Abstract
Candida albicans, an opportunistic yeast pathogen, is equipped with a plethora of virulence attributes such as yeast-to-hyphae transition, secreted enzymes, tissue adhesion, and biofilm production. The dearth of effective anti-mycotics together with the emergence of drug-resistant C. albicans isolates underscore the need to explore novel anti-fungal agents. Anti-microbial peptides (AMPs) have recently awakened considerable interest as potential therapeutic agents. The intent of this study is to assess anti-fungal effects of Mastoparan VT-1 (MP-VT1), an AMP from the venom of social wasp Vespa tropica, against planktonic and biofilm-embedded cells of C. albicans. MP-VT1 had a tendency to adopt alpha-helical conformation based on peptide secondary structure prediction and circular dichroism spectroscopy (in 50% trifluoroethanol). The peptide showed MIC values ranging from 2 to 32 µg/mL against 10 clinical strains of C. albicans. Notably, a 6-h of exposure to 1 × MFC of MP-VT1 sufficed for total yeast clearance. At fungicidal concentrations, MP-VT1 exhibited slight cytotoxicity towards human dermal fibroblasts. Flow cytometric analysis and fluorescence microscopy revealed that MP-VT1 induced membrane disruption, leading to death of C. albicans mainly by necrosis. Interestingly, a significant inhibition of hyphal transition was noticed at 3 and 6 h post-contact with 32 µg/mL of MP-VT1. At sub-lethal concentrations, the peptide lessened not only candidal cell surface hydrophobicity but also the number of yeasts adhering to the polystyrene surfaces. Furthermore, C. albicans cells within biofilms were more vulnerable to MP-VT1 than to fluconazole. Overall, MP-VT1 has the potential to be used as a candidate for anti-fungal drug development.
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Introduction
Candida albicans is an opportunistic yeast pathogen that normally resides in the oral cavity, gut, and genital-urinary tracts of healthy humans (Lohse et al. 2018). Candidiasis encompasses diseases that range from mucosal, manifesting as vaginitis or thrush, to life-endangering systemic infections with a high mortality rate in patients with immune-debilitating comorbidities (Memariani and Memariani 2020). In order to successfully colonize such diverse host niches, C. albicans is equipped with a constellation of virulence factors and fitness attributes. As is well-known, morphological switch from yeast to filamentous growth form plays a prominent part in C. albicans pathogenesis (Talapko et al. 2021). This transition is triggered in response to multiple environmental signals, including a high pH (> 7), nutrition deprivation, presence of serum or N-acetylglucosamine, elevated temperature, high CO2 concentration, and adherence. The yeast form is perceived to be involved in dissemination of the pathogen, whereas the hyphal phenotype is necessary for not only mucosal invasion but also biofilm formation (Mayer et al. 2013).
A key virulence trait of C. albicans is its aptitude to establish biofilms on both abiotic and biotic surfaces. C. albicans biofilms are defined as a complex consortium of adherent yeasts and hyphal cells encased in a matrix of extracellular polymeric substances. Indeed, C. albicans has a propensity to develop biofilms on implanted medical devices such as catheters, shunts, stents, prostheses, and endotracheal tubes (Lohse et al. 2018). Mature biofilms are notorious for their exceptional resilience to contemporary anti-fungal chemotherapeutics and host immune defenses (Lee et al. 2021).
Therapeutic strategies against C. albicans differ substantially depending upon the anatomic location of the infection, the patients' underlying disease, severity of the infection, and, in some cases, the susceptibility of the strains to specific anti-fungal drugs (Talapko et al. 2021). Within the limited anti-fungal armory, azoles still remain the most commonly prescribed agents for candidiasis therapy. Other anti-fungal drugs that are currently approved to cure severe infections include polyenes (e.g., amphotericin B and nystatin), echinocandins (e.g., caspofungin), and 5-flucytosine (Lee et al. 2021). Regrettably, extravagant use of existing anti-fungal agents has led to the rapid emergence and spread of drug-resistant Candida species. Along with these problems, the anti-fungal medications have several limitations owing to issues with drug safety profiles, pharmacokinetic properties, untoward side effects, and narrow spectrum activity (Snyder et al. 2021). For these reasons, pharmaceutical industry needs to be actively involved in exploring new sources to ensure a sustainable pipeline of new anti-mycotics.
Venoms are now being considered as an untapped source of novel and potential leads suitable for further drug development. Bee and wasp venoms contain several cationic anti-microbial peptides (AMPs) among which melittin and the mastoparan family have aroused a great deal of scientific interest in fighting against different diseases (Moreno and Giralt 2015; Memariani and Memariani 2021). Melittin, the major constituent in the venom of European honeybee Apis mellifera, is a multifunctional peptide with reported anti-bacterial (Lima et al. 2022), anti-biofilm (Memariani et al. 2019), anti-fungal (Choi and Lee 2014), anti-protozoan (Adade et al. 2013), anti-viral (Uddin et al. 2016), anti-cancer (Lyu et al. 2019), anti-inflammatory (Lee and Bae 2016), and anti-diabetic (Hossen et al. 2017) properties. Among the other important venom-derived AMPs are mastoparans. In general, peptides belonging to the mastoparan family are 14 amino acids in length. The majority of mastoparans are replete with hydrophobic residues leucine, isoleucine, valine, and alanine. These peptides possess two to four lysine residues in their primary sequences with a C-terminal amide moiety (da Silva et al. 2014). Multiple biological activities have been attributed to mastoparans (Chen et al. 2018). For example, mastoparans Polybia-MP-II and -III have been shown to contribute to mast cell degranulation, lactate dehydrogenase release from the cytoplasm of mast cells, hemolysis, leukocyte chemotaxis, and inhibition of bacterial growth (de Souza et al. 2009). In addition, different mastoparans exhibit potent anti-cancer activities upon leukemia, glioblastoma, myeloma, and breast cancer cells (Hilchie et al. 2016; da Silva et al. 2018). Given the multifunctionality of some venom-derived peptides, there is still room to explore other unknown activities for these peptides.
