in 100% ethanol in plates. Average numbers of attached cells were determined by counting cells in four SEM fields per sample.

Scanning electron microscopy (SEM)

A. thaliana leaves inoculated with C. gattii were harvested at indicated intervals, fixed in 2% glutaraldehyde (EM grade) in phosphate-buffered saline (PBS) or 0.2 M sodium cacodylate buffer, pH 7.4, alcohol-dehydrated by graded series (25%, 50%, 75%, 95%, 100%), and stored in 100% ethanol. The dehydrated specimens were critical point dried with liquid CO2 in a tousimis Samdri 795 drier (Rockville, MD, USA), gold-sputter-coated, observed and imaged with a LEO 1550 Variable Pressure field emission gun SEM (Carl Zeiss SMT, Peabody, MA), according to procedures followed in our laboratory [24]. A semi-quantitative estimate of C. gattii attachment to the natural or artificial substrates was obtained similarly to our quantification of mating in SEM images described previously [10]. Briefly, cells were counted both individually and in clusters. A cell cluster was defined as an aggregation of four or more C. gattii cells. Mean average counts were obtained from determining the number of C. gattii cells in at least four or more SEM images.

High voltage electron microscopy (HVEM)

A. thaliana leaves that have been scratch-wounded and inoculated with C. gattii cells were harvested and fixed in 2% glutaraldehyde (EM grade) in 0.2 M sodium cacodylate buffer, pH 7.4 overnight. Leaves were washed three times with 0.2 M sodium cacodylate buffer and stained with 1% osmium tetroxide (OsO4) in 0.1 M sodium cacodylate for 1-hr at 4°C, rinsed two times with DSW, and dehydrated through a graded ethanol series [26]. Samples were then embedded in Spurr low-viscosity embedding medium (Polysciences, Inc.; Warrington, PA, USA), which was allowed to polymerize at 70°C for 48-hr. Blocks with embedded A. thaliana leaves were cut and trimmed with a hot razor blade, and mounted on pre-formed TEM pegs. Sections were cut approximately 1 µm thick, on a microtome and were mounted on formvar-coated grids. Grid-mounted sections were then stained with 2% uranyl acetate for 60 min, followed by Reynold's lead stain for 20 min; they were then allowed to air dry, and were stored in an EM grid box. Sections were observed and imaged with the 1.2 MeV AEI EM7 MK II high voltage electron microscope (HVEM) at the Wadsworth Center.

Effects of inhibitors of cytoskeletal proteins

We wanted to examine the roles of actin, tubulins and other cytoskeletal proteins on C. gattii microtubes, since these proteins are important determinats of cell shape [27], [28]. C. gattii wild-type and cap59Δ mutant strain were grown in YPD broth, 30°C, 180 rpm for 12–16 hr and treated with thiabendazole, cytochalasin B, mebendazol, or latrunculin B (details in Suppl. information).

Murine model of cryptococcosis

Virulence of C. gattii was tested in a murine model of cryptococcosis that mimics either progressive pulmonary cryptococcosis (intranasal inoculation, IN) or rapid onset of cerebromeningeal cryptococcosis (intravenous inoculation, IV) as described previously [10], [29], [30]. C. gattii cells were grown with two successive passages on YPD agar and A. thaliana leaf-agar at 25°C for 4 days. Four- to six-week old male BALB/c mice were obtained from Charles River Laboratories, Inc. Groups of 8 BALB/c mice were inoculated either via IN or IV route with 30 µl or 100 µl DSW containing 105 cells or 104 cells, respectively. Mice were given food and water ad libitum, and were observed daily according to a welfare score sheet that addresses appearance of disease symptoms, general malaise, and any apparent pain and discomfort in the infected animals. After signs of progressive poor health or discomfort were noted, the infected animals were euthanized by CO2 inhalation followed by cervical dislocation. Data from five infected mice (IN or IV) were used to determine Kaplan-Meyer survival curve using SAS software (SAS Institute, Inc.; Cary, N.C). An assessment of colonization and multiplication within lungs and brain of infected mice was obtained by using three mice from each group, which were euthanized at day 7 (IV) or day 14 (IN) post infection. None of the animals displayed any signs of overt illness at these two time periods. One-half of lung or brain harvested from infected animals was preserved for histopathological analyses, in Bouin's fixative (brain section) or buffered formalin (lungs). The other halves of target organs were used to calculate relative fungal loads. Tissues were weighed and homogenized in 1 ml DSW, serial dilutions were plated on YPD agar, and incubated at 30°C for determination of CFU. Histopathological examinations were done as described previously [10]. Briefly, after 24 hr of fixation, tissues were sectioned, and brain sections were washed in distilled water for several hours. Processing was done in a vacuum infiltration processor, the Tissue-Tek VIP 5 (Sakura Finetech), starting with 70% ethanol and proceeding through a series of dehydrating alcohols and xylenes into paraffin, for 15 min per station. Tissues were then embedded in paraffin blocks and sectioned at a 7-µm (brain tissues) and 3–4 µm (lung tissues) thickness. Sections were stained with hematoxylin & eosin and mucicarmine (Richard Allen Scientific) and examined by light microscopy.

C. gattii–PMN interactions

We have previously shown that in vitro interactions between human PMN and C. gattii can be used for a complimentary evaluation of virulence outcome in mouse models, and to assess the likely outcome of initial interactions between C. gattii and phagocyte cells [10], [29], [31]. We compared C. gattii cells grown on leaf agar to C. gattii cells grown on YPD agar; a clinical isolate of Candida glabrata was used as control as was C. gattii cap59Δ mutant. Blood was obtained from human volunteers per protocol approved by the New York State Department of Health Institutional Review Board. PMN were isolated by Ficol-Paque (Pharmacia LKB Biotechnology) centrifugation [10], [29], [30]. PMN were washed twice and resuspended in RPMI-1640. PMN and yeast cells were incubated at a 10∶1 ratio for 4 hr at 37°C under 5% CO2, followed by plating on YPD agar for CFU determination [31]. Percent fungicidal activity was calculated as: 1-(CFU experiment ÷ CFU controls) ×100. Results were expressed as means±standard error (SE) from the values from at least four individual blood donors [10], [29]. SEM analysis of C. gattii-PMN interactions were carried using Thermanox® plastic cover slips in 24-well flat-bottom tissue culture plates. PMNs and yeast cells were mixed at a 1∶10 ratio, added to each well, and incubated for 4 hr at 37°C under 5% CO2. Following incubation, cells were fixed with 2% glutaraldehyde and processed as described earlier.

Results

C. gattii proliferates on A. thaliana leaves

Gross examination of A. thaliana ecotype Col-0 leaves inoculated with C. gattii wild-type strain showed noticeable chlorotic lesions around the initial wound site. Leaves inoculated with C. gattii cap59Δ mutant strain had smaller chlorotic lesions (Figs. 1D, 1G). However, neither of two C. gattii strains caused systemic plant disease in contrast to what has been reported for a number of plant pathogenic fungi grown on A. thaliana plants [32], [33]. Microscopic examinations of trypan blue-stained leaves for the presence of yeast cells showed C. gattii colonization along wound sites, as well as punctuated colonization across the leaf, even distant from the initial inoculum site and wound (Fig. 1E,1F). In contrast, A. thaliana leaves inoculated with C. gattii cap59Δ mutant had much lower number of yeast cells that were confined to the initial inoculation sites (Figs. 1H and 1I). Control leaves with mock-inoculation did not display any specific staining (Fig. 1B–1C). Yeast cells were stained most heavily at the wound edges in the leaves consistent with observed chlorotic regions (Fig. 1E). Overall, there was ample evidence for C. gattii wild-type strain colonization and dispersal from the wound sites on A. thaliana Col-0 ecotype leaves. Preliminary examination of another ecotype A. thaliana Ler-0 indicated almost two-times more colonization visually as seen on Col-0 ecotype (Fig. S1). Additionally, a number of mutant plant lines derived from A. thaliana Col-0 ecotype and deficient in plant defense against fungal pathogens, showed higher colonization of inoculated leaves by C. gattii wild-type strain (eds1>nahG>sid2>npr1>rpm1; Fig. S2).

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Figure 1. C. gattii colonized experimentally inoculated A. thaliana leaves.

A. thaliana leaves on live plants were inoculated with sterile deionized water control (A), C. gattii wild type cells (D), or C. gattii cap59Δ mutant (G). Gross examination of the control leaves with mock inoculations showed no scars while large chlorotic lesions were seen in leaves inoculated with C. gattii wild type cells; much smaller lesions were visible in leaves inoculated with C. gattii mutant cells. Further examination of inoculated leaves after fixation and staining showed no significant fungal colonization around inoculation sites in the mock- inoculated and cap59Δ mutant-inoculated leaves (B, H), but leaves inoculated with C. gattii wild-type cells showed fungal cells around inoculation sites (E). Microscopic examinations of leaves revealed numerous C. gattii wild-type cells at the inoculation site and also cells that had dispersed away from the original inoculation (F); in contrast, cap59Δ mutant cells were localized at few spots around the inoculation site (I) (100× magnification). Panels A, B and C are from different leaves to illustrate salient features of these observations.

