PMID- 26349827 OWN - NLM STAT- MEDLINE DCOM- 20160831 LR - 20181113 IS - 1098-6596 (Electronic) IS - 0066-4804 (Print) IS - 0066-4804 (Linking) VI - 59 IP - 12 DP - 2015 Dec TI - Cyclopalladated Compound 7a Induces Apoptosis- and Autophagy-Like Mechanisms in Paracoccidioides and Is a Candidate for Paracoccidioidomycosis Treatment. PG - 7214-23 LID - 10.1128/AAC.00512-15 [doi] AB - Paracoccidioidomycosis (PCM), caused by Paracoccidioides species, is the main cause of death due to systemic mycoses in Brazil and other Latin American countries. Therapeutic options for PCM and other systemic mycoses are limited and time-consuming, and there are high rates of noncompliance, relapses, toxic side effects, and sequelae. Previous work has shown that the cyclopalladated 7a compound is effective in treating several kinds of cancer and parasitic Chagas disease without significant toxicity in animals. Here we show that cyclopalladated 7a inhibited the in vitro growth of Paracoccidioides lutzii Pb01 and P. brasiliensis isolates Pb18 (highly virulent), Pb2, Pb3, and Pb4 (less virulent) in a dose-response manner. Pb18 was the most resistant. Opportunistic Candida albicans and Cryptococcus neoformans were also sensitive. BALB/c mice showed significantly lighter lung fungal burdens when treated twice a day for 20 days with a low cyclopalladated 7a dose of 30 mug/ml/day for 30 days after intratracheal infection with Pb18. Electron microscopy images suggested that apoptosis- and autophagy-like mechanisms are involved in the fungal killing mechanism of cyclopalladated 7a. Pb18 yeast cells incubated with the 7a compound showed remarkable chromatin condensation, DNA degradation, superoxide anion production, and increased metacaspase activity suggestive of apoptosis. Autophagy-related killing mechanisms were suggested by increased autophagic vacuole numbers and acidification, as indicated by an increase in LysoTracker and monodansylcadaverine (MDC) staining in cyclopalladated 7a-treated Pb18 yeast cells. Considering that cyclopalladated 7a is highly tolerated in vivo and affects yeast fungal growth through general apoptosis- and autophagy-like mechanisms, it is a novel promising drug for the treatment of PCM and other mycoses. CI - Copyright (c) 2015, American Society for Microbiology. All Rights Reserved. FAU - Arruda, Denise C AU - Arruda DC AD - Departamento de Microbiologia, Imunologia e Parasitologia, Escola Paulista de Medicina-Universidade Federal de Sao Paulo, EPM-UNIFESP, Sao Paulo, SP, Brazil Nucleo Integrado de Biotecnologia, Universidade de Mogi das Cruzes, UMC, Mogi das Cruzes, SP, Brazil. FAU - Matsuo, Alisson L AU - Matsuo AL AD - Departamento de Microbiologia, Imunologia e Parasitologia, Escola Paulista de Medicina-Universidade Federal de Sao Paulo, EPM-UNIFESP, Sao Paulo, SP, Brazil. FAU - Silva, Luiz S AU - Silva LS AD - Departamento de Microbiologia, Imunologia e Parasitologia, Escola Paulista de Medicina-Universidade Federal de Sao Paulo, EPM-UNIFESP, Sao Paulo, SP, Brazil. FAU - Real, Fernando AU - Real F AD - Departamento de Microbiologia, Imunologia e Parasitologia, Escola Paulista de Medicina-Universidade Federal de Sao Paulo, EPM-UNIFESP, Sao