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Eukaryotic Cell, June 2007, p. 949-959, Vol. 6, No. 6
1535-9778/07/$08.00+0 doi:10.1128/EC.00097-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Departments of Molecular Genetics and Microbiology,1 Medicine,2 Pharmacology and Cancer Biology, Duke University Medical Center, Durham, North Carolina 277103
Received 27 March 2007/ Accepted 6 April 2007
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Most infections are caused by pathogens already present in the environment that gain a selective advantage by changing conditions or have an opportunity to infect new hosts (61). For example, Legionnaires' disease is caused by the intracellular bacterium Legionella pneumophila, which colonizes amoebae and, when present in cooling towers, is exposed to and infects humans (23, 77). Cooling towers thus provide a "man-made" reservoir for L. pneumophila growth that simulates the ecological niche of L. pneumophilaponds where amoebae are readily available to sustain the organism's reproduction and survival (2, 3). Thus, when studying human infections acquired from environmental sources, knowledge of not only the infecting reservoir but also the natural ecology and life cycle of the microorganism is important.
Certain combinations of environmental conditions are necessary for species to tolerate the physical environment, obtain energy and nutrients, and evade predators. The total requirements of a species for resources and physical conditions determine its abundance and distribution in nature. In ecology, these requirements govern the niche for a species or population in an ecosystem. More formally, the niche includes how the population responds to available resources and competitors and establishes the organism's life history, habitat, and place in the food chain. However, according to the competitive exclusion principle, no two species can occupy the same niche in the same environment for a prolonged period, which has resulted in a distinction between fundamental and realized niches (32). The full range of environmental conditions (biological and physical) under which an organism can exist defines its fundamental niche. However, as a result of pressure from interactions with other organisms, as well as changes in the environment, species are usually forced to occupy a niche that is narrower than the fundamental niche. This is termed the realized niche and represents the environment to which a species becomes most highly adapted.
Cryptococcus neoformans and the closely related species Cryptococcus gattii are human fungal pathogens. Humans are thought to be exposed by inhalation of basidiospores, which are small enough to lodge in the alveoli of the lung (78). The organism can then spread from the lungs to the central nervous system to cause meningoencephalitis (11, 33, 47). C. neoformans occurs in two varietiesgrubii (serotype A) and neoformans (serotype D)and diverged from C. gattii
40 million years ago (11, 90). The grubii and neoformans varieties have different disease epidemiologies, with var. grubii causing the vast majority of cryptococcosis worldwide (11, 83). While the C. neoformans varieties are cosmopolitan and cause disease predominantly in immunocompromised individuals, C. gattii is found predominantly in tropical regions and frequently causes disease in individuals with no known immune deficiency (33). An outbreak of C. gattii is currently ongoing in British Columbia (28).
A complete life cycle, including a sexual cycle, has been described for both Cryptococcus species (21, 38, 43, 44, 50). The sexual cycle was first described for var. neoformans, and early studies examining genetic virulence determinants were conducted with this variety (43, 45). The sexual cycle for the more commonly pathogenic variety, grubii, has recently been characterized and applied to define virulence characteristics (38, 57, 62, 63, 65). While C. gattii mating had been identified 30 years ago, evidence of recombination has only recently been shown in the Australian Northern Territory, which may have played a role in the cryptococcosis outbreak on VI (9, 10, 20, 21, 44).
Over the past 2 decades, C. neoformans infections have increased in prevalence as the population of immunocompromised individuals expanded due to the AIDS pandemic, aggressive cancer therapy, and organ transplantation. The sporadic nature of human cryptococcosis and rarity of documented human-to-human transmission indicate that infection is acquired from the environment (11). Pigeon guano is a common source for infectious propagules of C. neoformans and is postulated to play a central role in transmission from the environment to humans (11, 15, 22, 27, 29, 39, 40, 52, 70, 72, 76, 79, 80, 91, 92). C. neoformans can readily be isolated from pigeon guano and has been shown to grow and mate on medium containing pigeon guano (31, 73-75, 85). The closely related species C. gattii is not isolated from pigeon guano and is instead associated with various tree species (13, 14, 71). The different environmental sources of these two species has led to the hypothesis that C. neoformans is ubiquitous in the environment due to dissemination by pigeons following migratory and trade routes and that C. gattii is restricted to tropical/subtropical regions because it is not associated with pigeons. If this is the case, then how has the outbreak of C. gattii developed in the Pacific Northwest? Two highly related strains have been identified on VI, both of which are associated with soil and various tree species (41). Furthermore, the major genotype has been found only in the Pacific Northwest, leading to the hypothesis that this new strain has gained the ability to proliferate in a temperate environment and/or is highly virulent.
