Transcription profile of Trichophyton rubrum conidia grown on keratin reveals the induction of an adhesin-like protein gene with a tandem repeat pattern

Background Trichophyton rubrum is a cosmopolitan filamentous fungus that can infect human keratinized tissue (skin, nails and, rarely, hair) and is the major agent of all chronic and recurrent dermatophytoses. The dermatophyte infection process is initiated through the release of arthroconidial adhesin, which binds to the host stratum corneum. The conidia then germinate, and fungal hyphae invade keratinized skin structures through the secretion of proteases. Although arthroconidia play a central role in pathogenesis, little is known about the dormancy and germination of T. rubrum conidia and the initiation of infection. The objective of this study was to evaluate the transcriptional gene expression profile of T. rubrum conidia during growth on keratin- or elastin-containing medium, mimicking superficial and deep dermatophytosis, respectively. Results A transcriptional profiling analysis was conducted using a custom oligonucleotide-based microarray by comparing T. rubrum conidia grown on elastin and keratin substrates. This comparison shows differences according to protein source used, but consisted of a very small set of genes, which could be attributed to the quiescent status of conidia. The modulated genes were related to the dormancy, survival and germination of conidia, including genes involved in the respiratory chain, signal transduction and lipid metabolism. However, an induction of a great number of proteases occurred when T. rubrum was grown in the presence of keratin such as the subtilisin family of proteases (Sub 1 and Sub 3) and leucine aminopeptidase (Lap 1 and Lap 2). Interestingly, keratin also promoted the up-regulation of a gene encoding an adhesin-like protein with a tandem repeat sequence. In silico analysis showed that the protein contains a domain related to adhesin that may play a role in host-pathogen interactions. The expression of this adhesin-like gene was also induced during the co-culture of T. rubrum with a human keratinocyte cell line, confirming its role in fungal-host interactions. Conclusion These results contribute to the discovery of new targets involved in the adhesion of conidia and the maintenance of conidial dormancy, which are essential for triggering the process of infection and the chronicity of dermatophytosis.


Background
Trichophyton rubrum is the main aetiological agent of human dermatophytoses, as well as all chronic and recurrent fungal infections in the world [1,2]. Dermatophytes are adapted to infect keratinized tissues such as skin, hair and nails due to their ability to use keratin as a nutrient [3]. Although dermatophytes rarely penetrate beyond the epidermis, deeper penetration and systemic infections can occur in immunocompromised hosts [4]. Currently, T. rubrum has become an important public health problem due to an increase in invasive infections in immunocompromised patients [5,6]. Analysis of the gene expression profile of fungi grown on culture medium containing protein substrates such as keratin and elastin, which mimic superficial and deep infections, respectively, can be used to understand fungal-host interactions [4,7]. Additionally, the gene expression response of T. rubrum co-cultured on human keratinocytes can be evaluated.
The dermatophyte infection process is initiated through the release of arthroconidia adhesins, which bind to the host stratum corneum [8]. Most fungal adhesins contain an N-terminal carbohydrate or peptide-binding domain, central Ser-and Thr-rich domains, commonly in tandem repeats, and a C-terminal region that mediates covalent cross-linking to the wall through modified glycosylphosphatidylinositol (GPI) anchors [9]. Tandem repeats are adjacent DNA sequences 2-200 nucleotides in length. Some tandem repeats are involved in the pathogenicity of microorganisms and adaptation to a new environment [10]. Adhesins are considered the first line of a pathogen's stratagem of host-cell invasion, and differences in adhesion have been associated with the greater pathogenicity/virulence of one strain over another [11]. Adhesins participate in mating, colony morphology changes, biofilm formation, fruiting body development, and interactions with mammalian and plant hosts. However, very few adhesins have been identified thus far in filamentous fungi [12].
After adhesion to the host's skin, quiescent arthroconidia begin to germinate, leading to the formation of fungal hyphae that invade keratinized skin structures through the secretion of endo-and exoproteases [13]. Elucidation of this response of T. rubrum to the host may reveal new molecular targets that could be explored for the development of novel antifungal agents. These targets may be involved in the establishment and maintenance of fungal infection, and they may include genes that participate in the adhesion, dormancy and onset of the germination of conidia. The vast majority of studies on the gene expression of the fungalhost relationship in T. rubrum have used grown mycelium and then added skin fragments or protein substrates to the culture medium [14,15]. However, arthroconidia are considered the primary infectious propagules that reach the skin and nails during infection in humans, and their germination is a crucial step in this process [16]. Therefore, the aim of the present study was to evaluated and compare the transcriptional profile of T. rubrum conidia during growth on keratin and elastin substrates by that contributing to the understanding of the infectious process of dermatophytes.