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C. gattii extracellular fibrils on plant leaves

Further examinations by SEM revealed that C. gattii profusely colonized wounded A. thaliana leaves, with the highest numbers of yeast cells present at the wound sites, but significant numbers of cells seen away from the wounds, a pattern consistent with the light microscopic observations (Fig. 2A, B). Although C. gattii cells on leaves were intact, and showed buds of various sizes, we could not tell whether colonization away from wound sites resulted by active spread or by contact with other inoculated leaves or possibly by deposits of yeast aerosols in the custom growth chamber. C. gattii colonization demonstrated a number of unique features that have not been reported in literature: a) extracellular fibrils of variable lengths on the cells (Fig. 2C, D); b) extensive inter-connected individual yeast cells via extracellular fibrils (Fig. 2B, C), and c) formation of pockets or holes on leaf surfaces around C. gattii cells (Fig. 2E, F). The dimensions of the fibrils were measured from SEM images: 40–100 nm length ×500–3000 nm diameter. Further experiments revealed that the incorporation of leaves and other plant based substrate in sterile agar also induced the production of extracellular fibrils similar to those seen on intact leaves (Fig. S3).

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Figure 2. C. gattii formed extracellular fibrils on A. thaliana leaves.

SEM images of infected leaves showed that C. gattii colonized wound site and crevices along leaf surfaces (A, B), extracellular fibrils were visible projecting from C. gattii cells, connecting yeast cells to each other and to the leaf surface (C, D). Note a yeast cell at higher magnification with prominent extracellular fibrils extending to other yeast cells and to the leaf tissue (D). Higher magnification of C. gattii- inoculated leaf surface revealed formation of ‘leaf halo; and ‘pocket’ in A. thaliana in some instances (E, F). Scale bar equals 100 µm (A), 5.0 µm (B, C), and 1.0 µm (D, E, F).

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Further examination of C. gattii extracellular fibrils was carried out in HVEM using thick-section microscopy of inoculated leaves (Fig. 3). The sections revealed that extracellular fibrils extended uniformly from cell surfaces in association with leaf tissue (Fig. 3A, D). Both mature and budding cells were covered with fibrils while young buds displayed relatively less projections.

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Figure 3. C. gattii extracellular fibril organization visualized by high-voltage EM.

HVEM examination of infected leaves showed extracellular fibrils covering C. gattii cells in close proximity to the leaf tissues (A–D). Both mature and budding C. gattii cells produced extracellular fibrils although young buds displayed relatively less projections. The fibrils were uniformly distributed along the entire cell surface.

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C. gattii mutants have vestigial or no fibrils

Although C. gattii cap59Δ mutant showed attachment to the inoculation sites, no extracellular fibrils were seen on these mutant cells (Fig. 4A–E). The growth of C. gattii cap59Δ mutant was restricted, and cells appeared in clumps (Fig. 4A, B). The data were consistent with the mutant's reduced production of chlorotic lesions and colonization on A. thaliana leaves, as described in the previous section. Other features seen on A. thaliana inoculated with C. gattii wild-type cells such as pockets and holes in the leaf surfaces were not observed in leaves inoculated with C. gattii cap59Δ mutant. The sparse appearance of a digestion-like halo surrounding a few C. gattii cap59Δ mutant cells suggested either absence of these structures or their rare occurrence (Fig. 4D).

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Figure 4. C. gattii mutants were defective in extracellular fibril formation.

C. gattii cap59Δ mutant cells appeared restricted to the initial wound site (A), and no projections were visible on these cells and they appeared clumped together on leaf surface (B, C). Remarkably, pockets and holes in the leaf surfaces were not as prominent in leaves (D). Higher magnification of C. gattii cap59Δ mutant cell confirmed the absence of extracellular fibrils (E). C. gattii ste12αΔ mutant produced extracellular fibril-like structures, but these were greatly disorganized and did not resemble well-formed features seen in wild-type cells (F, G). Scale bar equal 10 µm (A), 2.0 µm (B, C, D), and 1.0 µm (E, F, G).

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We also tested C. gattii ste12αΔ mutant, to see whether defect in environmental signaling has any role in fungus –plant interactions. As seen in SEM micrographs, the inoculated C. gattii ste12αΔ mutant colonized A. thaliana leaves and displayed extracellular fibrils (Fig. 4F, G). However, these fibrils were not as well-formed as those seen in C. gattii wild-type strain, and colonized leaves did not show pockets or holes.

C. gattii cells exposed to cytoskeletal protein-inhibitors namely, thiabendazole, cytochalasin B, mebendazol or latrunculin B demonstrated variable disorganization of extracellular fibrils on live A. thaliana leaves (Fig. S4).

C. gattii extracellular fibrils can be induced in vitro

C. gattii cells were further tested to determine whether extracellular fibrils formation was an exclusive response to a live plant host or these features could also be induced on other substrates. Extracellular fibrils were observed to form on variety of substrates such as cherry wood chips, brown-paper-bag, Thermanox® plastic coverslips, cellulose filter paper, and glass coverslips (Fig. 5A–F). Extracellular fibrils were more numerous and better formed on plant-based substrates than on synthetic substrates and less frequent on artificial substrates. The rates and pattern of colonization of the different substrates between 24–48 hours was as follows: cherry wood chip>brown paper bag>dialysis tubing>filter paper = Thermanox® coverslip>glass coverslip (Fig. 5, histogram). Cytoskeletal protein-inhibitors thiabendazole, cytochalasin B, mebendazol or latrunculin B caused disorganization of extracellular fibrils formation in C. gattii cells grown in in vitro assay (Fig. S5).

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Figure 5. C. gattii extracellular fibril formation on plant-based and synthetic substrates.

C. gattii extracellular fibrils were observed on variety of substrates. SEM images of one representative cell on each substrate is shown after 48 hrs observation period: (A) wood chip from black cherry, (B) paper bag, (C) dialysis membrane, (D) filter paper, (E) Thermanox® coverslip and (F) glass coverslip; scale bar, 1.0 µm. The extent of extracellular fibrils formation on these substrates was determined indirectly by a semi-quantitative attachment assay (details in the methods section). The histogram illustrates that extracellular fibrils were more numerous and well-formed on plant-based substrates and less frequent on artificial substrates (cherry wood chip>brown paper bag>dialysis membrane>filter paper = Thermanox® coverslip>glass coverslip).

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C. gattii cells with extracellular fibrils are hypervirulent

Kaplan-Meyer survival curves revealed that mice infected IV with C. gattii cells grown on leaf agar had significantly lower survival (p<0.001) than did mice infected with C. gattii cells grown on traditional YPD agar (Fig. 6). For IN route of infection, the difference in virulence of C. gattii cells grown on leaf agar and cells grown on YPD agar was even more significant (p<0.0001).

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Figure 6. C. gattii cells with extracellular fibrils were hypervirulent in murine models of cryptococcosis.

C. gattii cells grown on YPD agar or leaf agar were used as inoculum in mice models that mimic acute (IV inoculation) or chronic (IN) cryptococcosis and the results were used to plot Kaplan-Meyer survival curves. The survival curves revealed that mice infected with C. gattii cells from leaf agar had significantly lower survival (p<0.001) than did mice infected with C. gattii cells grown on YPD agar. This hypervirulence trait was even more pronounced when cells grown on leaf agar were used for IN infection (p<0.0001).

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Lungs and brains of mice infected with C. gattii cells grown on leaf agar had higher total fungal counts than lungs and brains of mice infected with C. gattii cells grown on YPD agar (Fig. S6). This raised the possibility that fungal cells with extracellular fibrils proliferated more rapidly in the infected tissues. Post-mortem examination of mice IN-infected with C. gattii cells from leaf agar revealed extensive tissue damage in form of enlarged, mottled lung tissue consistent with extensive pneumonia, while lung and brains of mice infected with YPD grown C. gattii cells appeared less damaged (Fig. 7). Notably, more PMNs infiltrated the lungs of mice infected with C. gattii cells grown on YPD agar (Fig. 7B) than was observed for PMN infiltration in lungs of mice infected with C. gattii cells grown on leaf agar (Fig. 7D). C. gattii cells from leaf agar were also numerous in extracellular spaces without the presence of any neutrophils. This raised a possibility that lack of or inhibition of PMN infiltration was related to more tissue damage in mice infected with C. gattii cells grown on leaf agar. A comparison of brain sections of IV-infected animals revealed larger numbers and more prominent brain lesions in mice infected with C. gattii cells with extracellular fibrils; these lesions also contained relatively more yeast cells than did lesions seen in mice infected with C. gattii cells grown on YPD agar (details not shown). This observation was also consistent with more proliferation of C. gattii cells with extracellular fibrils. Unfortunately, it was not practicable to examine these infected tissues by electron microscopy. Therefore, we are unable to provide any evidence of the presence or absence of the C. gattii extracellular fibrils in the infected murine tissues.

