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LncRNA DINOR is a virulence factor and global regulator of stress responses in Candida auris

Abstract

The emergent fungal pathogen Candida auris exhibits high resistance to antifungal drugs and environmental stresses, impeding treatment and decontamination1,2,3. The fungal factors mediating this stress tolerance are largely unknown. In the present study, we performed piggyBac, transposon-mediated, genome-wide mutagenesis and genetic screening in C. auris, and identified a mutant that grew constitutively in the filamentous form. Mapping the transposon insertion site revealed the disruption of a long non-coding RNA, named DINOR for DNA damage-inducible non-coding RNA. Deletion of DINOR caused DNA damage and an upregulation of genes involved in morphogenesis, DNA damage and DNA replication. The DNA checkpoint kinase Rad53 was hyperphosphorylated in dinorΔ mutants, and deletion of RAD53 abolished DNA damage-induced filamentation. DNA-alkylating agents, which cause similar filamentous growth, induced DINOR expression, suggesting a role for DINOR in maintaining genome integrity. Upregulation of DINOR also occurred during exposure to the antifungal drugs caspofungin and amphotericin B, macrophages, H2O2 and sodium dodecylsulfate, indicating that DINOR orchestrates multiple stress responses. Consistently, dinorΔ mutants displayed increased sensitivity to these stresses and were attenuated for virulence in mice. Moreover, genome-wide genetic interaction studies revealed links between the function of DINOR and TOR signalling, an evolutionarily conserved pathway that regulates the stress response. Identification of the mechanism(s) by which DINOR regulates stress responses in C. auris may provide future opportunities for the development of therapeutics.

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Fig. 1: Identification of DINOR required for C. auris morphogenesis using PB mutagenesis.
Fig. 2: The filamentous growth of dinorΔ depends on Rad53-mediated pathways.
Fig. 3: Functional interactions of DINOR with 005430 and 000754.
Fig. 4: DINOR is required for the C. auris response to antifungal drug, H2O2 and SDS, and pathogenicity in mice.

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Data availability

The data supporting the findings of the present study are available within the paper and its Supplementary Information. All relevant data, including further image and processed data, are available by request from the corresponding authors. The PB library sequencing data are available under BioProject accession no. PRJNA679970. The RNA-seq data are deposited under Gene Expression Omnibus accession no. GSE171261. Source data are provided with this paper.

References

  1. Clancy, C. J. & Nguyen, M. H. Emergence of Candida auris: an international call to arms. Clin. Infect. Dis. 64, 141–143 (2017).

    Article  Google Scholar 

  2. Kean, R. et al. Surface disinfection challenges for Candida auris: an in-vitro study. J. Hosp. Infect. 98, 433–436 (2018).

    Article  CAS  Google Scholar 

  3. Lockhart, S. R. et al. Simultaneous emergence of multidrug-resistant Candida auris on 3 continents confirmed by whole-genome sequencing and epidemiological analyses. Clin. Infect. Dis. 64, 134–140 (2017).

    Article  CAS  Google Scholar 

  4. Wang, X. et al. The first isolate of Candida auris in China: clinical and biological aspects. Emerg. Microbes Infect. 7, 93 (2018).

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Chow, N. A. et al. Tracing the evolutionary history and global expansion of Candida auris using population genomic analyses. mBio https://doi.org/10.1128/mBio.03364-19 (2020).

  6. Defosse, T. A. et al. A synthetic construct for genetic engineering of the emerging pathogenic yeast Candida auris. Plasmid 95, 7–10 (2018).

    Article  CAS  Google Scholar 

  7. Lombardi, L., Oliveira-Pacheco, J. & Butler, G. Plasmid-based CRISPR-Cas9 gene editing in multiple Candida species. mSphere https://doi.org/10.1128/mSphere.00125-19 (2019).

  8. Li, Z. et al. Genome-wide piggyBac transposon-based mutagenesis and quantitative insertion-site analysis in haploid Candida species. Nat. Protoc. 15, 2705–2727 (2020).

    Article  CAS  Google Scholar 

  9. Gao, J. et al. Candida albicans gains azole resistance by altering sphingolipid composition. Nat. Commun. 9, 4495 (2018).

