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Meshram V, Madkey M, Rajkondawar A. Study of Outcomes of Mucormycosis in COVID-19 Patients at a Tertiary Care Hospital in Central India: A Retrospective Study. Cureus 2024; 16:e75728. [PMID: 39811211 PMCID: PMC11731195 DOI: 10.7759/cureus.75728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/14/2024] [Indexed: 01/16/2025] Open
Abstract
Background The COVID-19 pandemic has posed unprecedented challenges to the global healthcare system. Among the various complications, mucormycosis, a fungal infection caused by the Mucorales order, has emerged as a significant threat, particularly in immunocompromised individuals. This study aims to evaluate the outcomes of mucormycosis in COVID-19 patients treated at a tertiary care hospital in Central India. Method This retrospective study reviewed the medical records of 72 patients diagnosed with mucormycosis following COVID-19 infection between April 2021 and July 2021 at the tertiary care hospital. Data on demographics, clinical features, comorbidities, treatment received (surgery, antifungal medications), and treatment outcomes (mortality, response to treatment) were collected and analyzed. Results The mean age of patients was 55.42±12.31 years, with a male predominance (n=44; 61.11%). Facial pain (n=61; 84.72%) and headache (n=58; 80.55%) were the most common clinical features. The mean duration of symptoms was 14.31±5.4 days. Steroids were used in the majority of the patients (n=50; 69%). The most common comorbidity was diabetes mellitus (n=42; 58.33%). Out of 72 patients, 40 (55.6%) survived and 32 (44.4%) patients died. Surgical debridement was performed in 45 (62.5%) patients. All 72 patients (100%) received amphotericin B, an antifungal medication. The older age and lack of early surgical intervention were significant factors associated with higher mortality in patients with mucormycosis in COVID-19. Conclusion This retrospective study reinforces the critical role of early diagnosis, immediate systemic antifungal therapy, stringent management of comorbidities, and prompt surgical intervention in improving outcomes for mucormycosis in COVID-19 patients.
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Affiliation(s)
- Vinay Meshram
- Department of Medicine, Government Medical College and Hospital, Nagpur, IND
| | - Madhavi Madkey
- Department of Microbiology, All India Institute of Medical Sciences, Raipur, IND
| | - Atul Rajkondawar
- Department of Medicine, Government Medical College and Hospital, Nagpur, IND
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Chen S, Wang Y, Cui T, Zheng Y, Zhang F, Ma Q, Zhang C, Liu X. Characterization of three non-canonical N-glycosylation motifs indicates N glyco-A reduces DNA N6-methyladenine and N glyco-D alters G/F actin ratio in Phytophthora sojae. Int J Biol Macromol 2024; 277:133943. [PMID: 39025174 DOI: 10.1016/j.ijbiomac.2024.133943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Revised: 07/08/2024] [Accepted: 07/15/2024] [Indexed: 07/20/2024]
Abstract
Asparagine (Asn, N)-linked glycosylation is an abundant post-translational modification in which Asn, typically in Nglyco-X-S/T; X ≠ P motifs, are modified with N-glycans. It has essential regulatory roles in multicellular organisms. In this study, we systematically investigate the function of three N-glycosylation motifs (Nglyco-A, Nglyco-D and Nglyco-S) previously identified in Phytophthora sojae, through site-directed mutagenesis and functional assays. In P. sojae expressing glycosylation-dead variants pre-PsDMAP1N70A (Nglyco-A motif) or PsADFN64A (Nglyco-D motif), zoospore release or cyst germination is impaired. In particular, the pre-PsDMAP1N70A mutant reduces DNA methylation levels, and the PsADFN64A mutant disrupts the actin forms, which could explain the decrease in pathogenicity after N-glycosylation is destroyed. Similarly, P. sojae expressing PsNRXN132A (Nglyco-S motif) shows increased sensitivity to H2O2 and heat. Through autophagy or 26S proteasome pathway inhibition assays, we found that unglycosylated pre-PsDMAP1N70A and PsADFN64A are degraded via the 26S proteasome pathway, while the autophagy pathway is responsible for PsNRXN132A clearance. These findings demonstrate that glycosylation of these motifs regulates the stability and function of glycoproteins necessary for P. sojae growth, reproduction and pathogenicity, which expands the scope of known N-glycosylation regulatory functions in oomycetes.
