Atomic force microscopy of Cryptococcus secreted polysaccharides (secreted-PS). Topographical images obtained at PeakForce tapping mode (in air) of C. neoformans (A and C) and C. liquefaciens (B and D) secreted-PS. Arrowheads indicate handle-shaped structures branching off polysaccharide fibers. Scale bars: 300 nm (A,B) and 100 nm (C,D). 

Atomic force microscopy of Cryptococcus secreted polysaccharides (secreted-PS). Topographical images obtained at PeakForce tapping mode (in air) of C. neoformans (A and C) and C. liquefaciens (B and D) secreted-PS. Arrowheads indicate handle-shaped structures branching off polysaccharide fibers. Scale bars: 300 nm (A,B) and 100 nm (C,D). 

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Invasive fungal infections, including cryptococcosis, are a growing threat to immunocompromised patients. Although Cryptococcus neoformans and Cryptococcus gattii are the main agents of human cryptococcosis, opportunistic infections by environmental species, such as C. liquefaciens, have been observed recently. The main Cryptococcus virulence facto...

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... examined the organization of secreted-PS molecules from both species using atomic force microscopy (AFM), which allowed us to obtain topographic images in the nanometer scale without critical point drying. AFM images of secreted-PS showed linear molecules with average length of 675 ± 14 nm, for C. neoformans, and 704 ± 44 nm, for C. liquefaciens (Fig. 2). Branch 'handles' -globular structures at one end of each fiber (arrow- heads in Fig. 2), similar to those previously described in branched commercial purified PS visualized by AFM 36 - were more common in C. neoformans PS, but were also present in C. liquefaciens PS (Fig. ...
Context 2
... (AFM), which allowed us to obtain topographic images in the nanometer scale without critical point drying. AFM images of secreted-PS showed linear molecules with average length of 675 ± 14 nm, for C. neoformans, and 704 ± 44 nm, for C. liquefaciens (Fig. 2). Branch 'handles' -globular structures at one end of each fiber (arrow- heads in Fig. 2), similar to those previously described in branched commercial purified PS visualized by AFM 36 - were more common in C. neoformans PS, but were also present in C. liquefaciens PS (Fig. ...
Context 3
... of 675 ± 14 nm, for C. neoformans, and 704 ± 44 nm, for C. liquefaciens (Fig. 2). Branch 'handles' -globular structures at one end of each fiber (arrow- heads in Fig. 2), similar to those previously described in branched commercial purified PS visualized by AFM 36 - were more common in C. neoformans PS, but were also present in C. liquefaciens PS (Fig. ...
Context 4
... we demonstrated that there are significant physico-chemical differences between secreted and capsular PS in C. neoformans 42 , showing that these molecules have distinct properties and should, therefore, be analyzed independently. AFM images of secreted PS from C. liquefaciens showed linear fibers containing a handle-like structure at the end (Fig. 2), similar to that described for C. neoformans 28,43 . For both species, although PS fibers were linear, as expected for these sugars, fibers interacted to form the aggregated, branched structures that were observed in images of both secreted and capsular ...

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... The emergence of pathogenic yeasts continues to threaten humanity, particularly individuals with underlying health conditions [1]. Among these yeast species, the Cryptococcus neoformans and Cryptococcus gattii species (CnCg species) complexes contain the most important and best-characterized pathogens [2]. ...
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Emerging environmental pathogenic fungal infections, including cryptococcosis, continue to pose a significant threat to humans with compromised immunity and, to some extent, healthy ones. Cryptococcus neoformans was originally identified as the main etiological agent of human cryptococcosis, but recent studies have also identified the occurrence of opportunistic infections caused by Cryptococcus gattii . These two saprophytic facultative yeasts present a paradox as they can infect humans without requiring a host for replication or survival, a phenomenon termed readymade virulence. Many cryptococcal virulence traits appear to have dual effects that provide survival advantages in both animal hosts and the environment. Several molecular techniques have been developed to provide in-depth knowledge of these species complexes. This review will focus on the description of the Cryptococcus neoformans and Cryptococcus gattii ( CnCg ) species complexes and associated cryptococcal pathogenesis, ecological niches, and virulence factors employed by the pathogens to cause disease.
... After fixation, cells were washed in 0.1 M sodium cacodylate buffer (pH 7.2) containing 0.2 M sucrose and 2 mM MgCl 2 . Cell surface was observed by scanning electron microscopy (SEM) [35]. Obtained images were colored using Photoshop software. ...
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... Several virulence factors have classically been carefully characterized and validated for C. gattii/neoformans complex, such as the presence of a polysaccharide capsule that protects yeast cells against phagocytosis, the ability to grow at 37°C, biofilm formation, and the production of additional factors including melanin, phospholipase, metalloprotease, DNase, urease, superoxide dismutase and other antioxidant enzymes (Mancianti et al., 2002;Sanchez et al., 2008;Peng et al., 2018;Zaragoza, 2019). However, only a few studies have investigated the potential role of these and other virulence factors in the non-Cryptococcus gattii/neoformans species complex (Ikeda et al., 2002;Andrade-Silva et al., 2010;Araujo Gde et al., 2012;Ferreira-Paim et al., 2012;Araujo et al., 2017). ...
