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Applied and Environmental Microbiology, August 2007, p. 5011-5019, Vol. 73, No. 15
0099-2240/07/$08.00+0 doi:10.1128/AEM.00285-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Control of Mycosphaerella graminicola on Wheat Seedlings by Medical Drugs Known To Modulate the Activity of ATP-Binding Cassette Transporters
Ramin Roohparvar,1,2
Aurelie Huser,1,3
Lute-Harm Zwiers,1,4 and
Maarten A. De Waard1*
Laboratory of Phytopathology, Wageningen University, P.O. Box 8025, 6700 EE Wageningen, The Netherlands,1
Department of Cereal Research, Seed and Plant Improvement Institute, Agricultural Research and Education Organization, P.O. Box 31585-4119, Karaj, Iran,2
Department of Molecular Plant Microbe Interactions, Molecular Plant Development, Max Planck Institute of Plant Breeding Research, Carl von Linne Weg 10, 50829 Köln, Germany,3
Centraalbureau voor Schimmelcultures, Fungal Biodiversity Centre, P.O. Box 85167, 3508 AD Utrecht, The Netherlands4
Received 5 February 2007/
Accepted 23 May 2007

ABSTRACT
Medical drugs known to modulate the activity of human ATP-binding
cassette (ABC) transporter proteins (modulators) were tested
for the ability to potentiate the activity of the azole fungicide
cyproconazole against in vitro growth of
Mycosphaerella graminicola and to control disease development due to this pathogen on wheat
seedlings. In vitro modulation of cyproconazole activity could
be demonstrated in paper disk bioassays. Some of the active
modulators (amitriptyline, flavanone, and phenothiazines) increased
the accumulation of cyproconazole in
M. graminicola, suggesting
that they reversed cyproconazole efflux. However, synergism
between cyproconazole and modulators against
M. graminicola on wheat seedlings could not be shown. Despite their low in
vitro toxicity to
M. graminicola, some modulators (amitriptyline,
loperamide, and promazine) did show significant intrinsic disease
control activity in preventive and curative foliar spray tests
with wheat seedlings. The results suggest that these compounds
have indirect disease control activity based on modulation of
fungal ABC transporters essential for virulence and constitute
a new class of disease control agents.

INTRODUCTION
Plant-pathogenic fungi possess various mechanisms to cope with
the activity of natural toxic compounds that may occur in their
living environments. These compounds can be either antibiotics
produced by other microorganisms or plant defense compounds
present in host plants, such as phytoalexins and phytoanticipins.
The mechanisms may involve the evolution of insensitive target
sites, compartmentalization, and metabolism of toxic compounds
into nontoxic products. Another mechanism operating in many
organisms involves reduced accumulation of toxic compounds at
the target site due to secretion by ATP-binding cassette (ABC)
and major facilitator superfamily (MFS) transporters (
8,
33).
These transporters are membrane pumps that can transport a wide
variety of natural products, including plant antimicrobials.
Transport mediated by these transport systems into the outer
environment can significantly reduce the intracellular concentration
of toxicants and protect organisms with a sensitive target site
against toxic activity of toxic compounds. The validity of this
mechanism of natural insensitivity to natural toxic products
was first demonstrated in studies with a mutant of
Staphylococcus aureus that lacks the multidrug pump NorA (
18). The same mechanism
has been described for the ABC transporters BcAtrB and GpAbc1
from the plant pathogens
Botrytis cinerea and
Gibberella pulicaris,
which function as virulence factors of these pathogens by providing
protection against the plant defense products resveratrol in
grapevine and rishitin in potato, respectively (
11,
28). The
importance of ABC transporters in virulence has also been established
for ABC transporter mutants of
Magnaporthe grisea and
Mycosphaerella graminicola on rice and wheat, respectively. However, the plant
defense compounds acting as substrates for these transporters
have not yet been identified (
32,
34). MFS transporters can
also mediate natural insensitivity to plant defense compounds,
as shown for Bcmfs1 from
B. cinerea and MgMfs1 from
M. graminicola (
15,
27).
A second physiological function of ABC and MFS transporters from plant pathogens is the secretion of endogenous toxic products that are relevant for saprophytic survival and virulence on host plants. The known examples are MFS transporters of Cercospora kikuchii, Cochliobolus carbonum, and Fusarium sporothichioides that mediate the secretion of cercosporin, HT toxin, and trichothecene, respectively (1, 4, 23). These transporters also function in self-protection against the toxins. ABC transporters with a similar role in the virulence of plant pathogens have not been reported, but it is expected that they do exist.