    Article  Google Scholar 

  10. Satoh, K. et al. Candida auris sp. nov., a novel ascomycetous yeast isolated from the external ear canal of an inpatient in a Japanese hospital. Microbiol. Immunol. 53, 41–44 (2009).

    Article  CAS  Google Scholar 

  11. Gale, A. N. et al. Identification of essential genes and fluconazole susceptibility genes in Candida glabrata by profiling hermes transposon insertions. G3 (Bethesda) 10, 3859–3870 (2020).

    Article  CAS  Google Scholar 

  12. Giaever, G. et al. Functional profiling of the Saccharomyces cerevisiae genome. Nature 418, 387–391 (2002).

    Article  CAS  Google Scholar 

  13. Zheng, X., Wang, Y. & Wang, Y. Hgc1, a novel hypha-specific G1 cyclin-related protein regulates Candida albicans hyphal morphogenesis. EMBO J. 23, 1845–1856 (2004).

    Article  CAS  Google Scholar 

  14. Yue, H. et al. Filamentation in Candida auris, an emerging fungal pathogen of humans: passage through the mammalian body induces a heritable phenotypic switch. Emerg. Microbes Infect. 7, 188 (2018).

    Article  Google Scholar 

  15. Bravo Ruiz, G., Ross, Z. K., Gow, N. A. R. & Lorenz, A. Pseudohyphal growth of the emerging pathogen candida auris is triggered by genotoxic stress through the S phase checkpoint. mSphere https://doi.org/10.1128/mSphere.00151-20 (2020).

  16. Kim, S. H. et al. Genetic analysis of Candida auris implicates Hsp90 in morphogenesis and azole tolerance and Cdr1 in azole resistance. mBio https://doi.org/10.1128/mBio.02529-18 (2019).

  17. Braun, B. R., Kadosh, D. & Johnson, A. D. NRG1, a repressor of filamentous growth in C. albicans, is down-regulated during filament induction. EMBO J. 20, 4753–4761 (2001).

    Article  CAS  Google Scholar 

  18. Braun, B. R. & Johnson, A. D. Control of filament formation in Candida albicans by the transcriptional repressor TUP1. Science 277, 105–109 (1997).

    Article  CAS  Google Scholar 

  19. Li, L., Naseem, S., Sharma, S. & Konopka, J. B. Flavodoxin-like proteins protect Candida albicans from oxidative stress and promote virulence. PLoS Pathog. 11, e1005147 (2015).

    Article  Google Scholar 

  20. Christodoulidou, A., Bouriotis, V. & Thireos, G. Two sporulation-specific chitin deacetylase-encoding genes are required for the ascospore wall rigidity of Saccharomyces cerevisiae. J. Biol. Chem. 271, 31420–31425 (1996).

    Article  CAS  Google Scholar 

  21. Shi, Q. M., Wang, Y. M., Zheng, X. D., Lee, R. T. & Wang, Y. Critical role of DNA checkpoints in mediating genotoxic-stress-induced filamentous growth in Candida albicans. Mol. Biol. Cell 18, 815–826 (2007).

    Article  CAS  Google Scholar 

  22. Loll-Krippleber, R. et al. A study of the DNA damage checkpoint in Candida albicans: uncoupling of the functions of Rad53 in DNA repair, cell cycle regulation and genotoxic stress-induced polarized growth. Mol. Microbiol. 91, 452–471 (2014).

    Article  CAS  Google Scholar 

  23. Khandelwal, N. K. et al. Azole resistance in a Candida albicans mutant lacking the ABC transporter CDR6/ROA1 depends on TOR signaling. J. Biol. Chem. 293, 412–432 (2018).

    Article  CAS  Google Scholar 

  24. Fu, L., Wang, P. & Xiong, Y. Target of rapamycin signaling in plant stress responses. Plant Physiol. 182, 1613–1623 (2020).

    Article  CAS  Google Scholar 

  25. Rutherford, J. C., Bahn, Y. S., van den Berg, B., Heitman, J. & Xue, C. Nutrient and stress sensing in pathogenic yeasts. Front. Microbiol. 10, 442 (2019).

    Article  Google Scholar 

  26. Shen, C. et al. TOR signaling is a determinant of cell survival in response to DNA damage. Mol. Cell Biol. 27, 7007–7017 (2007).