Paulo, SP, Brazil. FAU - Leitao, Natanael P Jr AU - Leitao NP Jr AD - Departamento de Microbiologia, Imunologia e Parasitologia, Escola Paulista de Medicina-Universidade Federal de Sao Paulo, EPM-UNIFESP, Sao Paulo, SP, Brazil. FAU - Pires, Jhon H S AU - Pires JH AD - Departamento de Microbiologia, Imunologia e Parasitologia, Escola Paulista de Medicina-Universidade Federal de Sao Paulo, EPM-UNIFESP, Sao Paulo, SP, Brazil. FAU - Caires, Antonio Carlos F AU - Caires AC AD - Centro Interdisciplinar de Investigacao Bioquimica, Universidade de Mogi das Cruzes, UMC, Mogi das Cruzes, SP, Brazil. FAU - Garcia, Daniel M AU - Garcia DM AD - Centro Interdisciplinar de Investigacao Bioquimica, Universidade de Mogi das Cruzes, UMC, Mogi das Cruzes, SP, Brazil. FAU - Cunha, Fernanda F M AU - Cunha FF AD - Nucleo Integrado de Biotecnologia, Universidade de Mogi das Cruzes, UMC, Mogi das Cruzes, SP, Brazil. FAU - Puccia, Rosana AU - Puccia R AD - Departamento de Microbiologia, Imunologia e Parasitologia, Escola Paulista de Medicina-Universidade Federal de Sao Paulo, EPM-UNIFESP, Sao Paulo, SP, Brazil ropuccia@gmail.com. FAU - Longo, Larissa V G AU - Longo LV AD - Departamento de Microbiologia, Imunologia e Parasitologia, Escola Paulista de Medicina-Universidade Federal de Sao Paulo, EPM-UNIFESP, Sao Paulo, SP, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150908 PL - United States TA - Antimicrob Agents Chemother JT - Antimicrobial agents and chemotherapy JID - 0315061 RN - 0 (Antifungal Agents) RN - 0 (Chromatin) RN - 0 (Fungal Proteins) RN - 0 (Organometallic Compounds) RN - 11062-77-4 (Superoxides) RN - 5TWQ1V240M (Palladium) RN - EC 3.4.22.- (Caspases) RN - I9N81SC5HD (monodansylcadaverine) RN - L90BEN6OLL (Cadaverine) SB - IM MH - Animals MH - Antifungal Agents/chemical synthesis/*pharmacology MH - Apoptosis/drug effects MH - Autophagy/drug effects MH - Cadaverine/analogs & derivatives/biosynthesis MH - Candida albicans/drug effects/growth & development MH - Caspases/genetics/metabolism MH - Chromatin/drug effects/pathology/ultrastructure MH - Cryptococcus neoformans/drug effects/growth & development MH - DNA Fragmentation/drug effects MH - Dose-Response Relationship, Drug MH - Fungal Proteins/genetics/metabolism MH - Gene Expression MH - Lung/drug effects/microbiology/pathology MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Organometallic Compounds/chemical synthesis/*pharmacology MH - Palladium/chemistry/*pharmacology MH - Paracoccidioides/*drug effects/genetics/growth & development/ultrastructure MH - Paracoccidioidomycosis/*drug therapy/microbiology/pathology MH - Superoxides/metabolism MH - Vacuoles/drug effects/pathology/ultrastructure PMC - PMC4649154 EDAT- 2015/09/10 06:00 MHDA- 2016/09/01 06:00 PMCR- 2016/06/01 CRDT- 2015/09/10 06:00 PHST- 2015/03/03 00:00 [received] PHST- 2015/08/26 00:00 [accepted] PHST- 2015/09/10 06:00 [entrez] PHST- 2015/09/10 06:00 [pubmed] PHST- 2016/09/01 06:00 [medline] PHST- 2016/06/01 00:00 [pmc-release] AID - AAC.00512-15 [pii] AID - 00512-15 [pii] AID - 10.1128/AAC.00512-15 [doi] PST - ppublish SO - Antimicrob Agents Chemother. 2015 Dec;59(12):7214-23. doi: 10.1128/AAC.00512-15. Epub 2015 Sep 8.