Thus far, in vitro studies have dealt predominantly with anti-bacterial activities of mastoparans. For instance, one study (Chen et al. 2018) revealed that mastoparan-C from the European hornet (Vespa crabro) venom and its two derivatives possess broad-spectrum activity against planktonic and biofilm-encased bacteria. In another study, mastoparan and three of its analogues displayed pronounced anti-bacterial activity toward four extended drug-resistant Acinetobacter baumannii isolates (Vila-Farrés et al. 2015). Furthermore, Polybia-MP-II has been demonstrated to be effective against various Gram-positive and Gram-negative bacteria (de Souza et al. 2009). Nevertheless, only meager data exist pertinent to fungicidal properties of mastoparans (El-Wahed et al. 2021). This prompted us to evaluate anti-fungal effects of mastoparan VT-1 (MP-VT1), a tetradecapeptide isolated from the venom of social wasp Vespa tropica (Yang et al. 2013), against both planktonic and biofilm-embedded cells of C. albicans. We further addressed the question of whether the peptide would influence yeast-to-hyphae transition in C. albicans. The possible toxicity towards human fibroblasts was also assessed in our experiments.
Materials and Methods
Reagents and Media
All common reagents used in the current study were of analytical grade from commercial suppliers. Agar–agar, 2,2,2-trifluoroethanol (TFE), and yeast extract were procured from Merck Co. (Darmstadt, Germany), while Candida chromogenic agar was purchased from Conda Laboratorios (Madrid, Spain). Roswell Park Memorial Institute (RPMI) 1640 medium, Dulbecco’s Modifed Eagle’s Medium (DMEM), and fetal calf serum (FCS) were supplied by Gibco-BRL (Life Technologies, Ltd., Paisley, Scotland). Annexin V-fluorescein isothiocyanate (FITC)/propidium iodide (PI) staining kit was obtained from IQ Products (Groningen, The Netherlands). The other materials were all supplied by Sigma–Aldrich Chemical Co. (Steinheim, Germany).
Peptide Synthesis
C-terminally amidated MP-VT1 (INLKAIAALAKKLL—NH2) was manufactured at Mimotopes Company (Clayton, Victoria, Australia) employing the Fmoc/t-butyl solid phase synthesis strategy (Smart et al. 1996). Purification of MP-VT1 was carried out by analytical reversed phase-high performance liquid chromatography (RP-HPLC) using a C18 column (4.6 × 150 mm). Samples were run at a flow rate of 1.5 mL/min utilizing a mobile phase encompassing 0.1% trifluoroacetic acid in 100% H2O (solvent A) and 0.1% trifluoroacetic acid in 90% acetonitrile (solvent B) with the following gradient program: 10% B for 1 min; 10–66.6% B (linear) over 15 min; then column re-equilibration. Analysis of the chromatograms is performed and retention time (RT, min) is then recorded by Empower™ 2 software Build 2154 at λ = 214 nm. Mass spectrometry on a Perkin Elmer Sciex API III (Norwalk, CT, USA) and its accompanying software were used to validate peptide identity. The mass spectrometer was operated in the positive mode. Moreover, the eluent was 0.1% acetic acid in 60% acetonitrile. The purified MP-VT1 was lyophilized and stored at − 40 °C.
Peptide Secondary Structure
The secondary structure of MP-VT1 was predicted online utilizing SABLE protein prediction (https://sable.cchmc.org) server, which possessed a mean prediction accuracy about 80% (Adamczak et al. 2005).
Circular dichroism (CD) spectra of MP-VT1 in water either in the presence or absence of 50% (v/v) TFE were recorded in a 1-mm path-length quartz cuvette at 24 ± 2 °C on an AVIV MODEL 215 spectropolarimeter (AVIV Instruments, Inc., Lakewood, NJ, USA) over a wavelength range of 190–260 nm, as detailed elsewhere (Memariani et al. 2018). The mean residue molar ellipticity ([θ]) was calculated as follows:
where θ, l, cM, and n represent the ellipticity, the optical path length of the cuvette, MP-VT1 concentration, and the number of amino acid residues in MP-VT1, respectively (Lee et al. 2003). CDNN 2.0 software (Gerald Böhm, Martin-Luther-Universität Halle-Wittenberg, Germany) was also used to quantify secondary structure contents of the peptide.
C. albicans Strains and Culture Conditions
Ten clinical strains of C. albicans (Table 1) were included in the current study. Candida chromogenic agar, germ tube formation, and VITEK® MS (bioMérieux, Marcy l'Etoile, France) were used for identification of the C. albicans strains (Walsh et al. 2018). C. albicans ATCC 90028 was employed as a quality control strain. Before each experiment, the strains were revived from − 80 °C stocks by sub-culturing twice onto Sabouraud dextrose agar (SDA) for 48 h. A loopful of a single colony from SDA was then transferred to Sabouraud dextrose broth (SDB) and incubated at 35 °C for 8 h. After centrifugation, each strain was adjusted to a cell density of 106 cells/mL with PBS unless otherwise indicated.
In Vitro Anti-fungal Activity
The individual minimum inhibitory concentration (MIC) values for planktonic C. albicans cells were appraised by broth microdilution assay based upon Clinical and Laboratory Standards Institute guidelines (CLSI 2017), with minor modifications. Succinctly, two-fold serial dilutions of either MP-VT1 or fluconazole were added to wells of flat-bottomed microplates containing 5 × 103 cells/mL in 3-(N-morpholino) propane sulfonic acid (MOPS)-buffered RPMI 1640 medium. Microplates were then incubated at 37 °C for 24 h. Wells devoid of drug and yeast cells served as growth and sterility controls, respectively. The MIC was recorded as the lowest drug concentration that elicited 100% inhibition of growth. The minimum fungicidal concentration (MFC) value was also determined by inoculating 10 µL of suspensions from visually clear wells onto SDA plates and subsequent incubation at 37 °C for 24 h. The MFC was defined as the lowest drug concentration to kill at least 99.9% of the starting inoculum. Given that some experiments required a higher number of yeast cells, we also determined the MIC and MFC values for C. albicans suspensions at the cell density of 106 cells/mL.
