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AbstractInvasive fungal disease accounts for about 3.8 million deaths annually, an unacceptable rate that urgently prompts the discovery of new knowledge‐driven treatments. We report the use of camelid single‐domain nanobodies (Nbs) against fungal β‐1,3‐glucanosyltransferases (Gel) involved in β‐1,3‐glucan transglycosylation. Crystal structures of two Nbs with Gel4 from Aspergillus fumigatus revealed binding to a dissimilar CBM43 domain and a highly conserved catalytic domain across fungal species, respectively. Anti‐Gel4 active site Nb3 showed significant antifungal efficacy in vitro and in vivo prophylactically and therapeutically against different A. fumigatus and Cryptococcus neoformans isolates, reducing the fungal burden and disease severity, thus significantly improving immunocompromised animal survival. Notably, C. deneoformans (serotype D) strains were more susceptible to Nb3 and genetic Gel deletion than C. neoformans (serotype A) strains, indicating a key role for β‐1,3‐glucan remodelling in C. deneoformans survival. These findings add new insight about the role of β‐1,3‐glucan in fungal biology and demonstrate the potential of nanobodies in targeting fungal enzymes to combat invasive fungal diseases.
570, invasive fungal infections, Antifungal Agents, Cell wall, Aspergillus fumigatus, Glucan Endo-1,3-beta-D-Glucosidase, 610, Glucanosyltransferases, http://metadata.un.org/sdg/3, Single-Domain Antibodies, nanobodies, transglycosylases, Mice, Invasive fungal infections, fungal diseases, Cryptococcus (fungi), Catalytic Domain, Cryptococcus neoformans, cell wall, Nanobodies, Animals, Transglycosylases, Ensure healthy lives and promote well-being for all at all ages
570, invasive fungal infections, Antifungal Agents, Cell wall, Aspergillus fumigatus, Glucan Endo-1,3-beta-D-Glucosidase, 610, Glucanosyltransferases, http://metadata.un.org/sdg/3, Single-Domain Antibodies, nanobodies, transglycosylases, Mice, Invasive fungal infections, fungal diseases, Cryptococcus (fungi), Catalytic Domain, Cryptococcus neoformans, cell wall, Nanobodies, Animals, Transglycosylases, Ensure healthy lives and promote well-being for all at all ages
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