[Figure omitted. See PDF.]

Figure 7. C. gattii cells with extracellular fibrils elicited less robust tissue responses.

The histopathological results are from the post-mortem examination of lungs of mice infected IN with C. gattii cells were taken either from YPD agar (A, B) or leaf agar (C, D). (A) a focus of fungal replication is bordered by intense mixed neutrophil and pulmonary macrophage inflammatory response in alveoli and perivascular connective tissues, Mucicarmine, 100X; (B) Higher magnification showing intense neutrophilic inflammation borders mucicarmine positive C. gattii cells, Mucicarmine, 400X; (C) Severe diffuse lung invasion by C. gattii from leaf agar in the mouse model of intranasal inoculation. All alveoli are either colonized by the fungus or otherwise compromised by a predominantly suppurative inflammatory response. Mucicarmine, 100X; and (D) Higher magnification of showing numerous mucicarmine positive C. gattii cells fill alveoli; there is a weaker neutrophilic response than see in (B). Notably, there are many extracellular organisms with no inflammation, the hallmark of cryptococcosis caused by hypervirulent C. gattii strains.

https://doi.org/10.1371/journal.pone.0010978.g007

C. gattii with extracellular fibrils are more resistant to PMN killing

C. gattii cells grown on leaf agar were significantly more resistant to in vitro killing by human PMN than were C. gattii cells grown on YPD agar (Fig. 8; p<0.05). Controls cells in this assay including Candida glabrata and C. gattii cap59Δ mutant were highly susceptibility to PMN killings as expected. PMN assay results were consistent with earlier findings in this study from mouse survival experiments, and these findings raised the possibility that at least one mechanism behind the increased virulence of C. gattii cells with extracellular fibrils is their greater ability to escape from PMN-mediated host defenses.

[Figure omitted. See PDF.]

Figure 8. C. gattii with extracellular fibrils were more resistant to human PMN killing.

C. gattii cells grown on leaf agar showed reduced susceptibility to in vitro killing by human PMN in phagocyte interaction assay. The data showed that only 24% of initial 103 yeast cells used in the inoculum were susceptible to PMN-induced killing. In contrast, higher PMN fungicidal activity was seen with C. gattii cells grown on YPD agar (41% killing). The two control used in these experiments showed expected high susceptibility to PMN-mediated fungicidal activity: C. gattii cap59Δmutant (64% killing), and Candida glabrata (65% killing). Results are mean±SE of at least four independent experiments.

https://doi.org/10.1371/journal.pone.0010978.g008

By SEM, we further examined roles of C. gattii extracellular fibrils in PMN interactions. Neutrophils extracellular traps (NETs) were prominent against control organism Candida glabrata. NETs from one neutrophil entrapped many Candida glabrata cells (Fig. 9A). This observation was similar to an earlier report on involvement of NETs in PMN- Candida albicans interactions [34]. C. gattii cap59Δ mutant–neutrophils interactions showed many yeast cells trapped by single neutrophils with NETs (Fig. 9C, D). C. gattii cells grown in standard YPD broth did not form fibrils, and multiple yeast-cells were seen in interactions with one activated neutrophil (Fig. 9E–G). Interaction of C. gattii cells grown on YPD agar showed 1–5 yeast cells with an activated neutrophil (Fig. 9H, I). The PMN in these interactions had rudimentary NETs while C. gattii cells from YPD agar formed a few extracellular fibrils. Leaf agar grown C. gattii cells made extensive extracellular fibrils; these fibrils made yeast cell- yeast cell connections and also connections to many activated PMN (Fig. 9J, K). Notably, C. gattii extracellular fibrils appeared to lie atop or extend over PMN.

[Figure omitted. See PDF.]

Figure 9. C. gattii fibrils interfered with entrapment by neutrophil extra-cellular traps (NETs).

SEM analysis revealed that activated PMN made profuse NETs against control organism Candida glabrata (A, scale bar 10 µm; B, scale bar 5 µm). Rudimentary to no NETs were visible against C. gattii cap59Δ mutant cells (C, scale bar 10 µm; D, 5 µm). C. gattii cells grown either in YPD broth (E, F) or on YPD agar (G, H) had no or rudimentary fibrils, and group of 1–5 yeasts were seen around an activated neutrophil, which produced only rudimentary NETs. C. gattii grown on leaf agar made extensive fibrils, which extended between yeast cells, and yeast cells and multiple activated PMN (I and K scale bar 10 µm; J, scale bar 5 µm). Symbols: (*) fungal cells, (+ or N) PMN.

https://doi.org/10.1371/journal.pone.0010978.g009

Discussion

The present study revealed several unreported aspects of C. gattii that have implications for its ecology and virulence. C. gattii readily colonized scratch-wounded A. thaliana leaves on live plants forming organized layers of fungal cells with unique extracellular fibrils emanating from and between them. Extracellular fibrils were also formed when C. gattii cells were grown on plant-based substrates, and on materials promoting cell adhesion. Formation of C. gattii extracellular fibrils was associated with hypervirulence in mice infected via IN route, and with an increased resistance to killing by human PMN in vitro. Paradoxically, human PMN NETs were observed in the presence of extracellular fibrils–bearing C. gattii cells, but the fibrils apparently conferred enhanced fungal resistance to PMN killing. These observations suggest that C. gattii extracellular fibrils formation could be a structural adaptation for cell-to-cell, cell-to-substrate and cell-to- host communication. Pathogenic fungi might possess features enabling them to adapt to their ecological niche; such features could also serve to enhance fungal virulence in the mammalian hosts at least initially via inhibition of host PMN- mediated killing.

Discernment and characterization of extracellular fibrils in C. gattii prompted us to search for precedents for such structures, in the literature. Bacteria, of course, have pili and flagella for locomotion and virulence [35]. Other extra-cellular extensions have been extensively recorded from both prokaryotic and eukaryotic cells. In eubacteria, they are variously termed adhesion threads, extracellular appendages, fibrils, and filaments [36], [37], [38], [39] while in mammalian cells they include blebs, filopodia, lamellipodia, podosomes, and nanotubes [40], [41], [42], [43], [44]. Cryptococcus gattii extracellular fibrils did not fully share features such as their induction and size with previously recorded descriptions. Among fungi, we first focused on a remarkable study by Varon and Choder [45] who described ‘intercellular connecting fibrils found in starved Saccharomyces cerevisiae colonies’. Saccharomyces cerevisiae fibrils showed some resemblance to C. gattii extracellular fibrils; single fibrils were seen between adjacent cells and they measured 180±50 nm in diameter, while C. gattii extracellular fibrils were far numerous, and had diameters of 40–100 nm and 500–3000 nm length. A closer similarity to the extracellular fibrils was suggested by work of Kock and colleagues on oxylipins or oxygenated fatty acids of closely related pathogen C. neoformans. Oxylipins are secreted from cells via tubular protuberances emanating from the capsule [46], [47], [48]. Although the protuberances described by this research group appear to be sparse, not as well-formed or preserved, the size measurements in one transmission electron micrograph is in close approximation of the sizes of C. gattii fibrils seen in our study [46]. Further studies are needed to confirm the extent and nature of extracellular fibrils in C. neoformans.

Cryptococcus capsule architecture is currently the topic of intensive study. That the capsule includes apical extensions or distal re-arrangements has been investigated by Casadevall and colleagues, who employed a number of sophisticated methods to demonstrate a loosely organized fibrous material spatially continuous with the capsular polysaccharide of C. neoformans [49], [50], [51], [52]. Therefore, we constructed a capsule-deficient strain of C. gattii, using a homolog of the C. neoformans CAP59 gene, for directed disruption, because this gene was originally identified as critical for capsule synthesis [14]. C. gattii cap59Δ mutant strain lacked extracellular fibrils and did not colonize A. thaliana leaves, or attached to Thermanox® coverslips as efficiently as the wild-type strain. These observations suggested that formation and organization of extracellular fibrils are linked to the intact polysaccharide capsule either directly or indirectly, perhaps via a capsular role in extracellular transport, as has been studied in C. neoformans [53]. A series of studies reported by Doering and colleagues demonstrated that intact cell wall α -1–3- glucan is important for the formation of capsule and fibers in C. neoformans [54], [55]. Preliminary experiments in our laboratory indicated that formation of extracellular fibrils needed other cellular components. For example, fixation of C. gattii cells in paraformaldehyde, but not in glutaraldehyde, caused disruption of capsules and intact extracellular fibrils. Because protein cross-linking is less efficient in paraformaldehyde than in glutaraldehyde, we further investigated this observation by using cytoskeleton protein inhibitors. Varying degrees of extracellular fibril disorganization resulted from these treatments, similarly to what has been reported for a number of eukaryotic appendages and fibrils formed by actin polymerization and tubulin repolymerization [41], [56]. Interestingly, extracellular fibril formation was abnormal in C. gattii ste12αΔ mutant strain; STE12 is a fungus specific transcription factor with direct roles in sexual development and environmental sensing [10]. We interpreted these observations to indicate that appropriate environmental clues are critical, if C. gattii cells are to commit to developmental pathway (s) leading to extracellular fibrils formation.