Determination of Anti-fungal Activity Index
To understand if MP-VT1 and fluconazole act as fungicidal or fungistatic agents towards C. albicans strains, the following ratio was used (Dudiuk et al. 2019):
The anti-fungal activity index was defined as follows: fungicidal activity: MFC/MIC ≤ 4, fungistatic activity: 4 < MFC/MIC < 32, and tolerance: MFC/MIC ≥ 32.
Time-Kill Kinetics Assay
To evaluate the pharmacodynamics of the peptide (1/2 × MFC and 1 × MFC), killing activity against C. albicans ATCC 90028 was monitored during 6 h exposure (Lum et al. 2015). For this purpose, an initial inoculum of 5 × 103 cells/mL in RPMI 1640–MOPS medium was separately incubated at 37 °C with MP-VT1 and fluconazole. Aliquots (100 µL) were taken at specified time points, diluted 1:10 in pre-warmed phosphate-buffered saline (PBS), and plated onto SDA plates. Finally, resultant colonies were counted after incubation of plates at 37 °C for 24 h.
In Vitro Cytotoxicity on Human Cells
Cytotoxic activity of MP-VT1 against Hu02 cell line (the human foreskin fibroblasts; HFFs) was appraised by means of MTT colorimetry (Memariani et al. 2020). HFFs grown in DMEM supplemented with 10% FCS and 1% penicillin/streptomycin were seeded at 104 cells/well for 24 h in 96-well flat-bottomed microplates before being treated with two-fold serial dilutions of MP-VT1. Triton X-100 (0.1%; v/v) served as a positive control. Microplates were then incubated at 37 °C for 24 h under 5% CO2 atmosphere. Next, 15 µL of MTT (5 mg/mL in PBS) was pipetted into each well and allowed to react with the cells at 37 °C in darkness for 4 h. After removing the medium and adding dimethyl sulfoxide (DMSO; 100 µL/well), the microplate was gently shaken to facilitate solubilization of the formazan crystals. The absorbances were read at 570 nm. Finally, the percentage of cell viability was calculated in accordance with the following formula:
where S, C, and B denote the absorbance of the peptide-treated well, the negative control (i.e. peptide-free well), and the background (i.e. MTT solution with DMEM only), respectively.
Calculation of cell selectivity index
To examine the safety of MP-VT1 in vitro, its selectivity toward the microbial and human cells should be considered. This selectivity can be determined by a simple parameter referred to as “cell selectivity index” (CSI). The higher the CSI, the greater the separation between untoward effects and desired anti-microbial properties. CSI was calculated according to the following equation (Raja et al. 2017):
where CC50 signifies the concentration of MP-VT1 required to reduce human fibroblast cell viability by 50% after 24 h and GM denotes the geometric mean of MIC values from all C. albicans strains.
Live/Dead Double Staining Assay
Acridine orange/ethidium bromide (AO/EtBr) staining and subsequent fluorescence microscopy were employed to visualize live and dead yeast cells after exposure to MP-VT1 (Memariani et al. 2020). To this end, exponentially growing cultures of C. albicans ATCC 90028 were diluted to 106 cells/mL and transferred to 0.2-mL opaque microcentrifuge tubes encompassing 1 × MFC or 2 × MFC of MP-VT1. Fluconazole was also used as a comparator anti-fungal drug. After incubation at 37 °C for 4 h, 5 µL of dye mixture (100 µg/mL AO and 100 µg/mL EtBr in distilled water) was mixed with 25 µL of yeast cell suspension on a clean microscope slide before being inspected under a fluorescence microscope (Carl Zeiss AG, Oberkochen, Germany). In an attempt to calculate the percentages of surface area covered by stained yeast cells, fluorescence images were processed through ImageJ software (NIH, rsb.info.nih.gov/ij/). The yeast cells were also divided into two populations, those with green fluorescence (live) and those with orange-red fluorescence (dead).
Assessment of Yeast Cell Death Modes
Annexin V-FITC/PI staining and subsequent flow cytometric analysis of yeasts were chosen to study the physiology and mode of C. albicans cell death in response to peptide exposure. Briefly, protoplasts of C. albicans ATCC 90028 were discretely exposed for 6 h to 1/4 × MFC (16 µg/mL), 1/2 × MFC (32 µg/mL), and 1 × MFC (64 µg/mL) of MP-VT1 at 37 °C, washed with calcium buffer, and re-adjusted to 106 cells/mL in the same buffer (Cho and Lee 2011). Annexin V-FITC (10 µL) was promptly added to the aforesaid suspension, and kept on ice for 15 min in darkness. The cells were washed with calcium buffer prior to being incubated with PI for at least 10 min on ice. The percentage of apoptotic/necrotic cells was analyzed using a PAS II flow cytometer (PARTEC, Münster, Germany).
Yeast-to-Hyphae Switch Assay
To decipher whether MP-VT1 is capable of restraining the morphological switch from yeast to hyphae, 106 cells/mL of C. albicans ATCC 90028 were grown in RPMI 1640 medium supplemented with 20% FCS in the presence (i.e. sub-MFCs) or absence of MP-VT1 and incubated at 37 °C for 3 and 6 h, after which the yeast-to-hyphae transition was scrutinized by an inverted microscope (Nikon, Eclipse TS100, Tokyo, Japan). Non-treated cells grown in the absence or presence of FCS were used as yeast morphology control and hyphal morphology control, respectively. Amphotericin B served as a comparator anti-fungal drug. At least three aliquots from each experimental condition (n = 5) were examined in order to reckon up the percentage of yeast-to-hyphae transition. To calculate this, the following formula was used (Le Lay et al. 2008):
where H signifies the number of hyphae and Y denotes the number of yeast cells.
