Materials and methods
Strains and growth conditions
A total of 13 samples were collected by broncho-alveolar lavages or direct blood cultures from medically diagnosed Aspergillus infections caused by A. fumigatus in human and animal cases. In the case of human patients, sampling was conducted once informed consent was obtained and for animal cases, the ethical instructions of our institutions for animal handling and specimen collection were followed. The present study was approved by the ethics committee of Faculty of Veterinary Medicine, University of Tehran (Tehran, Iran). Additionally, following a series of environmental random sampling, six further A. fumigatus-identified isolates were incorporated in the study for use in further experiments. Furthermore, a standard A. fumigatus strain (ATCC® 90906; American Type Culture Collection, Manassas, VA, USA) was obtained and incorporated into the experiments. This gave a total of seven samples from humans and six samples from animals, plus six additional fresh samples from the environment (three from food and three from air) and a standard strain, which were cultured directly on general media in optimal conditions for fungal growth. Briefly, to purify and enrich the fungal isolates, fungi were cultured on sabouraud dextrose agar (Merck Millipore, Darmstadt, Germany) and incubated at 30°C for three days. The medium contained chloramphenicol (0.05% w/v; Merck Millipore) and cyclohexamide (0.05% w/v; Merck Millipore) to prevent the growth of bacteria and dermatophytic fungi. Subcultures were avoided and immediately following the growth of fungi and morphological, physiochemical and molecular identification, the fungal conidia were collected using Tween 80 to trap conidia. Briefly, the surface of the fungal culture plates were washed by sterile phosphate-buffered saline containing 0.02% Tween 80, and the collected fluid was centrifuged for 5 min at 5,000 × g and 4°C to concentrate the conidia. Collected conidia were counted using a hematocytometer. To induce the exponential/developmental phase of fungal hyphal growth and produce a biomass of A. fumigatus mycelia, a series of inoculations of yeast extract peptone dextrose (YPD) liquid medium (Merck Millipore) were prepared using A. fumigatus conidia for each clinical and environmental sample with three biological replicates at a final concentration of 1×106 conidia/ml and incubated at 20, 30, 37 and 42°C for five days. The standard strain was also cultured by the described method for five days at 25°C, according to the manufacturer's instructions.
Total RNA Extraction
Floating A. fumigatus mycelia in YPD broth medium were harvested every 24 h for each temperature by filtration through Whatman paper. Harvested mycelia were washed with sterile water and then freeze-dried and ground using a mortar and pestle containing liquid nitrogen. Total RNA was obtained using TRIzol® Reagent RNA preparation method (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) according to the manufacturer's protocol. Following precipitation, the RNA was resuspended in a 60 µl RNAase-free tube. Contaminating genomic DNA was removed from RNA samples by treating with 1 µl of RNAse-free DNase (SinaClon, Co., Tehran, Iran) for 30 min at room temperature. DNase was removed using a clean-up kit (SinaClon, Co.,). RNA integrity and the quantity of total RNA were measured using a NanoDrop 2000 (Thermo Fisher Scientific, Inc.).
Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)
The RT-qPCR reaction was carried out using EvaGreen which is a modified version of SYBR green fluorescent DNA-binding dye in two steps. First, 2 µg of purified RNA was used to synthesize first strand cDNA using a cDNA synthesis kit, which included an engineered reverse transcriptase to resist high temperatures providing increased specificity and higher yields of cDNA, in a final volume of 25 µl. Oligo-dT primers were used for the reverse transcription of protein-coding mRNAs. DEPC-treated water used to avoid RNA degradation. Prior to the addition of reverse transcriptase, the reaction mixture was incubated at 65°C for 5 min to denature RNA, and to avoid RNA secondary structures reforming, immediately chilled on ice. cDNA synthesis was initiated by an engineered Moloney Murine Leukemia Virus reverse transcriptase (SuperScript® III First-Strand synthesis kit; Invitrogen; Thermo Fisher Scientific, Inc.) at 50°C for 50 min. The transcription reaction was stopped by heating the tubes to 85°C for 5 min. Synthesized cDNA was immediately used to perform the PCR amplification procedure using a routine protocol to check the specificity of the primers and avoid homo- or hetero-dimer problems. qPCR gene-specific primers were incorporated in the reaction. The remaining cDNAs were stored at -20°C until further use.
