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CRISPR-Cas9-Based Mutagenesis of the Mucormycosis-Causing Fungus Lichtheimia corymbifera

Lichtheimia corymbifera is considered as one of the most frequent agents of mucormycosis. The lack of efficient genetic manipulation tools hampers the characterization of the pathomechanisms and virulence factors of this opportunistic pathogenic fungus. Although such techniques have been described for certain species, the performance of targeted mutagenesis and the construction of stable transformants have remained a great challenge in Mucorales fungi. In the present study, a plasmid-free CRISPR-Cas9 system was applied to carry out a targeted gene disruption in L. corymbifera. The described method is based on the non-homologous end-joining repair of the double-strand break caused by the Cas9 enzyme. Using this method, short, one-to-five nucleotide long-targeted deletions could be induced in the orotidine 5′-phosphate decarboxylase gene (pyrG) and, as a result, uracil auxotrophic strains were constructed. These strains are applicable as recipient strains in future gene manipulation studies. As we know, this is the first genetic modification of this clinically relevant fungus.


Introduction
Mucormycosis is an invasive opportunistic fungal infection caused by certain members of the filamentous fungal order Mucorales [1]. This life-threatening infection can manifest as rhino-orbito-cerebral, pulmonary, cutaneous, gastrointestinal, or disseminated disease and is notorious for its rapid progression and unacceptably high mortality rates (i.e., around 50%, but 90% for disseminated cases) [2][3][4]. It most frequently occurs in patients having an underlying immunocompromised status due to immunosuppressive treatment or hematological malignancy but diabetes, especially if associated with ketoacidosis, elevated levels of free iron in the blood, critical care and trauma are also considered as possible risk factors [1,2,5,6]. The species most frequently identified as the etiological agents of mucormycosis belong to the genera Rhizopus, Lichtheimia, and Mucor [5,7,8]. After Rhizopus delemar (sometimes also referred to as R. arrhizus var. delemar and R. oryzae) [9], the Int. J. Mol. Sci. 2020, 21, 3727 2 of 11 Lichtheimia species, primarily L. corymbifera, are most often recovered from clinical samples, especially in European countries [2,4,8].
The frequency of systemic mucormycosis is increasing, mostly because of the broadening of the susceptible population [3, 8,10]. Successful outcome highly depends on the timely diagnosis and the effective antifungal therapy, as well as the reversal of the predisposing factors [1] but, unfortunately, diagnosis and treatment of such infections still remain challenging [11]. Furthermore, Mucorales fungi display intrinsic resistance to the majority of the routinely used antifungal agents (e.g., candins and most azoles), which also limits the possible therapeutic options [1,3]. All these considerations urge the improvement of the molecular identification methods and the discovery of new antifungal targets and strategies. To achieve these goals, clarification of the pathomechanism of mucormycosis, understanding the interaction of these fungi with the hosts, and the identification of potential virulence factors and new biomarkers are essential. All these studies need the adaptation and routine application of molecular and genetic manipulation methods.
For Rhizopus and Mucor species, various classical genetic transformation-based molecular manipulation methods have been developed and applied [12,13]. Recently, the CRISPR-Cas9 method has also been adapted to generate single and multiple gene disruption in Mucor circinelloides [14,15] and point mutations in Rhizopus delemar [11]. However, until now, no effective genetic transformation methods have been available for L. corymbifera, which seriously hampers the efforts to characterize the gene functions and reveal the genetic and molecular background of the pathogenicity of this fungus. Therefore, a plasmid-free, in vitro CRISPR-Cas9 method has been adapted and tested to carry out targeted gene disruption in L. corymbifera in this study. Using this technique, the pyrG gene encoding the orotidine 5 -phosphate decarboxylase (OMP decarboxylase) has been disrupted and a uracil auxotrophic strain, which can be used as a recipient strain in further genetic manipulation studies, could be created.

Disruption of the pyrG Gene in L. corymbifera
Two guide RNAs (gRNAs) targeting different positions in the L. corymbifera pyrG gene were designed and synthesized in vitro (Table 1). L. corymbifera protoplasts were co-transformed directly with one of these gRNAs and the Cas9 nuclease. Table 1. Sequences of the protospacers designed in the study and positions of the corresponding regions in the Lichtheimia corymbifera pyrG gene.