ABC and MFS transporters belong to the largest protein families identified. The redundancy of the transporters and their broad and overlapping substrate specificities explain why these proteins are also able to transport xenobiotics over biological membranes. The xenobiotics transported include medical drugs, antibiotics, antimycotics, and agricultural fungicides (2). In this respect, ABC transporters have become particularly known for their role in multidrug resistance (MDR), which is the simultaneous development of resistance against multiple unrelated chemicals. This phenomenon was first demonstrated in cancer cells after prolonged treatment with anticancer drugs. MDR can be based on overexpression of specific ABC transporters that prevent accumulation of the drugs in cancer cells to effective concentrations at their target sites (13). At present, MDR is also a serious threat to effective control of bacterial and fungal diseases in mammals and a potential risk in chemical control of agricultural pests and diseases (9).
The important role of ABC transporters in MDR of cancer cells has led to wide interest in pharmacological agents that inhibit the activity of ABC transporters. Such agents are described in medical literature as modulators or reversal agents since they may reduce MDR in oncology (26). The wide interest in these agents has resulted in the discovery of hundreds of compounds that inhibit ABC transporter activity. Some characteristics of these compounds involve amphiphilic properties, the presence of aromatic rings, and a positive charge at neutral pH (39). In oncology, modulators are classified as first-generation modulators (compounds already used in clinics for other indications), second-generation modulators (analogues of these drugs), and third-generation modulators (drugs with original structures developed for the purpose of MDR reversal) (26). Many natural toxic compounds, such as plant alkaloids and flavonoids, have also been described as multidrug pump inhibitors (14, 21). Isoflavones have been described as potentiators of antibacterial activity of natural toxic plant compounds, indicating that they enhance activity of (endogenous) natural antimicrobial compounds (8, 22). Recently, the synthetic flavonoid derivative 4'-hydroxyflavone was identified as an inhibitor of fungicide efflux in the plant pathogen Pyrenophora tritici-repens which is capable of restoring fungicide activity against fungicide-resistant isolates to normal wild-type sensitivity (25). In view of the considerations described above, modulators of fungal ABC transporters can be regarded as promising lead compounds for control of disease due to plant pathogens. The putative ways in which these compounds can be exploited are summarized in Table 1.
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TABLE 1. Putative functions of ABC transporters from plant pathogens and exploitation of modulators of these proteins in disease control
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In this study we selected from the literature a number of modulators
representing diverse chemical groups. These compounds were analyzed
to determine their in vitro modulation of azole fungicide activity
against isolates of
M. graminicola that differ in sensitivity
to azoles. This fungus is considered the major threat for wheat
crops in Europe and causes serious losses in both bread and
durum wheat. Disease management is based mainly on the use of
resistant wheat cultivars and chemical control, particularly
with azole fungicides. Compounds which enhanced the activity
of the azole fungicide cyproconazole in vitro were tested further
to determine their effects on accumulation of azole fungicides
in mycelium and to determine their synergistic activities in
control of the pathogen. Some of the modulators selected displayed
disease control activity on their own. The activities of these
products were analyzed further.

MATERIALS AND METHODS
Fungal strains, cultural conditions, and preparation of biomass suspensions.
The
M. graminicola strains used in this study were field isolates
IPO323 and S190, originating from The Netherlands and Germany,
respectively (
19,
31). Strains IPO323 and S190 are field isolates
with relatively high and low sensitivities to azole fungicides,
respectively. Strain IPO323C1 was isolated in the laboratory
by selection for resistance to cyproconazole. This strain has
an MDR phenotype with unrelated compounds, such as cycloheximide
and rhodamine 6G (
42). Yeast-like cells and mycelia of these
strains were grown in liquid yeast extract-sucrose medium and
Czapek Dox mycological peptone, respectively, as described previously
(
42). Cells used for inoculation experiments were harvested
by centrifugation at 3,000
x g for 10 min at 10°C, washed
once in sterile MilliQ water, and resuspended in 0.15% Tween
20 at a density of 10
7 cells ml
–1. Cell suspensions used
for accumulation experiments were washed and resuspended in
50 mM potassium phosphate buffer (pH 6.0) containing 10 g liter
–1 glucose at a density of 6 mg (wet weight) ml
–1. Mycelial
suspensions used for accumulation experiments were prepared
by filtering cultures with a 0.85-mm-pore-size sieve and collecting
the mycelia on a 0.055-mm-pore-size sieve. The collected mycelia
were washed and resuspended in the same buffer that was used
for cell suspensions.