We preferred our A. thaliana scratch wound model over other inoculation methods, because it is more consistent with natural wounding of plant tissues as a result of herbivory, insect attack, animal damage or abiotic damaging events [57]. Extensive experimental evidence for environmental specialization is available for C. neoformans. For example, in landmark studies, Staib and colleagues established that pigeon dropping could provide adequate nutrition for C. neoformans asexual and sexual growth, notable because these droppings are a relatively nutrient-poor source for microbial growth [58]. More recently, it was shown that C. neoformans undergoes filamentation and sexual mating on pigeon manure agar [59]. Our present studies raise the possibility for ecological specialization in C. gattii. Extracellular fibrils formation could be an adaptation for colonization on plant leaves, which offer an inhospitable surface for microbial colonization due to limited nutrients, extreme exposure to temperature changes, dehydration and radiation, and unique inter-specific competition [4], [60]. The inference for leaf colonization is supported by the fact that leaf colonization is a wide-spread trait in basidiomycetous yeasts especially many Cryptococcus species from the Tremellales lineage that includes C. gattii [61].

C. gattii infections are most likely acquired from host exposure to environments where the fungus grows on or in association with leaves and trees especially tree hollows [62]. We sought to model this situation in the laboratory, by growing C. gattii on plant substrates, and then examining its virulence in a murine model of cryptococcosis. We utilized growth on A. thaliana leaf agar, which induced C. gattii to produce extracellular fibrils. Mice infected using C. gattii cells with extracellular fibrils had higher rates of lung and brain colonization by the fungus and significantly lower survival. Histopathological examination of diseased tissues also showed extensive fungal proliferation and destruction of pulmonary tissue in infected mice; the host response appeared rather limited, in terms of PMN infiltration. The ease with which we were able to produce a hypervirulent variant of the parent C. gattii strain, most notably for IN infection, by simply changing the growth substrate, underscored the crucial effect that natural habitat could exert as a modulator of innate virulence of a pathogen. Alternately, C. gattii grown on YPD agar did not express all putative virulence factors. Further experiments are warranted to clarify the roles that growth substrates exert on the virulence of C. gattii.

To examine cause-effect relationship between extracellular fibrils formation and hypervirulence by a complementary approach, we utilized in vitro fungus–PMN assay since this assay is rapid and results correlate well with virulence properties seen in animal model [31], [63]. A significant reduction in PMN -mediated killing of C. gattii cells grown on plant-based substrates showed expected correlation with the increased virulence seen in mice. Thus, two independent experimental approaches indicated that C. gattii with extracellular fibrils display hypervirulence trait. An insight into possible mechanism was achieved when fungus–neutrophils preparations were examined by SEM. We discovered extensive NETs in the presence of C. gattii cells with extracellular fibrils. This observation was significant given that NETs have not been described previously in any interactions with either C. neoformans or C. gattii. More surprisingly, the extent of NET formation did not correlate with fungal killing: more traps were seen in preparations with extracellular fibrils-bearing C. gattii cells that were less susceptible to neutrophils killing. This observation was surprising in view of previous publications on the pathogenic yeast Candida albicans, and several bacterial pathogens; NETs were found to be efficient weapons in PMN-mediated microbial killing [34], [64], [65]. Our experiments suggest that C. gattii extracellular fibrils associated virulence is the result of either inhibition of, or escape from, PMN-mediated killing [66]. Equally importantly, we have provided evidence that profuse NET formation does not always suffice to eliminate C. gattii. Our findings on neutrophils impairment are significant in view of early landmark studies by Murphy and colleagues [67], who reported an important distinction between C. gattii and C. neoformans; the former, but not the latter, could inhibit PMN chemotaxis and chemokinesis. Our studies also support a role for the microbial capsule in inhibition of NET-mediated killing, as shown earlier for bacteria; encapsulated Streptococcus pneumoniae can escape from the microbicidal action of NETs and from confinement in the lungs, and then cause systemic disease [68].

Additional studies are needed to expand our understanding of C. gattii–plant interactions, and relevance of such interactions to fungal virulence. For example, we know little about the nature of the host plant responses to the presence of the fungus; are plant defense mechanisms critical in permitting colonization? It would also be important to examine C. gattii mutant strains deficient in actin, tubulin and extra-cellular transport for characterization of extracellular fibrils formation. Immune effector cells other than neutrophils are also likely critical in allowing eventual survival and dissemination of C. gattii cells from lungs; do C. gattii extracellular fibrils interact with these cell types? In summary, we believe that examination of pathogenic fungi in conditions that simulate their specialized niches would be a fruitful approach to discern what distinguishes these pathogens from myriad of non-pathogenic fungi from similar environment. Increased knowledge of factors that modulate fungal virulence traits will eventually allow better design of antifungal drugs and vaccines.

Supporting Information

[Figure omitted. See PDF.]

Figure S1.

C. gattii colonized A. thaliana mutant plant leaves. A. thaliana ecotype Columbia (Col-0) and various mutant ecotypes such as eds1 (enhanced disease susceptibility 1; lipase/signal transducer/triacylglycerol lipase), nahG (transgenic line degrading salicylic acid; SA), npr1 (nonexpressor of PR genes 1; pathogenesis-related 1), sid2 (SA-induction deficient), rpm1 (resistance to Pseudomonas syringae pv maculicola 1), and pad4 (phytoalexin deficient 4) were grown in a greenhouse at the Biology Department, Syracuse University, Syracuse, NY (1–3, 5). Four-to six-week old plants were transferred to the Mycology Laboratory of the Wadsworth Center where they were maintained at 20–23°C with a 12 hr light/dark cycle under 50–70% humidity, in a modified incubator with HEPA filtration. C. gattii cells were subcultured twice in YPD broth at 30°C with 180 rpm shaking and were then collected by centrifugation, washed twice in deionized sterile water (DSW) and re-suspended to a concentration of 1.0×106 cells/mL. Four to six leaves on each A. thaliana plant were lightly wounded on the adaxial surface on either side of the mid-vein with a 27-gauge syringe needle (4, 6, 7). Two 5-µl drops of 106 C. gattii cells/mL were placed at the wound site, and allowed to air dry (5–10 min). Plants were replaced in modified growth incubator maintained at 20–23°C, 12 hr light/dark cycle, and 50–70% humidity. After 7 days, inoculated plants were transferred to a BSL 2 cabinet, leaves excised and photographed with a digital camera. Whole plants and close up of inoculated leaves showed varying levels of scars. (References [1.Cao, H., S. A. Bowling, A. S. Gordon, and X. Dong. 1994. Characterization of an Arabidopsis mutant that is nonresponsive to inducers of systemic acquired resistance. Plant Cell 6:1583–1592]; [2.Delaney, T. P., S. Uknes, B. Vernooij, L. Friedrich, K. Weymann, D. Negrotto, T. Gaffney, M. Gut-Rella, H. Kessmann, E. Ward, and J. Ryals. 1994. A central role of salicylic acid in plant disease resistance. Science 266:1247–1250]; [3.Falk, A., B. J. Feys, L. N. Frost, J. D. Jones, M. J. Daniels, and J. E. Parker. 1999. EDS1, an essential component of R gene-mediated disease resistance in Arabidopsis has homology to eukaryotic lipases. Proc Natl Acad Sci U S A 96:3292-7]; [4.Fullner, K. J. 1998. Role of Agrobacterium virB genes in transfer of T complexes and RSF1010. J Bacteriol 180:430-4]; [5.Grant, M. R., L. Godiard, E. Straube, T. Ashfield, J. Lewald, A. Sattler, R. W. Innes, and J. L. Dangl. 1995. Structure of the Arabidopsis RPM1 gene enabling dual specificity disease resistance. Science 269:843-6]; [6. Mithofer, A., G. Wanner, and W. Boland. 2005. Effects of Feeding Spodoptera littoralis on lima bean leaves. II. Continuous mechanical wounding resembling insect feeding is sufficient to elicit herbivory-related volatile emission. Plant Physiol. 137:1160–1168]; [7.Polizzi, G., and A. Vitale. 2006. Dasylirion serratifolium as a new host of Botrytis cinerea, the causal agent of leaf spots and blight in Italy. Plant Disease 90:114–114]).

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Figure S2.

