Abstract
The opportunistic fungal pathogen Aspergillus fumigatus can cause severe infections, particularly in immunocompromised individuals. Upon infection, A. fumigatus faces the powerful and directly acting immune defense of the human host. The mechanisms on how A. fumigatus evades innate immune attack and complement are still poorly understood. Here, we identify A. fumigatus enolase, AfEno1, which was also characterized as fungal allergen, as a surface ligand for human plasma complement regulators. AfEno1 binds factor H, factor-H-like protein 1 (FHL-1), C4b binding protein (C4BP), and plasminogen. Factor H attaches to AfEno1 via two regions, via short conserved repeats (SCRs) 6–7 and 19–20, and FHL-1 contacts AfEno1 via SCRs 6–7. Both regulators when bound to AfEno1 retain cofactor activity and assist in C3b inactivation. Similarly, the classical pathway regulator C4BP binds to AfEno1 and bound to AfEno1; C4BP assists in C4b inactivation. Plasminogen which binds to AfEno1 via lysine residues is accessible for the tissue-type plasminogen activator (tPA), and active plasmin cleaves the chromogenic substrate S2251, degrades fibrinogen, and inactivates C3 and C3b. Plasmin attached to swollen A. fumigatus conidia damages human A549 lung epithelial cells, reduces the cellular metabolic activity, and induces cell retraction, which results in exposure of the extracellular matrix. Thus, A. fumigatus AfEno1 is a moonlighting protein and virulence factor which recruits several human regulators. The attached human regulators allow the fungal pathogen to control complement at the level of C3 and to damage endothelial cell layers and tissue components.
Keywords: complement factor H, moonlighting, immune evasion, plasminogen, blocking phagocytosis
Introduction
The opportunistic pathogenic and saprophytic filamentous fungus Aspergillus fumigatus can cause invasive aspergillosis, a life-threatening disease which affects mainly immunosuppressed individuals and has a high mortality rate (1, 2). In patients with impaired lung function such as cystic fibrosis and ectopic asthma, A. fumigatus can also cause airway diseases like allergic asthma (AA) and allergic bronchopulmonary aspergillosis (3–5). Over the past two decades, the increase in A. fumigatus infections has raised the awareness for a better understanding of the interplay between Aspergillus and the human host. To this end, it is relevant to understand how the fungus is recognized by the intact immune system and for compromised individuals whose defective immune response results in clinical manifestations (6). Elucidating the immune escape strategies of A. fumigatus will allow development of new antifungal therapeutics. Inhaled conidia when reaching bronchi are immediately confronted by the host's innate immune system, including complement. Multiple soluble complement proteins and pattern recognition proteins are identified by the proteome approach in human bronchoalveolar lavage and airway fluids (7, 8).
Complement as a central part of the innate immune defense orchestrates both the humoral and cellular responses of the human host. This immediately acting cascade is activated by three pathways, the alternative pathway (AP), the classical pathway (CP), and the lectin pathway (CP) (9–11). The human host uses soluble and membrane-bound regulators to protect self-cells and surfaces from toxic complement activation products and to inhibit lysis of bystander cells (9, 10). Self-protective fluid-phase regulators factor H and factor-H-like protein 1 (FHL-1) inhibit the AP-mediated damage. Factor H is a 150-kDa plasma protein composed of 20 short conserved repeats (SCRs) (9). FHL-1, which is derived from the same gene and is encoded by an alternatively spliced transcript, shares SCRs 1–7 with factor H and has a C-terminal unique four-amino-acid extension. Both factor H and FHL-1 act as cofactors for factor I and assist in C3b inactivation, thereby accelerating the decay of the AP C3 convertase. C4b binding protein (C4BP) blocks both the CP and LP (9). C4BP, a 570-kDa plasma regulator, is composed of seven identical α-chains and one β-chain (12). The α-chain comprises eight SCRs, and the β-chain encompasses three SCRs. C4BP acts as a cofactor for factor I, which cleaves C4b and accelerates the decay of the CP/LP C3 convertases (13). C4BP acts as a cofactor for factor I-mediated inactivation of C3b in fluid phase (12, 14).
Plasminogen, a 92-kDa plasma glycoprotein, is a self-protective complement regulator. Plasminogen consists of five consecutive disulfide-bonded kringle domains which are linked to a serine protease domain (15). The N-terminal kringle domains mediate cell surface attachment, and often, lysine residues are relevant for the contact (16). Plasminogen is activated by physiological activators, i.e., tissue-type plasminogen activator (tPA) and urokinase-type plasminogen activator (uPA) to the protease plasmin (15). Active plasmin dissolves fibrin clots and degrades extracellular matrix components and membrane proteins (17). Plasmin also degrades complement proteins (15, 18, 19).
A. fumigatus conidia and hyphae activate all three pathways of the complement system (20, 21). Resting conidia preferentially activate the AP, whereas swollen conidia and hyphae activate the CP and the LP (22).
Similar to other fungal, bacterial, and multicellular microbial pathogens, A. fumigatus uses multiple strategies to control and to counteract host complement attack. A. fumigatus conidia and hyphae recruit the human plasma regulators factor H, FHL-1, C4BP, and plasminogen and the pattern recognition proteins pentraxin-3 and ficolin-2 (23–26). This pathogenic fungus also inactivates C3 directly. A. fumigatus-secreted alkaline protease 1 (Alp1) degrades the central human complement proteins C3, C4, and C5 (27). The metalloprotease Mep1 cleaves C3, C4, and C5 and inhibits all three complement pathways (28). Furthermore, the hydrophobic fungal pigment 1,8-dihydroxynaphthalene (DHN) melanin prevents C3b binding to the surface of A. fumigatus, thereby allowing escape from host complement attack (22). A role of complement upon A. fumigatus infection is concluded as C5 knockout mice show higher mortality when challenged with A. fumigatus (29, 30). Polymorphisms of the human (pentraxin 3 [PTX-3]) MBL (Manan binding lectin 2) or ficolin-2 genes increase susceptibility for A. fumigatus infection (25, 31, 32).
At present, 23 allergens have been identified from A. fumigatus (33). The allergen Aspf2, which is the ortholog of the central Candida albicans immune evasion protein Pra1 (pH-regulated antigen 1), is exposed on the surface of resting and swollen conidia and recruits the human plasma regulators factor H, FHL-1, and plasminogen (34, 35). The attached host regulators inhibit opsonophagocytosis and killing of conidia by human neutrophils. Aspf22, also known as enolase (AfEno1), is another A. fumigatus allergen, which has immune evasion potential. AfEno1-reacting immunoglobulins E (IgE) are present sera from patients with allergic bronchopulmonary aspergillosis (ABPA) (33, 36).
Enolase is a well-known microbial immune evasion and moonlighting protein. Enolase from various pathogens, i.e., the fungi A. fumigatus and C. albicans; from Gram-positive bacteria Streptococcus pneumoniae; from Gram-negative bacteria Borrelia burgdorferi; and from the parasite Plasmodium falciparum binds plasminogen [(37–42), Gow]. Enolase from Leptospira interrogans binds factor H and C4BP, whereas S. pneumoniae enolase binds C4BP, but apparently not factor H (3, 43). In the cytoplasm, enolase catalyzes the conversion of 2-phosphoglycerate to phosphoenolpyruvate; at the microbial surface, enolase binds human plasma proteins including plasminogen.