Toxicity bioassays.
Paper disks (diameter, 6 mm; Whatman) were saturated in methanolic solutions of modulators (3,000 mg liter–1) and used in paper disk bioassays. The disks were dried, placed on plates (diameter, 9 cm) with potato dextrose agar (PDA; 20 ml) seeded with M. graminicola cells (107 cells ml–1), and amended with cyproconazole at sublethal concentrations. Six paper disks per modulator were used in each plate. The diameters of inhibition zones around the disks were measured after incubation at 20°C for 14 days. The experiment was carried out in duplicate and repeated twice. In agar growth bioassays plates (diameter, 9 cm) with PDA (20 ml) amended with modulators or fungicides at various concentrations were inoculated in triplicate with 5-µl drops of an M. graminicola cell suspension (4 x 105 cells ml–1) and incubated at 20°C for 10 days. Then MICs that fully inhibited growth were determined.
Crossed-paper-strip bioassay.
Filter paper strips (0.7 by 8 cm) were saturated in methanolic solutions of modulators (3,000 mg liter–1) and cyproconazole (1 and 10 mg liter–1). The strips were dried and transferred to plates (diameter, 9 cm) containing PDA (15 ml) and seeded with M. graminicola cells (107 cells ml–1). Plates seeded with strain IPO323 contained a strip treated with 1 mg liter–1 cyproconazole, and plates seeded with strains S190 and IPO323C1 contained a strip treated with 10 mg liter–1 cyproconazole. The growth patterns along the paper strips were visually assessed after incubation at 20°C for 14 days.
Foliar spray experiments.
The disease control activities of modulators alone and in combination with cyproconazole were tested in preventive foliar spray experiments with wheat seedlings (
20 seedlings) grown in pots (6 by 6 cm). Cultivars Obelisk and Vivant were used in experiments with strains IPO323 and S190, respectively. Foliar spraying was carried out in a spray cabinet equipped with a turntable. Wheat seedlings (8 days old) were sprayed with modulators alone (0, 30, 100, 300, and 1,000 mg liter–1) and with modulators mixed with cyproconazole (0.1 mg liter–1) for 2 min at a pressure of 0.8 x 105 Pa, until runoff. Control seedlings were sprayed with 0.15% Tween 20. The seedlings were dried overnight and subsequently sprayed with cell suspensions of M. graminicola strains at a density of 107 cells ml–1 in 0.1% Tween 20. Inoculated plants were placed on water-soaked cloths in sealed containers with Perspex lids at 18°C in climate rooms in the dark. Control plants and plants treated with modulators were placed in separate boxes in order to avoid the effects of possible vapor-phase activity. After 2 days of incubation a 16-h daylight period was applied. Emerging second leaves were clipped every 4 to 5 days to facilitate disease assessment and light penetration. Virulence was assessed visually by evaluation of necrotic leaf areas (10 leaves per treatment) and the abundance of pycnidia in necrotic lesions at 16 and 21 days postinoculation (dpi). An estimate of the expected interaction between cyproconazole (0.1 mg liter–1) and modulators (30 and 300 mg liter–1) was calculated using the equation of Colby (5): E = XpYq/100, where E is the expected disease expressed as a percentage of the control for the mixture of compounds A and B (at concentrations p and q) and Xp and Yq are the observed disease levels expressed as a percentage of the control with a single compound (compound A at concentration p or compound B at concentration q). A deviation from the expected response indicates synergism or antagonism. Curative foliar spray experiments were performed by application of compounds in a way similar to the way described above but 1 day after fungal inoculation. The experiments were carried out in triplicate.
Accumulation of cyproconazole.
