ORIGINALRESEARCH published:17June2016 doi:10.3389/fcell.2016.00057 Recognition of Membrane Sterols by Polyene Antifungals Amphotericin B 13 and Natamycin, A C MAS NMR Study FilipCiesielski1†,DavidC.Griffin1,JessicaLoraine1†,MichaelRittig1, JossDelves-Broughton2andBoyanB.Bonev1* 1SchoolofLifeSciences,Queen’sMedicalCentre,UniversityofNottingham,Nottingham,UK,2HealthandNutrition,DuPont UKLtd,Beaminster,UK Editedby: MichaelaWenzel, The molecular action of polyene macrolides with antifungal activity, amphotericin B UniversityofAmsterdam,Netherlands and natamycin, involves recognition of sterols in membranes. Physicochemical and Reviewedby: functional studies have contributed details to understanding the interactions between NorelleDaly, JamesCookUniversity,Australia amphotericinBandergosteroland,toalesserextent,withcholesterol.Fewermolecular AxelHollmann, detailsareavailableoninteractionsbetweennatamycinwithsterols.Weusesolidstate NationalScientificandTechnical 13C MAS NMR to characterize the impact of amphotericin B and natamycin on mixed ResearchCouncil,Argentina lipid membranes of DOPC/cholesterol or DOPC/ergosterol. In cholesterol-containing *Correspondence: BoyanB.Bonev membranes, amphotericin B addition resulted in marked increase in both DOPC and [email protected] cholesterol 13C MAS NMR linewidth, reflecting membrane insertion and cooperative †PresentAddress: perturbationofthebilayer.Bycontrast,natamycinaffectslittleeitherDOPCorcholesterol FilipCiesielski, ISISNeutronandMuonSource, linewidthbutattenuatescholesterolresonanceintensitypreferentiallyforsterolcorewith ScienceandTechnologyFacilities lesserimpactonthechain.Ergosterolresonances,attenuatedbyamphotericinB,reveal Council,Oxford,UK; specific interactions in the sterol core and chain base. Natamycin addition selectively JessicaLoraine, DepartmentofBiology,Universityof augmentedergosterolresonancesfromsterolcoreringoneand,atthesametime,from York,York,UK the end of the chain. This puts forward an interaction model similar to the head-to-tail model for amphotericin B/ergosterol pairing but with docking on opposite sterol faces. Specialtysection: Thisarticlewassubmittedto Low toxicityof natamycinis attributedtoselective,non-cooperative sterol engagement MembranePhysiologyandMembrane comparedtocooperativemembraneperturbationbyamphotericinB. Biophysics, asectionofthejournal Keywords:antimicrobials,antifungals,membranes,cholesterol,ergosterol,13CsolidstateMASNMR,receptor FrontiersinCellandDevelopmental recognition Biology Received:28April2016 Accepted:30May2016 INTRODUCTION Published:17June2016 Citation: Amphotericin B and natamycin belong to the class of macrolide polyene antibiotics, which are CiesielskiF,GriffinDC,LoraineJ, used to prevent and treating opportunistic fungal infections, as well as in the control of food RittigM,Delves-BroughtonJand spoilage.Bothantimycoticcompoundsaremembrane-activeandhavebeenshowntointeractwith BonevBB(2016)Recognitionof ergosterol (Gabrielska et al., 2006; Matsuoka et al., 2006). While amphotericin B uses ergosterol MembraneSterolsbyPolyene asareceptorformembranedisruption,natamycindoesnotpermeabilisemembranesdirectlybut AntifungalsAmphotericinBand Natamycin,A13CMASNMRStudy. underminesthefunctionofergosterol-dependentmembranetransport. Front.CellDev.Biol.4:57. Amphotericin B is produced by Streptomyces nodosus and kills fungal cells by forming doi:10.3389/fcell.2016.00057 membrane pore complexes with ergosterol. The molecule is approximately 23 Å long, which is FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 1 June2016|Volume4|Article57 Ciesielskietal. SterolRecognitionbyPolyeneAntifungals slightlylessthanthetypicalmembranethicknessanditsactivity toAmphoteracinB,natamycinhasbeenlesswell-characterized. is sensitive to lipid chain length (Matsuoka et al., 2006). Solid Previous views that natamycin shares mode of action with state NMR has been used to show that amphotericin B can