C. gattii showed enhanced colonization of A. thaliana mutant plant leaves. A number of mutant plants with genotypes derived from A. thaliana Col-0 ecotype were inoculated as described in supplementary figure S1. Inoculated leaves were homogenized in glass tissue grinders, homogenate suspended in sterile deionized water and a series of dilutions plated on YPD agar for recovery of fungal colony forming units (CFU). The mutant plants showed higher susceptibility to colonization with C. gattii wild-type cells. The colonization was highest in eds1 and nahG mutants. Overall, colonization was eds1>nahG>sid2>npr1>rpm1. The experiment was repeated once.

https://doi.org/10.1371/journal.pone.0010978.s002

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Figure S3.

C. gattii extracellular projections were formed on agar with plant substrates. Dialysis tubing was cut to small squares approximately 1 cm×1 cm and sterilized by boiling in water for 20–30 min. Three squares of sterilized tubing were then laid flat over YPD, A. thaliana leaf, black cherry wood chip or Niger seed agar plates. Each square was inoculated with 100 µl of 107 cells/ml C. gattii wild-type cells. Plates were allowed to dry and incubated at 25°C for 4 days. Small blocks of agar (∼1 cm×1 cm) were removed and fixed in 2% glutaraldehyde 0.2 M sodium cacodylate buffer, and dehydrated by graded alcohol series, critical point dried, gold sputter coated and imaged by. (A) YPD agar, (B) A. thaliana leaf agar, (C) Niger seed agar, and (D) Black cherry wood chip agar. SEM micrographs of one representative C. gattii cell imaged from (E) YPD agar, (F) A. thaliana leaf agar, (G) Niger seed agar, and (H) Black cherry wood chip agar, scale bar 1 µm. Notably, C. gattii extracellular fibrils were absent on YPD agar in contrast to abundant formation on agar supplemented with plant substrates.

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Figure S4.

C. gattii extracellular fibrils are altered by cytoskeletal protein inhibitors. We examined the roles of actin, tubulins and other cytoskeletal proteins on the formation of C. gattii extracellular fibrils since these proteins are important determinants of cell shape (1, 3). C. gattii wild-type and cap59Δ mutant strain were grown in YPD broth for 12–16 hr. Thiabendazole (25–150 µg/ml), cytochalasin B (25–150 µg/ml), mebandazol (20–80 µg/ml), or latrunculin B (100 µ/ml–400 µM/ml), were added to individual cultures and incubated for an additional 6 hr (2). An aliquot of yeast cells were also treated with 2 M sodium azide at 65°C for 30 min to render them non-viable. Cells were collected by centrifugation, washed twice with SDW, and re-suspended to a concentration of 108 cells/ml. Cells were serially diluted in SDW and plated on YPD agar to determine any loss in viability. None of the drug treatments caused significant loss of viability. Six to eight leaves each from at least three different A. thaliana plants were scratch wounded and inoculated with two 5-µl drops of 1×106 C. gattii cells obtained from each treatment described above. Controls included leaves from wounded plants inoculated with SDW, and non-wounded, non-inoculated A. thaliana plants. Leaves were harvested 7-days post inoculation and prepared for light microscopy and SEM as described in the previous section. Microfilament (Actin) and microtubule (Tubulin) inhibitors cytochalasin B (Top left), latrunculin B (Top right), thiabendazole (Bottom left) or mebandazole (Bottom right) alter C. gattii cell attachment and extracellular fibril formation in a concentration dependent manner. Lower magnification (left panel) and higher magnification images (right panel) for each treatment are shown with red borders demarcating original inoculation sites. The concentrations used were cytochalasin B (Top left panels [A–B 25 µg/mL], [C–D 50 µg/mL], [E–F 100 µg/mL], and [G–H 150 µg/mL]); latrunculin B (Top right panels [A–B 100 µM], [C–D 200 µM] and [E–F 400 µM]); thiabendazole (Bottom left panels [A–B 25 µg/mL], [C–D 50 µg/mL], [E–F 100 µg/mL], and [G–H 150 µg/mL]); mebandazole (Bottom right panels [A–B 20 µg/mL], [C–D 40 µg/mL], [E–F 60 µg/mL], and [G–H 80 µg/mL]). A concentration dependent effect on extracellular fibril formation is most pronounced with latrunculin and mebendazole. (References[1.Gao, L., and A. Bretscher. 2009. Polarized growth in budding yeast in the absence of a localized formin. Mol. Biol. Cell 20:2540–2548];[2.Muchowski, P. J., K. Ning, C. D'Souza-Schorey, and S. Fields. 2002. Requirement of an intact microtubule cytoskeleton for aggregation and inclusion body formation by a mutant Huntingtin fragment. Proc Natl Acad Sci U S A 99:727–32];[3.Nelson, W. J. 2003. Adaptation of core mechanisms to generate cell polarity. Nature 422:766–774].

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Figure S5.

Cytoskeleton protein inhibitor drugs disrupt extracellular fibrils. We tested for the disruptive effects of the cytoskeleton-inhibitory drugs on C. gattii cells, utilizing the Thermonox® plastic cover slip assay. Thiabendazole (25–150 µg/ml), cytochalasin B (25–150 µg/ml), mebandazol (20–80 µg/ml), or latrunculin B (100 µM/ml–400 µM/ml), were added to individual cultures and incubated for an additional 6 hr (details in figure S4). Treated cells were washed and re-suspended to a final concentration of 1×106 cell/ml in minimum asparagine broth supplemented with 1% glucose, and incubated in 24-well plates. Thermanox® plastic coverslips were then processed for SEM. Left column displays view of a typical cell and right column displays lower magnification micrograph of a group of cells and the morphology of microtubes. Cytochalasin B 25 µg/mL, latrunculin B 100 µM, mebandazole 10 µg/mL, and thiabendazole 25 µg/mL; scale equals 1.0 µm. Disorganization and inhibition of extracellular fibril formation is evident with all drug treatments.

https://doi.org/10.1371/journal.pone.0010978.s005

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Figure S6.

Enhanced colonization of brain and lung tissues by C. gattii cells grown on leaf agar. BALB/c mice were inoculated either via IV (A, B) or IN (C, D) route with either 30 µl or 100 µl containing 104 (IN) or 105 (IV) C. gattii cells passage two times on YPD, Niger seed (NGS), A. thaliana leaf (LEAF), or black cherry wood chip agar (WOOD). Mice were sacrificed 7 days (IV) or 14 days (IN) post infections and CFUs per gram brain or lung tissue was determined. Notably, enhanced colonization of brain and lung tissues by C. gattii grown on A. thaliana leaf agar is independent of the route of infection.

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Acknowledgments

We thank M. Christopher MacIntosh for modified plant growth chamber and Adriana Verschoor for editorial comments. Wadsworth Center Core Facilities (Molecular Genetics, Advanced Light Microscopy, Electron Microscopy, Instrumentation and Automation, and Veterinary Services) provided critical support.

Author Contributions

Conceived and designed the experiments: DJS RR SC VC. Performed the experiments: DJS PR YD MJB SSB WAS SC VC. Analyzed the data: DJS PR RR YD MJB BFM SSB WAS SC VC. Contributed reagents/materials/analysis tools: RR MJB BFM SSB WAS SC VC. Wrote the paper: DJS SC VC.

Citation: Springer DJ, Ren P, Raina R, Dong Y, Behr MJ, McEwen BF, et al. (2010) Extracellular Fibrils of Pathogenic Yeast Cryptococcus gattii Are Important for Ecological Niche, Murine Virulence and Human Neutrophil Interactions. PLoS ONE5(6): e10978. https://doi.org/10.1371/journal.pone.0010978

References

1. de Hoog GS, Guarro J, Gene J, Figueras (2009) Atlas of Clinical Fungi. Utrecht: CBS/Universitat Rovira i Virgli. GS de HoogJ. GuarroJ. GeneFigueras2009Atlas of Clinical Fungi.UtrechtCBS/Universitat Rovira i Virgli

2. Mylonakis E, Casadevall A, Ausubel FM (2007) Exploiting amoeboid and non-vertebrate animal model systems to study the virulence of human pathogenic fungi. PLoS Pathog 3: e101.E. MylonakisA. CasadevallFM Ausubel2007Exploiting amoeboid and non-vertebrate animal model systems to study the virulence of human pathogenic fungi.PLoS Pathog3e101

3. Casadevall A, Steenbergen JN, Nosanchuk JD (2003) ‘Ready made’ virulence and ‘dual use’ virulence factors in pathogenic environmental fungi—the Cryptococcus neoformans paradigm. Curr Opin Microbiol 6: 332–337.A. CasadevallJN SteenbergenJD Nosanchuk2003‘Ready made’ virulence and ‘dual use’ virulence factors in pathogenic environmental fungi—the Cryptococcus neoformans paradigm.Curr Opin Microbiol6332337

4. Brandl MT (2006) Fitness of human enteric pathogens on plants and implications for food safety. Annu Rev Phytopathol 44: 367–392.MT Brandl2006Fitness of human enteric pathogens on plants and implications for food safety.Annu Rev Phytopathol44367392