Yeast Cell Surface Hydrophobicity Assay
The ability of yeast cells to adhere to an aliphatic hydrocarbon (n-hexane) was used as a measure of their cell surface hydrophobicity (CSH) based upon a partially modified method of that described by Krausova and co-workers (2019). Actively growing cells of C. albicans ATCC 90028 were standardized to 5 × 106 cells/mL with PBS (initial optical density at 600 nm; ODinitial), and were separately incubated with sub-lethal concentrations of MP-VT1 at 37 °C for 30 min. The cell suspensions (3 mL) and n-hexane (1 mL) were pipetted into sterile screw-capped glass tubes, allowed to stand in the water bath at 37 °C for 10 min to equilibrate, and then in turn vortexed 2 min. The resulting mixture left undisturbed in the water bath at 37 °C for 30 min to permit the immiscible n-hexane and aqueous phases to separate. The lower aqueous phase (1 mL) of each sample was cautiously transferred to the measuring cuvette. Subsequently, OD600nm of aqueous phase was measured (ODfinal). The percentage of CSH was calculated utilizing the following formula (Vaňková et al. 2020):
Yeast Cell Adhesion Assay
Yeast cell attachment to an abiotic surface (polystyrene) in the presence or absence of MP-VT1 was examined in 96-well, flat-bottomed microplates using a new method. Mid‐logarithmic growth phase cells of C. albicans ATCC 90028 (106 cells/mL) in yeast nitrogen base medium containing 2% glucose (YNBG) were separately incubated with sub-lethal concentrations of MP-VT1 at 37 °C for 90 min under unceasing shaking conditions (80 rpm), followed by aspiration of supernatants for removing non-adherent cells from the wells. Loosely-adherent cells were washed thrice with PBS, and the remaining cells were scraped from the bottom of the wells using a sterile micropipette tip. Dissociated cells (200 µL) were then aspirated from the wells, transferred to new microcentrifuge tubes, gently vortexed for 30 s, serially diluted, and spread over the surface of SDA plates. After incubation at 37 °C for 24 h, the percentage of yeast cell adhesion was quantified as follows:
where CFUs and CFUc are the number of colony-forming units corresponding to peptide-treated well and the negative control (i.e. peptide-free well), respectively.
Killing Activity Against Biofilm-Embedded Cells
To address whether MP-VT1 could lessen the viability of biofilm denizens, an assay relying upon the cellular reduction of MTT was adopted (Lee et al. 2018) with some modifications. Briefly, 200 µL of the suspensions of C. albicans ATCC 90028 and two biofilm-forming strains (Ca05 and Ca08) in YNBG (106 cells/mL) were added to the wells. After incubation at 37 °C for 90 min under constant shaking (80 rpm), each well was washed twice with PBS. Fresh YNBG (200 µL) was thereafter added to each well, and the microplate was further incubated at 37 °C for 24 h without shaking. The medium was then replaced with fresh RPMI 1640 medium containing different MP-VT1 concentrations. Following incubation at 37 °C for 24 h, the wells were washed twice with PBS. Next, the cells were incubated with 20 μL of MTT dye solution (5 mg/mL) at 37 °C for 3 h. After rinsing the wells with deionized water and subsequent air-drying, DMSO was added to each well. Finally, the absorbance was measured at a wavelength of 570 nm. The percentage of killing activity against biofilm-embedded cells was measured using following equation:
where C indicates the absorbance of the control wells (non-treated biofilm), B denotes the absorbance of the blank wells (no biofilm, no treatment), and T signifies the absorbance of the peptide-treated wells.
Statistical Analysis
All assays were carried out in triplicate on two separate occasions, unless otherwise stated. SPSS Statistics 20.0 (SPSS Inc. Chicago, Illinois, USA) was employed for statistical analysis. Quantitative data are given as the mean ± standard deviation (SD). Student’s t test was used to assess significance of difference among groups. Statistical significance was achieved when p < 0.05.
Results and Discussion
Peptide Purity and Authenticity
Characterizing biomolecules such as peptides requires the use of several techniques that measure the specific structural or functional features (Acar et al. 2019). In this study, the synthesized MP-VT1 was purified by RP-HPLC. The purity of this peptide was greater than 95% as estimated by RP-HPLC at 214 nm. Moreover, MP-VT1 showed a retention time of 12.24 min (Fig. S1a). The authenticity of MP-VT1 was also confirmed by mass spectrometry (Fig. S1b). Indeed, it is a chief method for determining the precise mass of peptides (Acar et al. 2019). The theoretical molecular weight of this peptide was calculated to be 1478.9 Da, which is in consonant with that obtained from mass spectrometry analysis (1478.7 Da). This similarity affirms the correctness of peptide synthesis. The observed molecular weight of MP-VT1 in this study is congruent with findings of a previous report in which the same peptide showed a molecular weight of 1480.2 Da (Yang et al. 2013).