A qPCR kit (Jena Bioscience GmbH, Munich, Germany) with EvaGreen as the fluorescent dye was used to perform the qPCR assay. A total of 5 µl cDNA, 0.4 µM of each forward and reverse primer, molecular-grade water and 12.5 µl ready to use EvaGreen qPCR reagent in a final volume of 20 µl were used to perform the qPCR reaction using a Rotor Gene Q real-time PCR system (Qiagen GmbH, Hilden, Germany). For each sample and for their relative reference gene, the qPCR reaction was performed in three technical replicates. The cycling conditions were as follows: Initial denaturation and polymerase activation, 95°C for 2 min; denaturation, 95°C for 15 sec; annealing, 55°C for 30 sec; extension, 72°C for 30 sec; amplification cycles, 45 cycles; final extension, 72°C for 5 min; and melting curve analysis, a range between 45- and 95°C with 0.2°C increments. The melting-curve analysis cycle was set to test for the existence of possible primer-dimers or other unspecific products. Primers for HSP70 in A. fumigatus were designed (Table I) using Primer-BLAST online software (http://www.ncbi.nlm.nih.gov/tools/primer-blast/) which uses both Primer3 and BLAST algorithms. Primers were designed to span exon-exon junctions to avoid the amplification of possible genomic DNA contamination. Additionally, an option to allow primers to amplify mRNA splice variants was also enabled to make the primers capable of amplifying all transcript variants and isoforms of the HSP70 gene. A reference mRNA sequence retrieved from the GenBank database (XM_745397) was selected to design the A. fumigatus HSP70 specific primers, as it is near identical to the Afu1g07440 sequence from the Aspergillus Genome Database (AspGD). The BLAST online tool was used to check the similarity of the XM_745397 reference sequence to the orthologous heat inducible HSP70 genes in Aspergillus and other fungal species. Primers were designed for 18S ribosomal RNA (rRNA) to be used as the reference gene, using Primer-BLAST with its default settings (Table I). The designed primers were also checked for possible secondary structures in order to avoid unexpected structures such as homo- & hetero-dimers, using an online oligo-nucleotide analysis tool (IDT OligoAnalyzer 3.1; https://www.idtdna.com/calc/analyzer) (18). In addition, to check whether primers were able to amplify the target and reference gene cDNAs, a series of conventional PCR assays was performed. The PCR products were run on 1.5% agarose electrophoresis gels in TBA buffer (0.45 M Tris-Borate and 0.001 M ethylenediaminetetraacetic acid) at 80 V for 90 min. Gels were stained with ethidium bromide (0.5 µg/ml) and photographed using UV light in a gel documentation system (G:Box; Syngene, Cambridge, UK).
Statistical analysis and comparative C<sub>q</sub> method
MedCalc software, version 12 (MedCalc Software, Oostende, Belgium) (19) was used for statistical analysis. The Kolmogorov-Smirnov and normal probability plot indicated the data was normally distributed thus, two-tailed Student's t-test was used to test for significant differences between means. Tukey's test was used for multiple comparisons among several time points. The α-level was set at 0.05, thus P<0.05 was considered to indicate a statistically significant difference. The mean, median and 95% confidence interval (CI) of data were calculated using MedCalc software, version 12 (MedCalc Software bvba, Ostend, Belgium). Three specimens were collected from air and three from food and, to avoid statistical bias due to small sample size, all six were considered together as samples in a single environmental group. Expression fold changes and relative expression differences between experimental groups were calculated using 2–ΔΔCq method, which is additionally known as the comparative Cq or Livak method (20). In this method, the efficiency of both the target gene and reference gene are assumed to be 100%. The mathematical calculations of the method are based on the normalization of the quantification cycle (Cq) values of both the sample and control groups to a reference gene, to prevent a cDNA amount input error, then the subtraction of the Cq values of the two experimental groups from each other, prior to the logarithmic transform of the resulting fold change values, to avoid misinterpreting the expression differences between the evaluated groups. The fold change values for each temperature point and experimental day in the sample groups were presented as graphs relative to the control group (A. fumigatus ATCC 90906 standard strain) expression level on the same day. The formula for the comparative Cq method is as follows:
Relative expression fold change=2–[(meanCq of target gene in sample or treated group-meanCq of reference gene in sample or treated group)–(meanCq of target gene in control or untreated group-meanCq of reference gene in control or untreated group)].