This study characterizes the growth of C. neoformans and C. gattii strains on pigeon guano so that we may understand factors influencing species survival. We show that both species are capable of growth on pigeon guano. Moreover, C. neoformans undergoes robust sexual reproduction on pigeon guano, whereas C. gattii does not. These results provide evidence that pigeon guano could be the realized niche for C. neoformans and highlight why it is not a preferred ecological niche for C. gattii. These results also illuminate a possible explanation for why C. neoformans is cosmopolitan and C. gattii is geographically restricted. The implications of these studies for the emergence of global infectious diseases are considered.
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TABLE 1. Strains used in this study
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Medium with and without L-DOPA. A minimal medium containing 15.0 mM glucose, 10.0 mM MgSO4, 29.4 mM KH2PO4, 13.0 mM glycine, 3.0 µM thiamine, and 2% (wt/vol) agar with a pH of 5.5 was prepared. For positive 3,4-dihydroxy-L-phenylalanine (L-DOPA) plates, 1 mM L-DOPA (Sigma Chemical Co., St. Louis, MO) was also added.
Environmental-isolation medium. Minimal medium for environmental isolation contained 50 mM glucose, 100 mM glycine, 200 mM KH2PO4, 20 mM MgSO4·7H2O, 5 µM CuSO4, 2 mg/ml L-DOPA, 10 µg/ml thiamine-HCl, 0.5 µg/ml biotin, 0.5 mg/ml ampicillin, 40 µg/ml rose bengal, and 2% (wt/vol) agar (pH 5.6).
Growth and pigmentation comparisons. YPD broth overnight cultures were inoculated with the desired yeast strain and incubated with shaking at 30°C overnight. The overnight culture was centrifuged at 4,000 rpm for 5 min to pellet cells and then resuspended in phosphate-buffered saline (PBS). Serial dilutions from 1:1 to 1:106 were prepared in PBS. Two microliters of each dilution was plated, allowed to dry completely, and then incubated in the dark with Parafilm and/or Ziploc bags as protection against contamination. For studies including membranes, a sheet of sterilized 3.5- or 14-kDa-cutoff dialysis membrane (Spectrum Laboratories) was placed on the plate prior to inoculation with 0.5 µl of culture. Membranes were placed on moist filter paper for analysis. To quantify growth, colonies grown on membranes were suspended in 1 ml PBS and then CFU were enumerated from serial dilutions onto YPD medium.
Mating and monokaryotic fruiting assays. Strains were suspended in PBS, and 5-µl droplets were plated onto all medium types, allowed to dry completely, and then incubated at 25°C in the dark. Alternatively, the strains were mated as described previously (63). In crosses with genetically marked strains on 25% pigeon guano medium, spores were microdissected and progeny analyzed for genetic-recombination events.
Fusion and filamentation assays.