Secondary Structure Analysis of the Peptide
MP-VT1 is a cationic amphipathic tetradecapeptide showing a helix-forming tendency based upon secondary structure prediction (Fig. 1a). In this context, the majority of amino acid residues of the peptide take the form of helical structure. To further examine the secondary structure of this peptide, the far-UV CD spectra of MP-VT1 were measured in two different solutions (Fig. 1b). In water, the peptide exists predominantly as a random coil, which is deduced by slight shoulder near 220 nm and the trough around 198 nm. Not only is there a double minimum at 222 and 208 nm upon addition of 50% TFE (v/v) to water, but also the spectrum embodies a maximum at 192 nm; these characteristics are reminiscent of an alpha-helix structure. Comparison of the results of CD analysis with that of the predicted secondary structure shows a satisfactory agreement. The possible reasons behind this active structure could result from the existence of helix-stabilizing residues (e.g., alanine, lysine, and leucine) in the peptide as well as the clustering of hydrophobic residues on one face of the helix (Rončević et al. 2019). We herein selected TFE as the preferred co-solvent because this fluorinated alcohol has been implicated to augment structure formation in peptides and proteins (Culik et al. 2014). In our CD experiments, the helical contents of MP-VT1 in water and 50% (v/v) TFE/water were 15.2% and 42.0%, respectively. Likewise, Kim et al. (2016) found that four mastoparans behaved as random coils in water, whilst their helical contents increased in response to 40% TFE. The helix-forming tendency is known to be a crucial requirement for mastoparans to display microbicidal activity (Silva et al. 2020).
MIC and MFC Results
C. albicans isolates were originated from urinary tract (n = 5), respiratory tract (n = 2), wounds/skin/soft tissue (n = 2), and blood samples (n = 1). MIC and MFC values of tested agents against C. albicans isolates are shown in Table 1. These values occurred at a cell density of 5 × 103 cells/mL. MIC and MFC values of MP-VT1 against the isolates lied in the range of 2–32 µg/mL, whereas a broader range (0.5–128 µg/mL) was noted for fluconazole. However, the difference between MP-VT1 and fluconazole did not approach statistical significance (p = 0.7910). The geometric mean MICs of MP-VT1 and fluconazole were calculated to be 12.9 and 11.4, respectively. Moreover, the MFC/MIC ratios of MP-VT1 and fluconazole against almost all C. albicans isolates were below or equal to 4, implying that both agents exerted candidacidal activity.
We also evaluated susceptibility of C. albicans ATCC 90028 at a higher inoculum size (106 cells/mL) to the above-mentioned agents. Using this inoculum size, the MFC value of MP-VT1 (64 µg/mL) was the same as its MIC. In the case of the fluconazole, the MFC (8 µg/mL) was two times the MIC.
Earlier investigations provided evidence for growth-inhibitory activities of several mastoparans and analogues thereof against different C. albicans reference strains, typically at MICs ranging from 5 to 80 µg/mL (Galeane et al. 2019; Yang et al. 2013; Wang et al. 2014). It is pertinent to note that experimental variables such as purities of anti-fungal agents, suspending medium used, inoculum sizes, growth media, the age of the culture, and incubation temperature may all influence MIC values (Memariani and Memariani 2020). To our knowledge, susceptibilities of clinical C. albicans isolates to mastoparans have hitherto not been examined. By comparison, many studies have used melittin as a comparator anti-fungal peptide for novel or newly discovered peptides. For instance, melittin is highly active against reference and clinical strains of C. albicans such as ATCC 10231, ATCC 10261, ATCC 90028, DSM 6659, DSZM 11945, KCTC 7270, and Sc 5314 at MIC range of 0.4–10 µM (Andrä et al. 2001; Andrä and Leippe 1999; Do et al. 2014; Memariani and Memariani 2020; Park et al. 2018; Park and Lee 2009). In spite of potent anti-microbial effects of mastoparans, the anti-fungal efficacy of the peptide in animal models should be further scrutinized in future investigations.
Kinetic Analysis of Yeast Cell Killing
Treatment with MP-VT1 brought about dose- and time-dependent decrements in viability of C. albicans cells (Fig. 2). Unlike fluconazole, both 1/2 × MFC (16 µg/mL) and 1 × MFC (32 µg/mL) of the peptide caused appreciable decreases in viable counts after 2 h. These downward rates continued at succeeding hourly intervals. Notably, a 6-h of exposure to 1 × MFC of MP-VT1 sufficed for total clearance of C. albicans. However, neither 1/2 × MFC (0.5 µg/mL) nor 1 × MFC (1 µg/mL) of fluconazole eradicated yeast cells within an incubation period of 6 h (Fig. 2). As judged by time-kill measurements, MP-VT1 had faster candidacidal kinetics in comparison to fluconazole. The rapid microbicidal activity of AMPs seems to offer several advantages over conventional anti-fungal drugs including limiting the dissemination of pathogens, improving outcome of the disease, shortening treatment durations, and reducing the likelihood of resistance development (Mohamed et al. 2016).
MTT Assay Results
MTT colorimetric assay was used to gain insight into potential cell toxicity of MP-VT1. As illustrated in Fig. 3, MP-VT1 dose-dependently decreased the viability of HFFs. Within the concentration range of 0.5–32 µg/mL, more than 80% HFFs were still viable after 24 h of treatment (Fig. 3). Such concentrations were indeed enough to eradicate all of the tested C. albicans isolates, suggesting selective toxicity of the peptide on C. albicans over human fibroblasts. In the present study, however, the peptide exhibited moderate toxicity at 64 µg/mL, reducing the cell viability to 60.53%. The CC50 value of MP-VT1 against HFFs was thus greater than 64 µg/mL after incubation for 24 h.
In a recent study, insertion of a pentapeptide motif (FLPII) into the N-terminal extremity of mastoparan L yielded a synthetic peptide mast-MO with decreased toxicity towards mammalian cells and improved anti-microbial activities (Silva et al. 2020). In another work, de Lacorte Singulani et al. (2019) found that a mastoparan analogue MK58911 (INWLKIAKKVKGML-NH2) at concentrations up to 500 µg/mL showed no toxicity against human fetal lung fibroblasts (MRC5) and glioblastoma cells (U87). Evidently, further investigations will be needed to elucidate the cytotoxic effects of MP-VT1 on other human cell lines.