Results
HSP70 primers and cDNAs were used in conventional PCR reactions, resulting in the detection of HSP70 expression in the different samples. The clinical samples exhibited clearly detectable bands following gel electrophoresis (Fig. 1). Additionally, at all the temperatures except, at the fifth day of incubation at 42°C, relative expression of HSP70 mRNA in clinical samples was significantly higher compared with the environmental samples (Table II). There was a ~2-fold change in the expression levels normalized to the 18S RNA reference gene in the comparison of clinical and environmental samples at all temperatures during all experiment days, except at 37°C and 42°C, where the majority of environmental samples exhibited smaller differences in expression levels compared with expression levels in the clinical samples (Fig. 2). There was no significant difference in HSP70 mRNA levels between clinical and environmental samples at the fifth day of incubation at 42°C. Among all the experimental temperature points, the least significant difference in HSP70 expression levels was observed between clinical and environmental groups at 42°C (Table II). In detail, from the six environmental samples, four samples (66.6%) at 42°C exhibited relatively competitive levels of expression compared with clinical samples. However, except for the fifth day, significant differences in the mean expression levels compared with the clinical samples at 42°C were observed for all incubation days (subgroup data not shown), however, the P-values at 42°C were higher than the P-values at the other higher temperature points (Table II). HSP70 mRNA levels in the environmental samples at the fourth and fifth days of incubation at 37°C and 42°C was closer to the HSP70 expression levels in the clinical samples in comparison with the expression levels at the first three days of incubation. Notably, one environmental strain demonstrated significantly lower expression levels of HSP70 mNRA at all temperatures, even at 42°C compared with the clinical samples. This strain was detected as an outlier in the confidence interval calculations and is indicated in the box-whisker plot as a separate data point (Fig. 3). Additionally, the expression levels of the environmental group at 37 and 42°C was significantly higher compared with the expression levels at lower temperature points (P<0.05, Tukey's test). Furthermore, despite the mentioned high levels of expression at 37°C in the environmental group, differences in the expression levels between the clinical and environmental groups at this temperature were significant. By contrast, the clinical samples showed a marked increase in HSP70 expression, in particular at 37 and 42°C, with an up to 10-fold increase compared with the reference gene. Of note, on the first day at 20°C, the clinical samples showed an upregulation of HSP70, while over the following days, in both clinical and environmental samples, the HSP70 gene was downregulated (Fig. 2). However, at 30°C, the clinical samples demonstrated an upregulation of HSP70 mRNA levels at all five days. Additionally, the clinical samples on the first day at 20°C demonstrated expression levels greater than on the second day. In fact, HSP70 expression at 30°C in the clinical samples showed an initial reduction on the second day, however, gradually increased over the subsequent days. The environmental samples demonstrated downregulation compared with the control group during the first three days of incubation at 30°C, however, their expression levels were increased compared with the mRNA levels at 20°C (Fig. 2). In contrast to the results obtained at 20 and 30°C, a continual ascending pattern of HSP70 expression was observed for both the clinical and environmental samples at 37 and 42°C (Figs. 2 and 3). Furthermore, a considerable peak was observed at 37°C in the majority of the clinical samples during the five experimental days (Fig. 2). The expression levels in the clinical samples at 20°C on the first day were high, however, from day two demonstrated represented a significant reduction in expression, following which it exhibited a gradual reduction until the last day. By contrast, at 30°C both groups demonstrated an increasing trend. This was additionally observed at 37 and 42°C during the five experimental days. However, the