... The non-Cryptococcus gattii/neoformans species complex strains (clades III to V) had markedly thinner capsules. However, Araujo et al., (Araujo et al., 2017) described that polysaccharides of C. liquefaciens have strikingly similar ultrastructural and biological properties to those of C. neoformans, and found that this species led to mortality rates similar to C. neoformans in a virulence model with the larvae of Galleria melonella, reinforcing its pathogenic potential. ...
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... developed several adaptation mechanisms, known as virulence factors. Some examples are (i) melanin production and cell wall remodeling (resistance to cell-mediated death and immunomodulation) (Huffnagle et al., 1995;Wang et al., 1995;Doering et al., 1999;Liu et al., 1999;Gómez and Nosanchuk, 2003), (ii) production of superoxide dismutase (protection against toxic free radicals) (Cox et al., 2003), (iii) phospholipase and urease secretion (intracellular growth, diffusion and proliferation) (Cox et al., 2000(Cox et al., , 2001, (iv) phenotypic switching (immune evasion) (Goldman et al., 1998;Fries et al., 2001), (v) cellular gigantism (immune evasion) (Okagaki et al., 2010;Zaragoza and Nielsen, 2013;Trevijano-Contador et al., 2018;Zaragoza, 2019), (vi) thermotolerance (Johnston et al., 2016;Araújo et al., 2017;Bloom et al., 2019), and (vii) PS production, which is the main virulence factor used by C. neoformans (Zaragoza et al., 2009;Araujo et al., 2012;Zaragoza, 2019). Most of these features are believed to have been acquired through selective pressures and are likely to be the result of interactions with environmental predators, such as amoebae and nematodes (Casadevall and Pirofski, 2007;Albuquerque et al., 2019). ...
... It is known, for example, that the capsule matrix exhibits clear vertical stratification, with distinct density regions, with its inner part having a higher fiber density Frontiers in Microbiology | www.frontiersin.org than its outer region (Gates et al., 2004;Bryan et al., 2005;Frases et al., 2009b;Araújo et al., 2016Araújo et al., , 2017. Although softer than the cell wall and presenting viscoelastic properties (Frases et al., 2009a;Araújo et al., 2019), the high PS density of the inner region prevents the penetration of larger macromolecules, including antibodies and proteins of the complement system, restricting the access of these molecules to the cell wall (Gates et al., 2004;Gates and Kozel, 2006). ...
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... To assess possible influences on the virulence of C. neoformans after treatments with either DX or MP, we utilized the invertebrate host G. mellonella. This model has been used to study not only C. neoformans virulence but also the action of antifungals against this pathogen (Araujo et al., 2012;Araújo et al., 2017). All infected and untreated larvae died by day 8 upon infection (Figure 4). ...
... In contrast, the MP treatment did not induce a significant change in PS production but showed significant alterations in the electronegativity of secreted PS, with more negative Zeta potentials compared to control cells, and size of fragments, with values 2.6-times smaller in terms of effective diameter. Previous results from our group have demonstrated that the biological properties of PSs are greatly influenced by their size and physicochemical properties, implying that structural parameters can not only alter their biological functions but can also induce different host responses (Frases et al., 2009a,b;Albuquerque et al., 2014;Pontes and Frases, 2015;Araújo et al., 2016Araújo et al., , 2017Araújo et al., , 2019. Overall, our results suggest that changes in the size, morphology, and electronegativity of the capsule and secreted PSs can affect the fungal pathogenesis, producing different dissemination patterns due to the influence of corticosteroids in these structures. ...
... In addition to the effects that these drugs have on the host's phagocytic cells, we are showing in the present study that DX and MP also influence the secreted capsule and polysaccharide sizes and electronegativity. Changes in capsule size, flexibility and electronegativity have been described as capable of influencing the capacity of macrophages to phagocytize C. neoformans (Frases et al., 2011;Albuquerque et al., 2014;Pontes and Frases, 2015;Ding et al., 2016;Araújo et al., 2017). Thus, we conjecture that the effects of DX and MP would probably reduce the ability of macrophages to phagocytize C. neoformans, not only due to the direct effects of these drugs on macrophages (Balow and Rosenthal, 1973;Keil et al., 1995;Xie et al., 2019), but also because the alterations in the fungus surface would probably lead to a decrease in phagocytosis if compared to the changes already reported in the literature (Frases et al., 2011;Albuquerque et al., 2014;Pontes and Frases, 2015;Ding et al., 2016;Araújo et al., 2017). ...
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... Besides Cryptococcus spp (Araujo et al., 2017), another Basidiomycota are also able to produce GXM-like molecules. Trichosporon asahii produces a functional GXM-like molecule with similar glycosyl composition to cryptococcal GXM that also manifests antiphagocytic activities (Fonseca et al., 2009). ...
... MAb 18B7 labeling ranged from a dotted to a ring pattern, confirming previous indications by our group (Cordero et al., 2016). This same binding pattern was originally reported for Cn (Casadevall et al., 1998) and other GXM-like polysaccharide producing fungi, such as C. liquefaciens (Araujo et al., 2017), T. asahii (Fonseca et al., 2009), T. mucoides (Zimbres et al., 2018) and P. brasiliensis (Albuquerque et al., 2012). ...