Cell Selectivity Index
In drug development, it is of importance that a new candidate agent displays a safe therapeutic profile wherein the drug concentration required to attain the desired therapeutic effect is considerably lower than the concentration that incurs cytotoxic effects upon human cells (Porto et al. 2018). High anti-microbial activity (i.e., low MIC value) together with low cytotoxicity (high CC50) is indeed needed to achieve high CSI. In fact, CSI could be taken as a starting point to decide whether or not to pursue preclinical trials (Memariani et al. 2017). In this study, the GM of MP-VT1 was 12.9 µg/mL against 11 C. albicans strains. Given that MP-VT1 did not reduce the viability of HFFs by 50% even at the maximum concentration tested (64 µg/mL) in MTT colorimetric assay, a minimal twofold concentration value was used to calculate the CSI (i.e. CC50 > 64 µg/mL was considered as 128 µg/mL), as suggested earlier (Raja et al. 2017). In the present study, CSI for the peptide was found to be 9.9, indicating higher specificity of MP-VT1 for fungal cells compared with HFFs. Some authors are of opinion that CSI value should ideally be equal to or above 10 (Indrayanto et al. 2021; Awouafack et al. 2013). In one study, CSI of porcine myeloid anti-microbial peptide-36 (PMAP-36) against fungi was 0.21, while an 18-mer alpha-helical peptide RI18 displayed the greatest cell selectivity (22.61) among shorter derivatives of PMAP-36. However, melittin, a honeybee venom-derived peptide, showed a CSI of 0.07 (Lyu et al. 2016). The selective toxicity of some AMPs like MP-VT1 could be attributed to inherent differences in biomembrane lipid compositions in fungi and mammalian cells. In this context, ergosterol is the main lipid component of fungal cells, while cholesterol is the major neutral lipid in mammalian cells (Wang et al. 2014).
Visualization of Live and Dead Cells
We also performed AO/EtBr double staining method and fluorescence microscopy for direct visualization of live (green fluorescence) and dead (orange-red fluorescence) yeasts. Using this method, it is possible to stain yeast cells with either intact or damaged membrane simultaneously. As expected, a conspicuous green fluorescence was observed in PBS-treated yeast cells (Fig. 4a). The proportion of dead cells increased with peptide dose (Fig. 4b and c). In particular, the number of cells displaying orange-red fluorescence was highest when cells were challenged with 2 × MFC (128 µg/mL) of the peptide for 4 h. For comparison, no such changes are evident in fluconazole-treated cells (Fig. 4d and e). After analyzing fluorescence images using ImageJ software, we found that less than 0.10% of the surface area of the negative control image was covered by dead yeast cells (Fig. 4f). Remarkably, the percentages of surface areas covered by dead yeast cells in Fig. 4g and h (1.91% and 5.27%; peptide-treated C. albicans cells) were much greater than those found in Fig. 4i and j (0.48% and 0.68%; fluconazole-treated cells). Overall, these observations suggest that MP-VT-1 disrupted cell wall integrity and enhanced cell membrane permeability, resulting in yeast cell death. The changes in viability of the yeasts corroborate the aforementioned data regarding dose‐proportional killing effects upon C. albicans cells. In line with our observations, previous studies plainly demonstrated that various mastoparans can inflict microbial cell membrane damage in both bacteria and fungi, ultimately culminating in cell lysis (de Lacorte Singulani et al. 2019; Silva et al. 2020; Irazazabal et al. 2016).
Analysis of Yeast Cell Death Responses
Having shown that MP-VT1 instigates cell demise in C. albicans, we next sought to explore the extent of apoptosis and necrosis in MP-VT1-treated yeast cells. One of the hallmarks of apoptosis is phosphatidylserine exposition which can be detected by annexin V staining and subsequent flow cytometry analyses (Cho and Lee 2011). On the other hand, PI can be applied to inspect cell membrane integrity. In our work, 99.5% of the non-treated yeast cells (control) occupied the lower left quadrant in Fig. 5a; hence, they were detected as viable. When exposed to sub-MFCs of the peptide for 6 h, approximately 30–45% of yeast cell populations underwent necrosis (Fig. 5b and c). Nevertheless, evidence of apoptosis was typically limited to < 7% of the cells treated with sub-MFCs of MP-VT1. At the concentration equal to MFC of the peptide, almost three-quarters of yeast cells displayed necrosis, while a smaller proportion of the population exhibited late apoptosis (Fig. 5d). Therefore, necrosis appears to be a principal mechanism by which MP-VT-1 exterminates yeast cells. Until now, only rarely has the extent of apoptosis/necrosis in fungal cells in response to mastoparan challenge been quantified. In agreement with our findings, a contemporary study (de Lacorte Singulani et al. 2019) indicates that necrosis is the major form of cell death in the basidiomycetous yeast Cryptococcus neoformans exposed to MK58911, a mastoparan analogue.