Given the important role of microbial enolases in immune evasion and given the role of AfEno1 (Aspf22) as allergen, we were interested to evaluate the immune evasion features of AfEno1 in more detail. Therefore, we asked if and how AfEno1 contributes to A. fumigatus immune evasion. To evaluate the binding potential, A. fumigatus AfEno1 was cloned, expressed, and purified as a recombinant protein. Recombinant AfEno1 bound plasminogen as well as factor H, FHL-1, and C4BP. AfEno1 expressed at the fungal surface contributes to immune evasion and assists in virulence. The human proteins attached to AfEno1 retain regulatory activity and inactivate complement at the levels of C3 and C3b. In addition, plasmin attached to swollen conidia damages human epithelial cells and induces cell retraction.
Materials and Methods
Cultivation of A. fumigatus and of Lung Epithelial Cells
A. fumigatus (ATCCY6645) strains were grown on Aspergillus minimal media (AMM) for 5 days at 37°C in the dark, as reported (44). Swollen conidia and hyphae were generated by incubating resting conidia in RPMI containing 10% fetal calf serum (FCS) for 4 and 8 h, respectively, at 37°C.
Human lung epithelial cells A549 (ACC 107) were cultivated in DMEM supplemented with FCS (10% v/v) at 37°C in a humidified 5% CO2 incubator and passaged two times per week when the cells reached confluency.
Proteins/Antibodies
Normal human serum (NHS) was obtained from healthy donors, pooled, and stored at −80°C until use. NHS collection was approved by the ethical committee of the Medical Faculty of the Friedrich Schiller University, Jena, Germany. Purified human factor H, factor I, C4BP, C3b, C4b, and C4BP were purchased from CompTech (Complement Technology Inc., Tyler, Texas, USA). Factor H/FHL-1 deletion mutants factor H1−5, factor H1−6, factor H1−7SFLT, factor H8−11, factor H11−15, factor H15−18, and factor H19−20 were recombinantly expressed as described (35, 45). Plasminogen and tPA were purchased from Technoclone GmbH (Vienna, Austria). Fibrinogen and thrombin were obtained from Calbiochem. C4BP and goat human C3 antiserum and goat human factor H antiserum, goat human C4BP antiserum, and goat human C4 antiserum were purchased from CompTech (Complement Technology Inc., Tyler, Texas, USA). Goat human plasminogen antiserum was acquired from Acris antibodies (Acris Antibodies GmbH, Herford, Germany), and rabbit human fibrinogen antiserum was purchased from Calbiochem (La Jolla, USA). Horseradish peroxidase (HRP)-conjugated goat antirabbit and rabbit antigoat were from Dako (Deutschland GmbH, Hamburg, Germany). Alexa Fluor®-647-conjugated donkey antirabbit and Alexa Fluor®-488 donkey antigoat were procured from Life Technologies (Darmstadt, Germany). AfEno1 antiserum was produced by immunizing rabbits with purified recombinant AfEno1 by standard procedures (46).
Cloning, Expression, and Purification of AfEno1
The gene of A. fumigatus AfEno1 with six His residues added at the N-terminus was cloned into the expression vector pET 4.1 a and expressed in Escherichia coli BL21 (DE3) (47). AfEno1 expression was induced with isopropyl-β-d-thiogalactopyranoside (IPTG). Bacteria were collected by centrifugation and lysed by sonication. Thereafter, the bacteria were suspended in lysis buffer containing 20 mM Tris-HCl pH = 8, 150 mM NaCl, and 10% glycerol. The lysed cells were centrifuged, and His-tagged AfEno1 was purified using Ni-NTA resin (HisTrap 5-ml columns, GE). Recombinant AfEno1 was purified from bacterial lysate, and the protein was not detected in inclusion bodies. Purity of AfEno1 was determined after separation in 10% SDS-PAGE followed by silver staining or western blotting (described below). The protein concentration was determined by Bradford assay (Bio-Rad GmbH Munchen).
Binding Assays
Factor H, FHL-1, factor H/FHL-1 deletion mutants, C4BP, plasminogen, or gelatin [1 μg/well in 100 μl of Dulbecco's phosphate-buffered saline (DPBS)] was immobilized onto a 96-well microtiter plate at 4°C overnight. After blocking with 0.2% (w/v) gelatin in DPBS, AfEno1 at increasing amounts was added, and the mixtures were incubated for 1 h at room temperature (RT). Following washing, the wells were incubated with rabbit AfEno1 antiserum in DPBS with 3% bovine serum albumin (BSA), followed by HRP-conjugated secondary IgGs. After washing, 3,3′,5,5′-tetramethylbenzidine (TMB) (Thermo Fisher) was added, and the reaction was stopped with H2SO4. Absorbance was read at 450 nm with SpektraMax 190 (Molecular Devices).
In reverse orientation, AfEno1 or gelatin (1 μg/well in 100 μl of DPBS) was immobilized in microtiter plates. After blocking with 0.2% (w/v) gelatin in DPBS, the wells were incubated with factor H, FHL-1, C4BP, plasminogen, or with NHS for 1 h at RT. The wells were washed and bound regulators were identified as above by specific antisera against the corresponding proteins, followed by HRP-conjugated IgGs.
Biolayer Interferometry
The binding affinity of AfEno1 and factor H, C4BP, or plasminogen were determined by biolayer interferometry (Forte Bio, Menlo Park, CA) as previously described (19, 34). For each concentration, Ni-NTA biosensors were hydrated in DPBS (0.001% gelatin) for 10 min; then recombinant AfEno1 was bound to biosensors for 120 s. After washing the sensor (30 s) with DPBS (0.001% gelatin), factor H, C4BP, or plasminogen at various concentrations were added as analytes. For each concentration, the association of the complexes was followed for 250 s. After washing the sensor, the dissociation of the complexes was followed for another 250 s. All interactions were performed at RT. As a non-binding control, heat inactivated regulators were used. The data were obtained after subtracting the buffer blank using a 1:1 model of interaction. Graphs were plotted in Graph Pad Prism 5.
Cofactor Assay
Cofactor activity of factor H or FHL-1 bound to AfEno1 was evaluated as described (34). AfEno1 or gelatin (1 μg/well in 100 μl of DPBS) was immobilized on a microtiter plate at 4°C, overnight. After blocking the wells with 0.2% (w/v) gelatin, factor H (5, 10, and 20 μg/ml), or FHL-1 (2.5, 5, and 10 μg/ml) were added in DPBS, and the mixture was incubated for 1 h at RT. Following washing, C3b (1 μg/well) and factor I (1 μg/ml) in DPBS were added, and the mixture was incubated for 2 h at 37°C. To assess C4BP cofactor activity, C4BP (at 5, 10, and, 20 μg/ml) was added to immobilized AfEno1 or gelatin. Following washing, C4b (1 μg/well) and factor I (1 μg/ml) in DPBS were added; the mixture was incubated for 4 h 37°C. Then reaction was stopped by addition of Roti®-Load 1 and proteins were subjected to SDS-PAGE. Separated proteins were transferred to a membrane. C3b and C4b cleavage products were identified by Western blotting using goat human C3 antiserum or goat human C4 antiserum, respectively, followed by HRP-conjugated rabbit anti-goat antibodies.
Influence of ε-Aminocaprioc Acid (ε-ACA) and Lysine Residues on AfEno1 Binding to Plasminogen
ε-ACA at increasing concentrations (0.625, 1.25, 2.5, 5, and 10 mM) and amino acids lysine, arginine, and glutamic acid at the indicated concentrations (0.375, 0.75, 1.5, 3, 6, and 12 mM) were added to plasminogen (10 μg/ml). After incubation (1 h at RT), the complexes were added to immobilized AfEno1. After further 1 h incubation at RT, bound plasminogen was identified with goat human plasminogen antiserum.
