Ahmed Samir Khairalla

Associate Professor

Basic Informations

C.V

Demonstrator employment date: 18/4/1999
Assistant lecturer employment date: 15/4/2007
Lecturer employment date: 21/7/2012

Master Title

Study On Post-Antifungal Effect (PAFE) of certain antifungal agents on Candida species and its impact on fungal virulence factors

Master Abstract

Abstract The study was conducted to determine the Post-antifungal effect (PAFE) induced by polyenes and azoles singly and/or combined, against clinical isolates of Candida species. The study was also focused on investigating the impact of PAFE on the candidal virulence factors, including germ tube formation (GTF), cell surface hydrophobicity (CSH), and adherence. The obtained results showed that the duration of the PAFEs of nystatin, fluconazole, ketoconazole, miconazole, and the combined (nystatin-ketoconazole) ranged from: (0.3-3 h), (0.3-1.2 h), (-1.4- 1 h), (0.3- 7.7 h), (0.7- 8 h) respectively, depending on the concentration and the species tested. When the antifungal's inhibitory effect on GTF of C. albicans was investigated during the PAFE period, it was found that almost total suppression of GTF was observed following 1 h exposure to nystatin singly, and the combined (nystatin – ketoconazole), while exposure to miconazole and ketoconazole caused less marked suppression of GTF. On the other hand, fluconazole induced very limited suppression of GTF. Transmission electron microscopy investigations of the antifungal-exposed C. albicans cells revealed suppressed attempts of germ tube formation. The lengths of germ tubes were in the following order: control (unexposed) > fluconazole > ketoconazole > miconazole > nystatin > combined (nystatin – ketoconazole) exposed cells. When the reduction in CSH was determined during PAFE period, it was observed that nystatin, and the combined (nystatin – ketoconazole) induced the highest reduction in CSH, while fluconazole induced only a limited reduction in the CSH. The impact of the tested antifungals on candidal adhesion to urinary catheters during the PAFE period was investigated. It was observed that the combined (nystatin- ketoconazole) caused the greatest reduction in adhesion, followed by nystatin, then miconazole, then ketoconazole, and finally was fluconazole, which caused limited reduction in the adhesion.

PHD Title

Identification of host immune cell receptors mediating the binding of meningococcal App/MspA proteins

PHD Abstract

Abstract Neisseria meningitidis, a major cause of bacterial meningitis and septicemia, secretes multiple virulence factors to the extracellular environment, including the adhesion and penetration protein (App) and the meningococcal serine protease A (MspA). Both proteins belong to the serine protease autotransporter family and have the capacity to adhere to host epithelial and endothelial cells. Besides, both proteins have been previously shown to be internalized and translocated to the nuclei of human brain microvascular endothelial cells and dendritic cells (DCs), where they modulate gene expression. However, host cell receptors, endocytic pathways, nuclear translocation mechanisms, and gene expression modulation associated with App or MspA are poorly defined. In an effort to address this knowledge gap, recombinant forms of the passenger domains of both proteins were purified under native conditions using cold shock expression technology. The purified proteins, designated rpdApp and rpdMspA, were used to raise polyclonal, affinity purified guinea pig antisera. These antibodies facilitated the investigation of interactions between both bacterial proteins and host cell molecules. One of these interactions highlighted in the present study is the entry of rpdApp and rpdMspA into human monocyte derived immature DCs via receptor mediated endocytosis. In vitro internalization and blocking assays showed that mannose receptor (MR) and transferrin receptor 1 are involved in the uptake of both proteins into DCs. Besides, two different approaches revealed that the binding of rpdApp and rpdMspA to MR is mediated specifically by the C type lectin like carbohydrate recognition domains 4 7 (CTLD4 7). Additionally, the recognition of both bacterial proteins by these domains was shown to be calcium dependent, in addition to being inhibitable by D mannose or L fucose, but not D galactose. Using gel overlay (Far Western) analysis, rpdApp and rpdMspA were shown to interact with two nucleocytoplasmic shuttling proteins, namely heat shock protein 70 (Hsp70) and galectin 3 (Gal 3), with some data suggesting that interactions with Gal 3 may be mediated by its carbohydrate recognition domain. Hsp70, which also interacts with the bacterial proteins, is characterized by possessing lectinic activity towards O linked ß N acetylglucosamine (O GlcNAc). Given the binding of App and MspA to different lectins, this study sought to examine the glycosylation status of both proteins, with a focus on O GlcNAc modifications and their possible interplay with phosphorylation. Using in silico prediction methods, multiple sites within each protein were identified as potential sites for phosphorylation, O GlcNAc modification, and alternative phosphorylation/O GlcNAc modification. These predictions were supported by a series of Western blot analyses, which reproducibly showed that several meningococcal secreted proteins, including those of the expected size of App or MspA (115 120 kDa), are modified by both O GlcNAc and tyrosine phosphorylation. The identity of the 115 to 120 kDa proteins was confirmed by stripping and reprobing the blots with antibodies against rpdApp and rpdMspA. However, attempts to detect these post translational modifications in a sample of meningococcal secreted proteins tagged with TAMRA alkyne by tandem mass spectrometry were unsuccessful. This may be attributed to the suppressive effect of the attached tag on trypsin cleavage and/or ionization efficiency. Finally, the results of Far Western and ELISA assays clearly demonstrated the interactions of rpdApp or rpdMspA with various histone subunits. Additionally, both proteins were shown to have trypsin-like serine protease activity and to be capable of cleaving recombinant histone H3.1 in vitro. The proteolytic activity of both proteins on H3.1 was shown to be specifically abolished by pre incubation with serine protease inhibitors. Collectively, these results extend our understanding of the virulence potential of App and MspA beyond the adhesive or invasive functions, and reveal their capacity to participate in multiple interactions with host molecules. Besides, the current findings provide the basis for future studies to explore the epigenetic alterations induced by both proteins. Hopefully, the information gained will provide new insights into meningococcal pathogenesis and will help in the development of improved therapeutic approaches against the disease.

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