    Article  CAS  Google Scholar 

  27. Xie, X. et al. The mTOR-S6K pathway links growth signalling to DNA damage response by targeting RNF168. Nat. Cell Biol. 20, 320–331 (2018).

    Article  CAS  Google Scholar 

  28. M38-A2: Reference Method for Broth Dilution Antifungal Susceptibility Testing of Filamentous Fungi; Approved Standard—2nd edn (Clinical and Laboratory Standards Institute, 2008).

  29. Belenky, P., Camacho, D. & Collins, J. J. Fungicidal drugs induce a common oxidative-damage cellular death pathway. Cell Rep. 3, 350–358 (2013).

    Article  CAS  Google Scholar 

  30. Fakhim, H. et al. Comparative virulence of Candida auris with Candida haemulonii, Candida glabrata and Candida albicans in a murine model. Mycoses 61, 377–382 (2018).

    Article  Google Scholar 

  31. Marchese, F. P., Raimondi, I. & Huarte, M. The multidimensional mechanisms of long noncoding RNA function. Genome Biol. 18, 206 (2017).

    Article  Google Scholar 

  32. Wang, K. C. & Chang, H. Y. Molecular mechanisms of long noncoding RNAs. Mol. Cell 43, 904–914 (2011).

    Article  CAS  Google Scholar 

  33. Lee, S. et al. Noncoding RNA NORAD regulates genomic stability by sequestering PUMILIO proteins. Cell 164, 69–80 (2016).

    Article  CAS  Google Scholar 

  34. Ard, R., Tong, P. & Allshire, R. C. Long non-coding RNA-mediated transcriptional interference of a permease gene confers drug tolerance in fission yeast. Nat. Commun. 5, 5576 (2014).

    Article  CAS  Google Scholar 

  35. Kyriakou, D. et al. Functional characterisation of long intergenic non-coding RNAs through genetic interaction profiling in Saccharomyces cerevisiae. BMC Biol. 14, 106 (2016).

    Article  Google Scholar 

  36. Liu, S. J. et al. Single-cell analysis of long non-coding RNAs in the developing human neocortex. Genome Biol. 17, 67 (2016).

    Article  Google Scholar 

  37. Dobin, A. et al. STAR: ultrafast universal RNA-seq aligner. Bioinformatics 29, 15–21 (2013).

    Article  CAS  Google Scholar 

  38. Liao, Y., Smyth, G. K. & Shi, W. The Subread aligner: fast, accurate and scalable read mapping by seed-and-vote. Nucleic Acids Res. 41, e108 (2013).

    Article  Google Scholar 

  39. Love, M. I., Huber, W. & Anders, S. Moderated estimation of fold change and dispersion for RNA-seq data with DESeq2. Genome Biol. 15, 550 (2014).

    Article  Google Scholar 

  40. Mielnichuk, N., Sgarlata, C. & Perez-Martin, J. A role for the DNA-damage checkpoint kinase Chk1 in the virulence program of the fungus Ustilago maydis. J. Cell Sci. 122, 4130–4140 (2009).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was supported by the Ministry of Science and Technology of China (grant no. 2018YFA0800200 to J.W.), National Natural Science Foundation of China (grant no. 21675098 to J.W.), THU-PKU Center for Life Sciences (J.G. and J.W.), National Medical Research Council of Singapore (grant nos. NMRC/OFIRG/0072/2018 and NMRC/OFIRG/0055/2019 to Y.W.) and National Research Foundation of Singapore (grant no. NRF-ISF003-3039/19 to Y.W.).

Author information

Authors and Affiliations

Authors

Contributions

J.G., J.W. and Y.W. conceptualized and designed the study. J.G. and E.W.L.C. performed most experiments with assistance from C.C. for the RACE assay and X.X. for the macrophage and mouse-related experiments. H.W. and Y.S. contributed to the bioinformatics analyses. J.G. and Y.W. analysed the data and wrote the manuscript.

Corresponding authors

Correspondence to Jiaxin Gao, Jianbin Wang or Yue Wang.

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The authors declare no competing interests.

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Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Peer review information Nature Microbiology thanks the anonymous reviewers for their contribution to the peer review of this work. Peer reviewer reports are available.