Cleavage of the Chromogenic Substrate S2251
Plasminogen or plasminogen pre-incubated with ε-ACA (5 mM) or lysine (10 mM) was added to immobilized AfEno1. After 1 h incubation at RT and washing, the chromogenic substrate S2251 (30 μg/ml) and tPA (1 μg/ml) were added. Then the reaction was incubated at 37°C, and absorbance was measured every 30 min at 405 nm for 24 h (SpektraMax 190; Molecular Devices). In some wells also the serine protease inhibitor aprotinin (100 μg/ml) was added.
Degradation of Fibrinogen by Plasmin Bound to AfEno1
AfEno1 (1 μg/well in 100 μl of DPBS) was immobilized onto a microtiter plate and following washing, plasminogen (1 μg/well) was added. After washing, fibrinogen (1 μg/well) and uPA (0.1 μg/well) were added, and then the mixtures were incubated at 37°C. Unbound tPA was washed off after incubation with A. fumigatus conidia. The reaction was stopped at the indicated time points by addition of Roti®-Load 1, and proteins were separated by SDS-PAGE and transferred to a membrane. Degraded Fibrinogen was visualized by Western blotting using rabbit antiserum for human fibrinogen, followed by goat HRP-conjugated anti-rabbit antibodies.
Degradation of C3 and C3b by Plasmin Bound to AfEno1
Plasminogen (1 μg/well) was bound to immobilized AfEno1. Plasminogen was pure of fibrinogen. After washing, C3 (1 μg/well) or C3b (1 μg/well) and uPA (0.1 μg/well) were added. Following incubation the reaction was stopped at different time points with Roti®-Load 1, and proteins were subjected to SDS-PAGE. After transfer to a membrane, C3 and C3b degradation products were analyzed by Western blotting using goat antiserum raised against human C3.
Flow Cytometry
To analyze AfEno1 expression on the surface of resting and swollen conidia, the conidia were incubated with rabbit anti-AfEno1 antiserum for 1 h. After washing, Alexa fluor®-488 conjugated donkey anti-rabbit antiserum was added. To determine plasminogen binding to resting and swollen conidia, plasminogen at concentrations of 2.5, 5, and 10 μg/ml was added to the conidia (2 × 106) for 1 h at RT. After washing, goat antiserum raised against human plasminogen was added, followed by Alexa fluor®-647 conjugated anti-goat antiserum. After washing, fluorescence conidia were evaluated by flow cytometry (LSR II, BD Biosciences) and median fluorescence intensity (MFI) was analyzed by FlowJo.
Indirect Immunofluorescence Assay for Plasminogen and AfEno1
Resting conidia (5 × 106 cells/ml) were attached to poly-L-lysine pre-coated coverslips for 1 h at RT. To obtain swollen conidia and hyphae, the resting conidia were incubated on poly-L-lysine pre-coated coverslips for 4 and 8 h, respectively, in RPMI 1640 with 10% FCS (v/v) at 37°C. Unbound cells were washed off, and the bound cells were fixed in 4% (w/v) paraformaldehyde (PFA) in PBS for 10 min. Following blocking with 3% BSA for 1 h, plasminogen (50 μg/ml) was added to the fungal cells and the mixture was incubated for 1 h at RT. After washing, the cells rabbit AfEno1 antiserum (1:100) together with goat antiserum recognizing human plasminogen was added and incubated for 1 h at RT. Next, fluorochrome conjugated secondary antiserum was added. Following washing, the coverslips were mounted on glass slides with Mount Fluor (Pro Taqs) and images were captured with LSM 710 (Zeiss, Germany), using ZEN 2009 software.
In-gel Fibrinogen Degradation
In-gel fibrinogen degradation was performed as described (38). Briefly, plasminogen (10 μg/ml) was added to swollen A. fumigatus conidia (1 × 106) and then the cells were incubated for 1 h at RT. Then conidia were washed and tPA (5 μg/ml) was added. In some cases plasmin action was blocked with also the protease inhibitor approtinin (100 μg/ml). After incubation for 1 h at RT, conidia were washed, the cells were transferred to a pre-formed fibrin matrix gels. Gels were prepared by combining fibrinogen (5 mg ml−1), thrombin (1.25 U ml−1) and plasminogen (20 μg/ml) all dissolved in low melting agarose (1.25%) in DPBS. Gels were incubated in a humidified chamber at 37°C, overnight and in-gel fibrinogen degradation by plasmin bound to swollen conidia was evaluated. After incubation, the cleared agarose circles represent areas were fibrin-matrix fibrinogen was degraded. The diameter of the cleared area correlates directly with the enzymatic activity of plasmin.
Evaluation of Cell Viability and Determination of Cell Retraction
sTo determine how swollen conidia having plasmin attached to their surface damages human lung epithelial cells, cell viability was evaluated. Human lung epithelial cells were seeded (5 × 104/well) in a 96-well plate and the cells were cultivated until reaching confluence. Swollen A. fumigatus conidia (5 × 106/well) were fixed with 4% paraformaldehyde (PFA) for 10 min. After washing, the conidia were incubated with plasminogen (200 μg/ml) for 1 h. Following washing, conidia with plasminogen bound were added to the epithelial cell monolayer and the activator tPA (50 μg/ml) was added. In some settings also the serine protease inhibitor approtinin (100 μg/ml) dissolved in FCS-free DMEM was added. The conidia were sedimented onto epithelial cells by centrifugation (200× g for 1 min). After 4 h incubation at 37°C in humidified 5% CO2 incubator, FCS (20 μl) was added to each well, and the cells were incubated overnight at 37°C. Then the unbound conidia were removed by washing, and resazurin (100 μl) (Promega GmbH, Mannheim, Germany) was added and cells were further incubated at 37°C for 2 h. Resorufin formation was followed at 570 nm.
Retraction of human epithelial cells from their matrix was assayed microscopically as described (19, 34). In brief, human lung epithelial cells were seeded (5 × 105 cells/ well) on coverslips in a 12-well plate. Swollen conidia having plasminogen attached to their surface (25 × 106/well) were treated with tPA (100 μg/ml) and added to the confluent epithelia cell monolayer in plain DMEM. The cells were co-incubated in humidified 5% CO2 incubator at 37°C for 2 h. Plasmin activity in some wells was blocked by aprotinin. After incubation for 2 h, unbound cells were washed off, and attached cells were fixed with PFA (4%) and stained with Texas-Red conjugated Wheat-Germ-Agglutinin (10 μg/ml; Thermo Fisher Scientific) and DAPI (10 μg/ml). The coverslips were mounted on glass slides and evaluated by confocal microscopy. Images were captured with LSM 710 (Zeiss, Germany), using ZEN software. The number of cell free spots formed and the void area was quantified by bioinformatics image analysis as described (19, 34).
Results
Recombinant AfEno1 Binds Factor H and FHL-1
In order to analyze the binding repertoire of AfEno1 to human complement regulators, A. fumigatus AfEno1 was cloned, expressed as a His-tagged protein in E. coli, and purified to homogeneity (Supplementary Figures 1A–C). First, the binding of factor H and FHL-1 was studied by ELISA. When added to immobilized AfEno1, both factor H and FHL-1 bound and binding was dose-dependent (Figures 1A,B). This interaction also occurred in a reverse orientation; AfEno1 bound to immobilized factor H and to FHL-1 (Supplementary Figures 2A,B). Also, NHS-derived factor H bound to AfEno1, and again this binding was dose-dependent (Supplementary Figure 2C).