Designation
Sequence ( Transformants, in which the targeted pyrG gene had been disrupted, were selected for their resistance to 5-fluoroorotic acid (5-FOA). Cells expressing OMP decarboxylase convert 5-FOA to a toxic compound, 5-fluorouridine monophosphate and cannot grow if 5-FOA is added to their culture medium [16,17]. Thus, colonies, which were unable to express the enzyme because of the mutation of the pyrG gene, display 5-FOA resistance and are auxotrophic to uracil ( Figure 1). Using 10-10 µM gRNA and Cas9, the transformation efficiency was 8 colonies per 10 5 protoplasts for both gRNAs. An example for the growth of the wild-type and the mutant L. corymbifera strains on yeast nitrogen base (YNB) medium (a), YNB medium supplemented with uracil (0.5 g/L) (b) and YNB medium supplemented with uracil (0.5 g/L) and 5-FOA (1 g/L) (c). Strains: CBS 429.75, the original wild-type strain; CBS 429.75-pyrG Cr1 /1, one of the mutants, in which the pyrG was disrupted by the CRISPR-Cas9 method; CBS 429.75-pyrG compl /1, the strain, in which the CRISPR-Cas9-generated mutation was complemented. Growth was performed at 37 °C for two days.

Evidence for CRISPR-Cas9-Mediated Disruption of the pyrG Gene
The pyrG gene was amplified from the 16 isolated 5-FOA resistant and uracil auxotrophic strains. Sequencing of the PCR products indicated one to five nucleotides long deletions at the targeted sites ( Figure 2) in 10 transformants. These 10 isolates were named as CBS 429.75-pyrG cr1 /1-3 and CBS 429.75-pyrG cr2 /1-7, corresponding to the protospacers LcpyrGcr1 and LcpyrGcr2, respectively. No mutations were found in the sequences of the fragments amplified from the other six strains. This result indicates a genome editing efficiency of 37.5% and 87.5% for the protospacers LcpyrGcr1 and LcpyrGcr2, respectively.
To test their mitotic stability, each disruption mutant was passed several times on selective and non-selective media. All strains proved to be mitotically stable, retaining their phenotype (i.e., 5-FOA resistance and uracil auxotrophy) and the deletion in the pyrG gene after 5 cultivation cycles under non-selective conditions. An example for the growth of the wild-type and the mutant L. corymbifera strains on yeast nitrogen base (YNB) medium (a), YNB medium supplemented with uracil (0.5 g/L) (b) and YNB medium supplemented with uracil (0.5 g/L) and 5-FOA (1 g/L) (c). Strains: CBS 429.75, the original wild-type strain; CBS 429.75-pyrG Cr1 /1, one of the mutants, in which the pyrG was disrupted by the CRISPR-Cas9 method; CBS 429.75-pyrG compl /1, the strain, in which the CRISPR-Cas9-generated mutation was complemented. Growth was performed at 37 • C for two days.

Evidence for CRISPR-Cas9-Mediated Disruption of the pyrG Gene
The pyrG gene was amplified from the 16 isolated 5-FOA resistant and uracil auxotrophic strains. Sequencing of the PCR products indicated one to five nucleotides long deletions at the targeted sites ( Figure 2) in 10 transformants. These 10 isolates were named as CBS 429.75-pyrG cr1 /1-3 and CBS 429.75-pyrG cr2 /1-7, corresponding to the protospacers LcpyrGcr1 and LcpyrGcr2, respectively. No mutations were found in the sequences of the fragments amplified from the other six strains. This result indicates a genome editing efficiency of 37.5% and 87.5% for the protospacers LcpyrGcr1 and LcpyrGcr2, respectively.