5. van Baarlen P, van Belkum A, Thomma BP (2007) Disease induction by human microbial pathogens in plant-model systems: potential, problems and prospects. Drug Discov Today 12: 167–173.P. van BaarlenA. van BelkumBP Thomma2007Disease induction by human microbial pathogens in plant-model systems: potential, problems and prospects.Drug Discov Today12167173

6. Rahme LG, Ausubel FM, Cao H, Drenkard E, Goumnerov BC, et al. (2000) Plants and animals share functionally common bacterial virulence factors. Proc Natl Acad Sci USA 97: 8815–8821.LG RahmeFM AusubelH. CaoE. DrenkardBC Goumnerov2000Plants and animals share functionally common bacterial virulence factors.Proc Natl Acad Sci USA9788158821

7. Springer DJ, Chaturvedi V (2010) Projecting global occurrence of Cryptococcus gattii Emerg Infect Dis 16: 14–20.DJ SpringerV. Chaturvedi2010Projecting global occurrence of Cryptococcus gattiiEmerg Infect Dis161420

8. Kwon-Chung KJ, Boekhout T, Fell JW, Diaz M (2002) (1557) Proposal to conserve the name Cryptococcus gattii against C. hondurianus and C. bacillisporus (Basidiomycota, Hymenomycetes, Tremellomycetidae). Taxon 51: 804–806.KJ Kwon-ChungT. BoekhoutJW FellM. Diaz2002(1557) Proposal to conserve the name Cryptococcus gattii against C. hondurianus and C. bacillisporus (Basidiomycota, Hymenomycetes, Tremellomycetidae).Taxon51804806

9. Huerfano S, Castaneda A, Castaneda E (2001) Experimental infection of almond trees seedlings (Terminalia catappa) with an environmental isolate of Cryptococcus neoformans var. gattii, serotype C. Rev Iberoam Micol 18: 131–132.S. HuerfanoA. CastanedaE. Castaneda2001Experimental infection of almond trees seedlings (Terminalia catappa) with an environmental isolate of Cryptococcus neoformans var. gattii, serotype C.Rev Iberoam Micol18131132

10. Ren P, Springer DJ, Behr MJ, Samsonoff WA, Chaturvedi S, et al. (2006) Transcription factor STE12alpha has distinct roles in morphogenesis, virulence, and ecological fitness of the primary pathogenic yeast Cryptococcus gattii. Eukaryot Cell 5: 1065–1080.P. RenDJ SpringerMJ BehrWA SamsonoffS. Chaturvedi2006Transcription factor STE12alpha has distinct roles in morphogenesis, virulence, and ecological fitness of the primary pathogenic yeast Cryptococcus gattii.Eukaryot Cell510651080

11. Xue C, Tada Y, Dong X, Heitman J (2007) The human fungal pathogen Cryptococcus can complete its sexual cycle during a pathogenic association with plants. Cell Host Microbe 1: 263–273.C. XueY. TadaX. DongJ. Heitman2007The human fungal pathogen Cryptococcus can complete its sexual cycle during a pathogenic association with plants.Cell Host Microbe1263273

12. Chaturvedi S, Ren P, Narasipura SD, Chaturvedi V (2005) Selection of optimal host strain for molecular pathogenesis studies on Cryptococcus gattii. Mycopathologia 160: 207–215.S. ChaturvediP. RenSD NarasipuraV. Chaturvedi2005Selection of optimal host strain for molecular pathogenesis studies on Cryptococcus gattii.Mycopathologia160207215

13. Okabayashi K, Hasegawa A, Watanabe T (2007) Microreview: capsule-associated genes of Cryptococcus neoformans. Mycopathologia 163: 1–8.K. OkabayashiA. HasegawaT. Watanabe2007Microreview: capsule-associated genes of Cryptococcus neoformans.Mycopathologia16318

14. Chang YC, Kwon-Chung KJ (1994) Complementation of a capsule-deficient mutation of Cryptococcus neoformans restores its virulence. Mol Cell Biol 14: 4912–4919.YC ChangKJ Kwon-Chung1994Complementation of a capsule-deficient mutation of Cryptococcus neoformans restores its virulence.Mol Cell Biol1449124919

15. Hu G, Kronstad JW (2006) Gene disruption in Cryptococcus neoformans and Cryptococcus gattii by in vitro transposition. Curr Genet 49: 341–350.G. HuJW Kronstad2006Gene disruption in Cryptococcus neoformans and Cryptococcus gattii by in vitro transposition.Curr Genet49341350

16. Yu JH, Hamari Z, Han KH, Seo JA, Dominguez YR, et al. (2004) Double-joint PCR: a PCR-based molecular tool for gene manipulations in filamentous fungi. Fungal Gen Biol 41: 973–981.JH YuZ. HamariKH HanJA SeoYR Dominguez2004Double-joint PCR: a PCR-based molecular tool for gene manipulations in filamentous fungi.Fungal Gen Biol41973981

17. Delaney TP, Uknes S, Vernooij B, Friedrich L, Weymann K, et al. (1994) A central role of salicylic acid in plant disease resistance. Science 266: 1247–1250.TP DelaneyS. UknesB. VernooijL. FriedrichK. Weymann1994A central role of salicylic acid in plant disease resistance.Science26612471250

18. Cao H, Bowling SA, Gordon AS, Dong X (1994) Characterization of an Arabidopsis mutant that is nonresponsive to inducers of systemic acquired resistance. Plant Cell 6: 1583–1592.H. CaoSA BowlingAS GordonX. Dong1994Characterization of an Arabidopsis mutant that is nonresponsive to inducers of systemic acquired resistance.Plant Cell615831592

19. Falk A, Feys BJ, Frost LN, Jones JD, Daniels MJ, et al. (1999) EDS1, an essential component of R gene-mediated disease resistance in Arabidopsis has homology to eukaryotic lipases. Proc Natl Acad Sci USA 96: 3292–3297.A. FalkBJ FeysLN FrostJD JonesMJ Daniels1999EDS1, an essential component of R gene-mediated disease resistance in Arabidopsis has homology to eukaryotic lipases.Proc Natl Acad Sci USA9632923297

20. Grant MR, Godiard L, Straube E, Ashfield T, Lewald J, et al. (1995) Structure of the Arabidopsis RPM1 gene enabling dual specificity disease resistance. Science 269: 843–846.MR GrantL. GodiardE. StraubeT. AshfieldJ. Lewald1995Structure of the Arabidopsis RPM1 gene enabling dual specificity disease resistance.Science269843846

21. Fullner KJ (1998) Role of Agrobacterium virB genes in transfer of T complexes and RSF1010. J Bacteriol 180: 430–434.KJ Fullner1998Role of Agrobacterium virB genes in transfer of T complexes and RSF1010.J Bacteriol180430434

22. Polizzi G, Vitale A (2006) Dasylirion serratifolium as a new host of Botrytis cinerea, the causal agent of leaf spots and blight in Italy. Plant Dis 90: 114–114.G. PolizziA. Vitale2006Dasylirion serratifolium as a new host of Botrytis cinerea, the causal agent of leaf spots and blight in Italy.Plant Dis90114114

23. Mithofer A, Wanner G, Boland W (2005) Effects of Feeding Spodoptera littoralis on lima bean leaves. II. Continuous mechanical wounding resembling insect feeding is sufficient to elicit herbivory-related volatile emission. Plant Physiol 137: 1160–1168.A. MithoferG. WannerW. Boland2005Effects of Feeding Spodoptera littoralis on lima bean leaves. II. Continuous mechanical wounding resembling insect feeding is sufficient to elicit herbivory-related volatile emission.Plant Physiol13711601168

24. Chaturvedi V, Fan J, Stein B, Behr MJ, Samsonoff WA, et al. (2002) Molecular genetic analyses of mating pheromones reveal intervariety mating or hybridization in Cryptococcus neoformans. Infect Immun 70: 5225–5235.V. ChaturvediJ. FanB. SteinMJ BehrWA Samsonoff2002Molecular genetic analyses of mating pheromones reveal intervariety mating or hybridization in Cryptococcus neoformans.Infect Immun7052255235

25. Chen X, Steed A, Harden C, Nicholson P (2006) Characterization of Arabidopsis thaliana-Fusarium graminearum interactions and identification of variation in resistance among ecotypes. Molecular Plant Pathol 7: 391–403.X. ChenA. SteedC. HardenP. Nicholson2006Characterization of Arabidopsis thaliana-Fusarium graminearum interactions and identification of variation in resistance among ecotypes.Molecular Plant Pathol7391403

26. Rieder CL, Rupp G, Bowser SS (1985) Electron microscopy of semithick sections: Advantages for biomedical research. J Electron Micro Tech 2: 11–28.CL RiederG. RuppSS Bowser1985Electron microscopy of semithick sections: Advantages for biomedical research.J Electron Micro Tech21128

27. Gao L, Bretscher A (2009) Polarized growth in budding yeast in the absence of a localized formin. Mol Biol Cell 20: 2540–2548.L. GaoA. Bretscher2009Polarized growth in budding yeast in the absence of a localized formin.Mol Biol Cell2025402548