To assess the level of cell fusion on various medium types, cell fusion assays were performed as described previously (4). Variety grubii parental strains were YSB119
(nourseothricin resistant [NATr]) and YSB121a (neomycin resistant [NEOr]); var. neoformans parental strains were XL465
(NEOr) and XL405a (NATr); and C. gattii parental strains were JF65 (NATr) and JF66 (NEOr). Briefly, 108 cells of each parental mating type were mixed in equal volumes, and 5 µl was spotted onto the various medium types. For C. gattii, the V8 and PG media were supplemented with uracil to allow growth of JF66. After incubation for 24 h in the dark, the cells were scraped from the plate and resuspended in 1 ml water. Serial dilutions were prepared and spread onto YPD plates containing both NAT and NEO. Plates were incubated at 37°C for 72 h to induce diploid formation. Strains that were thermally dimorphic (budding at 37°C and filamentous at 30°C) and contained both sex-determining genes, SXI1
and SXI2a, were isolated. Six strains each were isolated for var. grubii (named KN119/21-1 to KN119/21-6), var. neoformans (KN405/465-1 to KN405/465-6), and C. gattii (KN65/66-1 to KN65/66-6) to verify that measurements were representative for multiple strains. To examine filament length, 108 cells of the diploid strains for each variety/species were spotted as 5-µl drops onto the various medium types. Filament length was measured after incubation for 7 days in the dark at 30°C.
Environmental isolation. One gram of guano or soil was suspended in 5 ml PBS, and then 50 µl was spread onto culture medium containing L-DOPA and rose bengal. Pigmented colonies were isolated and DNA was obtained as described previously (49). PCR with STE20 primers was used to identify C. neoformans strains as well as their serotypes and mating types (5).
Elemental analysis. Guanos were analyzed for percent carbon, hydrogen, nitrogen, oxygen, and sulfur (Galbraith Laboratories, Knoxville, TN). For glucose concentration determination, powdered guano was added to boiling distilled water, incubated for 5 min, filtered through a French press, and autoclaved for 50 min. The medium was allowed to cool and solids to settle out of the solution. The glucose concentration in the resulting supernatant was determined using the QuantiChrom glucose assay kit (BioAssay Systems, Hayward, CA).
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FIG. 1. Growth and pigmentation of Cryptococcus species on medium containing pigeon guano. C. neoformans var. grubii, C. neoformans var. neoformans, and C. gattii strains were grown overnight at 30°C in YPD medium, washed with PBS, and 10-fold serially diluted (103 to 106 dilutions). (A) Two microliters of each diluted cell suspension was spotted directly onto YNB or pigeon guano medium containing 25%, 12%, or 2.5% pigeon guano and incubated at 25°C for 7 days. To examine pigmentation, a sterilized 14-kDa-cutoff dialysis membrane was placed on the medium surface and then 0.5 µl of each diluted cell suspension was spotted onto the membrane. After 7 days of incubation at 25°C, membranes were removed from the medium and placed on moist filter paper to examine colony pigmentation. (B) To quantify growth, the 103 dilutions of JEC21 (neoformans), KN99 (grubii), and B4546 (gattii) grown on membranes were removed after 7 days and placed in PBS, and CFU were counted by serial dilution on YPD. Numbers of CFU resulting from growth on the various media are expressed as percentages of the number for the strain grown on YNB.
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TABLE 2. Elemental analysis of guanosa
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Cryptococcus produces pigment during growth on pigeon guano medium. C. neoformans and C. gattii grown on pigeon guano medium produced brown pigmentation, which we hypothesized could be melanin. However, we found that this pigmentation was only partially generated via the well-characterized melanin biosynthesis pathway and that black particles resulting from another pigment production pathway could also be isolated from cells grown on pigeon guano.
Pigmentation consistently increased as the concentration of pigeon guano in the medium increased (Fig. 1). Treatment of the guano with activated charcoal significantly decreased pigmentation, suggesting that the components in pigeon guano stimulating pigmentation can be absorbed to a carbonaceous surface. When a dialysis membrane (cutoff, either 3.5 kDa or 14 kDa) was used to separate cryptococcal cells from the medium, pigmentation was still observed, suggesting that the component(s) involved in pigment formation is less than 3.5 kDa in size and can readily diffuse through the membrane (Fig. 1).