Cell and mycelial suspensions (55 ml) were incubated in flasks (300 ml) at 25°C and 140 rpm for 30 min. At zero time [14C]cyproconazole (Syngenta, Basel, Switzerland) was added to an external concentration of 100 µM (1.5 MBq mmol–1). Modulators were added 30 min after the addition of cyproconazole to external concentrations of 100 and 300 µM. Amitriptyline, chlorpromazine, flavanone, and promazine at a concentration of 300 µM are equivalent to 94, 96, 47, and 106 mg liter–1, respectively. Cells and mycelia were harvested at intervals by vacuum filtration of samples (5 ml) and washed five times with 5 ml of phosphate buffer (pH 6.0), and the radioactivity in the biomass was measured with a Beckman LS6000TA liquid scintillation counter. Accumulation of [14C]cyproconazole was expressed as nmol mg (dry weight) of biomass–1 (42).

RESULTS
Selection of experimental modulators.
In a classical overview of drugs that alter MDR in cancer cells,
Ford and Hait (
12) categorized modulators as calcium channel
blockers, calmodulin antagonists,
Vinca alkaloids, steroids,
hormonal analogs, and miscellaneous hydrophobic cationic compounds
(Table
2). Since that study numerous other modulators have been
described, and a number of them are also listed in Table
2.
Modulators used in the present study are indicated. Calcium
channel blockers and cyclosporins were not included since similar
experiments with
B. cinerea were not successful (
16). A relatively
large number of phenothiazines were selected because some of
these compounds showed strong synergistic activity with the
azole fungicide oxpoconazole against
B. cinerea in vitro (
16).
Most of the polyphenol and flavonoid modulators listed in Table
2 are natural products that occur abundantly in plants, including
food crop species. This suggests that the mammalian toxicity
of these compounds is low. Modulation of fungal ABC transporters
by plant polyphenols and flavonoids may imply that these compounds
can enhance the activity of the plants' own natural antimicrobial
compounds. Such a mechanism might contribute to the basal insensitivity
of a nonhost plant to plant pathogens. In order to test this
hypothesis, relatively large numbers of polyphenol and flavonoid
compounds were tested. The flavonoid 2-(4-ethoxy-phenyl)-chromen-4-one
was described as an azole efflux inhibitor of
P. tritici-repentis (
25). Since this compound is not commercially available, we
tested the structural analogue 5,7-dimethoxy-2-phenyl-chromen-4-one.
Interaction between cyproconazole and modulators in paper disk bioassays.
The experimental modulators with fungitoxic activity against
most of the
M. graminicola strains tested were amitriptyline,
the phenothiazines chlorpromazine, promazine, and thioridazine,
diethylstilbestrol, and flavanone (Table
3). Phenothiazines
had relatively high fungitoxic activity. The activity of amitriptyline
seemed to be weaker against strain S190 than against wild-type
strain IPO323. For most of these compounds the inhibition zones
in plates with cyproconazole were larger than those in plates
without the fungicide, suggesting that the compounds did potentiate
cyproconazole activity. The phenothiazines had a relatively
strong effect against all
M. graminicola strains tested, suggesting
that these compounds are interesting candidates for further
research. The experimental modulators without fungitoxic activity
under the test conditions used included plant alkaloids, polyphenols,
and flavonoids (Table
3). Most of these compounds did not potentiate
the activity of cyproconazole; the only exceptions were imipramine
and loperamide in tests with strain IPO323.
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TABLE 3. Activities of putative modulators of ABC transporter activity in paper disk bioassays in the absence and presence of cyproconazole for growth of M. graminicola strains IPO323 (wild type), IPO323C1 (cyproconazole-resistant laboratory mutant), and S190 (field isolate with relatively low cyproconazole sensitivity)
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Interaction between cyproconazole and modulators in crossed-paper-strip bioassays.
All compounds were screened for modulating activity with cyproconazole
in crossed-paper-strip bioassays with
M. graminicola IPO323,
S190, and IPO323C1. The phenothiazines chlorpromazine, promazine,
and thioridazine clearly synergized the activity of cyproconazole.
The modulating activities of these compounds with strain IPO323
are shown in Fig.
1. Diethylstilbestrol, flavanone, loperamide,
naringenin, and quinidine showed weak synergistic interactions
with cyproconazole only for growth of strain IPO323C1. Most
other interactions tested were independent; the only exception
was the interaction with resorcinol, which antagonized the activity
of cyproconazole with all strains tested, especially strain
S190.
MICs of modulators in agar growth tests.
The MICs of eight experimental modulators with synergistic activity
in mixtures with cyproconazole in paper disk bioassays were
determined in agar growth tests. Rutin, which did not display
any synergism, and cyproconazole itself were included as controls.