The AfEno1::factor H interaction was followed in real time by biolayer interferometry, and the affinity was determined. AfEno1 was attached to the Ni-NTA sensor, and factor H was added as analyte. The association was followed for 250 s, and upon removal of the analyte, the dissociation was followed for another 250 s. The complexes dissociated at a low rate; factor H bound to AfEno1 with a KD of 528.5 nM (Figure 1C).
Mapping of AfEno1 Binding Domains in Factor H and FHL-1
To localize the binding domains of factor H and FHL-1, factor H deletion mutants were added to immobilized AfEno1. Bound deletion mutants were detected with goat human factor H antiserum. Factor H/FHL-1 deletion fragments factor H1−6, factor H1−7SFTL = FHL-1, factor H19−20 bound to AfEno1; deletion fragments factor H1−5, factor H8−11, factor H11−15, factor H15−18 did not bind (Figures 1D,E). Thus, FHL-1 attaches to AfEno1 with one region, and SCR6 seems the major contact site, and factor H binds to AfEno1 via by two regions, via SCRs6–7 with SCR6 as major contact site, which is shared with FHL-1, and via SCRs19–20.
Factor H and FHL-1 Bound to AfEno1 Display Cofactor Activity
We next investigated the regulatory activity of the AfEno1 attached host complement inhibitors. Factor H or FHL-1 was bound to immobilized AfEno1, and, following washing, C3b and factor I were added. Upon incubation for 2 h at 37°C, the proteins were separated by SDS-PAGE and transferred to a membrane. C3b cleavage fragments were identified by Western blotting. When bound to AfEno1, factor H assisted in factor I mediated cleavage of the α′ chain of C3b as revealed by the appearance of the α′68 and α′43 cleavage products. Cleavage was dose-dependent (Figure 2A, lanes 3–5). Similarly, FHL-1 bound to AfEno1 assisted in C3b cleavage. In this case α′68, α′43, and α′41 bands appeared. Also this effect was dose-dependent (Figure 2B, lanes 3–5). Thus, factor H and FHL-1 bound to AfEno1 retrain cofactor activity.
Recombinant AfEno1 Binds Human C4BP, and AfEno1-Bound C4BP Retains Regulatory Activity
In addition, binding of AfEno1 to C4BP was analyzed by ELISA. AfEno1 bound to immobilized C4BP and binding was dose-dependent (Figure 3A). Also, NHS-derived C4BP bound to immobilized AfEno1 (Figure 3B). In reverse setting, purified C4BP also bound to immobilized AfEno1 (Supplementary Figure 2D). C4BP::AfEno1 interaction was followed in real time. To this end, C4BP was added to immobilized AfEno1, and the association was followed for 250 s. Upon removal of the analyte, the dissociation was followed for the same time. C4BP::AfEno1 complexes dissociated at a low rate. C4BP bound to AfEno1 with affinity of KD 131.1 nM (Figure 3C).
We further assessed whether the regulatory activity of C4BP attached to AfEno1. C4b and factor I were added to preformed C4BP::AfEno1 complexes. After incubation at 37°C for 4 h, the proteins were separated by SDS-PAGE, transferred to a membrane and C4b cleavage was followed. C4BP bound to AfEno1 acted as cofactor for C4b degradation, and the α′70 and α′15 cleavage bands of the α′ chain appeared (Figures 3C,D, lanes 2–4).
AfEno1 Binds to Human Plasminogen via Lysine Residues
AfEno1 binds immobilized plasminogen (Figure 4A) (42). The interaction also occurred in reverse orientation. Plasminogen bound to immobilized AfEno1, and this binding was dose-dependent (Figure 4B). Moreover, serum derived plasminogen bound to immobilized AfEno1; again in a dose-dependent manner (Figure 4C). The binding of plasminogen to AfEno1 was followed in real time. Plasminogen bound to AfEno1; binding was saturated after about 50 s, and the complex dissociated at a slow rate. Plasminogen bound to AfEno1 with a KD of 530 nM (Figure 4D).
As many microbial proteins bind plasminogen via lysine residues, we asked if the lysine analog ε-aminocaproic acid (ε-ACA) influences the interaction. ε-ACA inhibited plasminogen binding to AfEno1, and the effect was dose-dependent. At 2.5 nM ε-ACA blocked binding completely (Figure 4E). In addition, lysine, but neither arginine nor glutamic acid blocked plasminogen binding to AfEno1 (Figure 4F). Thus, AfEno1 binds to plasminogen via lysine residues.
Plasminogen Bound to AfEno1 Is Accessible for Activators
Plasmin degrades complement proteins and extracellular matrix components (19). To assess the role of plasminogen bound to AfEno1 for immune evasion and tissue invasion, the zymogen was treated with the activator tPA. AfEno1 bound plasminogen when treated with tPA was converted to plasmin, which cleaved the chromogenic substrate S-2251 and cleavage was time-dependent (Figure 5A). No proteolytic activity was detected when the interaction was blocked by ε-ACA or in presence of aprotinin (Figure 5A). Plasmin bound to AfEno1 also degraded the physiological substrate fibrinogen. This degradation was time-dependent, and, after 2 h, fibrinogen was completely degraded (Figure 5B). Furthermore, plasmin bound to AfEno1 cleaved C3, as shown by appearance of α68, α46, α40, α30, and α27 kDa bands (Figure 5C, lanes 2–7). Also, this cleavage was time dependent. Similarly, plasmin bound to AfEno1 cleaved C3b as visualized by appearance of α′68, α′46, α′40, α′30, and α′27 kDa bands (Figure 5D, lanes 2–6). Thus, plasminogen bound to AfEno1 is accessible for tPA and activated to plasmin.
AfEno1 Is Expressed on the Surface of Swollen Conidia and Hyphae and Colocalizes With Plasminogen
AfEno1 expression on the surface of resting and swollen conidia was evaluated by flow cytometry. AfEno1 was not identified on the surface of resting A. fumigatus conidia (Figure 6A), but was identified on the surface of swollen conidia (Figure 6B). AfEno1 was identified at high levels on the surface of swollen conidia and hyphae as shown by confocal microscopy (Figure 6C, upper panel I). AfEno1 (green fluorescence) was evenly distributed on the surface of both swollen conidia (Figure 6C, middle panel I) and hyphae (Figure 6C, lower panel I). Thus, AfEno1 is expressed on the surface of swollen conidia and hyphae, but not on resting conidia.
In addition, plasminogen (red fluorescence) distribution was evaluated. Plasminogen bound to all three morphotypes. Plasminogen colocalized with AfEno1 on the surface of swollen conidia (Figure 6C, middle panel IV) and hyphae (Figure 6C, lower panel IV). Plasminogen binding to resting conidia, which lack AfEno1 shows that A. fumigatus expresses additional plasminogen binding surface proteins.
Resting Conidia Bind Less Plasminogen Than Swollen Conidia
We next compared the intensity of plasminogen binding to resting and swollen conidia. Plasminogen bound dose-dependently to both morphotypes. Plasminogen used at 2.5 μg/ml bound with high intensity to swollen conidia (MFI; 2,583 ± 323) as to resting conidia (MFI; 661 ± 150; mean ± SD, P < 0.0007). Thus, plasminogen bound to resting conidia with 74% lower intensity (Figure 6D).