While the formation of a brownish pigment when Cryptococcus is grown on medium containing pigeon guano has been observed previously (74), pigment formation has not been characterized. The well-defined laccase pathway produces the brown/black pigment melanin (33). Recent studies have identified two laccase genes (LAC1 and LAC2) in Cryptococcus (56, 68, 93). Mutation of the LAC1 gene blocks melanin production, while mutation of the LAC2 gene has no discernible effect on melanin production on medium containing L-DOPA (68, 86). Previous studies have also identified melanized cells present in pigeon guano (66). Thus, we hypothesized that the brown pigment produced on pigeon guano medium is melanin.
The wild-type strain, laccase mutant strains, and Candida albicans, which does not produce melanin, were tested for pigment production on pigeon guano medium (Fig. 2). The lac1 and lac1 lac2 mutant strains, while less pigmented than the isogenic wild-type strain, still produced pigment on pigeon guano medium but were unpigmented on minimal medium containing L-DOPA. In contrast, pigmentation of the lac2 mutant was unaffected on either pigeon guano medium or L-DOPA medium. The absolute amount of pigmentation observed with the laccase mutants was somewhat varied, with some batches of pigeon guano medium producing a slighter difference in pigmentation between the wild-type and laccase mutant strains (data not shown). Melanin ghosts were recovered from wild-type and lac2 strains grown on pigeon guano medium but not from the lac1 or lac1 lac2 mutants. Small black particles were observed in these mutants instead of cell-sized melanin ghosts (J. D. Nosanchuk, K. Nielsen, and J. Heitman, unpublished data). These results suggest that only some of the brown pigment observed on pigeon guano medium is produced via the classical laccase-dependent melanin pathway and that another, as-yet-uncharacterized pigment is also generated on pigeon guano medium.
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FIG. 2. Laccase mutant strains retain partial pigmentation on medium containing pigeon guano but not on medium containing L-DOPA. C. neoformans var. grubii H99 (wild type [WT]), lac1 and lac2 single mutants, a lac1 lac2 double mutant, and a Candida albicans strain were washed with PBS, and 2 µl of each cell suspension was spotted directly onto minimal medium (medium lacking L-DOPA [L-DOPA]), Niger seed medium, medium containing L-DOPA to induce melanin production, or onto medium containing 25%, 12%, or 2.5% pigeon guano (PG). To examine the pigmentation of the strains grown on the pigeon guano medium, a sterilized 14-kDa-cutoff dialysis membrane was placed on the medium surface and then 0.5 µl of each diluted cell suspension was spotted onto the membrane. After 7 days of incubation at 25°C, membranes were removed from the medium, placed on moist filter paper, and photographed.
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Crosses were performed between a and
strains of both C. neoformans (var. grubii and neoformans) (Fig. 3) and C. gattii (Fig. 4). The C. neoformans var. neoformans and var. grubii strains exhibited prolific mating on pigeon guano medium. The robustness of mating increased with the concentration of pigeon guano in the medium and exceeded that on V8 mating medium (Fig. 3). Spores produced from matings with genetically marked strains were microdissected and germinated, and based on marker analysis, they exhibited classical Mendelian segregation consistent with sexual reproduction (Table 3). C. neoformans strains were also able to mate at higher temperatures on pigeon guano medium than on V8 medium (data not shown). Mating was observed at 37°C on pigeon guano medium but not on V8 medium. In contrast, C. gattii mating was significantly reduced on pigeon guano medium compared to that on V8 or MS mating medium, and the inhibition of mating increased as the concentration of pigeon guano in the medium increased (Fig. 4). The mating of the C. gattii VI outbreak strain R265 was also significantly reduced (data not shown).
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FIG. 3. Cryptococcus neoformans var. grubii and var. neoformans mate robustly on pigeon guano. Opposite-mating-type strains of C. neoformans var. grubii and var. neoformans were washed with PBS, and equal volumes of each mating type were combined. The mixture was placed as a 10-µl drop onto V8 medium (pH 5 for var. grubii and pH 7 for var. neoformans) or medium containing 25%, 12%, or 2.5% pigeon guano (PG). Plates were incubated in the dark at 25°C for 7 days. (A) Filamentation (x20) and sporulation (x400) of var. neoformans and var. grubii strains on media containing 25% and 12% pigeon guano. (B) Comparison of C. neoformans var. neoformans mating colonies on V8 (pH 7) medium or pigeon guano medium containing increasing levels of pigeon guano.