increase at 37°C in HSP70 expression, particularly in the clinical samples which have the most considerable slope, indicates an instant increase and high levels of HSP70 expression (Figs. 2 and 3). This increase had an impact on the P-values at 37°C, resulting in the most significant P-values among the other temperatures (Table II). Furthermore, from the 13 clinical samples, four demonstrated relative expression as low as the environmental samples at 20 and 30°C. In addition, one other clinical sample demonstrated significantly higher expression at 42°C alone, in comparison to the environmental samples. However, seven samples (53.8%) from the total 13 clinical samples exhibited significantly greater expression at all temperatures when compared with the mean expression levels of the environmental samples. Of the total 13 clinical isolates, at 42°C just one isolate expressed HSP70 with no significant difference compared with HSP70 expression in the environmental isolates (data not shown). These results indicate that 37 and 42°C are major temperatures responsible for the upregulation of HSP70 mRNA expression (Fig. 3). Furthermore, among the clinical isolates there were no significant differences in HSP70 expression between human- and animal- originated samples (data not shown). Overall, a continually increasing trend in HSP70 mRNA expression levels was observed in the increasing temperatures over the five days (Figs. 3 and 4). Evaluating the expression trend using a timecourse revealed that both the clinical and environmental samples demonstrated an increasing pattern of HSP70 mRNA expression levels at 30, 37 and 42°C, however, a reduction at 20°C (Figs. 3 and 4).
Discussion
Temperature fluctuations are common in the environment, and unstable thermal conditions may result in downstream alterations in the transcription levels of stress-related genes such as HSPs in environmental and opportunistic microbial agents. Microbial agents have evolved protective mechanisms in the face of harmful heat stress induced in diverse environmental conditions and host bodies (21). Long-term maintained high temperatures may lead microbes or host cells towards a lethal cascade of the denaturation of proteins which are vital for cells and microbes. In fact, during periods of elevated temperature, HSPs are the predominant proteins synthesized in fungal cells (22).
In yeasts and other opportunist pathogenic fungi, thermal adaptation is not only essential to maintain thermal homeostasis, but is also required for virulence (23,24). High temperatures in the host body is an inducer of virulence factors and HSPs, however, disparate observations in the virulence ability have been reported in mutation-studies of thermotolerance-related genes in fungal pathogens, indicating no direct association between thermophily and virulence traits, except in a few genes (23,25–29). However, HSPs are essential for the survival of eukaryotic cells even under normal conditions. In this regard, the activation of thermal adaptation pathways in fungal cells has additionally been observed at mild temperature variations in host bodies (30). Thus, it may be hypothesized that the transcription of heat stress-related genes in clinically and host body-adapted pathogens may be regulated differentially in comparison with environmental microbial agents.
A. fumigatus is a common mold pathogen in human, and produces large amounts of proteins and enzymes when invading host bodies. The accumulation of damaged, unfolded or aggregated proteins in a pathogen may threaten its survival. Thereby, unfolded proteins act as a cellular thermometer (31,32), and in Saccharomyces cerevisiae there are four sub-families of genes encoding HSP70: Ssa, Ssb, Ssc and Ssd (22). Three location-dependent protective pathways have been described in S. cerevisiae, a yeast fungus, with all three pathways activated in response to injured proteins. When unfolded proteins accumulate in the endoplasmic reticulum, yeast cells express KAR2 chaperone and HAC1. In the case of unfolding proteins in the cytosol, SSA4, the major HSP70 chaperone, is induced. In addition, the SSA4-HSP70 pathway is activated following heat shock (32). Another mechanism initiated by damaged proteins is the activation of a distinct set of genes in the Rpn4-dependent pathway (33).