28. Nelson WJ (2003) Adaptation of core mechanisms to generate cell polarity. Nature 422: 766–774.WJ Nelson2003Adaptation of core mechanisms to generate cell polarity.Nature422766774

29. Narasipura SD, Ault JG, Behr MJ, Chaturvedi V, Chaturvedi S (2003) Characterization of Cu,Zn superoxide dismutase (SOD1) gene knock-out mutant of Cryptococcus neoformans var. gattii: role in biology and virulence. Mol Microbiol 47: 1681–1694.SD NarasipuraJG AultMJ BehrV. ChaturvediS. Chaturvedi2003Characterization of Cu,Zn superoxide dismutase (SOD1) gene knock-out mutant of Cryptococcus neoformans var. gattii: role in biology and virulence.Mol Microbiol4716811694

30. Wright LC, Chen SC, Wilson CF, Simpanya MF, Blackstock R, et al. (2002) Strain-dependent effects of environmental signals on the production of extracellular phospholipase by Cryptococcus neoformans. FEMS Microbiol Lett 209: 175–181.LC WrightSC ChenCF WilsonMF SimpanyaR. Blackstock2002Strain-dependent effects of environmental signals on the production of extracellular phospholipase by Cryptococcus neoformans.FEMS Microbiol Lett209175181

31. Chaturvedi V, Wong B, Newman SL (1996) Oxidative killing of Cryptococcus neoformans by human neutrophils. Evidence that fungal mannitol protects by scavenging reactive oxygen intermediates. J Immunol 156: 3836–3840.V. ChaturvediB. WongSL Newman1996Oxidative killing of Cryptococcus neoformans by human neutrophils. Evidence that fungal mannitol protects by scavenging reactive oxygen intermediates.J Immunol15638363840

32. Bohman S, Staal J, Thomma BP, Wang M, Dixelius C (2004) Characterisation of an Arabidopsis-Leptosphaeria maculans pathosystem: resistance partially requires camalexin biosynthesis and is independent of salicylic acid, ethylene and jasmonic acid signalling. Plant J 37: 9–20.S. BohmanJ. StaalBP ThommaM. WangC. Dixelius2004Characterisation of an Arabidopsis-Leptosphaeria maculans pathosystem: resistance partially requires camalexin biosynthesis and is independent of salicylic acid, ethylene and jasmonic acid signalling.Plant J37920

33. Roetschi A, Si-Ammour A, Belbahri L, Mauch F, Mauch-Mani B (2001) Characterization of an Arabidopsis-Phytophthora pathosystem: resistance requires a functional PAD2 gene and is independent of salicylic acid, ethylene and jasmonic acid signalling. Plant J 28: 293–305.A. RoetschiA. Si-AmmourL. BelbahriF. MauchB. Mauch-Mani2001Characterization of an Arabidopsis-Phytophthora pathosystem: resistance requires a functional PAD2 gene and is independent of salicylic acid, ethylene and jasmonic acid signalling.Plant J28293305

34. Urban CF, Reichard U, Brinkmann V, Zychlinsky A (2006) Neutrophil extracellular traps capture and kill Candida albicans yeast and hyphal forms. Cell Microbiol 8: 668–676.CF UrbanU. ReichardV. BrinkmannA. Zychlinsky2006Neutrophil extracellular traps capture and kill Candida albicans yeast and hyphal forms.Cell Microbiol8668676

35. Jarrell K (2009) Pili and Flagella: Current Research and Future Trends: Caister Academic Press, Norfolk, UK. K. Jarrell2009Pili and Flagella: Current Research and Future Trends: Caister Academic Press, Norfolk, UK.

36. Dworkin M (1999) Fibrils as extracellular appendages of bacteria: their role in contact-mediated cell-cell interactions in Myxococcus xanthus. Bioessays 21: 590–595.M. Dworkin1999Fibrils as extracellular appendages of bacteria: their role in contact-mediated cell-cell interactions in Myxococcus xanthus.Bioessays21590595

37. Saarimaa C, Peltola M, Raulio M, Neu TR, Salkinoja-Salonen MS, et al. (2006) Characterization of adhesion threads of Deinococcus geothermalis as type IV pili. J Bacteriol 188: 7016–7021.C. SaarimaaM. PeltolaM. RaulioTR NeuMS Salkinoja-Salonen2006Characterization of adhesion threads of Deinococcus geothermalis as type IV pili.J Bacteriol18870167021

38. Clark ME, Edelmann RE, Duley ML, Wall JD, Fields MW (2007) Biofilm formation in Desulfovibrio vulgaris Hildenborough is dependent upon protein filaments. Environ Microbiol 9: 2844–2854.ME ClarkRE EdelmannML DuleyJD WallMW Fields2007Biofilm formation in Desulfovibrio vulgaris Hildenborough is dependent upon protein filaments.Environ Microbiol928442854

39. Walker JR, Gnanam AJ, Blinkova AL, Hermandson MJ, Karymov MA, et al. (2007) Clostridium taeniosporum spore ribbon-like appendage structure, composition and genes. Mol Microbiol 63: 629–643.JR WalkerAJ GnanamAL BlinkovaMJ HermandsonMA Karymov2007Clostridium taeniosporum spore ribbon-like appendage structure, composition and genes.Mol Microbiol63629643

40. Machesky L, Jurdic P, Hinz B (2008) Grab, stick, pull and digest: the functional diversity of actin-associated matrix-adhesion structures. Workshop on invadopodia, podosomes and focal adhesions in tissue invasion. EMBO Rep 9: 139–143.L. MacheskyP. JurdicB. Hinz2008Grab, stick, pull and digest: the functional diversity of actin-associated matrix-adhesion structures. Workshop on invadopodia, podosomes and focal adhesions in tissue invasion.EMBO Rep9139143

41. Machado CM, Schenka A, Vassallo J, Tamashiro WM, Goncalves EM, et al. (2005) Morphological characterization of a human glioma cell line. Cancer Cell Int 5: 13.CM MachadoA. SchenkaJ. VassalloWM TamashiroEM Goncalves2005Morphological characterization of a human glioma cell line.Cancer Cell Int513

42. Rokusek D, Davitt C, Bandyopadhyay A, Bose S, Hosick HL (2005) Interaction of human osteoblasts with bioinert and bioactive ceramic substrates. J Biomed Mater Res A 75: 588–594.D. RokusekC. DavittA. BandyopadhyayS. BoseHL Hosick2005Interaction of human osteoblasts with bioinert and bioactive ceramic substrates.J Biomed Mater Res A75588594

43. Al-Nazhan S (2004) SEM observations of the attachment of human periodontal ligament fibroblasts to non-demineralized dentin surface in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97: 393–397.S. Al-Nazhan2004SEM observations of the attachment of human periodontal ligament fibroblasts to non-demineralized dentin surface in vitro.Oral Surg Oral Med Oral Pathol Oral Radiol Endod97393397

44. Sowinski S, Jolly C, Berninghausen O, Purbhoo MA, Chauveau A, et al. (2008) Membrane nanotubes physically connect T cells over long distances presenting a novel route for HIV-1 transmission. Nat Cell Biol 10: 211–219.S. SowinskiC. JollyO. BerninghausenMA PurbhooA. Chauveau2008Membrane nanotubes physically connect T cells over long distances presenting a novel route for HIV-1 transmission.Nat Cell Biol10211219

45. Varon M, Choder M (2000) Organization and cell-cell interaction in starved Saccharomyces cerevisiae colonies. J Bacteriol 182: 3877–3880.M. VaronM. Choder2000Organization and cell-cell interaction in starved Saccharomyces cerevisiae colonies.J Bacteriol18238773880

46. Sebolai OM, Pohl CH, Botes PJ, Strauss CJ, van Wyk PW, et al. (2007) 3-hydroxy fatty acids found in capsules of Cryptococcus neoformans. Can J Microbiol 53: 809–812.OM SebolaiCH PohlPJ BotesCJ StraussPW van Wyk20073-hydroxy fatty acids found in capsules of Cryptococcus neoformans.Can J Microbiol53809812

47. Sebolai OM, Pohl CH, Botes PJ, van Wyk PW, Kock JL (2008) The influence of acetylsalicylic acid on oxylipin migration in Cryptococcus neoformans var. neoformans UOFS Y-1378. Can J Microbiol 54: 91–96.OM SebolaiCH PohlPJ BotesPW van WykJL Kock2008The influence of acetylsalicylic acid on oxylipin migration in Cryptococcus neoformans var. neoformans UOFS Y-1378.Can J Microbiol549196

48. Sebolai OM, Pohl CH, Botes PJ, van Wyk PW, Mzizi R, et al. (2008) Distribution of 3-hydroxy oxylipins and acetylsalicylic acid sensitivity in Cryptococcus species. Can J Microbiol 54: 111–118.OM SebolaiCH PohlPJ BotesPW van WykR. Mzizi2008Distribution of 3-hydroxy oxylipins and acetylsalicylic acid sensitivity in Cryptococcus species.Can J Microbiol54111118