Plasmin Bound to Swollen Conidia Degrades Fibrinogen
To analyze the effect of plasmin attached to A. fumigatus conidia, we next investigated whether plasmin-attached to swollen conidia degrades a fibrinogen matrix. Swollen conidia lacked fibrinolytic activity; the fibrinogen matrix remained intact and turbid (Figure 6E, panel 1). Similarly, swollen conidia with plasminogen attached and in the absence of tPA lacked a fibrinolytic activity (Figure 6E, panel 3). However, in presence of tPA, newly generated plasmin degraded the fibrin matrix, as revealed by the clear transparent zone (Figure 6E, panel 4). Fibrinogen degradation was blocked by the serine protease inhibitor aprotinin (Figure 6E, panel 2).
Plasmin Bound to Swollen Conidia Damages Human Lung Epithelial Cells
Next we assayed if plasmin attached to swollen conidia influences the integrity of human epithelial cells. First, plasminogen-coated conidia were added to human lung epithelial cells. Following incubation, the metabolic activity of the human cells was determined. Plasmin-attached swollen conidia damaged human A549 epithelial cells, and the metabolic activity was reduced by 41% (P < 0.0002) (Figure 7A, column 3). The metabolic activity of intact cells was set 100 % (Figure 7A, column 6). This effect by plasmin was blocked by the aprotinin (Figure 7A, column 4).
Next the effect on cell integrity and epithelial cell surface retraction was followed. Swollen conidia with surface attached plasminogen/plasmin were added to the epithelial monolayers. Upon incubation, cell retraction was evaluated by microscopy, and both number and area of the void spots was counted. Plasmin attached to swollen conidia induced cell retraction resulting in exposure of the underlying matrix (Figure 7B, panel III). Aprotinin blocked cell retraction (Figure 7B, panel IV). In addition, the number of spots formed and the total area of void spots was quantified by bioinformatic evaluation. Active plasmin attached to the surface swollen conidia caused cell retraction and both the number of void spots and the area of these spots was larger than spots formed by swollen conidia alone, or swollen conidia with plasminogen bound (Figure 7C).
Discussion
Here, we identify enolase, AfEno1 also known as allergen Aspf22 as the second plasma regulator binding protein of the human pathogen A. fumigatus. AfEno1 binds four human plasma proteins factor H, FHL-1, C4BP, and plasminogen. AfEno1 binds factor H with a KD 528.5 nM, C4BP with KD 131.1 nM and plasminogen with KD 530.0 nM. This affinity is comparable to that of the other A. fumigatus factor H ligand Aspf2 and the C. albicans homolog Pra1. Aspf2 binds factor H with slightly higher (KD 76 nM) and plasminogen with similar affinity (KD 846 nM) (34). However, C. albicans Pra1 binds factor H with higher affinity (KD 1.87 nM) (data not shown).
Factor H and FHL-1 bound to AfEno1 assist the protease factor I in C3b inactivation. Similarly, C4BP bound to AfEno1 retains regulatory activity and assists for C4b inactivation. Plasminogen bound to AfEno1, when activated by tPA, cleaves the substrates S2251, fibrinogen, and degrades C3 and C3b.
AfEno1 binds factor H via SCRs6–7 and SCRs19-20 and FHL-1 via SCRs6-7. These domains represent common binding sites for microbial immune evasion proteins (48). These multiple microbial factor H, FHL-1 ligands, despite their common binding features, lack conserved sequence motifs (48). Factor H and FHL-1 use the same regions i.e., SCRs6–7 (factor H and FHL-1), and SCR19-20 (factor H) bind to modified self surfaces, such as necrotic and damaged human cells e.g., via glycosaminoglycans (GAGs), or modified surface constituents, like Malondialdehyde or phosphatidyl choline (49).
AfEno1 is a 438-amino-acid moonlighting protein which shares 72.6% amino acid homology with C. albicans enolase and which is also highly related to enolase from the microbial pathogens Streptococcus pneumoniae, Borrelia burgdorferi, Staphylococcus aureus, and Paracoccidioides brasiliensis (37–39, 41, 50). Given the sequence homology of AfEno1 with Candida enolase and with other microbial enolases and their functional homology in moonlighting it will be of interest to evaluate if all these microbial proteins, share the same immune evasion features.
Hijacking human plasminogen by fungal and microbial pathogens is a common mechanism as active plasmin promotes cell adhesion, degrades cell layers, and matrices allowing dissemination during infection (39, 51). Acquisition of plasminogen by surface expressed enolase has been show for several pathogens, including the fungal pathogens, A. fumigatus, C. albicans, and for the microbial pathogens B. burgdorferi, Paracoccidioides brasiliensis and Pneumocystis carinii (38, 39, 41, 52).
AfEno1 is expressed on the surface of swollen conidia and hyphae, but not on resting conidia. In contrast, Aspf2, the second A. fumigatus factor H- and plasminogen ligand which is the homolog of the C. albicans immune evasion protein Pra1 is expressed on the surface of resting. The 74% stronger binding of plasminogen to swollen conidia, indicates that A. fumigatus, similar to C. albicans expresses additional plasminogen ligands (34).
Enolase is found at several sites and this moonlighting protein displays location specific functions. Cytoplasmic enolase catalyzes the conversion of 2-phosphoglycerate to phosphoenolpyruvate, surface exposed enolase binds human immune regulators and secreted enolase mediates immune evasion (42, 53). Enolase proteins from these pathogenic microbes lack typical signal-peptides, indicating that these proteins are secreted by an novel, unconventional mechanism (54). It is also unclear how enolase is anchored or integrated into the membrane or cell wall of A. fumigatus and of other pathogenic microbes. However, fungal moonlighting proteins including enolase are present in extracellular vesicles released by C. albicans (55). But, to the best of our knowledge, whether A. fumigatus releases any extracellular vesicles and the proteome of such extracellular vesicles has not yet been described.
Plasminogen together with complement components and regulators including factor H FHL-1 are present in the bronchoalveolar lavage fluids (7, 56). Thus, by reaching the alveoli and by hijacking these host proteins, A. fumigatus can control human complement attack and can use plasmin for cell damage and tissue destruction. Plasmin, the active protease, attached to swollen conidia inhibit complement, damage human epithelial cells, and degrade the ECM matrix. Such tissue destruction allows invasion and dissemination. Given these central features in immune evasion, enolase is considered A. fumigatus a central virulence factors.
At present two factor H ligands are identified from A. fumigatus, AfEno1 and Aspf2 which both are also identified as allergens (34). Sera from patients with ABPA have AfEno1 reacting IgE antibodies (53, 57, 58). AfEno1 modulates T cell response in healthy human individuals (53), but how exactly AfEno1 sensitizes the allergic T cells is unknown. For C. albicans four factor H binding proteins are so far identified i.e., pH-regulated antigen 1 (Pra1), glycerol-3-phosphate dehydrogenase 2 (Gpd2), high-affinity glucose transporter 1 (Hgt1), and phosphoglycerate mutase (Gpm1) (35). The Gram positive bacterium S. aureus has two identified factor H ligands, serine–aspartate repeat protein E (SdrE) and Staphylococcus aureus binder of IgG (Sbi) (59, 60). For Streptococcus pneumoniae two factor H ligands, i.e., Tuf from also recruits plasma regulators and PspC are identified (16). Borrelia burgdorferi expresses five surface expressed complement regulators acquiring surface proteins, CRASP-1–CRASP-5 and which confers Borrelia resistant to host complement attack (61, 62).