It has been demonstrated that in yeast, the Ssa1 and Ssa2 genes are constitutively expressed while Ssa3 and Ssa4 are upregulated under stressed situations (34). Currently, eight HSP70 homologues have been identified, of which six are cytosolic including Ssa1, Ssa2, Ssa3, Ssa4, Ssb1 and Ssb2 (9,35). In comparison to the Ssa genes, Ssb1 and Ssb2 differentially regulate Hsf1 activity in yeast (36). It has additionally been indicated that Ssb1/2p is not induced by heat shock (37). In the current study, primers were designed to investigate the mRNA expression levels of HSP70 in A. fumigatus, using a reference sequence obtained from the GenBank database. According to the information in GenBank and AspGD (38), the sequences were similar or orthologous to the SSA2 gene in Candida albicans, S. cerevisiae, Schizosaccharomyces pombe and to the HSP70-1 gene in Neurospora crassa. Furthermore, BLAST searches indicated that the sequence was also similar to its orthologous SSA4 gene in S. cerevisiae (69% identity, 81% query coverage) and to the HSP70 gene in C. albicans (68% identity, 83% query coverage). Other HSP70 subfamily genes (Ssb, Ssc, bipA, Kar2 and HscA) of A. fumigatus exhibited lower similarities to the yeast SSA4 gene sequence (data not shown).
By contrast, investigation of the HSP70 molecular regulation pathways rather than the genetics will indicate whether pre-exposure of yeast cells to stress can trigger a protective defense against subsequent exposure to the same stressor. Repeating thermal stimulation in a sequential-continuous manner, with a short duration of time between the two stimulations will result in a protective response. This phenomenon is driven by the transcription of protective stress-related genes and the accumulation of their mRNA or protein over a specified time in the cytoplasm as a form of molecular memory (30). In certain yeast species, an acquired thermotolerance phenomenon following continuous exposure to acute heat stress has been described (39–41).
Indeed, in eukaryotes, HSP (HSP90 and HSP70) expression is governed by HSF1 (31), which is highly conserved from yeast to human (42). However, unlike the well-determined Hsf1-dependent thermotolerance pathway in S. cerevisiae, the molecular interactions in the Hsf1-HSP70 axis in fungal pathogens such as A. fumigatus remain poorly understood.
In the present study, HSP70 expression levels in A. fumigatus isolates from clinical and environmental samples at 37 and 42°C were observed to increase continuously during the experimental days. The ascending pattern of HSP70 expression in both sample groups was relatively similar. The power of the association between the expression data obtained from the clinical and environmental samples was >0.9, indicating a strong correlation (Fig. 4). In both the sample groups, the greatest HSP70 mRNA levels were measured at 42°C, and the highest significant increases in HSP70 expression were observed at 37°C (Table II). In the clinical groups, the mean relative expression level at 37°C was 2.7 times higher than the mean expression level at 30°C, while in the environmental group this was 4.42 times. For both groups this was greatest increase in expression levels in comparison to the other temperature points. Furthermore, at 42°C, HSP70 expression was markedly increased in the environmental samples, resulting in closer HSP70 levels (Table II). Overall these results indicate that 37 and 42°C are important temperature points able to induce HSP70 expression in A. fumigatus. These results are in accordance with similar studies indicating induced expression of HSP70 at high temperatures in yeast or mold fungi in particular, such as A. fumigatus (7,11,43). It is important to note that in contrast to the present study, these previous studies were performed using short experimental durations, usually up to several hours following induction of heat stress, and that almost all have investigated heat shock-related genes within clinical or environmental groups separately.
In a previous study, HSP expression levels were evaluated up to several hours following a thermal shift from 30 to 37 and 48°C, with the aim to understand the coregulatory association between metabolic and HSP genes in A. fumigatus. At early time points following heat induction, the lowest expression levels of HSPs were observed whereas metabolic genes were upregulated, from which the authors concluded that there is negative feedback between metabolic and HSP genes. However, the coherent feedforward loop association between the two groups of genes became weak with increasing temperature, and HSP expression exhibited a marked increase at 48°C. From the three strains evaluated for HSP70 expression, two strains exhibited upregulation following 180 min at 37 and 48°C by a 2- and 4-fold increase in the expression ratio in a Log2 scale, respectively. The one remaining strain showed downregulation (43). In an additional extensive investigation of A. fumigatus, HSP70 chaperone and additional genes in the HSP70 family were evaluated for alterations in expression levels in response to a temperature shift from 30 to 48°C, in short time durations, from 30 to 180 min. HSP70 chaperone exhibited a 2.45-fold increase following a 180 min incubation at 48°C (11). Furthermore, a previous study evaluated temperature-induced protein synthesis in thermoresistant fungi including three samples of A. fumigatus. This indicated that at 40°C, medium- and high-molecular HSPs were synthesized while at 50°C no HSPs were detected (44).