Results
The transcriptome profile of T. rubrum after growth on protein substrates was analysed using a microarray custom slide containing 6,091 sequences, which correspond to approximately 70 % of T. rubrum protein coding genes (according to the latest update released by the Broad Institute on 02/12/2014, available at www.broadinstitute.org/annotation/genome/dermatophyte_comparative). We identified 215 differentially expressed transcripts (P < 0.05, fold change ≥ 4) when the two growth conditions (keratin and elastin) were compared each one against the control (Cove's minimal medium). The transcripts were mapped according to the Broad Institute database, and we found 145 and 142 transcripts that were modulated in the presence of elastin and keratin, respectively. Seventy-two differentially expressed transcripts were shared in both conditions ( Fig. 1).
Functional categorization of the genes differentially expressed on the two protein substrates identified genes involved in signal transduction, transport, drug resistance mechanisms, regulation of biological processes, response to stress, protease activity, fatty acid and lipid metabolism, the cell wall, and metabolic processes. Regarding to protease activity, the growth of T. rubrum conidia on keratin induced six protease genes that encoded respectively: leucine aminopeptidases Lap 1 and Lap 2; subtilisin-like proteins Sub 1, Sub3 and Sub 6; and metalloproteinases Mep3. Exclusive induction of the gene encoding Mep 4 was observed for conidia grown on keratin and elastin. The repression of 40 genes involved in metabolic processes was observed during the growth of T. rubrum conidia on protein substrates (keratin and elastin). On the other hand, genes related to the respiratory chain (NADP-dependent leukotriene b4 12-hydroxydehydrogenase) and tricarboxylic acid cycle (acyl enzyme) were induced. Besides genes differentially expressed in the two conditions, 30-34 % were found to be unclassified ( Figs. 2a and b). Those genes exclusively modulated on keratin or elastin and those commonly modulated on both substrates are shown in Tables 1, 2 and 3, respectively. A subset of genes involved in different biological processes, such as adhesion (adhesin-like protein), dormancy (phosphatidyl synthase, polarized growth protein, Ras-guanyl exchange factor), protease secretion (subtilisins 1, 3 and alkaline phosphatase), and adaptation to nutritional stress (sugar MFS transporter and glutathione synthase), were validated by quantitative PCR (Fig. 3a), and shows a strong positive correlation.
Among those, one gene drew our attention, an adhesinlike protein upregulated in T. rubrum conidia grown in keratin substrate and containing an interesting pattern of tandem repeat sequences related to adhesion and virulence. This gene was also induced when T. rubrum conidia were co-cultured with a human keratinocyte cell line for 6 h and 24 h (Fig. 3b). Importantly, the induction of this gene was not observed in a microarray analysis using T. rubrum mycelium grown on the same protein substrate (data not shown), suggesting that this gene might play a role in the early stages of infection. The function of an adhesin-like protein was predicted using FaaPred software, with the gene showing a high confidence score (0.997).
Besides the in silico characterization of this gene indicated a sequence of 3,030 bp (GenBank Database under the accession number: 327302703), containing a tandem repeat sequence. The tandem repeat pattern is a minisatellite type that shows high variability among dermatophyte species and strains and is located between positions 1,382 and 2,425, with a consensus region of 45 bp and a total length of 1,044 bp. The tandem repeat sequence encodes 348 amino acids; has a repeat unit of glycine, glutamine and proline; and is characterized by the presence of a collagen triple helix domain preceded by a mucin-like glycoprotein domain and flocculin type 3 domain (Fig. 4a). In addition the similarities between MAD1 (Metarhizium anisopliae adhesin) and the T. rubrum adhesin-like protein was verified and exist at the N-terminus, starting in the glycine-rich region. Furthermore, both proteins share a predicted GPI cell wall anchor site at the C-terminus and exhibit a tandem repeat sequence in the mid-region (Figs. 4b and c). Similarly, the findings showed similarities between the T. rubrum adhesin-like protein and a cell surface protein of Aspergillus fumigatus (cspA -Afu3g08990), which is characterized by a 188-amino acid serine/threonine/proline-rich N-terminus followed by a large, variable, six-amino acid serine/proline [PGQPS (A/V)] tandem repeat region (Fig. 4d). In the last case, besides the tandem repeats, both proteins also contain collagen and flocculin domains and a GPI anchor site.
The adhesin-like protein gene of T. rubrum has homologous genes in dermatophyte species, which indicate that the repetitive units are conserved between species. Variation of the extent of the tandem repeats can be observed among species and strains (Fig. 5).