C. albicans expresses multiple plasminogen binding proteins, and over 12 plasminogen binding proteins are identified, i.e., pH-regulated antigen 1 (Pra1) (35), phosphoglycerate mutase (Gpm1), glycerol-3-phosphate dehydrogenase 2 (Gpd2), transcription elongation factor (Tef1), enolase (Eno1) (42), alcohol dehydrogenase (Adh1), glyceraldehyde-3-phosphate dehydrogenase (Tdh3), thiol-specific antioxidant-like protein 1 (Tsa1), phosphoglycerate kinase (Pgk1), fructose bisphosphate (Fba1), catalase (Cta1), and aldolase (35, 63–65). Expression of several plasma regulator-binding proteins by pathogens can be extrapolated to A. fumigatus.
In conclusion, AfEno1 from A. fumigatus is a moonlighting protein and allergen. AfEno1 surface expression is developmentally regulated. AfEno1 is expressed on the surface of swollen conidia and hyphae but not on resting conidia. Surface-exposed AfEno1 binds four human complement regulators which mediate/contribute to fungal survival in an immunocompetent host. AfEno1 hijacks the human zymogen plasminogen and tPA; activated plasmin damages human lung epithelial cells and degrades EMC proteins, thereby allowing tissue penetration, colonization, and dissemination. Given these multifaceted features, AfEno1 may represent a therapeutic target to fight A. fumigatus infection.
Statistical Analysis
Statistical analyses of unpaired t-tests were performed with Prism 5 (GraphPad Inc., La Jolla, CA, USA). Differences with P < 0.05 were considered significant, and significance between two groups is shown as *P < 0.05, **P < 0.01, ***P < 0.001.
Data Availability Statement
All datasets generated for this study are included in the article/Supplementary Material.
Ethics Statement
The studies involving human participants were reviewed and approved by University Hospital Jena. The patients/participants provided their written informed consent to participate in this study.
Author Contributions
PD, NB, PZ, CS, and AB designed and planned experiments. AS-R, MF, PZ, CS, and AB analyzed data. AS-R, PD, SD, NK, IS, and DW performed experiments. SD, PD, AB, PZ, CS, and MF evaluated data. PD, PZ, CS, MF, and NB wrote the manuscript.
Conflict of Interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The handling editor declared a past co-authorship with one of the authors PZ.
Glossary
Abbreviations
- FHL-1
factor H-like protein 1
- ELISA
enzyme-linked immunosorbent assay
- DPBS
Dulbecco's phosphate-buffered saline
- RT
room temperature
- SCRs
short consensus repeats
- tPA
tissue-type plasminogen activator
- ε-ACA
ε-aminocaproic acid.
Footnotes
Funding. The work was supported by the Collaborative Research Center/Transregio 124 FungiNet of the Deutsche Forschungsgemeinschaft (DFG) projects C6 (PZ, NB), C4 (CS), B4 (MF), and A1 (AB). AS-R was funded by a scholarship from PASPA-DGAPA National Autonomous University of Mexico (UNAM) and from Mexican National Science and Technology Council (CONACYT).
Supplementary Material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fimmu.2019.02573/full#supplementary-material
References
- 1.Poltermann S, Kunert A, von der Heide M, Eck R, Hartmann A, Zipfel PF. Gpm1p is a factor H-, FHL-1-, and plasminogen-binding surface protein of Candida albicans. J Biol Chem. (2007) 282:37537–44. 10.1074/jbc.M707280200 [DOI] [PubMed] [Google Scholar]
- 2.Taccone FS, Van den Abeele AM, Bulpa P, Misset B, Meersseman W, Cardoso T, et al. Epidemiology of invasive aspergillosis in critically ill patients: clinical presentation, underlying conditions, and outcomes. Crit Care. (2015) 19:7. 10.1186/s13054-014-0722-7 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Agarwal V, Hammerschmidt S, Malm S, Bergmann S, Riesbeck K, Blom AM. Enolase of Streptococcus pneumoniae binds human complement inhibitor C4b-binding protein and contributes to complement evasion. J Immunol. (2012) 189:3575–84. 10.4049/jimmunol.1102934 [DOI] [PubMed] [Google Scholar]
- 4.Agarwal R, Chakrabarti A, Shah A, Gupta D, Meis JF, Guleria R, et al. Allergic bronchopulmonary aspergillosis: review of literature and proposal of new diagnostic and classification criteria. Clin Exp Allergy. (2013) 43:850–73. 10.1111/cea.12141 [DOI] [PubMed] [Google Scholar]
- 5.Overton NLD, Brakhage AA, Thywissen A, Denning DW, Bowyer P. Mutations in EEA1 are associated with allergic bronchopulmonary aspergillosis and affect phagocytosis of Aspergillus fumigatus by human macrophages. PLoS ONE. (2018) 13:e0185706. 10.1371/journal.pone.0185706 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Dagenais TR, Keller NP. Pathogenesis of Aspergillus fumigatus in invasive Aspergillosis. Clin Microbiol Rev. (2009) 22:447–65. 10.1128/CMR.00055-08 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Chen J, Ryu S, Gharib SA, Goodlett DR, Schnapp LM. Exploration of the normal human bronchoalveolar lavage fluid proteome. Proteomics Clin Appl. (2008) 2:585–95. 10.1002/prca.200780006 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Bartlett JA, Albertolle ME, Wohlford-Lenane C, Pezzulo AA, Zabner J, Niles RK, et al. Protein composition of bronchoalveolar lavage fluid and airway surface liquid from newborn pigs. Am J Physiol Lung Cell Mol Physiol. (2013) 305:L256–66. 10.1152/ajplung.00056.2013 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Zipfel PF, Skerka C. Complement regulators and inhibitory proteins. Nat Rev Immunol. (2009) 9:729–40. 10.1038/nri2620 [DOI] [PubMed] [Google Scholar]
- 10.Zipfel PF, Hallstrom T, Riesbeck K. Human complement control and complement evasion by pathogenic microbes–tipping the balance. Mol Immunol. (2013) 56:152–60. 10.1016/j.molimm.2013.05.222 [DOI] [PubMed] [Google Scholar]
- 11.Zipfel PF, Skerka C. Staphylococcus aureus: the multi headed hydra resists and controls human complement response in multiple ways. Int J Med Microbiol. (2014) 304:188–94. 10.1016/j.ijmm.2013.11.004 [DOI] [PubMed] [Google Scholar]
- 12.Ermert D, Blom AM. C4b-binding protein: the good, the bad and the deadly. Novel functions of an old friend. Immunol Lett. (2016) 169:82–92. 10.1016/j.imlet.2015.11.014 [DOI] [PubMed] [Google Scholar]
- 13.Blom AM, Villoutreix BO, Dahlback B. Complement inhibitor C4b-binding protein-friend or foe in the innate immune system? Mol Immunol. (2004) 40:1333–46. 10.1016/j.molimm.2003.12.002 [DOI] [PubMed] [Google Scholar]
- 14.Blom AM, Kask L, Dahlback B. CCP1–4 of the C4b-binding protein alpha-chain are required for factor I mediated cleavage of complement factor C3b. Mol Immunol. (2003) 39:547–56. 10.1016/S0161-5890(02)00213-4 [DOI] [PubMed] [Google Scholar]