... As a GXM-like component, C-gly-Hc could be promptly incorporated by the Cn cap59 acapsular mutant, forming a capsule-like structure, with some dotted regions, resembling the capsule formed when C-gly-Cn was used. A similar profile was also observed for the incorporation of other GXM-like components of the most diverse origin, likely indicating a shared property among them (Fonseca et al., 2009;Albuquerque et al., 2012;Araujo et al., 2017;Zimbres et al., 2018). As for Cn GXM, C-gly-Hc incorporation could occur via a-1,3-glucan (Reese and Doering, 2003) or attachment to cell wall chitin . ...
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The cell wall is a ubiquitous structure in the fungal kingdom, with some features varying depending on the species. Additional external structures can be present, such as the capsule of Cryptococcus neoformans (Cn), its major virulence factor, mainly composed of glucuronoxylomannan (GXM), with anti-phagocytic and anti-inflammatory properties. The literature shows that other cryptococcal species and even more evolutionarily distant species, such as the Trichosporon asahii, T. mucoides, and Paracoccidioides brasiliensis can produce GXM-like polysaccharides displaying serological reactivity to GXM-specific monoclonal antibodies (mAbs), and these complex polysaccharides have similar composition and anti-phagocytic properties to cryptococcal GXM. Previously, we demonstrated that the fungus Histoplasma capsulatum (Hc) incorporates, surface/secreted GXM of Cn and the surface accumulation of the polysaccharide enhances Hc virulence in vitro and in vivo. In this work, we characterized the ability of Hc to produce cellular-attached (C-gly-Hc) and secreted (E-gly) glycans with reactivity to GXM mAbs. These C-gly-Hc are readily incorporated on the surface of acapsular Cn cap59; however, in contrast to Cn GXM, C-gly-Hc had no xylose and glucuronic acid in its composition. Mapping of recognized Cn GXM synthesis/export proteins confirmed the presence of orthologs in the Hc database. Evaluation of C-gly and E-gly of Hc from strains of distinct monophyletic clades showed serological reactivity to GXM mAbs, despite slight differences in their molecular dimensions. These C-gly-Hc and E-gly-Hc also reacted with sera of cryptococcosis patients. In turn, sera from histoplasmosis patients recognized Cn glycans, suggesting immunogenicity and the presence of cross-reacting antibodies. Additionally, C-gly-Hc and E-gly-Hc coated Cn cap59 were more resistant to phagocytosis and macrophage killing. C-gly-Hc and E-gly-Hc coated Cn cap59 were also able to kill larvae of Galleria mellonella. These GXM-like Hc glycans, as well as those produced by other pathogenic fungi, may also be important during host-pathogen interactions, and factors associated with their regulation are potentially important targets for the management of histoplasmosis.
... and C. neoformans sensu lato have close similarities in their structural composition, especially in the mucopolysaccharide capsule. Thus, the importance of the study of this species is justified, since they have virulence factors similar to those already considered for pathogenic species [39,40]. ...
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... Studies on cryptococcal virulence factors are typically conducted in C. neoformans, since other species of the genus were presumed to have low pathogenic potential. Recently, Araujo and co-workers (2017) described striking similarities in composition and structure between PS molecules of C. liquefaciens and C. neoformans, and showed that PS molecules from these species have comparable behavior in several key biological activities [72,73]. The remarkable similarities in capsule ultrastructure and virulence between single isolates of C. neoformans and C. liquefaciens described in the study of Araujo and co-workers (2017), together with the first descriptions of human fungemia by C. liquefaciens in immunocompromised patients [70][71][72][73][74], suggest that this environmental cryptococcal species may represent a novel human pathogen. ...
... Recently, Araujo and co-workers (2017) described striking similarities in composition and structure between PS molecules of C. liquefaciens and C. neoformans, and showed that PS molecules from these species have comparable behavior in several key biological activities [72,73]. The remarkable similarities in capsule ultrastructure and virulence between single isolates of C. neoformans and C. liquefaciens described in the study of Araujo and co-workers (2017), together with the first descriptions of human fungemia by C. liquefaciens in immunocompromised patients [70][71][72][73][74], suggest that this environmental cryptococcal species may represent a novel human pathogen. Importantly, C. liquefaciens infections are resistant to 5-fluorocytosine, indicating that that treatment of fungemia by this species may be challenging [70,71]. ...
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This article reports an elderly male patient with nodules and ulcers on the face and behind the left ear after trauma. Primary cutaneous cryptococcosis was confirmed using pathological biopsy, special staining, tissue culture, and fungal sequencing. The patient received a therapeutic intervention involving the administration of the antifungal agent itraconazole. Substantial amelioration of cutaneous manifestations was observed after a 3-month course of treatment. After an elapsed interval, the patient was diagnosed with esophageal tumor. Moreover, the literature on 33 patients with primary cutaneous cryptococcosis published in the past 10 years was also reviewed.
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