It has been demonstrated that clinically isolated S. cerevisiae is able to grow at higher temperatures (41°C) than laboratory isolates. Thermotolerance and growth ability at physiological temperatures is a critical requirement for the survival of S. cerevisiae strains in mice (45). This indicates that S. cerevisiae laboratory isolates were adapted to grow at lower temperatures rather than high temperatures (41°C), however, by contrast clinical isolates tend to be more thermophilic than environmental isolates. In a previous study, southern blot patterns revealed extremely high genomic diversity and no clustering potential between clinical and environmental strains of A. fumigatus (46). Furthermore, a prior study of bovine aortic endothelial cells suggested that continuous heating at 42°C results in a continuous increasing trend of HSP70 expression over time (25 h), although there were some reductions certain time points on the kinetic curve of HSP70 expression (47). Despite this, HSP expression trends remain a matter of debate, on account of complexities which have been noted by researchers. One study indicated that HSP expression in A. fumigatus is tightly negatively linked to fungal cell metabolic-related gene expression (43). When the fungus was incubated at high temperatures for short durations (60 and 120 min), genes coding metabolic pathways were upregulated, however, the majority of the HSPs (other than HSP70) were downregulated. At 37 and 48°C, two strains of A. fumigatus demonstrated induced levels of HSP70, however, one did not. Despite this, at 48°C, the majority of HSPs showed a dramatic rise in expression levels, however, results obtained at 37°C indicate that temperatures such as those in the human body may be associated with reduced levels of certain HSPs, such as HSP30 (43). In addition, one of the first physiometabolic investigations on yeast HSP70 RNA levels indicated that HSP70 expression may vary in response to different physiological conditions of yeast cells (stationary phase at 23°C or sporulation phase at 30°C). In the stationary phase, the majority of yeast HSP70-related RNAs reduced, however, the SSA3 RNA level was reversed by the addition of glucose (48).
However, the data of the current study supports the majority of prior findings, suggesting that HSP70 expression is increased following heat stress, in particular at 37°C or higher. In addition, the mentioned previous studies may be linked to the observations of the current study, which indicate low expression levels of HSP70 at temperatures below normal mammalian and human body temperature. Furthermore, previous observations may indicate that A. fumigatus, a frequently isolated filamentous fungus from extreme environments (49), may be adapted to ambient temperatures rather than physiological temperatures and host body conditions (43). This means that the environmental conditions in A. fumigatus induce a normal signal while host niches induce a stressed or abnormal signal to regulate HSPs. The majority of HSPs are upregulated in heat shock or when in contact with host serum components (50). The predominant source of air-borne spores of A. fumigatus are the decomposing remnants of plants and other organic debris, where fungi grow and release large number of spores into the atmosphere.