- 15.Barthel D, Schindler S, Zipfel PF. Plasminogen is a complement inhibitor. J Biol Chem. (2012) 287:18831–42. 10.1074/jbc.M111.323287 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Mohan S, Hertweck C, Dudda A, Hammerschmidt S, Skerka C, Hallstrom T, et al. Tuf of Streptococcus pneumoniae is a surface displayed human complement regulator binding protein. Mol Immunol. (2014) 62:249–64. 10.1016/j.molimm.2014.06.029 [DOI] [PubMed] [Google Scholar]
- 17.Sun H. The interaction between pathogens and the host coagulation system. Physiology. (2006) 21:281–8. 10.1152/physiol.00059.2005 [DOI] [PubMed] [Google Scholar]
- 18.Keshari RS, Silasi R, Lupu C, Taylor FB, Jr, Lupu F. In vivo-generated thrombin and plasmin do not activate the complement system in baboons. Blood. (2017) 130:2678–81. 10.1182/blood-2017-06-788216 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Meinel C, Sparta G, Dahse HM, Horhold F, Konig R, Westermann M, et al. Streptococcus pneumoniae from patients with hemolytic uremic syndrome binds human plasminogen via the surface protein PspC and uses plasmin to damage human endothelial cells. J Infect Dis. (2018) 217:358–70. 10.1093/infdis/jix305 [DOI] [PubMed] [Google Scholar]
- 20.Kozel TR, Wilson MA, Farrell TP, Levitz SM. Activation of C3 and binding to Aspergillus fumigatus conidia and hyphae. Infect Immun. (1989) 57:3412–7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Sturtevant JE, Latge JP. Interactions between conidia of Aspergillus fumigatus and human complement component C3. Infect Immun. (1992) 60:1913–8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Speth C, Rambach G. Complement attack against Aspergillus and corresponding evasion mechanisms. Interdiscip Perspect Infect Dis. (2012) 2012:463794. 10.1155/2012/463794 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Behnsen J, Hartmann A, Schmaler J, Gehrke A, Brakhage AA, Zipfel PF. The opportunistic human pathogenic fungus Aspergillus fumigatus evades the host complement system. Infect Immun. (2008) 76:820–7. 10.1128/IAI.01037-07 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Moalli F, Doni A, Deban L, Zelante T, Zagarella S, Bottazzi B, et al. Role of complement and Fc{gamma} receptors in the protective activity of the long pentraxin PTX3 against Aspergillus fumigatus. Blood. (2010) 116:5170–80. 10.1182/blood-2009-12-258376 [DOI] [PubMed] [Google Scholar]
- 25.Ma YJ, Doni A, Hummelshoj T, Honore C, Bastone A, Mantovani A, et al. Synergy between ficolin-2 and pentraxin 3 boosts innate immune recognition and complement deposition. J Biol Chem. (2009) 284:28263–75. 10.1074/jbc.M109.009225 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Vogl G, Lesiak L, Jensen DB, Perkhofer S, Eck R, Speth C, et al. Immune evasion by acquisition of complement inhibitors: the mould Aspergillus binds both factor H and C4b binding protein. Mol Immunol. (2008) 45:1485–93. 10.1016/j.molimm.2007.08.011 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Behnsen J, Lessing F, Schindler S, Wartenberg D, Jacobsen ID, Thoen M, et al. Secreted Aspergillus fumigatus protease Alp1 degrades human complement proteins C3, C4, and C5. Infect Immun. (2010) 78:3585–94. 10.1128/IAI.01353-09 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Shende R, Wong SSW, Rapole S, Beau R, Ibrahim-Granet O, Monod M, et al. Aspergillus fumigatus conidial metalloprotease Mep1p cleaves host complement proteins. J Biol Chem. (2018) 293:15538–55. 10.1074/jbc.RA117.001476 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Hector RF, Yee E, Collins MS. Use of DBA/2N mice in models of systemic candidiasis and pulmonary and systemic aspergillosis. Infect Immun. (1990) 58:1476–8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Heinekamp T, Schmidt H, Lapp K, Pahtz V, Shopova I, Koster-Eiserfunke N, et al. Interference of Aspergillus fumigatus with the immune response. Semin Immunopathol. (2015) 37:141–52. 10.1007/s00281-014-0465-1 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Crosdale DJ, Poulton KV, Ollier WE, Thomson W, Denning DW. Mannose-binding lectin gene polymorphisms as a susceptibility factor for chronic necrotizing pulmonary aspergillosis. J Infect Dis. (2001) 184:653–6. 10.1086/322791 [DOI] [PubMed] [Google Scholar]
- 32.He Q, Li H, Rui Y, Liu L, He B, Shi Y, et al. Pentraxin 3 gene polymorphisms and pulmonary aspergillosis in COPD patients. Clin Infect Dis. (2018) 66:261–7. 10.1093/cid/cix749 [DOI] [PubMed] [Google Scholar]
- 33.Singh B, Sharma GL, Oellerich M, Kumar R, Singh S, Bhadoria DP, et al. Novel cytosolic allergens of Aspergillus fumigatus identified from germinating conidia. J Proteome Res. (2010) 9:5530–41. 10.1021/pr100605c [DOI] [PubMed] [Google Scholar]
- 34.Dasari P, Shopova IA, Stroe M, Wartenberg D, Martin-Dahse H, Beyersdorf N, et al. Aspf2 From Aspergillus fumigatus recruits human immune regulators for immune evasion and cell damage. Front Immunol. (2018) 9:1635. 10.3389/fimmu.2018.01635 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Luo S, Dasari P, Reiher N, Hartmann A, Jacksch S, Wende E, et al. The secreted Candida albicans protein Pra1 disrupts host defense by broadly targeting and blocking complement C3 and C3 activation fragments. Mol Immunol. (2018) 93:266–77. 10.1016/j.molimm.2017.07.010 [DOI] [PubMed] [Google Scholar]
- 36.Ito K, Ishiguro A, Kanbe T, Tanaka K, Torii S. Characterization of IgE-binding epitopes on Candida albicans enolase. Clin Exp Allergy. (1995) 25:529–35. 10.1111/j.1365-2222.1995.tb01090.x [DOI] [PubMed] [Google Scholar]
- 37.Bergmann S, Rohde M, Chhatwal GS, Hammerschmidt S. alpha-Enolase of Streptococcus pneumoniae is a plasmin(ogen)-binding protein displayed on the bacterial cell surface. Mol Microbiol. (2001) 40:1273–87. 10.1046/j.1365-2958.2001.02448.x [DOI] [PubMed] [Google Scholar]
- 38.Jong AY, Chen SH, Stins MF, Kim KS, Tuan TL, Huang SH. Binding of Candida albicans enolase to plasmin(ogen) results in enhanced invasion of human brain microvascular endothelial cells. J Med Microbiol. (2003) 52(Pt 8):615–22. 10.1099/jmm.0.05060-0 [DOI] [PubMed] [Google Scholar]
- 39.Nogueira SV, Fonseca FL, Rodrigues ML, Mundodi V, Abi-Chacra EA, Winters MS, et al. Paracoccidioides brasiliensis enolase is a surface protein that binds plasminogen and mediates interaction of yeast forms with host cells. Infect Immun. (2010) 78:4040–50. 10.1128/IAI.00221-10 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Ghosh AK, Coppens I, Gardsvoll H, Ploug M, Jacobs-Lorena M. Plasmodium ookinetes coopt mammalian plasminogen to invade the mosquito midgut. Proc Natl Acad Sci USA. (2011) 108:17153–8. 10.1073/pnas.1103657108 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Nogueira SV, Smith AA, Qin JH, Pal U. A surface enolase participates in Borrelia burgdorferi-plasminogen interaction and contributes to pathogen survival within feeding ticks. Infect Immun. (2012) 80:82–90. 10.1128/IAI.05671-11 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Funk J, Schaarschmidt B, Slesiona S, Hallstrom T, Horn U, Brock M. The glycolytic enzyme enolase represents a plasminogen-binding protein on the surface of a wide variety of medically important fungal species. Int J Med Microbiol. (2016) 306:59–68. 10.1016/j.ijmm.2015.11.005 [DOI] [PubMed] [Google Scholar]
