Disparate Candida albicans Biofilm Formation in Clinical Lipid Emulsions Due to Capric Acid-Mediated Inhibition

Copyright © 2019 American Society for Microbiology..

Receipt of parenteral nutrition (PN) remains an independent risk factor for developing catheter-related bloodstream infections (CR-BSI) caused by fungi, including by the polymorphic fungus Candida albicans, which is notoriously adept at forming drug-resistant biofilm structures. Among a variety of macronutrients, PN solutions contain lipid emulsions to supply daily essential fats and are often delivered via central venous catheters (CVCs). Therefore, using an in vitro biofilm model system, we sought to determine whether various clinical lipid emulsions differentially impacted biofilm growth in C. albicans We observed that the lipid emulsions Intralipid and Omegaven both stimulated C. albicans biofilm formation during growth in minimal medium or a macronutrient PN solution. Conversely, Smoflipid inhibited C. albicans biofilm formation by approximately 50%. Follow-up studies revealed that while Smoflipid did not impair C. albicans growth, it did significantly inhibit hypha formation and hyphal elongation. Moreover, growth inhibition could be recapitulated in Intralipid when supplemented with capric acid-a fatty acid present in Smoflipid but absent in Intralipid. Capric acid was also found to dose dependently inhibit C. albicans biofilm formation in PN solutions. This is the first study to directly compare different clinical lipid emulsions for their capacity to affect C. albicans biofilm growth. Results derived from this study necessitate further research regarding different lipid emulsions and rates of fungus-associated CR-BSIs.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:63

Enthalten in:

Antimicrobial agents and chemotherapy - 63(2019), 11 vom: 12. Nov.

Sprache:

Englisch

Beteiligte Personen:

Willems, Hubertine M E [VerfasserIn]
Stultz, Jeremy S [VerfasserIn]
Coltrane, Molly E [VerfasserIn]
Fortwendel, Jabez P [VerfasserIn]
Peters, Brian M [VerfasserIn]

Links:

Volltext

Themen:

4G9EDB6V73
8001-22-7
Biofilm
Candida
Candida albicans
Catheter
Decanoic Acids
Decanoic acid
Emulsions
Fatty Acids
Fungi
Infection
Infection control
Journal Article
Lipid emulsions
Lipids
Parenteral nutrition
Phospholipids
Research Support, Non-U.S. Gov't
Soybean Oil
Soybean oil, phospholipid emulsion

Anmerkungen:

Date Completed 06.08.2020

Date Revised 20.01.2022

published: Electronic-Print

Citation Status MEDLINE

doi:

10.1128/AAC.01394-19

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM300163940