Evidence for CRISPR-Cas9-Mediated Disruption of the pyrG Gene
The pyrG gene was amplified from the 16 isolated 5-FOA resistant and uracil auxotrophic strains. Sequencing of the PCR products indicated one to five nucleotides long deletions at the targeted sites ( Figure 2) in 10 transformants. These 10 isolates were named as CBS 429.75-pyrG cr1 /1-3 and CBS 429.75-pyrG cr2 /1-7, corresponding to the protospacers LcpyrGcr1 and LcpyrGcr2, respectively. No mutations were found in the sequences of the fragments amplified from the other six strains. This result indicates a genome editing efficiency of 37.5% and 87.5% for the protospacers LcpyrGcr1 and LcpyrGcr2, respectively.
To test their mitotic stability, each disruption mutant was passed several times on selective and non-selective media. All strains proved to be mitotically stable, retaining their phenotype (i.e., 5-FOA resistance and uracil auxotrophy) and the deletion in the pyrG gene after 5 cultivation cycles under non-selective conditions. To test their mitotic stability, each disruption mutant was passed several times on selective and non-selective media. All strains proved to be mitotically stable, retaining their phenotype (i.e., 5-FOA resistance and uracil auxotrophy) and the deletion in the pyrG gene after 5 cultivation cycles under non-selective conditions.
Transformation of the mutants with the circular plasmid pLcpyrGcompl, which assures the expression of the pyrG gene, complemented the uracil auxotrophy and caused sensitivity to 5-FOA in the transformants (Figure 1). The plasmid and the PCR analysis of the complemented strains to prove the transformation are shown in Figure 3. Transformation of the mutants with the circular plasmid pLcpyrGcompl, which assures the expression of the pyrG gene, complemented the uracil auxotrophy and caused sensitivity to 5-FOA in the transformants (Figure 1). The plasmid and the PCR analysis of the complemented strains to prove the transformation are shown in Figure 3.

Characterization of the Disruption Mutants
Apart from their slightly weaker growth, the morphology of the mutants did not differ from that of the original strain ( Figure 4).

Characterization of the Disruption Mutants
Apart from their slightly weaker growth, the morphology of the mutants did not differ from that of the original strain ( Figure 4). Transformation of the mutants with the circular plasmid pLcpyrGcompl, which assures the expression of the pyrG gene, complemented the uracil auxotrophy and caused sensitivity to 5-FOA in the transformants (Figure 1). The plasmid and the PCR analysis of the complemented strains to prove the transformation are shown in Figure 3.

Characterization of the Disruption Mutants
Apart from their slightly weaker growth, the morphology of the mutants did not differ from that of the original strain ( Figure 4).  The growth ability of the mutants was tested, cultivating them on minimal medium supplemented with uracil at different temperatures for four days and measuring the colony diameters daily. Although the pyrG mutants displayed a tendency to grow slightly weaker than the parental strain, this difference in their growth did not prove to be significant, except at 37 • C after one day of cultivation (Figure 5a).
Effect of calcofluor white (CFW), sodium dodecyl sulfate (SDS), and Triton X-100 as cell-wall and membrane-perturbing compounds on the fungal growth was tested. In general, pyrG disruption mutants displayed somewhat weaker growth than the original strain in the presence of these compounds (Figure 5b).
The growth ability of the mutants was tested, cultivating them on minimal medium supplemented with uracil at different temperatures for four days and measuring the colony diameters daily. Although the pyrG mutants displayed a tendency to grow slightly weaker than the parental strain, this difference in their growth did not prove to be significant, except at 37 °C after one day of cultivation (Figure 5a).
Effect of calcofluor white (CFW), sodium dodecyl sulfate (SDS), and Triton X-100 as cell-wall and membrane-perturbing compounds on the fungal growth was tested. In general, pyrG disruption mutants displayed somewhat weaker growth than the original strain in the presence of these compounds (Figure 5b). Susceptibility of the pyrG disruption mutants and the original strain to oxidative stress was also examined. Strains, in which the pyrG gene was disrupted, showed a tendency to slightly higher sensitivity to hydrogen peroxide (H2O2) than the parental strain, but this difference was not found to be significant (Figure 6a).
Pathogenicity of the mutants and the original strain did not differ significantly in survival experiments using the alternative Drosophila melanogaster model (Figure 6b). Susceptibility of the pyrG disruption mutants and the original strain to oxidative stress was also examined. Strains, in which the pyrG gene was disrupted, showed a tendency to slightly higher sensitivity to hydrogen peroxide (H 2 O 2 ) than the parental strain, but this difference was not found to be significant (Figure 6a).
Pathogenicity of the mutants and the original strain did not differ significantly in survival experiments using the alternative Drosophila melanogaster model (Figure 6b). The growth ability of the mutants was tested, cultivating them on minimal medium supplemented with uracil at different temperatures for four days and measuring the colony diameters daily. Although the pyrG mutants displayed a tendency to grow slightly weaker than the parental strain, this difference in their growth did not prove to be significant, except at 37 °C after one day of cultivation (Figure 5a).
Effect of calcofluor white (CFW), sodium dodecyl sulfate (SDS), and Triton X-100 as cell-wall and membrane-perturbing compounds on the fungal growth was tested. In general, pyrG disruption mutants displayed somewhat weaker growth than the original strain in the presence of these compounds (Figure 5b). Susceptibility of the pyrG disruption mutants and the original strain to oxidative stress was also examined. Strains, in which the pyrG gene was disrupted, showed a tendency to slightly higher sensitivity to hydrogen peroxide (H2O2) than the parental strain, but this difference was not found to be significant (Figure 6a).
Pathogenicity of the mutants and the original strain did not differ significantly in survival experiments using the alternative Drosophila melanogaster model (Figure 6b).