Extended data

Extended Data Fig. 1 PB transposition in C. auris.

a, The PB system. White vertical lines indicate hyperactive mutations. The PB transposon cassette PB[LEU2] is integrated within ARG4. Arrows indicate the PCR primers used to detect PB excision. b, PB[LEU2] is stable at the ARG4 locus in CauW08 under non-inducing conditions. Gel electrophoresis of PCR products amplified from the genomic DNA of 24 colonies obtained from three independent experiments using primers shown in a. Wild-type (WT) cells were included as a control. c, Transposition efficiency. Error bars, s.d. from the mean of three independent experiments. d, Density curves of PB-specific site counts per 10 kb in the three libraries. e, Correlations of PB site counts per 10 kb between the three libraries.

Source data

Extended Data Fig. 2 Illustration of the procedures used for screening filamentous mutants using the PB mutagenesis system in C. auris.

See Methods for details. White arrowhead indicates a wrinkled colony.

Extended Data Fig. 3 Characterization of C. auris mutants that grew wrinkled colonies.

a, 004138:PB and 004138:LEU2 mutants. (Top) Genotype description. Arrows indicate primers used for genotyping. (Bottom left) Images show the colony morphologies of 004138:PB and 004138:LEU2 cells. Strains were grown on YPD agar at 30 °C for 3 days. (Bottom right) Images show the cellular morphologies of 004138:PB and 004138:LEU2 cells. Strains were grown in liquid YPD medium or on YPD agar at 30 °C for 18 h or 3 days before microscopy. Scale bar, 10 μm. b, 004734:PB and 004734:LEU2 mutants. Scale bar, 10 μm. The experiment was independently repeated three times with similar results. c, 003427:PB and 003427:LEU2 mutants. Scale bar, 10 μm. The experiment was independently repeated three times with similar results. d, P003879:PB and P003879:LEU2 mutants. Scale bar, 10 μm. The experiment was independently repeated three times with similar results.

Extended Data Fig. 4 PCR-based genotyping of the indicated strains using primers shown in Fig. 1c,d and Extended Data Fig. 3.

WT cells were included as controls. The experiment was independently repeated three times with similar results.

Source data

Extended Data Fig. 5 Identification of DINOR in C. auris.

a, qPCR analysis of 004840 and 004841 expression in WT and T004840:LEU2 cells. Overnight cultures of WT and T004840:LEU2 strains were collected for RNA isolation. The expression levels were normalized against GAPDH, and that of the WT sample was set as 1. Error bars represent s.d. from the mean of three independent experiments. b, Effect of 004840 and 004841 on the filamentous phenotype of T004840:LEU2 cells. (Right top) Description of genotypes of 004840:LEU2, 004841:LEU2, and 004840:SAT1 004841:LEU2 cells. Arrows indicate the primers used for genotyping. Bottom panel, Cellular and colony morphologies of 004840:LEU2, 004841:LEU2, and 004840:SAT1 004841:LEU2 cells. WT and T004840:LEU2 cells were included as controls. Scale bar, 10 μm. Right panel, Gel electrophoresis results of PCR-based genotyping of the indicated strains. WT cells were included as a control. The experiment was independently repeated three times with similar results. c, qPCR analysis of four non-overlapping regions downstream of 004840. qPCR templates derived from total RNA of WT cells with or without reverse transcription. ACT1 and GAPDH were included as controls. d, Detection of the potential transcript downstream of 004840 by primer-walking PCR. Top, Schematic description of primers (arrows) used for primer-walking PCR. Bottom, PCR templates were prepared from the total RNA of WT cells with or without the reverse transcription step. Genomic DNA was included as a control. The experiment was independently repeated three times with similar results.