49. Panepinto J, Komperda K, Frases S, Park YD, Djordjevic JT, et al. (2009) Sec6-dependent sorting of fungal extracellular exosomes and laccase of Cryptococcus neoformans. Mol Microbiol 71: 1165–1176.J. PanepintoK. KomperdaS. FrasesYD ParkJT Djordjevic2009Sec6-dependent sorting of fungal extracellular exosomes and laccase of Cryptococcus neoformans.Mol Microbiol7111651176

50. Rodrigues ML, Nakayasu ES, Oliveira DL, Nimrichter L, Nosanchuk JD, et al. (2008) Extracellular vesicles produced by Cryptococcus neoformans contain protein components associated with virulence. Eukaryot Cell 7: 58–67.ML RodriguesES NakayasuDL OliveiraL. NimrichterJD Nosanchuk2008Extracellular vesicles produced by Cryptococcus neoformans contain protein components associated with virulence.Eukaryot Cell75867

51. Nicola AM, Frases S, Casadevall A (2009) Lipophilic dye staining of Cryptococcus neoformans extracellular vesicles and capsule. Eukaryotic Cell 8: 1373–1380.AM NicolaS. FrasesA. Casadevall2009Lipophilic dye staining of Cryptococcus neoformans extracellular vesicles and capsule.Eukaryotic Cell813731380

52. Frases S, Pontes B, Nimrichter L, Viana NB, Rodrigues ML, et al. (2009) Capsule of Cryptococcus neoformans grows by enlargement of polysaccharide molecules. Proc Natl Acad Sci USA 106: 1228–1233.S. FrasesB. PontesL. NimrichterNB VianaML Rodrigues2009Capsule of Cryptococcus neoformans grows by enlargement of polysaccharide molecules.Proc Natl Acad Sci USA10612281233

53. Garcia-Rivera J, Chang YC, Kwon-Chung KJ, Casadevall A (2004) Cryptococcus neoformans CAP59 (or Cap59p) is involved in the extracellular trafficking of capsular glucuronoxylomannan. Eukaryot Cell 3: 385–392.J. Garcia-RiveraYC ChangKJ Kwon-ChungA. Casadevall2004Cryptococcus neoformans CAP59 (or Cap59p) is involved in the extracellular trafficking of capsular glucuronoxylomannan.Eukaryot Cell3385392

54. Reese AJ, Doering TL (2003) Cell wall alpha-1,3-glucan is required to anchor the Cryptococcus neoformans capsule. Mol Microbiol 50: 1401–1409.AJ ReeseTL Doering2003Cell wall alpha-1,3-glucan is required to anchor the Cryptococcus neoformans capsule.Mol Microbiol5014011409

55. Reese AJ, Yoneda A, Breger JA, Beauvais A, Liu H, et al. (2007) Loss of cell wall alpha(1–3) glucan affects Cryptococcus neoformans from ultrastructure to virulence. Mol Microbiol 63: 1385–1398.AJ ReeseA. YonedaJA BregerA. BeauvaisH. Liu2007Loss of cell wall alpha(1–3) glucan affects Cryptococcus neoformans from ultrastructure to virulence.Mol Microbiol6313851398

56. Vardy L, Toda T (2000) The fission yeast gamma-tubulin complex is required in G(1) phase and is a component of the spindle assembly checkpoint. EMBO J 19: 6098–6111.L. VardyT. Toda2000The fission yeast gamma-tubulin complex is required in G(1) phase and is a component of the spindle assembly checkpoint.EMBO J1960986111

57. Narusaka Y, Narusaka M, Seki M, Umezawa T, Ishida J, et al. (2004) Crosstalk in the responses to abiotic and biotic stresses in Arabidopsis: analysis of gene expression in cytochrome P450 gene superfamily by cDNA microarray. Plant Mol Biol 55: 327–342.Y. NarusakaM. NarusakaM. SekiT. UmezawaJ. Ishida2004Crosstalk in the responses to abiotic and biotic stresses in Arabidopsis: analysis of gene expression in cytochrome P450 gene superfamily by cDNA microarray.Plant Mol Biol55327342

58. Staib F (1981) The perfect state of Cryptococcus neoformans, Filobasidiella neoformans, on pigeon manure filtrate agar. Zentralbl Bakteriol A 248: 575–578.F. Staib1981The perfect state of Cryptococcus neoformans, Filobasidiella neoformans, on pigeon manure filtrate agar.Zentralbl Bakteriol A248575578

59. Nielsen K, De Obaldia AL, Heitman J (2007) Cryptococcus neoformans mates on pigeon guano: implications for the realized ecological niche and globalization. Eukaryot Cell 6: 949–959.K. NielsenAL De ObaldiaJ. Heitman2007Cryptococcus neoformans mates on pigeon guano: implications for the realized ecological niche and globalization.Eukaryot Cell6949959

60. Fonseca Á, Inácio J (2006) Phylloplane Yeasts. In: Péter G, Rosa C, editors. Biodiversity and Ecophysiology of Yeasts: Springer Berlin Heidelberg. pp. 263–301.Á. FonsecaJ. Inácio2006Phylloplane Yeasts.G. PéterC. RosaBiodiversity and Ecophysiology of Yeasts: Springer Berlin Heidelberg263301

61. Inacio J, Portugal L, Spencer-Martins I, Fonseca A (2005) Phylloplane yeasts from Portugal: seven novel anamorphic species in the Tremellales lineage of the Hymenomycetes (Basidiomycota) producing orange-coloured colonies. FEMS Yeast Res 5: 1167–1183.J. InacioL. PortugalI. Spencer-MartinsA. Fonseca2005Phylloplane yeasts from Portugal: seven novel anamorphic species in the Tremellales lineage of the Hymenomycetes (Basidiomycota) producing orange-coloured colonies.FEMS Yeast Res511671183

62. Kidd SE, Hagen F, Tscharke RL, Huynh M, Bartlett KH, et al. (2004) A rare genotype of Cryptococcus gattii caused the cryptococcosis outbreak on Vancouver Island (British Columbia, Canada). Proc Natl Acad Sci U S A 101: 17258–17263.SE KiddF. HagenRL TscharkeM. HuynhKH Bartlett2004A rare genotype of Cryptococcus gattii caused the cryptococcosis outbreak on Vancouver Island (British Columbia, Canada).Proc Natl Acad Sci U S A1011725817263

63. Narasipura SD, Chaturvedi V, Chaturvedi S (2005) Characterization of Cryptococcus neoformans variety gattii SOD2 reveals distinct roles of the two superoxide dismutases in fungal biology and virulence. Mol Microbiol 55: 1782–1800.SD NarasipuraV. ChaturvediS. Chaturvedi2005Characterization of Cryptococcus neoformans variety gattii SOD2 reveals distinct roles of the two superoxide dismutases in fungal biology and virulence.Mol Microbiol5517821800

64. Brinkmann V, Reichard U, Goosmann C, Fauler B, Uhlemann Y, et al. (2004) Neutrophil extracellular traps kill bacteria. Science 303: 1532–1535.V. BrinkmannU. ReichardC. GoosmannB. FaulerY. Uhlemann2004Neutrophil extracellular traps kill bacteria.Science30315321535

65. Buchanan JT, Simpson AJ, Aziz RK, Liu GY, Kristian SA, et al. (2006) DNase expression allows the pathogen group A Streptococcus to escape killing in neutrophil extracellular traps. Curr Biol 16: 396–400.JT BuchananAJ SimpsonRK AzizGY LiuSA Kristian2006DNase expression allows the pathogen group A Streptococcus to escape killing in neutrophil extracellular traps.Curr Biol16396400

66. Urban CF, Lourido S, Zychlinsky A (2006) How do microbes evade neutrophil killing? Cell Microbiol 8: 1687–1696.CF UrbanS. LouridoA. Zychlinsky2006How do microbes evade neutrophil killing?Cell Microbiol816871696

67. Dong ZM, Murphy JW (1995) Effects of the two varieties of Cryptococcus neoformans cells and culture filtrate antigens on neutrophil locomotion. Infect Immun 63: 2632–2644.ZM DongJW Murphy1995Effects of the two varieties of Cryptococcus neoformans cells and culture filtrate antigens on neutrophil locomotion.Infect Immun6326322644

68. Wartha F, Beiter K, Albiger B, Fernebro J, Zychlinsky A, et al. (2007) Capsule and D-alanylated lipoteichoic acids protect Streptococcus pneumoniae against neutrophil extracellular traps. Cell Microbiol 9: 1162–1171.F. WarthaK. BeiterB. AlbigerJ. FernebroA. Zychlinsky2007Capsule and D-alanylated lipoteichoic acids protect Streptococcus pneumoniae against neutrophil extracellular traps.Cell Microbiol911621171