The genetic disease cystic fibrosis (CF) frequently leads to chronic lung infections by bacteria and fungi. We identified three individuals with CF with persistent lung infections dominated by
Clavispora
(
Candida
)
lusitaniae
. Whole-genome sequencing analysis of multiple isolates from each infection found evidence for selection for mutants in the gene
MRS4
in all three distinct lung-associated populations. In each population, we found one or two unfixed, non-synonymous mutations in
MRS4
relative to the reference allele found in multiple environmental and clinical isolates including the type strain. Genetic and phenotypic analyses found that all evolved alleles led to loss of function (LOF) of Mrs4, a mitochondrial iron transporter. RNA-seq analyses found that Mrs4 variants with decreased activity led to increased expression of genes involved in iron acquisition mechanisms in both low iron and replete iron conditions. Furthermore, surface iron reductase activity and intracellular iron were much higher in strains with Mrs4 LOF variants. Parallel studies found that a subpopulation of a CF-associated
Exophiala dermatitidis
infection also had a non-synonymous LOF mutation in
MRS4
. Together, these data suggest that
MRS4
mutations may be beneficial during chronic CF lung infections in diverse fungi, perhaps, for the purposes of adaptation to an iron-restricted environment with chronic infections.
IMPORTANCE
The identification of
MRS4
mutations in
Clavispora
(
Candida
)
lusitaniae
and
Exophiala dermatitidis
in individuals with cystic fibrosis (CF) highlights a possible adaptive mechanism for fungi during chronic CF lung infections. The findings of this study suggest that loss of function of the mitochondrial iron transporter Mrs4 can lead to increased activity of iron acquisition mechanisms, which may be advantageous for fungi in iron-restricted environments during chronic infections. This study provides valuable information for researchers working toward a better understanding of the pathogenesis of chronic lung infections and more effective therapies to treat them.