Source data

Extended Data Fig. 6 DINOR functions as a lncRNA in C. auris morphogenesis.

a, Deleting DINOR led to filamentation. Images show the cellular and colony morphologies of dinorΔ and dinorΔ:DINOR cells. WT and T004840:LEU2 cells were included as controls. Scale bar, 10 μm. Columns on the right side show the percentages of yeast and filamentous cells of the indicated strains grown in liquid or solid YPD medium (n = 200). Error bars, s.d. from the mean of three independent experiments. b, Short ORFs (1-5) within DINOR identified using ORF Finder (http://www.ncbi.nlm.nih.gov/orffinder/). c, Expression of each putative ORF under the control of PENO1 failed to restore the yeast morphology of dinorΔ cells. Images show the cellular and colony morphologies of dinorΔ:PENO1-ORF1, dinorΔ:PENO1-ORF2, dinorΔ:PENO1-ORF3, dinorΔ:PENO1-ORF4, and dinorΔ:PENO1-ORF5 cells. WT and dinorΔ cells were included as controls. Scale bar, 10 μm. Columns at the bottom show the percentages of yeast and filamentous cells of the indicated strains grown in liquid or solid YPD medium (n = 200). Error bars, s.d. from the mean of three independent experiments. d, Mutating the start codon ATG of each ORF individually to AAG did not affect DINOR’s function. DINOR carrying the ATG-AAG mutation was integrated into the genome of dinorΔ. Images show the cellular and colony morphologies of dinorΔ:DINORT1115A, dinorΔ:DINORT1021A, dinorΔ:DINORT815A, dinorΔ:DINORT528A, and dinorΔ:DINORT319A cells. WT, dinorΔ, and dinorΔ:DINOR cells were included as controls. Scale bar, 10 μm. White vertical lines mark single nucleotide mutations. Columns at the bottom show the percentages of yeast and filamentous cells of the indicated strains grown in liquid or solid YPD medium (n = 200). Error bars, s.d. from the mean of three independent experiments.

Source data

Extended Data Fig. 7 Activation of Rad53-mediated DNA damage response in dinorΔ cells.

a, Hierarchical clustering of WT, dinorΔ, and dinorΔ:DINOR samples based on log2-transformed transcripts per kilobase million (log2TPM) values obtained by RNA-Seq analysis. b, qPCR analysis of selected differentially expressed genes in WT, dinorΔ, and dinorΔ:DINOR cells. The expression levels were normalized against GAPDH and expressed as relative quantity to the WT sample set as 1. Error bars, s.d. from the mean of three independent experiments. c, DNA degradation in dinorΔ cells. Overnight cultures of WT, dinorΔ, and dinorΔ:DINOR strains were collected for DNA extraction, and approximately 200 ng DNA of each strain was loaded for gel electrophoresis. The experiment was independently repeated three times with similar results. d, Morphologies of rad53Δ cells in the presence or absence of MMS. rad53Δ cells were treated with or without MMS at 30 °C for12 h. WT cells were included for comparison. Scale bar, 10 μm.

Source data

Extended Data Fig. 8 DINOR’s role in stress response is conserved across different clades of C. auris.

Antifungal drugs, H2O2, and SDS susceptibility assays for dinorΔ mutants derived from an India isolate (CBS12766; Clade I) were done as described in Fig. 4a.

Source data

Extended Data Fig. 9 Effect of sonication treatment on morphology and viability of WT, dinorΔ, and dinorΔ:DINOR cells.

a, Morphologies of WT, dinorΔ, and dinorΔ:DINOR cells after sonication. Cells were suspended in 20 ml PBS and sonicated three times, each for 20 s with 2 min cooling on ice between rounds. Sonication amplitude was set at 28%. Cells without treatment were included as controls. Scale bar, 10 μm. The experiment was independently repeated three times with similar results. b, Survival rates of WT, dinorΔ, and dinorΔ:DINOR cells after sonication. Cell survival was measured by counting CFUs and expressed as relative quantity to the untreated cells of each strain set as 100%. Error bars represent s.d. from the mean of three independent experiments.

Source data

Supplementary information

Supplementary Information

Supplementary Tables 1–3.

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Supplementary Video 1

Normal mice.

Supplementary Video 2

C. auris-infected mice.

Supplementary Data 1

DEGs in dinorΔ cells.

Supplementary Data 2

GO term enrichment analysis of DEGs in dinorΔ cells.

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Gao, J., Chow, E.W.L., Wang, H. et al. LncRNA DINOR is a virulence factor and global regulator of stress responses in Candida auris. Nat Microbiol 6, 842–851 (2021). https://doi.org/10.1038/s41564-021-00915-x

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