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Antifungal effects and potential mechanisms of lonidamine in combination with fluconazole against Candida albicans

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机构: [1]School of Pharmaceutical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, People’s Republic of China [2]Department of Clinical Pharmacy, The First Affiliated Hospital of Shandong First Medical University, Jinan, People’s Republic of China [3]Department of Pharmacy, Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing, China [4]Department of Clinical Pharmacy, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, People’s Republic of China
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关键词: Candida albicans fluconazole lonidamine biofilm drug resistance

摘要:
Objectives: The resistance of Candida albicans (C. albicans) to classical antifungals has been increasing significantly and poses great challenges to clinical treatment. The objective of this research is to evaluate whether the combination of lonidamine (LND) and fluconazole (FLC) have synergistic antifungal activity against C. albicans and to explore the underlying synergistic mechanisms against FLC-resistant C. albicans. Methods: The antifungal effect on resistant planktonic C. albicans and preformed biofilms were performed by broth microdilution assay and XTT reduction assay. The influence on hyphal growth, cellular ROS level, metacaspase activity and drug transporters were investigated by morphogenesis observation, DCFH-DA, FITC-VAD-FMK and rhodamine6G assay, respectively. Results: LND in combination with FLC exhibited synergistic antifungal effects against resistant planktonic C. albicans and preformed biofilms of C. albicans in the early stages (performed at 4 h and 8 h). The synergistic mechanisms associated with the inhibition of the hyphal growth and the activation of metacaspase, but were not related to mediate cellular ROS level or drug uptake and efflux in resistant C. albicans. Conclusion: LND combined with FLC exhibited synergistic antifungal activity against resistant C. albicans, and the synergistic mechanisms were related to anti-biofilms and reduce virulence factors. Expert opinion: The emergence of fluconazole-resistant Candida albicans strains poses great challenges to clinical treatment. Drug combination of non-antifungals and fluconazole has attracted a lot of attention to overcome Candida albicans drug resistance.

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出版当年[2020]版
大类 | 3 区 医学
小类 | 3 区 传染病学 3 区 微生物学 3 区 药学
最新[2023]版
大类 | 2 区 医学
小类 | 2 区 药学 3 区 传染病学 3 区 微生物学
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出版当年[2019]版:
Q2 INFECTIOUS DISEASES Q2 PHARMACOLOGY & PHARMACY Q2 MICROBIOLOGY
最新[2023]版:
Q1 PHARMACOLOGY & PHARMACY Q1 INFECTIOUS DISEASES Q2 MICROBIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]School of Pharmaceutical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, People’s Republic of China
通讯作者:
通讯机构: [2]Department of Clinical Pharmacy, The First Affiliated Hospital of Shandong First Medical University, Jinan, People’s Republic of China [4]Department of Clinical Pharmacy, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, People’s Republic of China [*1]Department of Clinical Pharmacy, The First Affiliated Hospital of Shandong First Medical University, Ji’nan 250014, P.R. China
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