Discussion
L. corymbifera is considered as the second most frequent agent of mucormycosis after R. delemar, especially in Europe [2,4,8]. However, efficient genetic transformation or genome edition methods have not been available for this fungus, which highly narrows the spectrum of tools applicable in genetic and molecular studies of the pathogenicity. At the same time, it is also known that targeted gene manipulation is a great challenge in the Mucorales group, and such methods have been developed only for certain species, such as M. circinelloides [11][12][13][14].
Application of the CRISPR-Cas9 system provides a versatile genome editing technique, which has already been used to target and disrupt genes in some pathogenic fungi, such as in Aspergillus fumigatus [18], Candida albicans [19], C. glabrata [20] or Cryptococcus neoformans [21] Recently, the method has also successfully been adapted to two members of Mucorales, M. circinelloides [14,15] and R. delemar [11].
Various methods have been developed to carry out the CRISPR-Cas9-based genome editing in fungi [22]. In vivo expression systems involve the application of plasmids, which assure the expression of the Cas9 enzyme and the elements of the gRNA, i.e., the CRISPR-RNA (crRNA) containing the protospacer sequence and the trans-activating crRNA (tracrRNA). This strategy was used to induce targeted point mutations in the genome of R. delemar and construct a uracil auxotrophic strain [11]. It should be mentioned that in vivo systems may have the drawbacks of time-consuming plasmid construction, the possible presence of heterologous sequences in the genome-edited strains (such as bacterial antibiotic resistance genes) and maintenance of the plasmid and expression of the system after the genome edition event, which may cause off-target effect or other interference between the transferred DNA and the host genome [14].
In vitro CRISPR-Cas9 systems use a plasmid-free strategy where the purified Cas9 enzyme and the in vitro transcribed gRNA complex is transferred together into the recipient cells. Application of such in vitro systems can minimalize the chance for the emergence of the off-target effect and assure the rapid degradation of the CRISPR-Cas9 ribonucleoprotein complex after the genetic modification [23]. This approach was successfully applied to construct single and multiple gene disruption mutants in P. chrysogenum [24] and M. circinelloides [14,15]. This in vitro, plasmid-free strategy has been adapted to achieve stable, targeted gene disruption in L. corymbifera in the present study.
Cas9 causes double-strand breaks at the targeted site, which is repaired by either the non-homologous end joining (NHEJ) or the homology-directed repair (HDR) mechanisms of the cell. The latter requires the presence of a template DNA containing sequences homologous with the targeted site to drive the homologous recombination. NHEJ generally causes indel (insertion or deletion) mutations and can be used for targeted gene disruption. These indel mutations are generally short with lengths ranging from one to a few tens of nucleotides in various fungi [11,18,22,25]. In our study, NHEJ repair induced various 1-5 nucleotides long deletions in the pyrG gene of L. corymebifera. Previously, the same mechanism was used to induce a 1-nucleotide deletion in the pyrF gene of R. delemar [11]. Interestingly, NHEJ caused extensive, more than 2 kbp long, deletions in the targeted carB and the adjacent genes of M. circinelloides, raising that HDR can be the preferred approach for the CRISPR-Cas9 genome editing of that fungus [14].
Although 16 5-FOA resistant L. corymbifera strains were isolated, 10 of them harbored deletions at the targeted site as a consequence of the CRISPR-Cas9 mutagenesis. 5-FOA resistance can be used to select for mutants in the genes pyrF encoding orotate phosphoribosyl transferase and pyrG encoding OMP decarboxylase [12,16]. Both genes participate in the uridine biosynthesis pathway and their deletion causes uracil auxotrophy. For the two genes, uracil auxotrophic and 5-FOA resistant mutants can emerge spontaneously [11,16]. Such spontaneous mutations, possibly in the pyrF gene, may have caused the six false-positive colonies.
Besides demonstrating the applicability of the CRISPR-Cas9 methods for the genetic modification of L. corymbifera, another aim of the study is to construct a stable uracil auxotrophic mutant, which can be applied in further gene manipulation and genetic transformation studies as a recipient strain. Using this strain, the pyrG gene of L. corymbifera can be applied as a selectable marker. Uracil auxotrophy may cause decreased growth and pathogenicity, and several studies have demonstrated that the pyrimidine biosynthetic pathway can affect these processes [26][27][28][29]. Recently, Binder et al. [30] reported that the uracil auxotrophy of M. circinelloides caused decreased virulence in the alternative Galleria model. However, uracil or uridine availability and activity of the uptake mechanisms can modify these effects in the different species and strains [31]. Therefore, growth ability, stress tolerance, and virulence were tested in the mutants. In general, disruption of the pyrG gene had a moderate effect on the viability of the mutants. It did not affect the morphology and the pathogenicity of the fungus and slightly decreased its growth at certain temperatures and under cell wall stress. H 2 O 2 may induce biophysical and permeability changes in the cell membrane [32], potentially affecting the uracil uptake in the auxotrophic strains. However, the H 2 O 2 sensitivity of the mutants only slightly differed from those of the parental strain. At the same time, complementation of the disrupted pyrG gene restored the original phenotype. These results indicate that the pyrG mutants can be used as recipient strains in gene manipulation and other functional genetic experiments.