Discussion
The establishment of T. rubrum infection initiates by adhesion to the tissue surface mediated through the release of carbohydrate-binding adhesins by arthroconidia that bind to surface of host receptors [8,17,18]. The conidia in the dormant stage begins to germinate and then hyphae readily penetrate the stratum corneum, preventing the fungus to be disconnected from the skin due to flaking of the keratinized epithelium [13]. After adhesion, dermatophytes secrete a wide range of enzymes such as proteases, keratinases, lipase, elastase, collagenase, phosphatases and esterases, which are important factors during the infectious process [19][20][21]. The keratinase secreted by dermatophytes catalyze the degradation of keratin present in the host tissue into oligopeptides or amino acids, which can then be assimilated by the fungi [22].
In this study, the use of different protein sources such as keratin and elastin did not induce a profile of gene expression which would be characteristic of the superficial or deep infection, respectively. This could be attributed to the dormant stage of conidia, because the status of quiescence may be responsible for slow transcriptional profile due to starvation of nutrients. However, it is believed that there is a specific induction of proteases with respect to the protein source used [23]. In this work it was observed in fact that fungal growth in the presence of keratin promoted the induction of a greater number of proteases, specifically of the subtilisin family 16 6 15   In silico identification and prediction of a gene coding an adhesin-like protein induced by keratin In our microarray data an adhesin like protein was modulated during the growth of T. rubrum on keratin and also in co-culture in a keratinocyte cell. Adhesins are also required for the early stages of infection in dermatophytes [8]. The gene expression modulation of T. rubrum adhesin like-protein during the co-culture of conidia in keratinocytes cell line assessed by qPCR showed an increase in gene expression 6 h followed by a decrease at 12 h and a subsequent increase at 24 h. Liu et al. [16] demonstrated that dormant conidia of T. rubrum show a fluctuation on gene expression. During the germination process, the same work followed a different time course of conidia development and the morphological transitions promoted during the time was also evaluated indicating that at 6 h the conidia is brighter and swollen and after 12 h the hyphae begin to be developed. As the adhesins are mainly expressed in germinating conidia, as occoured for MAD1 in M. anisopliae [24], the result obtained by qPCR for the expression of T. rubrum adhesin-like protein was even expected for the incubation of 6 h. Furthermore, Aljabre et al. [25] studying the co-culture of Trichophyton mentagrophytes in corneocytes cells showed that the adherence of the arthroconidia requires 6 h and more than 4 h for germination. Regarding to the time of 24 h, some works also demonstrated the adherence of spores to corneum stratum for this time [26] . Thus, our assumption is that the adhesin-like protein has a fluctuation on gene expression according to the cell cycle process.
In silico analysis of this adhesin like protein showed the presence of collagen triple helix domains, mucin-like glycoprotein domain and flocullin domain, as described previously. The collagen triple helix domains are currently being investigated because of their role in hostpathogen interactions and bacterial adhesins [27]. The mucin-like glycoprotein domain of these proteins plays a role in the adhesion and pathogenicity of microorganisms, including biofilm formation [28]. The flocculin domain is present in many cell wall proteins (CWPs) with tandem repeats that are responsible for mediating the host-pathogen interaction by cell-cell adhesion, and it is related to the biofilm formation observed in Aspergillus fumigatus and Saccharomyces cerevisiae [29,30]. The fungal adhesion process has been extensively studied in Candida spp. [31], but it has only begun to be addressed in other pathogenic fungi. In this respect, an adhesin called MAD1 has been characterized in the entomopathogenic fungus Metarhizium anisopliae. The disruption of MAD1 adhesin delays germination, suppresses blastospore formation, and reduces virulence against caterpillars [24]. Also, the cell surface protein of Aspergillus fumigatus, which shows features of adhesin-like protein was investigated, and a null mutant for the cspA gene showed a phenotype characterized by rapid conidial germination and reduced adhesion to the extracellular matrix [32]. Tandem repeats are more commonly found in cell wall proteins, and the number of repeats, as well as the length of the tandem repeat unit, can vary among different species and within isolates, promoting diversity and improving adhesion capacity [29].