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Affiliation(s)
- Shanshan Chen
- Department of Plant Pathology, China Agricultural University, Beijing 100193, China
| | - Yuke Wang
- Department of Plant Pathology, China Agricultural University, Beijing 100193, China
| | - Tongshan Cui
- Department of Plant Pathology, China Agricultural University, Beijing 100193, China
| | - Yuxin Zheng
- Department of Plant Pathology, China Agricultural University, Beijing 100193, China
| | - Fan Zhang
- Department of Plant Pathology, China Agricultural University, Beijing 100193, China
| | - Quanhe Ma
- Department of Plant Pathology, China Agricultural University, Beijing 100193, China
| | - Can Zhang
- Department of Plant Pathology, China Agricultural University, Beijing 100193, China.
| | - Xili Liu
- Department of Plant Pathology, China Agricultural University, Beijing 100193, China; State Key Laboratory of Crop Stress Biology for Arid Areas, Northwest A&F University, Yangling 712100, China.
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Zhang X, Zhang Z, Chen T, Chen Y, Li B, Tian S. Characterization of two SGNH family cell death-inducing proteins from the horticulturally important fungal pathogen Botrytis cinerea based on the optimized prokaryotic expression system. MOLECULAR HORTICULTURE 2024; 4:9. [PMID: 38449027 PMCID: PMC10919021 DOI: 10.1186/s43897-024-00086-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 02/07/2024] [Indexed: 03/08/2024]
Abstract
Botrytis cinerea is one of the most destructive phytopathogenic fungi, causing significant losses to horticultural crops. As a necrotrophic fungus, B. cinerea obtains nutrients by killing host cells. Secreted cell death-inducing proteins (CDIPs) play a crucial role in necrotrophic infection; however, only a limited number have been reported. For high-throughput CDIP screening, we optimized the prokaryotic expression system and compared its efficiency with other commonly used protein expression systems. The optimized prokaryotic expression system showed superior effectiveness and efficiency and was selected for subsequent CDIP screening. The screening system verified fifty-five candidate proteins and identified two novel SGNH family CDIPs: BcRAE and BcFAT. BcRAE and BcFAT exhibited high expression levels throughout the infection process. Site-directed mutagenesis targeting conserved Ser residues abolished the cell death-inducing activity of both BcRAE and BcFAT. Moreover, the transient expression of BcRAE and BcFAT in plants enhanced plant resistance against B. cinerea without inducing cell death, independent of their enzymatic activities. Our results suggest a high-efficiency screening system for high-throughput CDIP screening and provide new targets for further study of B. cinerea-plant interactions.
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Affiliation(s)
- Xiaokang Zhang
- Key Laboratory of Plant Resources, Institute of Botany, Chinese Academy of Sciences, Beijing, 100093, China
- University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Zhanquan Zhang
- Key Laboratory of Plant Resources, Institute of Botany, Chinese Academy of Sciences, Beijing, 100093, China
- University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Tong Chen
- Key Laboratory of Plant Resources, Institute of Botany, Chinese Academy of Sciences, Beijing, 100093, China
| | - Yong Chen
- Key Laboratory of Plant Resources, Institute of Botany, Chinese Academy of Sciences, Beijing, 100093, China
| | - Boqiang Li
- Key Laboratory of Plant Resources, Institute of Botany, Chinese Academy of Sciences, Beijing, 100093, China
| | - Shiping Tian
- Key Laboratory of Plant Resources, Institute of Botany, Chinese Academy of Sciences, Beijing, 100093, China.
- University of Chinese Academy of Sciences, Beijing, 100049, China.