There are some obscurities in the observations of the current study. A downward trend of HSP70 expression levels was observed in clinical and environmental samples at 20°C, however, in clinical samples HSP70 was upregulated on the first day of incubation at 20°C. In addition, in the clinical group, HSP70 expression on the first day was higher than on the second day at 30°C. The higher levels of HSP70 on the first day of incubation at 20 and 30°C may result from HSP70 mRNA remaining in the fungal cells from when they were in the host. The sudden shift from 37°C in the human body temperature (or higher in animals) to 20 or 30°C did not allow sufficient time for the fungus to downregulate HSP70 levels. It has been reported that fungal spores contain vacuoles with high amounts of HSPs and stored mRNAs belonging to various types of proteins in addition to HSPs (11,51). Additionally, other explanation to these results may be the HSP induction due to cold-stress (52). In this regard, there are several reports on the induction of HSPs at low temperatures. Using S. cerevisiae, it has been demonstrated that the expression levels of certain HSPs, including HSP104p, HSP82p, HSP60p and HSP10p, were reduced in the first 2 h of the temperature downshift to 10°C, in an early cold response. However, certain HSPs. including HSP12, HSP26, HSP42, HSP104, YRO2 and SSE2, were induced at 10°C for 12 and/or 60 h incubation, in a late cold response (52). Other similar reports have demonstrated that following longer durations of incubation (4–24 h) at low temperatures (10, 4 and 0°C), certain HSPs were repressed while others were induced. It has been reported that following 4–24 h at 10°C, HSP genes including HSP12, HSP26, HSP42, HSP104, SSA4, SSE2 and YRO2 were induced (52,53). Additional genes in the HSP family including CIS3, HMS2, HSC82, HSP30, HSP60, HSP78, HSP82, HSP150, SSA1 and SSA2 demonstrated a downregulated trend when incubated at 10°C (53). However, their mRNA content recovered at lower temperatures (54). These observations indicate discrepancies which may be a matter of debate. For instance, the SSA4 and SSE2 genes were observed to be induced while SSA1 and SSA2 were reduced at 10°C. It appears that each HSP70 family of proteins may be regulated differentially in a time- and temperature-dependent manner (55).
In the present study, elevation of HSP70 expression in the later days at 30°C in the clinical sample was observed as positive feedback, and HSP70 re-upregulation following the depletion and consumption of the previously produced and accumulated HSPs, along with their associated mRNA. Furthermore, an explanation for the opposite HSP70 expression results in clinical and environmental samples at 30°C may be the adaptation of the clinical isolates to the host and therefore the loss of the host body's stimulatory factors. Potentially, clinical isolates have evolved to survive at high body temperatures in animals and humans, and adapted to the contact with host serum components and adverse conditions within the host body. It has been suggested that HSP90, which is associated with HSP70, orchestrates C. albicans yeast cells to transform to the filamentous form. This transition may be induced by two signals from the host body, the exposure to serum and the body temperature. Host body serum components including carbohydrates, metal ions and other nutrients may additionally be effective on HSP induction in fungal cells (50,56–58). These adaptive mechanisms in clinical samples, particularly in response to temperature elevation, may explain the upregulation of HSP70 in clinical samples but the downregulation or lower expression levels in environmental samples, which was observed in the current study at 30, 37 and 42°C. In addition, another explanation for the lower HSP70 expression levels at 30°C in the environmental samples is the fact that the control strain (ATCC® 90906) was originally isolated from human blood. The standard strain was incubated at 25°C for five days as the control group. However, the environmental samples, which were incubated at 30°C, demonstrated downregulation of HSP70. Therefore, the standard control strain may have acquired a partially similar gene expression profile to the clinical isolates. It should be noted that HSP70 expression at 30°C was increased significantly in comparison with the levels observed at 20°C.
Overall, the results of the present study on the high expression ratios of HSP70 in A. fumigatus at 37 and 42°C are in agreement with previous reports. However, there are some limitations in estimating HSP gene expression, such as that HSP expression is suppressed at very high temperatures. This is also true for housekeeping (reference) genes which generally have been selected in gene expression quantification assays. Gene expression of HSPs is not only dependent on heat stress or temperature shift but is also affected by other regulatory factors such as metabolic genes or other pathways which themselves are affected by additional stimuli or stresses. The multifactorial regulation of HSPs means that studies investigating stress-related gene expression are more complicated than other simple single-factor gene expression studies.
A. fumigatus is a known mesophilic fungus, however, has been shown to posses thermophilic traits in a number of studies. Regarding the reports indicating a direct association between thermotolerance and virulence, further knowledge on A. fumigatus pathogenesis associated with thermoresistance may result in the development of novel therapeutic approaches against this opportunistic pathogen. In the present study, the results indicated the increased expression pattern of HSP70 as a vital stress-related gene in A. fumigatus at high temperatures. In addition, the reported higher expression levels of HSP70 in clinical strains compared with environmental strains indicates a potential association between HSP70 expression and virulence in clinical strains of A. fumigatus. However, to gain further insight into the precise underlying molecular pathways and potential regulatory association between HSP70 and virulence, further studies are required.