Expression of genes involved in dormancy and germination of conidia
Genes involved in the specific germination processes of conidia are interesting targets for the development of new antifungal compounds. Furthermore, the chronic infections caused by these fungi may be related to conidial dormancy because an important factor underlying chronicity is the ability of T. rubrum to survive as conidia inside the human body [33]. The pattern of low  metabolic activity reflected by the repression of a high number of genes involved in the metabolism process, also known as quiescent status, seems to be related to conidial dormancy [16,20]. While at the same time the induction of a few genes in energy metabolism probably are important for maintaining dormancy and initiating germination [20]. The modulation of genes encoding signal transduction system proteins and regulation of biologic process that are involved in conidial dormancy and the early stages of spore germination was also observed in the present study [34]. Moreover, we found that elastin promoted modulation of a higher percentage of genes involved in the regulation of biological processes, which may be related to the establishment of deep infections. Indeed, studies have shown that genes coding proteins required for polarized growth and WD-repeat proteins (related to the interaction of signaling molecules) appear to be important for the processes of systemic fungal infections caused by A. fumigatus and C. albicans [35,36]. However, further studies are needed to better understand the role of signal transduction systems and regulation of biological process in the maintenance of dormancy in T. rubrum conidia.

Expression of genes coding proteases
Proteases play a central role in pathogenesis, as they are widely implicated to have proteolytic activity [37,38]. At least 20 protease gene that belong to the metalloprotease and serine protease families of proteolytic enzymes are found in the genome of T. rubrum and other dermatophytes [39]. Among endoproteases, there are five metalloproteases (fungalysins) and seven serine proteases (subtilisins). The exoproteases are represented by two metalloproteases, leucine aminopeptidases Lap1 and Lap2, and two serine proteases, dipeptidyl-peptidases DppIV and DppV [38]. In addition to these proteases, T. rubrum was also found to secrete a metallocarboxypeptidase (McpA) and to produce two membrane-anchored serine carboxypeptidases when cultured in medium containing protein as the sole nitrogen and carbon source [40]. The proteases modulated in this work, especially during the growth of T. rubrum on keratin, are relevant to better understand the role of these proteases for the conidia infection process.

Conclusion
The present results broaden the knowledge of the molecular features of infection with T. rubrum conidia. Genes involved in conidial adhesion and dormancy seem to be important for the infection process and could be explored as potential targets for the development of new antifungal agents.

Strain, media and growth conditions
T. rubrum strain CBS118892 was cultured on Sabouraud dextrose agar (Oxoid, Hampshire, England) for 15 days at 28°C to induce full sporulation. The conidial solution was filtered twice through glass wool to remove any hyphal fragments and was inspected by microscopy. The number of conidia was counted with a hemocytometer under a Nikon microscope. Approximately 2.6 x 10 6 conidia/mL were added to 10 mL of three different media in triplicate: i) Cove's minimal medium (control) containing 70 mM nitrate (Sigma Aldrich, St. Louis, MO,    Healthcare-Little Chalfont, Buckinghamshire, UK). RNA preparations were confirmed to be free of protein and phenol by UV spectrophotometry. RNA degradation was assessed by microfluidic electrophoresis using Agilent 6000 RNA Nano chips and an Agilent 2100 Bioanalyzer (Agilent Technologies, Santa Clara, CA, USA). Only RNA samples that were free of protein and phenol and had an RNA integrity number (RIN) ≥ 9.0 were used.

Microarray hybridization
Twenty-five nanograms of RNA from each incubation time (24,36 and 72 h) and treatment condition (control, keratin

Microarray data analysis
The oligo-mRNA array slides were scanned with a DNA microarray scanner (Agilent Technologies), and Agilent Feature Extraction 10.5 software was used to extract the hybridization signals. The analysis was performed by pairwise comparison of keratin x control or elastin x control. The quantitative microarray data were normalized with a 95 th percentile expression filter and were analysed using the Gene Spring GX 12.6 Bioinformatics Platform (http:// www.agilent.com/chem/genespring) according to the manufacturer's instructions. Statistical analysis was performed by ANOVA (P < 0.05) using a fold change ≥ 4.0. The mapping of each EST with a protein coding gene in T. rubrum genome was obtained through alignments performed with Blastx (e-value 1e-5). Also, the putative annotations were retrieved using Blastx according to ncbi bank, then the biological function of putative protein was assessed through GO terms obtained with BLAST2GO 2.4.8 software. Some additional information of relevant genes was obtained from NCBI's conserved domain database. After the Blast2GO analysis, some genes did not present any GO associated term and in these cases these genes were described as "Unclassified". The raw data are deposited in the Gene Expression Omnibus (GEO) (www.ncbi.nlm.nih.gov/geo) database under accession number GSE 69305.
In silico identification and prediction of the adhesin-like protein gene and protein sequence analysis Annotation of the TERG_08771 gene occurred in May 2014 through the Broad Institute's Dermatophyte Comparative Database, and the gene was assigned as a hypothetical protein.