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FIG. 4. Cryptococcus gattii mating is inhibited on pigeon guano medium (PG). C. gattii strains of opposite mating types were washed with PBS, and equal volumes of each mating type were combined. The mixture was placed as a 10-µl drop onto MS medium or medium containing 25%, 12%, or 2.5% pigeon guano. Plates were incubated in the dark at 25°C for 3 days and then photographed at a x20 magnification. The top panel shows a random patch at the edge of the mating colony on MS medium. The lower three panels show patches of the mating colonies where filamentation was observed on media containing 2.5%, 12%, and 25% pigeon guano, respectively.
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TABLE 3. Recombinational analysis of mating of C. neoformans KN99 NAT with KN99a NEO on medium containing pigeon guanoa
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cells and uniform cell expansion of a cells, leading to cell fusion. Nuclear fusion is delayed, and the resulting heterokaryon adopts a filamentous state. The filaments ultimately produce basidia, where nuclear fusion and meiosis occur, and long chains of recombinant basidiospores are produced (33, 55). Thus, enhanced mating of C. neoformans on pigeon guano medium could occur at two stages of mating: cell fusion and filamentation (Fig. 5A).
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FIG. 5. Regulation of C. neoformans and C. gattii mating on V8 medium compared to that on medium containing pigeon guano (PG). (A) Schematic diagram of Cryptococcus mating. (B) Cells (108) of opposite mating types, genetically marked with a NAT or NEO resistance marker, were mixed, and 5-µl spots were placed onto V8 medium (pH 5 for C. neoformans var. grubii and pH 7 for C. neoformans var. neoformans and C. gattii) or medium containing 25%, 12%, or 2.5% pigeon guano. After 24 h of incubation, the resulting cells were screened for fusion products containing both markers. The numbers of fusion events on the various media are expressed as percentages of the number of fusion events occurring on V8 medium for each mating pair. (C) Six diploid strains for each variety/species were washed with PBS, inoculated onto V8 medium (pH 5 for C. neoformans var. grubii and pH 7 for C. neoformans var. neoformans and C. gattii) or pigeon guano medium contain differing levels of pigeon guano, and incubated in the dark for 7 days. Filament length is based on the average distance from the edge of the colony to the outer edge of filamentation and is expressed as a percentage of the average filament length on V8 medium.
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cell fusion during mating.
Next, the impact of pigeon guano medium on filamentation was analyzed using diploid a/
strains to allow an examination of filament length irrespective of fusion. Both var. neoformans and var. grubii diploid strains exhibited significantly increased filament lengths on pigeon guano medium (3-fold and 4.5-fold, respectively) compared to lengths on V8 medium. Even 2.5% pigeon guano medium increased filament length twofold in both C. neoformans varieties, indicating that pigeon guano stimulates filamentation, ultimately leading to the production of basidia and infectious basidiospores (Fig. 5C).
In contrast to C. neoformans strains, C. gattii strains showed significantly reduced mating on pigeon guano medium. Instead of the prolific mating observed on V8 or MS medium surrounding the entire colony periphery (Fig. 4A), only a few regions of mating were observed on pigeon guano medium, and the size and number of these regions decreased as the concentration of pigeon guano increased (Fig. 4). To determine whether C. gattii cell fusion is reduced on pigeon guano medium, the levels of fusion of NATr and NEOr strains were compared on pigeon guano and V8 media and found to be dramatically reduced (20-fold) on pigeon guano medium (Fig. 5B). Furthermore, the filament length of C. gattii a/
diploid strains was decreased by 80% on pigeon guano medium compared to that on V8 medium (Fig. 5C). Interestingly, as the concentration of pigeon guano in the medium decreased, filament length increased and was the same on 2.5% pigeon guano and V8 media. These results indicate that pigeon guano inhibits both the cell-cell fusion and the filamentation of C. gattii during mating.