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Zhou L, Gao G, Li X, Wang W, Tian S, Qin G. The pivotal ripening gene SlDML2 participates in regulating disease resistance in tomato. PLANT BIOTECHNOLOGY JOURNAL 2023; 21:2291-2306. [PMID: 37466912 PMCID: PMC10579708 DOI: 10.1111/pbi.14130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 06/14/2023] [Accepted: 07/06/2023] [Indexed: 07/20/2023]
Abstract
Fruit ripening and disease resistance are two essential biological processes for quality formation and maintenance. DNA methylation, in the form of 5-methylcytosine (5mC), has been elucidated to modulate fruit ripening, but its role in regulating fruit disease resistance remains poorly understood. In this study, we show that mutation of SlDML2, the DNA demethylase gene essential for fruit ripening, affects multiple developmental processes of tomato besides fruit ripening, including seed germination, leaf length and width and flower branching. Intriguingly, loss of SlDML2 function decreased the resistance of tomato fruits against the necrotrophic fungal pathogen Botrytis cinerea. Comparative transcriptomic analysis revealed an obvious transcriptome reprogramming caused by SlDML2 mutation during B. cinerea invasion. Among the thousands of differentially expressed genes, SlβCA3 encoding a β-carbonic anhydrase and SlFAD3 encoding a ω-3 fatty acid desaturase were demonstrated to be transcriptionally activated by SlDML2-mediated DNA demethylation and positively regulate tomato resistance to B. cinerea probably in the same genetic pathway with SlDML2. We further show that the pericarp tissue surrounding B. cinerea infection exhibited a delay in ripening with singnificant decrease in expression of ripening genes that are targeted by SlDML2 and increase in expression of SlβCA3 and SlFAD3. Taken together, our results uncover an essential layer of gene regulation mediated by DNA methylation upon B. cinerea infection and raise the possible that the DNA demethylase gene SlDML2, as a multifunctional gene, participates in modulating the trade-off between fruit ripening and disease resistance.
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Affiliation(s)
- Leilei Zhou
- Key Laboratory of Plant Resources, Institute of BotanyChinese Academy of SciencesBeijingChina
- China National Botanical GardenBeijingChina
| | - Guangtong Gao
- Key Laboratory of Plant Resources, Institute of BotanyChinese Academy of SciencesBeijingChina
- China National Botanical GardenBeijingChina
- University of Chinese Academy of SciencesBeijingChina
| | - Xiaojing Li
- Key Laboratory of Plant Resources, Institute of BotanyChinese Academy of SciencesBeijingChina
- China National Botanical GardenBeijingChina
- University of Chinese Academy of SciencesBeijingChina
| | - Weihao Wang
- Key Laboratory of Plant Resources, Institute of BotanyChinese Academy of SciencesBeijingChina
- China National Botanical GardenBeijingChina
| | - Shiping Tian
- Key Laboratory of Plant Resources, Institute of BotanyChinese Academy of SciencesBeijingChina
- China National Botanical GardenBeijingChina
- University of Chinese Academy of SciencesBeijingChina
| | - Guozheng Qin
- Key Laboratory of Plant Resources, Institute of BotanyChinese Academy of SciencesBeijingChina
- China National Botanical GardenBeijingChina
- University of Chinese Academy of SciencesBeijingChina
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Li H, Shen X, Wu W, Zhang W, Wang Y. Ras2 Is Responsible for the Environmental Responses, Melanin Metabolism, and Virulence of Botrytis cinerea. J Fungi (Basel) 2023; 9:jof9040432. [PMID: 37108887 PMCID: PMC10142356 DOI: 10.3390/jof9040432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/13/2023] [Accepted: 03/29/2023] [Indexed: 04/03/2023] Open
Abstract
Ras proteins are monomeric G proteins that are ubiquitous in fungal cells and play important roles in fungal growth, virulence, and environmental responses. Botrytis cinerea is a phytopathogenic fungus that infects various crops. However, under specific environmental conditions, the overripe grapes infected by B. cinerea can be used to brew valuable noble rot wine. As a Ras protein, the role of Bcras2 in the environmental responses of B. cinerea is poorly understood. In this study, we deleted the Bcras2 gene using homologous recombination and examined its functions. Downstream genes regulated by Bcras2 were explored using RNA sequencing transcriptomics. It was found that ΔBcras2 deletion mutants showed significantly reduced growth rate, increased sclerotia production, decreased resistance to oxidative stress, and enhanced resistance to cell wall stress. Additionally, Bcras2 deletion promoted the expression of melanin-related genes in sclerotia and decreased the expression of melanin-related genes in conidia. The above results indicate that Bcras2 positively regulates growth, oxidative stress resistance, and conidial melanin-related genes expression, and negatively regulates sclerotia production, cell wall stress resistance and sclerotial melanin-related genes expression. These results revealed previously unknown functions of Bcras2 in environmental responses and melanin metabolism in B. cinerea.