Strains, Media and Growth Conditions
The L. corymbifera type-strain (CBS 429.75) was used in this study. For nucleic acid extractions, 10 6 sporangiospores were plated onto a solid minimal medium (YNB; 10 g glucose, 0.5 g yeast nitrogen base without amino acids (BD Difco, Becton Dickinson, Franklin Lakes, NJ, USA), 1.5 g (NH 4 ) 2 SO 4 , 1.5 g sodium glutamate, and 20 g agar per liter) supplemented with uracil (0.5 mg/mL), if required. Fungal cultures were grown for 4 days at 37 • C. To examine the effect of the temperature on fungal growth, strains were cultivated on solid YNB supplemented with uracil at 30, 35, 37, and 40 • C, plating 10 4 spores onto the medium. To test the mitotic stability of the transformants, malt extract agar (MEA; 10 g glucose, 5 g yeast extract, 10 g malt extract, and 20 g agar per liter) was used as the complete, non-selective medium.  Table 1. Using these sequences, the crRNA and the tracrRNA molecules were purchased from IDT as Alt-R CRISPR crRNA and Alt-R CRISPR-Cas9 tracrRNA, respectively. To form the crRNA:tracrRNA duplex (i.e., the gRNA), the Nuclease-Free Duplex Buffer (IDT, Coralville, IA, USA) was used according to the instructions of the manufacturer. To prove the mutations generated in the transformants, the pyrG gene was amplified by PCR using the Phusion Flash High-Fidelity PCR Master Mix kit (Thermo Scientific, Waltham, MA, USA) and the primer pair LcpyrGfw (5 -atgaacaccttcaagacatacag-3 ) and LcpyrGrev (5 -ctactgcttttgcacacgttc-3 ). The amplified fragment was then sequenced commercially by LGC Genomics (Berlin, Germany).