Inhibition of Morphological Switch
It has been suggested that the hyphal growth promotes tissue invasion, bestows protection against host immune cells, and facilitates appropriate biofilm establishment (Tsang et al. 2012). Since MP-VT1 inhibited C. albicans growth, we hypothesized that the peptide would also attenuate morphogenesis from yeast to hyphae in vitro. In the present work, non-treated C. albicans cells exhibited yeast-like phenotypes in serum-free RPMI 1640 medium after 3 and 6 h (Fig. 6a and b), whereas addition of 20% FCS to the medium resulted in uniform distribution of hyphal cells (Fig. 6a and b). As depicted in Fig. 6b, addition of 1/8 × MIC (8 µg/mL) of MP-VT1 had little inhibitory effects upon C. albicans transition at both exposure times. At 1/4 × MIC (16 µg/mL) of the peptide, 85% of C. albicans cells underwent hyphal morphogenesis after a 3 h of incubation, while increasing exposure time to 6 h caused a substantial decrement in hyphal morphogenesis as compared with the hyphal morphology control (p < 0.01). Interestingly, a significant inhibition of hyphal transition (p < 0.01) was noticed at 3–6 h post-contact with 1/2 × MIC (32 µg/mL) of MP-VT1. We further established that amphotericin B (5 µg/mL) effectively abrogated hyphal growth of C. albicans. From our data, it can be concluded that MP-VT1 elicits a dose-dependent decrement in C. albicans yeast-to-hyphae transition. Insofar as we are aware, this is the first study providing phenotypic evidence for the ability of a member of mastoparan family (MP-VT1) to diminish C. albicans hyphal formation in vitro. This finding corroborates the results of other investigations in which venom-derived AMPs (e.g., lasioglossin LLIII and ToAP2) were effective in impeding C. albicans morphological shift from yeast to hyphae (Vrablikova et al. 2017; do Nascimento Dias et al. 2020). Indeed, suppressing virulence attributes and locking C. albicans in a non-hyphae-forming lifestyle have recently been propounded as a novel paradigm for anti-mycotic therapy (Reen et al. 2016). Therefore, inhibition of the yeast-to-hyphae switch may render C. albicans less invasive and more vulnerable to conventional anti-mycotics.
Reductions in Yeast Cell Surface Hydrophobicity
As a cellular biophysical parameter of critical importance, CSH influences both cell-surface and cell–cell interactions, thereby contributing to the fungal virulence (Ellepola et al. 2013). How CSH affects virulence has not been fully explicated. It appears that hydrophobic cells in comparison to their hydrophilic counterparts are more adhesive to both biotic and abiotic surfaces, more germination competent, and less sensitive to phagocytosis (Singleton et al. 2005). It is likely that a small variation in candidal CSH results in a shift from commensal to pathogen and vice-versa (Goswami et al. 2017). Various factors such as cell wall composition, nutrient availability, temperature, and fungal growth phase, and even sub-inhibitory doses of anti-fungal agents may alter candidal CSH (Danchik and Casadevall 2021). Herein, we measured yeast adhesion to n-hexane following a brief, single exposure to either MP-VT1 or fluconazole alone. As evinced in Fig. 7, MP-VT-1 lessened the CSHs of C. albicans ATCC 90028 in a dose-dependent way. Compared with the control (PBS-treated cells), a significant (p < 0.01) decrease in hydrophobicity was observed after a 1-h exposure to either 1/4 × MFC (32 µg/mL) or 1/2 × MFC (64 µg/mL) of MP-VT1. Contrariwise, sub-lethal concentrations of fluconazole had a negligible impact upon yeast CSH (Fig. 7). In congruence with these findings, a recent study (Vaňková et al. 2020) unveiled that 50 μM of a synthetic peptide LL-III/43 (VNWKKILGKIIKVVK-NH2) efficiently reduced the CSH index of C. albicans ATCC MYA-2876, whereas two azoles (i.e. fluconazole and voriconazole) exhibited no significant effect upon the CSH. Different microbial structures such as outer membrane proteins, phospholipids, lipopolysaccharides, fimbriae, and lipopolysaccharide have previously been shown to contribute to microbial CSH (Ellepola et al. 2013). As for C. albicans, it has been suggested that the CSH correlates with the concentration of fibrils in the exterior layer of the cell wall (Hazen and Hazen 1992; Ellepola et al. 2013). Therefore, it is sensible to surmise that the reduction of the candidal CSH in the presence of MP-VT1 may be attributable to changes in cell wall surface fibril organization and/or hydrophobic surface proteins. Although our results are interesting, further experiments on medically-significant dimorphic fungi such as Coccidioides immitis, Paracoccidioides brasiliensis, Blastomyces dermatitidis, and Histoplasma capsulatum could provide additional insight into the anti-virulent properties of venom-derived AMPs like MP-VT1.
Reductions in Yeast Cell Attachment
Having shown that MP-VT1 is able to diminish candidal CSH, we proceeded to quantify the numbers of polystyrene-attached cells based upon colony counting. Surface attachment is the first step in committing C. albicans to the establishment of disease (Fazly et al. 2013). As depicted in Fig. 8a and b, sub-lethal concentrations of both MP-VT1 and fluconazole reduced the adhesion of C. albicans ATCC 90028 to polystyrene in a dose-dependent manner. Indeed, in vitro anti-adhesive activity of MP-VT1 was considerably greater than that of fluconazole. Based on our findings, all tested concentrations of MP-VT1 significantly reduced the number of yeasts adhering to the polystyrene surfaces when compared to fluconazole (p < 0.001). Remarkably, 1/2 × MFC of MP-VT1 was adequate to inhibit yeast cell attachment by ˃77% (Fig. 8b). A possible explanation may be that MP-VT1 directly binds to cell surface of C. albicans, thereby interfering with cell attachment to polystyrene. In this context, the electrostatic affinity between positively charged residues of MP-VT1 and negatively charged membrane carbohydrates may facilitate peptide-cell interactions (Tsai et al. 2011).
Previous studies have indicated that sub-lethal doses of several AMPs such as LL-37, BMAP-28, human β-defensin 3, and histatin 5 inhibit adhesion of C. albicans to polystyrene (Tsai et al. 2011; Scarsini et al. 2015). In the case of LL-37, it has been suggested that interaction of the peptide with the yeast cell wall polysaccharides and proteins could affect C. albicans adhesion to plastic (Tsai et al. 2011; Chang et al. 2012). Moreover, Brauner and coworkers (2018) have come to realize that the AMP psoriasin binds to the β-glucan of the C. albicans cell wall, hence thwarting polystyrene adhesion capacity of C. albicans. Prevention of surface attachment by AMPs like MP-VT1 is evidently of importance since they could lessen C. albicans colonization and biofilm formation. Nevertheless, it remains unclear what mechanisms are principally responsible for the anti-adhesive activity of MP-VT1. Further studies are therefore needed to address this question.