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Increased growth with increasing pigeon guano concentration correlates with glucose levels in the medium. The fact that seabird guano did not support the growth of Cryptococcus unless it was supplemented with glucose suggests that guanos differ in the amounts of utilizable carbon sources that they contain. Bat guano also supported the growth of Cryptococcus, but to a lesser degree than pigeon guano, and Cryptococcus has occasionally been isolated from bat guano and caves (25, 58). The growth of Cryptococcus on chicken guano was previously found to be inhibited due to high alkalinity and the presence of a low-molecular-weight substance (85). The guanos tested here did not differ in alkalinity (data not shown). The fact that Cryptococcus was able to grow on all of the media tested when supplemented with pigeon guano or glucose indicates that nutrients are limiting in these guanos rather than that an inhibitory agent is present.
Many studies have examined the presence of Cryptococcus in association with birds and their guanos, including in aviaries where multiple species are housed in close proximity (6, 7, 12, 24, 26, 42, 51, 54, 67, 75). These studies have identified specific avian species as carriers for Cryptococcus, but no reason for this specificity has been determined. Our data comparing the levels of growth of Cryptococcus on multiple guanos suggests that the preference of Cryptococcus for certain avian species is likely due to the nutrient composition of the corresponding guano. This finding may help to more clearly define the role of birds and bird excreta, particularly pigeons, in the transmission of C. neoformans. The growth of these organisms on pigeon guano provides a potential mechanism for explaining how pigeons might play a role in harboring C. neoformans, either internally or on external parts of their anatomy that come into contact with guano, such as their feathers or feet (1, 8, 15, 30, 36, 39, 48, 54, 67, 80).
Pigmentation is observed when Cryptococcus is grown on pigeon guano and increases as the concentration of guano in the medium increases. Pigmentation was also observed in other media with carbon source supplementation. The pigment melanin is a virulence factor of Cryptococcus. Interestingly, melanin production is suppressed in standard laboratory media by carbon supplementation (88), yet a utilizable carbon source does not appear to be limiting in pigeon guano medium. The pigment observed on pigeon guano is in part produced by the classical laccase pathway involved in melanin production because laccase mutants exhibit a reduction in pigmentation. However, the laccase pathway is not solely responsible for the pigmentation, and lac1 and lac1 lac2 mutants still produce pigment on pigeon guano. It is unclear whether the remaining pigment is actively produced by cryptococcal cells or results from the transport of pigmented compounds from the medium into the cells. If the latter, it is specific to Cryptococcus, as a C. albicans strain did not accumulate pigment and produced white colonies on pigeon guano medium.
That C. neoformans var. grubii and var. neoformans strains grow and mate on pigeon guano medium and therefore complete their entire life cycle supports the hypothesis that pigeon guano is a realized ecological niche for C. neoformans. Finding the true realized ecological niche for an organism is challenging. While all evidence to date suggests that pigeon guano is an ecological niche for C. neoformans, we cannot exclude the possibility that there is another, as-yet-uncharacterized niche to which this organism is even better adapted.
While C. neoformans is well adapted to survive and sexually reproduce on pigeon guano, C. gattii is not well suited for long-term survival in this environment. C. gattii growth on pigeon guano is equivalent to that of C. neoformans, showing that pigeon guano is a fundamental niche for C. gattii and can sustain its growth. However, C. gattii mates poorly on pigeon guano. The inability to reproduce efficiently on pigeon guano shows that pigeon guano is not a suitable substrate overall for the species survival of C. gattii and therefore is not a realized ecological niche for this organism. These findings and our conclusions about the differing realized ecological niches for C. neoformans and C. gattii correlate well with environmental-isolation studies that show that C. neoformans is readily isolated from pigeon guano but that C. gattii is not. While the mating results highlight the importance of mating in pathogenic fungi, they also raise a paradox. In both C. neoformans and C. gattii, sexual reproduction is limited by a nearly unisexual population in which sexual reproduction might be uncommon (reviewed in reference 64). If sexual reproduction is a significant component of species survival, as these findings suggest, why is the population largely unisexual?