amphotericinB,i.e.,poreformationanddissipationofionsand form a single ring spanning the lipid bilayer when the drug is celldeathhavebeenoverturnedbyobservationsthatnatamycin deliveredfromonesideofamembrane(Gabrielskaetal.,2006) does not form membrane pores but interacts specifically or a double length ring when it is present on both sides of a with ergosterol excluding it from membrane functionality (te membrane(Matsuokaetal.,2005).Treatmentwithamphotericin Welscher et al., 2008) and preventing vacuolar trafficking (te Bisrestrictedtoaminimumduetoitsseveresideeffects,such Welscher et al., 2010) and endocytosis (Van Leeuwen et al., as nephrotoxicity. However, due to lack of alternatives, for the 2009). Recent studies develop a clearer mechanistic picture, past50yearsitremainsoneofthemostcommonantimycotics. in which natamycin/ergosterol interactions downregulate There is a great interest in understanding its mechanism of ergosterol-dependentmembranetransportproteins(teWelscher action and factors which affect the specificity toward fungal etal.,2012). cells as this knowledge could allow designing more efficient WhileinteractionsofamphotericinBand,toalesserextentof and specific drugs. Studies with red blood cells showed that natamycinwithergosterolhavealreadybeenstudiedindetailin amphotericin B can target cholesterol-containing membranes thepast(Fournieretal.,1998,2008;Gagosetal.,2005;Matsumori (Kotler-Brajtburgetal.,1974),whichisthoughttobetheprimary et al., 2006; Kasai et al., 2008; Gruszecki et al., 2009; Foglia cause of its toxicity. However, experiments also revealed that etal.,2012;GagosandArczewska,2012;Umegawaetal.,2012), amphotericinBhasgreateraffinitytoergosterolthancholesterol less is known about their interactions with cholesterol. In this (Readio and Bittman, 1982), partially explaining the specificity study we use solid state magic angel spinning (MAS) NMR to of the drug. However, because the channel formation involves investigatetheeffectsofamphotericinBandnatamycinonmixed eightamphotericinBmoleculesandeightsterols,Baginskigroup lipidmembranescontainingDOPCandcholesterolorergosterol. (Baginski et al., 2002) have speculated that small differences Natural abundance 13C is used in MAS NMR to observe the in sterol affinity cumulate and become significant enough to effects of each antifungal on lipid and sterol dynamics and the trigger specificity. Their molecular simulations showed that differentialeffectofamphotericinBandatamycinonmembranes channels formed with ergosterol are bigger than those formed containingcholesterolorergosterol. withcholesterol,greatlyaffectingtheionpermeability. A great deal of attention has been also focused on the two MATERIALS AND METHODS sterols. Both are known to induce liquid ordered phases on lipidbilayerswheretrans-gaucheisomerizationsvanish(Endress Sample Preparation et al., 2002; Mouritsen and Zuckermann, 2004; Rog et al., Lipidswerepurchasedandusedwithoutfurtherpurification,1,2- 2009), however, the degree of ordering depends on the lipid di-oleoylphosphatidylcholine(DOPC)fromAvantiPolarLipids; type. For example ergosterol has a stronger ordering effect on cholesterol from BDH chemicals Ltd Poole England; and, 98% the saturated lipid chains than cholesterol, but the opposite Ergosterol(nitrogenfixed)fromAcrosOrganics.Amphotericin is true for unsaturated phospholipid bilayers (Urbina et al., BwaspurchasedfromMPBiomedicalsandusedwithoutfurther 1998). Furthermore, quantum calculations showed significant purification.NatamaxwaskindlydonatedbyDuPontandlactose differencesinelectricpotentialsdistributionsbetweenergosterol wasremovedviamultiplewashesindistilledwatertoyieldpure and cholesterol. Highly negative regions were predicted in the natamycin. ergosterol,whichcouldaccountforitshigheraffinitytowardthe DOPCwasmixedwitheithercholesterolorergosterolin7:3 polar macrolide structures within a hydrophobic environment ratios in chloroform/methanol