Fungicidal Effects on Biofilm-Encased Cells
It has been estimated that up to 80% of all human microbial infections are related to biofilms, which are notoriously challenging to treat because of the poor drug penetration, slow growth rate of biofilm populations, altered metabolism of biofilm-encased cells, and over-expression of genes conferring drug resistance (Nobile and Johnson 2015; Olsen 2015). Considering the medical importance of biofilm-associated infections caused by C. albicans, we next decided to study whether supra-MFC values of MP-VT1 exhibit fungicidal activity against biofilm-dwelling cells. At concentrations greater than MFCs of MP-VT1 and fluconazole, the viability of C. albicans cells embedded in a 24-h biofilm considerably diminished (Fig. 9a and b). As regards C. albicans ATCC 90028, more than three-fourths of the biofilm-embedded cells lost their viability after a 24‐h exposure to 4 × MFC and 2 × MFC of either MP-VT1 or fluconazole (Fig. 9). Remarkably, peptide concentrations equal to 2 × MFC and 4 × MFC were sufficient to achieve at least 95% reduction in metabolic activity of two clinical biofilm-producer strains, viz. Ca05 and Ca08 (Fig. 9). However, fluconazole was not as effective as the peptide against those same strains. In particular, a statistically significant difference was found between fungicidal activity of MP-VT1 and fluconazole at 2 × MFC (p = 0.0001) against biofilm-embedded cells of Ca05. These findings suggest that MP-VT1 could penetrate well inside the biofilm, where it exerts candidacidal activity.
The results of this study bring out that C. albicans cells within biofilms are more vulnerable to MP-VT1 than to fluconazole. Similarly, Kočendová et al. (2019) showed that LL-III/43 and VIII, analogues of bee venom-derived peptides, were able to decrease the metabolic activity of different Candida spp. cells in mature biofilms at concentrations ranging from 12.8 to 200 μM. In another study, 16 × MFC (128 μg/mL) of lycosin-I, a peptide extracted from the venom of the spider Lycosa singoriensis, eradicated not only fluconazole-susceptible but also fluconazole-resistant Candida tropicalis biofilms (Tan et al. 2018). It is worthwhile to note that membrane-disrupting activities of some AMPs confer them the ability to act on slow-growing or even non-growing cells including those found at the center of biofilms (Batoni et al. 2011). Hence, AMPs, such as the peptide used in the present study, appear to be promising candidates for the development of novel anti-biofilm agents.
Conclusions
Venom-derived AMPs have recently commanded a great deal of scientific attention, owed partly to their rapid, broad spectrum, and potent anti-microbial activities. The present paper provides us a better understanding of how MP-VT1 exerts its anti-fungal effects upon C. albicans. Not only did the peptide obliterate planktonic cells of C. albicans, but it also profoundly reduced the viability of biofilm-enclosed cells. Noticeably, MP-VT1 showed faster rates of candidacidal activity as compared to fluconazole. The result of this work suggests that disruption of cell membrane integrity is the principal anti-fungal mechanism of MP-VT-1, culminating in death of C. albicans mainly by necrosis. Our study also establishes, for the first time, an inhibitory role for MP-VT1 against virulence attributes of C. albicans including yeast-to-hyphae phenotype switching and adhesion ability. We envisage that suppressing virulence behavior of C. albicans by MP-VT1 could render the pathogen less invasive and more vulnerable to conventional anti-mycotics. Although the data reported herein reflect the in vitro activity of MP-VT1, future research should scrutinize efficacy of the peptide in animal models of Candida infections to broaden our knowledge on its possible therapeutic effects.
Abbreviations
- AMPs:
-
Anti-microbial peptides
- AO/EtBr:
-
Acridine orange/ethidium bromide
- CD:
-
Circular dichroism
- CFUs:
-
Colony forming units
- CSH:
-
Cell surface hydrophobicity
- DMEM:
-
Dulbecco’s Modifed Eagle’s Medium
- DMSO:
-
Dimethyl sulfoxide
- FCS:
-
Fetal calf serum
- FITC:
-
Fluorescein isothiocyanate
- HFFs:
-
Human foreskin fibroblasts
- MFC:
-
Minimum fungicidal concentration
- MIC:
-
Minimum inhibitory concentration
- MP-VT1:
-
Mastoparan VT-1
- MOPS:
-
3-(N-Morpholino) propane sulfonic acid
- OD:
-
Optical density
- PBS:
-
Phosphate-buffered saline
- PI:
-
Propidium iodide
- RP-HPLC:
-
Reversed phase–high-performance liquid chromatography
- RPMI 1640:
-
Roswell Park Memorial Institute 1640
- SD:
-
Standard deviation
- SDA:
-
Sabouraud dextrose agar
- SDB:
-
Sabouraud dextrose broth
- TFE:
-
2,2,2-Trifluoroethanol
- YNBG:
-
Yeast nitrogen base medium containing 2% glucose
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MM and HM jointly contributed to all phases of this study (conception, experimental design, data analysis, practical work, and authorship of the manuscript). ZP and ZB partially participated in practical work. HM critically reviewed and edited the manuscript. All authors read and approved the final manuscript.
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Fig. S1
RP-HPLC chromatogram (a) and mass spectrum (b) of synthetic mastoparan VT-1 (INLKAIAALAKKLL—NH2). In panel a, insert represents additional information on retention time (RT), peak area, peak height, and % area. As shown in panel a, the large peak assigned with the black arrow represents the purified peptide. (TIF 2647 KB)
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Memariani, M., Memariani, H., Poursafavi, Z. et al. Anti-fungal Effects and Mechanisms of Action of Wasp Venom-Derived Peptide Mastoparan-VT1 Against Candida albicans. Int J Pept Res Ther 28, 96 (2022). https://doi.org/10.1007/s10989-022-10401-5
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DOI: https://doi.org/10.1007/s10989-022-10401-5