Table
4 shows that the toxicities of the modulators towards
M. graminicola IPO323 and S190 are low compared to that of cyproconazole.
For strain IPO323, the ratio of the MIC of the modulator to
the MIC of cyproconazole was 1.000 or even higher for most of
the modulators tested. A relatively low value was found only
for diethylstilbestrol (ratio, 100). The MICs of two of the
three phenothiazines tested (promazine and thioridazine) correlated
with the MICs of cyproconazole for strain IPO323 and S190.
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TABLE 4. MICs of modulators and cyproconazole for growth of M. graminicola strains IPO323 and S190 in agar growth tests
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Disease control activities of modulators.
The disease control activities of some of the experimental modulators
listed in Table
4 were tested using
M. graminicola strains IPO323
and S190 and cultivar Obelisk and Vivant wheat seedlings, respectively,
in preventive foliar spray experiments. In control treatments,
the first symptoms became visible at 8 dpi as small chlorotic
spots near the tips of the leaves. In time, the lesions expanded
longitudinally across the leaves and developed into necrotic
lesions covered with pycnidia. At 21 dpi, the percentages of
the leaf area with these symptoms for cultivars Obelisk and
Vivant were 64% and 87%, respectively. The disease control activities
of eight modulators were studied (Table
5). All compounds showed
significant disease control activity in treatments with 30 and
300 mg liter
–1 (
P < 0.05). Promazine was the most active
compound against strain IPO323 on wheat cultivar Obelisk since
the disease control activity was 97% of the control. The disease
control activities for the other compounds varied from 23 to
85% (Table
5). The disease control activities of the modulators
against strain S190 on wheat cultivar Vivant were also obvious.
Amitriptyline and quinidine were the most active compounds,
showing up to 78% disease control activity (Table
5). Treatment
of plants with modulators at a concentration of 1,000 mg liter
–1 or higher caused phytotoxic symptoms, visible as necrotic lesions
at 10 dpi (results not shown). Visible necrotic symptoms were
not observed at a concentration of 300 mg liter
–1 or lower.
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TABLE 5. Activities of compounds described in literature as modulators of ABC transporters in the control of M. graminicola on wheat seedlings in preventive foliar spray experiments
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Experimental modulators with relatively high disease control
activity in the preventive foliar spray tests (amitriptyline,
loperamide, and promazine) were studied further in curative
foliar spray tests by applying foliar sprays with the compounds
1 day after inoculation of the wheat seedlings. Disease development
was assessed at 16 and 21 dpi (Fig.
2). Figure
2 shows that
all compounds tested had a significant effect on disease development,
especially at 16 dpi. At 21 dpi, the disease control activity
was still obvious but less than that at 16 dpi, indicating that
the activity of modulators is transient in time.
Disease control activities of mixtures of modulators and cyproconazole.
Interactions between experimental modulators and cyproconazole
in disease control were studied using mixtures of modulators
at 30 and 300 mg liter
–1. The cyproconazole concentration
in the mixtures was set at 0.1 mg liter
–1 since preliminary
experiments demonstrated that this concentration controlled
about 50% of the disease in foliar spray experiments, which
is the optimal percentage to study synergism with other compounds
(Table
6). The experiments were performed simultaneously with
the experiments to assess the disease control activity of modulators
using preventive foliar spray (Table
5). An overview of the
observed and expected necrotic leaf areas in disease control
experiments with
M. graminicola strains IPO323 and S190 on wheat
cultivars Obelisk and Vivant indicated that the observed necrotic
areas on leaves treated with mixtures were similar to or larger
than the expected necrotic leaf areas, suggesting that that
there were no synergistic activities for the interactions tested
(Table
6).
Effect of modulators on accumulation of cyproconazole.
Accumulation of cyproconazole in the absence of experimental
modulators in both yeast-like cells and mycelium of
M. graminicola IPO323 and S190 was slightly transient in time (Fig.
3). The
levels accumulated by strain S190 were higher than the levels
accumulated by strain IPO323. Addition of all modulators tested
caused an instantaneous increase in cyproconazole accumulation.