and re-suspended in a working ofalipidbilayer(Baginskietal.,1997a).Inaddition,molecular buffer 10mM HEPES pH 7.0, 10mM NaCl, 1mM EDTA (the dynamics simulations have showed that ergosterol tail chain samebufferwasusedforallsamples).Natamycinwasdissolvedin is stiffer and more elongated than that of cholesterol, making methanolandaddedtotheDOPC/sterollipidfilm(finalratioof the former more stable and providing stronger van der Waals DOPC/sterol/drugwas7:3:1.5),andaftersolventremovalalsore- contactswiththedrugs. suspendedintheworkingbuffer.AmphotericinBwasdissolved Other studies, on the other hand, suggest that cholesterol is indi-methylformamide(DMF)andaddedtoDOPC/Cholesterol notrequiredfortheamphotericinB-drivenformationofpores. lipidfilm(finalratio7:3:1.5)andDMFwasremovedbyrepeated Cotero et al. (1998) found that ionic current can be detected 7×dilutionwithdistilledwaterandcentrifugationat20,000rpm ◦ on amphotericin B addition without the presence of sterols in at 20 C (Beckman coulter Avanti J25) for 30min. Residual a membrane. They hypothesized that the role of a sterol in the DMFwasremovedunderhighvacuumandthesamplewasre- channelformationisviatheeffectithasonthemembraneitself, suspendedintheworkingbuffer.Allsampleswerethenfreeze- insteadofdirectlyaffectingthechannelformation.Furthermore, thawed a minimum of 5 times each, pelleted at 16,060 g for molecular simulations also backed this view, showing that 15min (Biofuge pico, Heraeus) and the pellets were loaded in cholesteroldoesnoteveninteractwithamphotericinBatallin 4mmMASNMRrotors. anyspecificway(Baginskietal.,1997b). NatamycinisproducedbyStreptomycesnatalensisandisused Solid State NMR Spectroscopy onacommercialscaleinthefoodindustryaspreservativeE235 Allsolid-stateNMRexperimentswereperformedonaVarian400 andalsoasanadditivetotopicalantifungalcreams.Incontrast MHz(VNMRS)spectrometerusinga4mmT3MASNMRprobe FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 2 June2016|Volume4|Article57 Ciesielskietal. SterolRecognitionbyPolyeneAntifungals (Varian,PaloAltoCA,USA).Cross-polarization,CP,(Hartmann B (middle) or natamycin (top). Amphotericin has a profound and Hahn, 1962) with proton ramp (Metz et al., 1994) was effect on membrane dynamics and all lipid and cholesterol usedtoprepareobservable13Cmagnetization.A96kHzproton resonances appear broadened, indicating that amphotericin B excitation pulse was followed by 3.5ms of 45kHz Hartmann- doesinsertinthemembraneandthatinsertionhasadisordering Hahn contact. MAS NMR spectra were acquired using 60kHz effect leading to increased librational freedom for both DOPC SPINALdecoupling(Fungetal.,2000)tosuppressheteronuclear and cholesterol. The linewidth is likely related to motional 1H−13C dipolar interactions or using 96kHz FSLG decoupling interference with the proton decoupling, as the lipid CO (Bieleckietal.,1989).Acquisitionswererepeatedeach3.5swith resonances, which have no directly bonded protons appear less 150ms acquisition times under SPINAL and 75ms duration affects. Despite this line broadening, the relative intensity of underFSLG.Toobtainheteronuclear-decoupledhigh-resolution cholesterol resonances compared to DOPC does not appear spectra, 1024 transients were averaged, while 8192 transients significantly altered, which indicates no preferential interaction were added when homonuclear decoupling was used. Sample ofamphotericinBwithcholesteroloverDOPC. temperature was regulated using balanced heated/vortex tube- While fast lipid dynamics is dominated by cooperative cooled gas flow (Ciesielski et al., 2009) and MAS/RF-induced axial rotation, changes in segmental mobility in response to temperature elevation of 4◦C was taken into consideration antifungals can still be observed by 13C solid state NMR and by indirect reference to lipid main transition suppression in segmental dynamics in sterols is even more informative. In the DMPCandDPPCliposomes.Samplerotationwassetat5kHz, presence