Peroxin Pex8 couples stress responses, antifungal tolerance, and virulence regulation in <i>Candida albicans</i>

<i>Candida albicans</i>, a World Health Organization critical-priority fungal pathogen, represents the predominant cause of candidemia. Therapeutic failure is sometimes driven by antifungal tolerance, a phenotype distinct from resistance, whose underlying mechanisms remain incompletely defined. Here, we identify the peroxisomal protein Pex8 as a key regulator of tolerance to both azoles and amphotericin B. Although neither deletion nor overexpression of <i>PEX8</i> altered minimum inhibitory concentrations, both modifications significantly reduced drug tolerance, as demonstrated by reduced fractional growth (FoG<sub>20</sub>) and impaired survival under drug pressure. RNA-seq analysis showed that <i>PEX8</i> overexpression leads to downregulation of ergosterol biosynthesis genes and remodeling of stress-response pathways, suggesting a possible transcriptional basis for the loss of azole tolerance. Complementary lipidomic profiling demonstrated that <i>PEX8</i> genetic manipulations induce extensive membrane lipid remodeling, characterized by specific alterations in ceramide and lysophospholipid subclasses, thereby revealing an ergosterol-independent mechanism underlying amphotericin B tolerance attenuation. Phenotypically, <i>PEX8</i> overexpression attenuated serum-induced hyphal morphogenesis and reduced virulence in a <i>Galleria mellonella</i> infection model, consistent with downregulation of hyphal-associated and virulence-related genes. Our findings establish Pex8 as a central coordinator of oxidative stress adaptation, membrane homeostasis, filamentation, and pathogenicity, revealing a promising target for combating antifungal tolerance.

Publication Details

Journal
Antimicrobial Agents and Chemotherapy
Published
2026-03-24
DOI
https://doi.org/10.1128/aac.01662-25
Primary Topic
Antifungal resistance and susceptibility
Type
article
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article

Peroxin Pex8 couples stress responses, antifungal tolerance, and virulence regulation in Candida albicans

Antimicrobial Agents and Chemotherapy
Antifungal resistance and susceptibility
article

Peroxin Pex8 couples stress responses, antifungal tolerance, and virulence regulation in Candida albicans

article en

Abstract

<i>Candida albicans</i>, a World Health Organization critical-priority fungal pathogen, represents the predominant cause of candidemia. Therapeutic failure is sometimes driven by antifungal tolerance, a phenotype distinct from resistance, whose underlying mechanisms remain incompletely defined. Here, we identify the peroxisomal protein Pex8 as a key regulator of tolerance to both azoles and amphotericin B. Although neither deletion nor overexpression of <i>PEX8</i> altered minimum inhibitory concentrations, both modifications significantly reduced drug tolerance, as demonstrated by reduced fractional growth (FoG<sub>20</sub>) and impaired survival under drug pressure. RNA-seq analysis showed that <i>PEX8</i> overexpression leads to downregulation of ergosterol biosynthesis genes and remodeling of stress-response pathways, suggesting a possible transcriptional basis for the loss of azole tolerance. Complementary lipidomic profiling demonstrated that <i>PEX8</i> genetic manipulations induce extensive membrane lipid remodeling, characterized by specific alterations in ceramide and lysophospholipid subclasses, thereby revealing an ergosterol-independent mechanism underlying amphotericin B tolerance attenuation. Phenotypically, <i>PEX8</i> overexpression attenuated serum-induced hyphal morphogenesis and reduced virulence in a <i>Galleria mellonella</i> infection model, consistent with downregulation of hyphal-associated and virulence-related genes. Our findings establish Pex8 as a central coordinator of oxidative stress adaptation, membrane homeostasis, filamentation, and pathogenicity, revealing a promising target for combating antifungal tolerance.

Antimicrobial Agents and Chemotherapy
Good health and well-being
Openalex Percentile: Top 12%
Antifungal resistance and susceptibility
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Peroxin Pex8 couples stress responses, antifungal tolerance, and virulence regulation in <i>Candida albicans</i> · Antimicrobial Agents and Chemotherapy (2026) | TGRS Research Map | TGRS