For most modulators the increase in fungicide accumulation was
transient. The exception was chlorpromazine added to yeast-like
cells. In this case, the level of cyproconazole that accumulated
remained at an almost constant elevated value. Modulators added
to mycelial and cell suspensions at a final concentration of
100 µM had similar effects on accumulation of cyproconazole,
but the effects were less pronounced (results not shown). Loperamide,
quinidine, and thioridazine (300 µM) did not significantly
enhance accumulation of cyproconazole in either cells or mycelium
(results not shown).

DISCUSSION
Several modulators described in the literature as compounds
that alter MDR in cancer cells were also able to increase the
activity of the azole fungicide cyproconazole against
M. graminicola.
This activity could be demonstrated for amitriptyline, diethylstilbestrol,
flavanone, and the phenothiazines chlorpromazine, promazine,
and thioridazine in paper disk bioassays with three strains
of the pathogen that differ in sensitivity to cyproconazole.
The modulating activity of the phenothiazines was also apparent
in crossed-paper-strip experiments. These results corroborate
the synergistic activities of chlorpromazine and cyproconazole
against
M. graminicola, as reported previously (
30). Chlorpromazine
can also modulate the activity of azole fungicides against
B. cinerea, particularly an azole-secreting, ABC transporter BcatrD
overexpression mutant (
16). Additional studies demonstrated
that amitriptyline, chlorpromazine, flavanone, and promazine
had instantaneous effects on the levels of cyproconazole accumulated
in yeast-like cells and mycelium of
M. graminicola, suggesting
that cyproconazole efflux by fungal drug transporters was inhibited.
Chlorpromazine had a relatively strong effect since its reversal
of efflux activity remained almost constant over time. This
characteristic of chlorpromazine may be related to its relatively
strong modulating activity in the in vitro assays. The modulating
activity may be due to affinity of the modulators to binding
sites of ABC transporter proteins which results in inhibition
of cyproconazole transport (
40).
Several ABC transporters of M. graminicola that can provide protection against azole fungicides have been described (41). Hence, it might be that reversal of the activity of one or more of these ABC transporters in M. graminicola by the phenothiazines or other compounds tested is responsible for the synergism with cyproconazole. The MFS transporter MgMfs1 has also been described as a potent transporter of azole fungicides (27). However, the compounds tested are not described in the literature as modulators of MFS transporters, and therefore modulation of MgMfs1 by phenothiazines is probably not responsible for the synergism observed.
Various models have been described to explain reversal of drug efflux activity mediated by ABC transporters (3). A proposed mechanism of action is direct binding of the modulator to a binding site(s) on the transporter protein, which results in blocking transport in either a competitive or noncompetitive mode (40).
Foliar spray experiments with mixtures of cyproconazole and modulators demonstrated that the expected disease control activity calculated as described by Colby (5) was merely additive or even antagonistic. Thus, none of the modulators tested showed synergism with cyproconazole in planta, not even the modulators exhibiting synergism in vitro. This situation contrasts with the modulating activity reported for a 4'-hydroxyflavone derivative for resistance to azoles and other fungicides in P. tritici-repens (25), but it is not uncommon for MDR modulators in clinical situations (26). There are several reasons that could explain the lack of in planta modulating activity: (i) the in planta-mediated degree of natural insensitivity or resistance of M. graminicola through ABC transporters is too low to show an interaction; (ii) the mixtures of fungicide and modulators may have had a phytotoxic or senescent effect on wheat, promoting its susceptibility to the pathogen; and (iii) cyproconazole is a systemic fungicide, while the modulators probably have only a residual effect on the leaf surface. These different properties may result in a rapid spatial separation of the two compounds in plant tissues, and once the pathogen has invaded the host via the stomatal cavities, it is exposed only to the fungicide. For these reasons similar experiments with an MDR strain of M. graminicola with high levels of resistance and a systemic modulator without phytotoxicity are recommended. However, field isolates with such a phenotype are not available. Laboratory mutants that possess MDR phenotypes (e.g., strain IPO323C1) are impaired in virulence on wheat, and systemic modulators are not known.