A monokaryotic fruiting cycle that produces spores has been identified in C. neoformans var. neoformans (89) and has recently been shown to produce sexual recombinant progeny (47). While this cycle has not been characterized yet in the laboratory for C. neoformans var. grubii or C. gattii, recent evidence suggests that monokaryotic fruiting may occur in nature (20, 69). C. neoformans var. neoformans strains were able to undergo filamentation on pigeon guano medium, but no spore production was observed (K. Nielsen, X. Lin, and J. Heitman, unpublished results). That filamentation could be induced suggests that monokaryotic fruiting might occur on pigeon guano under appropriate environmental conditions. If so, then both same-sex and a-
sexual reproduction may contribute to species survival.
Pigeon guano as a realized ecological niche for C. neoformans provides a plausible explanation for the cosmopolitan nature of this organism. Because of the intimate interaction between C. neoformans and pigeons (and possibly other avian species), the organism can disseminate worldwide along bird migratory routes and, due to the domestication of the pigeon, along trade routes. In contrast, C. gattii is associated with sedentary trees and thus has a more restricted global movement thought to be associated with tree export and planting. These observations also suggest that mating and sexual reproduction are required for the long-term survival of C. gattii, and thus the spread of the organism is limited. The C. gattii VI major outbreak strain exhibited no increase in mating on pigeon guano, suggesting that its introduction into the Pacific Northwest was not due to mating on pigeon guano. Instead recent studies suggest that the emergence of C. gattii in temperate environments is likely due to the expansion or alteration of the ecological niche by a subset of the population that allows for environmental proliferation predominantly in soil instead of in association with tree species (41, 53). Based on these studies, we hypothesize that at least two distinct events significantly altered the Cryptococcus ecology. First, an ancestral Cryptococcus strain gained the ability to sexually reproduce in pigeon guano and then swept the globe, likely as a result of the seafaring migration of humans and associated birds. Second, and perhaps more recently, another ecological-niche change has resulted in the survival of C. gattii in a temperate environment to allow further spread of a subset of this species.
The distribution of most primary fungal pathogens, including the dimorphic species Coccidioides immitis and Coccidioides posadasii, Histoplasma capsulatum, Penicillium marneffei, Paracoccidioides brasiliensis, and Blastomyces dermatitidis, is geographically restricted, likely due to an inability to reproduce or survive outside of their realized environmental niches. In many of these organisms, sexual reproduction and the requirements for reproduction are not clearly defined. However, with Cryptococcus neoformans and now C. gattii as examples, expansion of the environmental niches for the dimorphic primary pathogens could result in pandemic disease. The spread of C. immitis from North America to South America concomitant with Amerindian colonization exemplifies the ability of pathogenic fungi to adapt to environmental change (16). C. immitis outbreaks in regions of endemicity occur due to climactic changes rather than due to the emergence of pathogenic strains (17). However, the population exhibits high levels of genetic exchange, and thus the emergence of a new strain with the expansion of an ecological niche is conceivable and may have contributed to the migration of the population from North to South America (18). By studying differences between C. neoformans and C. gattii, we may be able to identify key events punctuating environmental-niche expansion that might apply to the emergence of or increased risk for other environmental fungal pathogens.
The findings presented here on emerging fungal pathogens are also applicable to other microbial pathogens. Both ecological changes and microbial evolution are significant determinants for bacterial- and viral-disease emergence. For example, all pandemic and epidemic influenza A virus outbreaks arise by genetic drift or reassortment to generate new viruses with differing pathogeneses (81, 82). This illustrates the pressing need to understand not only the driving force behind genetic alterations but also how these genetic changes affect the ecology of the organism and thereby impact disease prevalence.
This work was supported by NIAID R01 grant AI50113 to Joseph Heitman. Kirsten Nielsen was supported by NIAID grant T32 and Ruth L. Kirschstein NRSA in Molecular Mycology and Pathogenesis grant AI052080.
Published ahead of print on 20 April 2007. ![]()
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