of amphotericin B cholesterol core residues c1–6, c9, which is sufficient to produce well-averaged high-resolution c11,c14,c15–17aresignificantlyattenuated,indicatingreduced spectrainmobilehydratedlipidsystems.Spectralpredictionand core mobility (Figure2 middle). Curiously, c12 is attenuated processingwasdoneusingADCLabs(Toronto,Canada). butstillobservedandmethylsc18,c19,andc21,whichlinethe sameregionofthecholesterolmoleculedonotappearaffected. Amphotericin has little effect on chain residues c20–c25, as RESULTS well. However, resonance intensity from chain terminal methyl groupsc26andc27areenhanced,whichpointstoparticipation Molecular Interactions of Amphotericin B of the chain end in the interaction between amphotericin and and Natamycin with Membrane Sterols cholesterol.Chainterminalcouplinghasbeenreportedbetween High-resolution13CMASNMRspectra,acquiredunderSPINAL ergosterolterminalmethylgroupse27,e28andamphotericinB ◦ decouplingfromDOPCliposomescontaining30%sterolat20 C intheirmembranecomplex(Umegawaetal.,2012).Together,the yielded well-resolved resonances. Cholesterol and ergosterol dataputforwardaninteractionmodel,inwhichthecholesterol structures are shown in Figure1 alongside atom numbering ringcoreplaystheleadingroleininteractionswithamphotericin usedinresonanceassignments(Zorinetal.,2010).PureDOPC B, chiefly on the c4, c6, c15 ridge and with engagement of the membraneswerecharacterizedforreference.Samplesmadewith chainendc26,c27. cholesterol produced well-resolved lipid and sterol resonances The impact of natamycin on the spectrum from (Figure2), which were assigned following (Forbes et al., 1988; DOPC/cholesterol membrane is quite different (Figure2 Zorin et al., 2010). DOPC/ergosterol samples produced well- top).Overall,resonanceshaveretainedtheirwidthofferinggood resolved lipid peaks but broad and low-intensity ergosterol spectral resolution. The impact of natamycin on cholesterol resonances in most cases (Figure3), due to intermediate mobility indicates the formation of a molecular complex, mobility of this sterol in DOPC membranes, which interferes which bears resemblance to that between amphotericin B and with cross-polarization and homonuclear dipolar decoupling. cholesterol showing ring core and chain-terminal interactions Resolved ergosterol peaks were assigned according to $Soubias with natamycin. However, distinct differences in segmental et al. (Soubias and Gawrisch, 2005) and used to monitor the dynamicsrevealmobilityrestrictionsonallringmethylgroups, membrane response to antifungals. The same set of samples aswellasonringA(c1–5,c10)andthebaseofthechain.This was studied using 13C MAS NMR spectroscopy with FSLG points to natamycin engagement of the cholesterol molecule decoupling during signal acquisition, which removes proton ontheoppositesidetothatwithamphotericinBandinvolving degeneracy and provides J-resolved 13C spectra for sufficiently cholesterolring1(c1–c5)andthechainend(c25–c27),however, mobile molecular segments. Well-resolved couplings were alsowithcontactonmethylsc18,c18andnotdirectlywiththe measuredforDOPCresonancesonly,duetothepoorresolution otherrings. ofthesterolmultiplets. Ergosterol-containingmembranesundergomotionsnearthe Molecular interactions in membranes can be followed using NMR timescale, which leads to some interference with proton 13C MAS NMR by following changes in segmental dynamics. decoupling and cross-polarization and erodes some ergosterol Such changes impact longitudinal relaxation, which leads to and antibiotic resonances from the 13C MAS NMR spectra loss of intensity in resonances from directly interacting groups (Figure3, bottom). Resolved resonances inform on the impact (Sangheraetal.,2011)orintensityenhancementunderCP-MAS of antibiotic presence on segmental dynamics through changes wherefastmolecularmobilityinterferingwithCPordecoupling inresonanceintensity(dependentonthelongitudinalrelaxation is moderated in a complex and NMR signal is enhanced. timeT )bycomparisontotherepeatdelay. 