Transformation
The polyethylene glycol (PEG)-mediated protoplast transformation was used to introduce one of the gRNAs and the Cas9 enzyme (Alt-R S.p. Cas9 Nuclease; IDT, Coralville, IA, USA) simultaneously into the L. corymbifera cells as described earlier for M. circinelloides [14]. Ten µM gRNA and 10 µM Cas9 nuclease were added to the protoplasts in one transformation reaction. Transformants were selected on solid YNB medium supplemented with 0.8 M sorbitol as an osmotic stabilizer, 0.5 g/L uracil, and 1 g/L 5-FOA (Thermo Scientific, Waltham, MA, USA).

H 2 O 2 Susceptibility Tests
The sensitivity of the fungal strains to H 2 O 2 was examined in a 96-well microtiter plate assay. H 2 O 2 solution (Sigma Aldrich, St. Louis, MO, USA) was dissolved in liquid YNB medium to prepare a 100-mM stock solution. Final concentrations of H 2 O 2 in the wells ranged from 0 to 10 mM; chemicals were diluted with liquid YNB medium. Spore suspensions were also prepared in liquid YNB (supplemented with 0.5 g/L uracil, if required), and the final amount of the spores in the wells was set to 10 5 . Plates were incubated for 48 h at 37 • C and the optical density of the fungal cultures was measured at 620 nm using a SPECTROstar Nano (BMG Labtech, Ortenberg, Germany) microplate reader. The uninoculated medium was used as the background for the calibration, and fungal growth in the H 2 O 2 -free medium was considered as 100%; all experiments were performed in triplicates.

Survival Experiments in Drosophila melanogaster
Pathogenicity of the original CBS 429.75 L. corymbifera strain and one of the constructed mutants (CBS 429.75-pyrG cr1 /1) was tested in D. melanogaster. Spore suspensions were prepared with sterile phosphate buffer saline (PBS; 137 mM NaCl, 2.7 mM KCl, 10 mM Na 2 HPO 4 , 2 mM KH 2 PO 4 , pH 7.4) from 4-day-old cultures grown on YNB plates (supplemented with 0.5 g/L uracil, if required) at 37 • C. The final inoculum concentrations were adjusted to 1 × 10 7 spores/mL with PBS. Drosophila stocks were raised and kept following the infection on standard cornmeal agar medium at 25 • C. The Oregon R strain, originally obtained from the Bloomington stock center, was used as the wild-type throughout the experiments. Infection was performed by dipping a thin needle in a suspension of fungal conidia (10 7 conidia/mL) or PBS for the uninfected control, and, subsequently, the thorax of the anesthetized fly was pricked. Flies were counted at different points of time to monitor survival. Flies were moved into fresh vials every other day. Each experiment was performed with approximately 60 flies for each genotype. The results shown are representative of at least three independent experiments.

Construction of Plasmids for the Complementation of Uracil Auxotrophy
The pyrG gene with its own promoter and terminator sequences was amplified by PCR using the Phusion Flash High-Fidelity PCR Master Mix (Thermo Scientific, Waltham, MA, USA) and the primer pair LcpyrG1 (5 -gtaatagcaaggaccaccgagtga-3 ) and LcpyrG2 (5 -gaacaattaagagccgttgaatcc-3 ). The amplified fragment was ligated into the pJet1.2 cloning vector (Thermo Scientific, Waltham, MA, USA), arising the plasmid pLcpyrGcompl (Figure 3a), which was used to complement the uracil auxotrophy of the pyrG disrupted mutants. The plasmid was transformed into the mutants by PEG-mediated protoplast transformation. Transformants were selected on YNB plates without the addition of uracil. One transformant colony was isolated and analyzed for each mutant. The presence of the plasmids and the pyrG gene in the transformants were proven by PCR using the pJet1.2 forward sequencing primer (5 -cgactcactatagggagagcggc-3 ), which has the binding site on the plasmid, and the LcpyrGrev primer (Figure 3b).