All experimental modulators tested individually controlled M. graminicola on wheat seedlings in preventive foliar spray experiments (Table 5). A curative foliar spray test (16 dpi) with amitriptyline, loperamide, and promazine demonstrated that at relatively low concentrations disease control is especially evident during the initial phase of disease development (Fig. 2). The reduced disease control activity observed later (21 dpi) can probably be ascribed to physical and metabolic breakdown of the compounds. The disease control efficacy of the compounds may be explained in different ways. One possibility is that the presence of the modulators leads to reversal of ABC transporters that act as pathogenicity factors, such as MgAtr4 (32). Thus, as shown in Table 1, modulator disease control activity can be ascribed to increased accumulation of plant defense products in the pathogen or reduced secretion of fungal toxins. This may apply particularly to modulators such as amitriptyline, loperamide, and promazine, which did not possess in vitro toxicity to M. graminicola in agar growth tests (Table 4). Compounds active in such a way can be regarded as disease control agents with an indirect mode of action. This hypothesis is difficult to verify since a clear role of fungal toxins and plant defense compounds in the interaction of M. graminicola and wheat has not been elucidated. Most of the other modulators that possessed disease control activity have low or moderate direct toxicity to M. graminicola in vitro (chlorpromazine, diethylstilbestrol, flavanone, promazine, and thioridazine). This may imply that the disease control activity of these compounds may be a consequence of both modulation of ABC transporter activity and direct activity against M. graminicola. For instance, the MICs of diethylstilbestrol and cyproconazole for in vitro growth were 30 and 0.3 mg liter–1, respectively, indicating that the toxicity ratio of the two compounds is 100 (Table 5). If the same ratio applied for disease control activity on wheat seedlings, approximately 50% disease control would be expected with diethylstilbestrol at a concentration of 10 mg liter–1 (50% disease control by cyproconazole is obtained at 0.1 mg liter–1) (Table 6). Indeed, disease control by diethylstilbestrol occurs with concentrations that are this order of magnitude, and for this reason disease control by this compound is probably due to direct toxicity to the pathogen. For compounds with an MIC of 300 mg liter–1 (chlorpromazine, flavanone, and promazine) similar reasoning is less obvious since their toxicity ratio with cyproconazole (1,000) probably cannot be fully explained by direct toxicity. Amitriptyline and loperamide belonged to the category of compounds with the highest MICs determined (>300 mg liter–1). Still, these compounds displayed relatively high disease control activity in both preventive and curative disease control tests at low concentrations. For these reasons it is likely that the disease control activity of amitriptyline, loperamide, and promazine is due to an indirect mode of action and not due to direct toxicity.
Remarkably, modulators with the highest disease control activity against M. graminicola (amitriptyline, loperamide, and promazine) also potentiate the activity of cyproconazole in paper disk bioassays. As described above, these two characteristics of modulators are not necessarily due to reversal of activity of the same ABC transporter(s). This reasoning implies that the modulators inhibit the activity of multiple ABC transporters and indicates that the compounds have no reversal selectivity. Such a property would make the in vitro selection of new reversal agents in bioassays as described in this paper easier. The modulators tested did not display phytotoxicity at a concentration of 100 mg liter–1 in foliar spray tests. This indicates that selective toxicity for different groups of organisms is feasible.
In conclusion, the results reported in this paper describe the first steps in the discovery and development of modulators of ABC transporter activity which potentiate the activity of azole fungicides towards plant pathogens and which may possess indirect disease control activity. The modulators with disease control activity are amitriptyline, loperamide, and promazine, which are known chemical drugs used for control of human diseases. The second step in the development of disease control agents could be the synthesis and screening of structural analogues of these compounds for improved biological activity, systemic activity in plants, and selective activity against plant pathogens and other classes of organisms. As a third step modulators with a new chemical structure can be developed. A similar sequence of events has been described for the development of modulators for clinical use (26).

ACKNOWLEDGMENTS
We acknowledge P. J. G. M. de Wit for critically reading the
manuscript and J. G. M. van Nistelrooij for skillful assistance
with the accumulation experiments.
We acknowledge the Agricultural Research and Education Organization (AREO) of Iran and the Iranian Ministry of Science, Research, and Technology for financial support of Ramin Roohparvar.

FOOTNOTES
* Corresponding author. Mailing address: Laboratory of Phytopathology, Wageningen University, P.O. Box 8025, 6700 EE Wageningen, The Netherlands. Phone: 31 317 48 31 23. Fax: 31 317 48 34 12. E-mail:
maarten.dewaard{at}wur.nl 
Published ahead of print on 1 June 2007. 

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Applied and Environmental Microbiology, August 2007, p. 5011-5019, Vol. 73, No. 15
0099-2240/07/$08.00+0 doi:10.1128/AEM.00285-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.