1 Figure2shows13CMASNMRspectrafromDOPC/cholesterol The presence of amphotericin B in the DOPC/ergosterol membranesalone(bottom)andinthepresenceofamphotericin membrane is associated with attenuation of ergosterol FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 3 June2016|Volume4|Article57 Ciesielskietal. SterolRecognitionbyPolyeneAntifungals FIGURE1|Structuresofcholesterol(A),ergosterol(B),amphotericinB(C),andnatamycin(D). resonances,whichisconsistentwithalteredmoleculardynamics e24, and e25 (Figure3, middle). The terminal methyls e27 duringcomplexformationbetweenergosterolandamphotericin and e28 are not attenuated but are shifted. This points to an B.Thisattenuationismostnoticeableandspecificforresonances interactionpicture,whichinvolvesthee1-e9-e12edgewithe19 e1, e9, e12, and e19, which complement the interfacial ridge andthebeginningofthechaine20,e22,e24alongwithringDat of rings A, B, and C in ergosterol along with methyl e19. The e15(Figure1). opposite side of the molecule, e15, is also attenualted, which Additionofnatamycintoergosterol/DOPCmembranesyields appearstolinktomobilityrestrictionsinthechainate20,e22, a better resolved spectrum, in which a number of natamycin FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 4 June2016|Volume4|Article57 Ciesielskietal. SterolRecognitionbyPolyeneAntifungals FIGURE2|High-resolution13CMASNMRspectraofhydratedDOPC/cholesterolmembranes:(A)fullspectrumshowinglipidresonancesandsome cholesterolresonances;membranealone(bottom);withamphotericinB(middle);andwithnatamycin(top);(B)aliphatic/ringregionexpanded, showingcholesterolassignment. FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 5 June2016|Volume4|Article57 Ciesielskietal. SterolRecognitionbyPolyeneAntifungals FIGURE3|High-resolution13CMASNMRspectraofhydratedDOPC/ergosterolmembranes:(A)fullspectrumshowinglipidresonancesandsome ergosterolresonances;membranealone(bottom);withamphotericinB(middle);andwithnatamycin(top);(B)aliphatic/ringregionexpanded, showingergosterolassignment. FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 6 June2016|Volume4|Article57 Ciesielskietal. SterolRecognitionbyPolyeneAntifungals FIGURE4|ChangesinDOPCresonancelinewidthonadditionofamphotericinB(redsquares)ornatamycin(bluediamonds)withrespecttoDOPC chemicalshiftsinDOPC/cholesterol(A)orDOPC/ergosterol(B)membranes,respectively. residues are also observed (Figure3, top). The attenuation resonances e23, e24, and e25 attenuated, as well as terminal of ergosterol signals in this spectrum is far more widespread methyls e27 and e28. Curiously, resonance e26 is significantly involving the same ergosterol ridge e1, e10, e9, e11, as well enhanced,showingthattheendoftheergosterolchainundergoes methyl e19 but also resonances e3 and e4 on ring A, e7 on the non-cooperative motions near the intermediate timescale that opposite side of ring B, e13 and e15 on ring D. Interestingly, are affected profoundly on natamycin binding. In contrast to akin to amphotericin, natamycin does not attenuate methyl amphotericinB,antamycinappearstoengagemethyle21atthe e18.Theergosterolchainisalsomoreprofoundlyaffectedwith beginning of the chain (Figure1). The impact of natamycin FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 7 June2016|Volume4|Article57 Ciesielskietal. SterolRecognitionbyPolyeneAntifungals FIGURE5|ChangesinDOPCresonanceisotropic13CchemicalshiftonadditionofamphotericinB(redsquares)ornatamycin(bluediamonds)with respecttoDOPCchemicalshiftsinDOPC/cholesterol(A)orDOPC/ergosterol(B)membranes,respectively. on mobility at e5 and e8 is difficult to assess due to overlap dynamics.Bycontrast,whiletheobservedspectroscopicchanges with natamycin polyene chain signal. Similarly, e14 and e17 in amphotericin B/ergosterol spectra support the molecular resonances are no longer resolved and are obscured by the