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Affiliation(s)
- Hua Li
- School of Light Industry, Beijing Technology and Business University, Beijing 100048, China
| | - Xuemei Shen
- School of Light Industry, Beijing Technology and Business University, Beijing 100048, China
| | - Wenjia Wu
- School of Light Industry, Beijing Technology and Business University, Beijing 100048, China
| | - Wanyu Zhang
- School of Light Industry, Beijing Technology and Business University, Beijing 100048, China
| | - Yousheng Wang
- School of Light Industry, Beijing Technology and Business University, Beijing 100048, China
- Rizhao Huawei Institute of Comprehensive Health Industries, Shandong Keepfit Biotech. Co., Ltd., Rizhao 276800, China
- Correspondence: ; Tel.: +86-1068984905
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Zhang X, Noberini R, Bonaldi T, Collemare J, Seidl MF. The histone code of the fungal genus Aspergillus uncovered by evolutionary and proteomic analyses. Microb Genom 2022; 8. [PMID: 36129736 PMCID: PMC9676040 DOI: 10.1099/mgen.0.000856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Chemical modifications of DNA and histone proteins impact the organization of chromatin within the nucleus. Changes in these modifications, catalysed by different chromatin-modifying enzymes, influence chromatin organization, which in turn is thought to impact the spatial and temporal regulation of gene expression. While combinations of different histone modifications, the histone code, have been studied in several model species, we know very little about histone modifications in the fungal genus Aspergillus, whose members are generally well studied due to their importance as models in cell and molecular biology as well as their medical and biotechnological relevance. Here, we used phylogenetic analyses in 94 Aspergilli as well as other fungi to uncover the occurrence and evolutionary trajectories of enzymes and protein complexes with roles in chromatin modifications or regulation. We found that these enzymes and complexes are highly conserved in Aspergilli, pointing towards a complex repertoire of chromatin modifications. Nevertheless, we also observed few recent gene duplications or losses, highlighting Aspergillus species to further study the roles of specific chromatin modifications. SET7 (KMT6) and other components of PRC2 (Polycomb Repressive Complex 2), which is responsible for methylation on histone H3 at lysine 27 in many eukaryotes including fungi, are absent in Aspergilli as well as in closely related Penicillium species, suggesting that these lost the capacity for this histone modification. We corroborated our computational predictions by performing untargeted MS analysis of histone post-translational modifications in Aspergillus nidulans. This systematic analysis will pave the way for future research into the complexity of the histone code and its functional implications on genome architecture and gene regulation in fungi.
