Journal of Fungi (Mar 2023)

Mebendazole Inhibits <i>Histoplasma capsulatum</i> In Vitro Growth and Decreases Mitochondrion and Cytoskeleton Protein Levels

  • Marcos Abreu Almeida,
  • Andrea Reis Bernardes-Engemann,
  • Rowena Alves Coelho,
  • Camila Jantoro Guzman Lugones,
  • Iara Bastos de Andrade,
  • Dario Corrêa-Junior,
  • Simone Santiago Carvalho de Oliveira,
  • André Luis Souza dos Santos,
  • Susana Frases,
  • Márcio Lourenço Rodrigues,
  • Richard Hemmi Valente,
  • Rosely Maria Zancopé-Oliveira,
  • Rodrigo Almeida-Paes

DOI
https://doi.org/10.3390/jof9030385
Journal volume & issue
Vol. 9, no. 3
p. 385

Abstract

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Histoplasmosis is a frequent mycosis in people living with HIV/AIDS and other immunocompromised hosts. Histoplasmosis has high rates of mortality in these patients if treatment is unsuccessful. Itraconazole and amphotericin B are used to treat histoplasmosis; however, both antifungals have potentially severe pharmacokinetic drug interactions and toxicity. The present study determined the minimal inhibitory and fungicidal concentrations of mebendazole, a drug present in the NIH Clinical Collection, to establish whether it has fungicidal or fungistatic activity against Histoplasma capsulatum. Protein extracts from H. capsulatum yeasts, treated or not with mebendazole, were analyzed by proteomics to understand the metabolic changes driven by this benzimidazole. Mebendazole inhibited the growth of 10 H. capsulatum strains, presenting minimal inhibitory concentrations ranging from 5.0 to 0.08 µM. Proteomics revealed 30 and 18 proteins exclusively detected in untreated and mebendazole-treated H. capsulatum yeast cells, respectively. Proteins related to the tricarboxylic acid cycle, cytoskeleton, and ribosomes were highly abundant in untreated cells. Proteins related to the nitrogen, sulfur, and pyrimidine metabolisms were enriched in mebendazole-treated cells. Furthermore, mebendazole was able to inhibit the oxidative metabolism, disrupt the cytoskeleton, and decrease ribosomal proteins in H. capsulatum. These results suggest mebendazole as a drug to be repurposed for histoplasmosis treatment.

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