model,proposedin(Umegawaetal.,2012),theyalsosuggestthat epoxydecarbonsfromnatamycin(Figure3,top). theeffectisfarmorecooperativeaffectingthewholemembrane, Thechangesinergosterolsegmentalmobilityinthepresence while the natamycin/ergosterol complexes appear to interact of natamycin along with the persistent spectral resolution with each other and with the membrane bulk much less and, indicate a more specific antibiotic/sterol molecular interaction, subsequently,perturbmembranelipidtomuchlesserextent.The somewhatresemblingthatbetweenamphotericinandergosterol significance of this observation is that while amphotericin B at (Umegawa et al., 2012). Such molecular complexes appear to a mechanistic level may affect the functionality of ergosterol- have comparatively little effect on lipid and sterol cooperative dependentproteinsthroughsignificantmodulationofmembrane FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 8 June2016|Volume4|Article57 Ciesielskietal. SterolRecognitionbyPolyeneAntifungals FIGURE6|Changesincholesterol13Cchemicalshiftdueinthepresenceofantifungalcompounds:(A)amphotericinB,(B)natamycin.Carbon numbers,shownontheabscissa,correspondtothoseinFigures1,7androughlyfollowend-toenddirectiononthesterolmolecule.Trendlinesguidetheeyeto approximateend-to-endchemicalshiftchangesalongeachsterolmolecule. FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 9 June2016|Volume4|Article57 Ciesielskietal. SterolRecognitionbyPolyeneAntifungals FIGURE7|Structuresofcholesterol(A,C)andergosterol(B,D)showingsitesof13CNMRspectralattenuationamphotericnB(A,B)and natamycin(C,D). properties(teWelscheretal.,2008),natamycinappearstohavea of membrane active molecules or indirectly by changes in veryspecificeffectonergosterol,whichisnottransmittedtothe molecularorderparametersandpacking(Bonevetal.,2001). restofthemembrane. Lipidresonancefullwidthathalfheight(FWHH)isaffected primarilybylateralmolecularlibrationsorrockingandincreases in membranes with lower bending modulus, where membrane Effects of Amphotericin B and Natamycin undulation is facilitated by lose chain packing (Ciesielski et al., on Membrane Phospholipid 2009). By contrast, the presence of cholesterol stiffens the membrane and improves packing in the chain region without Besides specific interactions with sterols, followed directly from changes in 13C MAS NMR spectra from cholesterol impairingaxiallipidrotation,whichleadstosignificantreduction and ergosterol, the addition of polyene antibiotics also affects oflinewidthandimprovedspectralresolution(Zorinetal.,2010). membrane phospholipid. Within hydrated membranes, Resolution can also be improved under proton decoupling and phospholipids undergo fast cooperative axial motions with mobilitythatinterfereswithdecouplingcanincreaselinewidth. GHz rates and the full width at half height (FWHH) of lipid Thus,theFWHHisrelatedtothetransverserelaxationrateand resonances is affected by the cooperative mobility, fast axial a good indicator of changes in librational mobility of lipids in rotation, and slow angular librations, as well as by additional, responsetomembraneinteractions. individual segmental motions. The presence of additional The changes in DOPC 13C linewidth in mixed membranes membraneconstituentscanaffectanyormanyofthesemotions with cholesterol or ergosterol before and after addition and the effects are seen in the high-resolution 13C MAS NMR of amphotericin B or natamycin are shown in Figure4 spectra from the membrane lipid (Ciesielski et al., 2009; Zorin alongside the carbon number. Addition of amphotericin B to et al., 2010). In addition, the isotropic chemical shifts of each cholesterolcontainingDOPCmixedmembranesleadstomarked carbon environment can be affected directly by the proximity increase in linewidth, particularly in chain region, indicative FrontiersinCellandDevelopmentalBiology|www.frontiersin.org 10 June2016|Volume4|Article57
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