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Affiliation(s)
- Xin Zhang
- Theoretical Biology & Bioinformatics Group, Department of Biology, Utrecht University, Padualaan 8, 3584 CH Utrecht, the Netherlands.,Westerdijk Fungal Biodiversity Institute, Uppsalalaan 8, 3584 CT Utrecht, the Netherlands
| | - Roberta Noberini
- Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, Via Adamello 16, 20139 Milan, Italy
| | - Tiziana Bonaldi
- Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, Via Adamello 16, 20139 Milan, Italy.,Department of Oncology and Haematology-Oncology, University of Milano, Via Santa Sofia 9/1, 20122 Milano, Italy
| | - Jerome Collemare
- Westerdijk Fungal Biodiversity Institute, Uppsalalaan 8, 3584 CT Utrecht, the Netherlands
| | - Michael F Seidl
- Theoretical Biology & Bioinformatics Group, Department of Biology, Utrecht University, Padualaan 8, 3584 CH Utrecht, the Netherlands
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Breen J, Mur LAJ, Sivakumaran A, Akinyemi A, Wilkinson MJ, Rodriguez Lopez CM. Botrytis cinerea Loss and Restoration of Virulence during In Vitro Culture Follows Flux in Global DNA Methylation. Int J Mol Sci 2022; 23:ijms23063034. [PMID: 35328468 PMCID: PMC8948621 DOI: 10.3390/ijms23063034] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/21/2022] [Accepted: 03/03/2022] [Indexed: 12/23/2022] Open
Abstract
Pathogenic fungi can lose virulence after protracted periods of culture, but little is known of the underlying mechanisms. Here, we present the first analysis of DNA methylation flux at a single-base resolution for the plant pathogen B. cinerea and identify differentially methylated genes/genomic regions associated with virulence erosion during in vitro culture. Cultures were maintained for eight months, with subcultures and virulence testing every month. Methylation-sensitive amplified polymorphisms were performed at monthly intervals to characterise global changes to the pathogen’s genome during culture and also on DNA from mycelium inoculated onto Arabidopsis thaliana after eight months in culture. Characterisation of culture-induced epialleles was assessed by whole-genome re-sequencing and whole-genome bisulfite sequencing. Virulence declined with time in culture and recovered after inoculation on A. thaliana. Variation detected by methylation-sensitive amplified polymorphisms followed virulence changes during culture. Whole-genome (bisulfite) sequencing showed marked changes in global and local methylation during culture but no significant genetic changes. We imply that virulence is a non-essential plastic character that is at least partly modified by the changing levels of DNA methylation during culture. We hypothesise that changing DNA methylation during culture may be responsible for the high virulence/low virulence transition in B. cinerea and speculate that this may offer fresh opportunities to control pathogen virulence.
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Affiliation(s)
- James Breen
- Indigenous Genomics, Telethon Kids Institute, Adelaide, SA 5000, Australia;
| | - Luis Alejandro Jose Mur
- Institute of Biological, Environmental and Rural Sciences, Edward Llywd Building, Penglais Campus, Aberystwyth SY23 3FG, UK; (L.A.J.M.); (A.S.); (A.A.); (M.J.W.)
| | - Anushen Sivakumaran
- Institute of Biological, Environmental and Rural Sciences, Edward Llywd Building, Penglais Campus, Aberystwyth SY23 3FG, UK; (L.A.J.M.); (A.S.); (A.A.); (M.J.W.)
| | - Aderemi Akinyemi
- Institute of Biological, Environmental and Rural Sciences, Edward Llywd Building, Penglais Campus, Aberystwyth SY23 3FG, UK; (L.A.J.M.); (A.S.); (A.A.); (M.J.W.)
| | - Michael James Wilkinson
- Institute of Biological, Environmental and Rural Sciences, Edward Llywd Building, Penglais Campus, Aberystwyth SY23 3FG, UK; (L.A.J.M.); (A.S.); (A.A.); (M.J.W.)
| | - Carlos Marcelino Rodriguez Lopez
- Environmental Epigenetics and Genetics Group, School of Agriculture, Food and Wine, Waite Research Precinct, University of Adelaide, PMB 1, Glen Osmond, SA 5064, Australia
- Correspondence:
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Chen Y, Zhang Z, Tian S, Li B. Application of -omic technologies in postharvest pathology: Recent advances and perspectives. Curr Opin Food Sci 2022. [DOI: 10.1016/j.cofs.2022.100820] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
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