- 43.Salazar N, Souza MC, Biasioli AG, Silva LB, Barbosa AS. The multifaceted roles of Leptospira enolase. Res Microbiol. (2017) 168:157–64. 10.1016/j.resmic.2016.10.005 [DOI] [PubMed] [Google Scholar]
- 44.Weidner G, d'Enfert C, Koch A, Mol PC, Brakhage AA. Development of a homologous transformation system for the human pathogenic fungus Aspergillus fumigatus based on the pyrG gene encoding orotidine 5′-monophosphate decarboxylase. Curr Genet. (1998) 33:378–85. 10.1007/s002940050350 [DOI] [PubMed] [Google Scholar]
- 45.Kuhn S, Skerka C, Zipfel PF. Mapping of the complement regulatory domains in the human factor H-like protein 1 and in factor H1. J Immunol. (1995) 155:5663–70. [PubMed] [Google Scholar]
- 46.Bergfeld A, Dasari P, Werner S, Hughes TR, Song WC, Hortschansky P, et al. Direct binding of the pH-regulated Protein 1 (Pra1) from Candida albicans inhibits cytokine secretion by mouse CD4(+) T cells. Front Microbiol. (2017) 8:844. 10.3389/fmicb.2017.00844 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Bacher P, Kniemeyer O, Teutschbein J, Thon M, Vodisch M, Wartenberg D, et al. Identification of immunogenic antigens from Aspergillus fumigatus by direct multiparameter characterization of specific conventional and regulatory CD4+ T cells. J Immunol. (2014) 193:3332–43. 10.4049/jimmunol.1400776 [DOI] [PubMed] [Google Scholar]
- 48.Meri T, Amdahl H, Lehtinen MJ, Hyvarinen S, McDowell JV, Bhattacharjee A, et al. Microbes bind complement inhibitor factor H via a common site. PLoS Pathog. (2013) 9:e1003308. 10.1371/journal.ppat.1003308 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Weismann D, Hartvigsen K, Lauer N, Bennett KL, Scholl HP, Charbel Issa P, et al. Complement factor H binds malondialdehyde epitopes and protects from oxidative stress. Nature. (2011) 478:76–81. 10.1038/nature10449 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Brissette CA, Haupt K, Barthel D, Cooley AE, Bowman A, Skerka C, et al. Borrelia burgdorferi infection-associated surface proteins ErpP, ErpA, and ErpC bind human plasminogen. Infect Immun. (2009) 77:300–6. 10.1128/IAI.01133-08 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Eroles P, Sentandreu M, Elorza MV, Sentandreu R. Cloning of a DNA fragment encoding part of a 70-kDa heat shock protein of Candida albicans. FEMS Microbiol Lett. (1995) 128:95–100. 10.1111/j.1574-6968.1995.tb07506.x [DOI] [PubMed] [Google Scholar]
- 52.Fox D, Smulian AG. Plasminogen-binding activity of enolase in the opportunistic pathogen Pneumocystis carinii. Med Mycol. (2001) 39:495–507. 10.1080/714031070 [DOI] [PubMed] [Google Scholar]
- 53.Chaudhary N, Staab JF, Marr KA. Healthy human T-cell responses to Aspergillus fumigatus antigens. PLoS ONE. (2010) 5:e9036. 10.1371/journal.pone.0009036 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54.Jeffery CJ. An introduction to protein moonlighting. Biochem Soc Trans. (2014) 42:1679–83. 10.1042/BST20140226 [DOI] [PubMed] [Google Scholar]
- 55.Gil-Bona A, Llama-Palacios A, Parra CM, Vivanco F, Nombela C, Monteoliva L, et al. Proteomics unravels extracellular vesicles as carriers of classical cytoplasmic proteins in Candida albicans. J Proteome Res. (2015) 14:142–53. 10.1021/pr5007944 [DOI] [PubMed] [Google Scholar]
- 56.Wattiez R, Falmagne P. Proteomics of bronchoalveolar lavage fluid. J Chromatogr B Analyt Technol Biomed Life Sci. (2005) 815:169–78. 10.1016/j.jchromb.2004.10.029 [DOI] [PubMed] [Google Scholar]
- 57.Banerjee B, Greenberger PA, Fink JN, Kurup VP. Immunological characterization of Asp f 2, a major allergen from Aspergillus fumigatus associated with allergic bronchopulmonary aspergillosis. Infect Immun. (1998) 66:5175–82. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 58.Knutsen AP, Hutcheson PS, Slavin RG, Kurup VP. IgE antibody to Aspergillus fumigatus recombinant allergens in cystic fibrosis patients with allergic bronchopulmonary aspergillosis. Allergy. (2004) 59:198–203. 10.1046/j.1398-9995.2003.00310.x [DOI] [PubMed] [Google Scholar]
- 59.Haupt K, Reuter M, van den Elsen J, Burman J, Halbich S, Richter J, et al. The Staphylococcus aureus protein Sbi acts as a complement inhibitor and forms a tripartite complex with host complement Factor H and C3b. PLoS Pathog. (2008) 4:e1000250. 10.1371/journal.ppat.1000250 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Zhang Y, Wu M, Hang T, Wang C, Yang Y, Pan W, et al. Staphylococcus aureus SdrE captures complement factor H's C-terminus via a novel ‘close, dock, lock and latch' mechanism for complement evasion. Biochem J. (2017) 474:1619–31. 10.1042/BCJ20170085 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Kraiczy P, Hellwage J, Skerka C, Becker H, Kirschfink M, Simon MM, et al. Complement resistance of Borrelia burgdorferi correlates with the expression of BbCRASP-1, a novel linear plasmid-encoded surface protein that interacts with human factor H and FHL-1 and is unrelated to Erp proteins. J Biol Chem. (2004) 279:2421–9. 10.1074/jbc.M308343200 [DOI] [PubMed] [Google Scholar]
- 62.von Lackum K, Miller JC, Bykowski T, Riley SP, Woodman ME, Brade V, et al. Borrelia burgdorferi regulates expression of complement regulator-acquiring surface protein 1 during the mammal-tick infection cycle. Infect Immun. (2005) 73:7398–405. 10.1128/IAI.73.11.7398-7405.2005 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 63.Crowe JD, Sievwright IK, Auld GC, Moore NR, Gow NA, Booth NA. Candida albicans binds human plasminogen: identification of eight plasminogen-binding proteins. Mol Microbiol. (2003) 47:1637–51. 10.1046/j.1365-2958.2003.03390.x [DOI] [PubMed] [Google Scholar]
- 64.Luo S, Hoffmann R, Skerka C, Zipfel PF. Glycerol-3-phosphate dehydrogenase 2 is a novel factor H-, factor H-like protein 1-, and plasminogen-binding surface protein of Candida albicans. J Infect Dis. (2013) 207:594–603. 10.1093/infdis/jis718 [DOI] [PubMed] [Google Scholar]
- 65.Luo S, Skerka C, Kurzai O, Zipfel PF. Complement and innate immune evasion strategies of the human pathogenic fungus Candida albicans. Mol Immunol. (2013) 56:161–9. 10.1016/j.molimm.2013.05.218 [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
All datasets generated for this study are included in the article/Supplementary Material.