A novel use for an old drug : resistance reversal in Candida albicans by combining dihydroartemisinin with fluconazole

Aim: To investigate the effects of dihydroartemisinin combined with fluconazole against C. albicans in vitro and to explore the underlying mechanisms. Materials & methods: Checkerboard microdilution assay and time-kill curve method were employed to evaluate the static and dynamic antifungal effects against C. albicans. Reactive oxygen species (ROS) was measured by a fluorescent probe. Results: Combination of dihydroartemisinin and fluconazole exerted potent synergy against planktonic cells and biofilms of fluconazole-resistant C. albicans, with the fractional inhibitory concentration index values less than 0.07. A potent fungistatic activity of this drug combination could still be observed after 18 h. The accumulation of ROS induced by the drug combination might contribute to the synergy. Conclusion: Dihydroartemisinin reversed the resistance of C. albicans to fluconazole.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Future microbiology - 16(2021) vom: 01. Mai, Seite 461-469

Sprache:

Englisch

Beteiligte Personen:

Li, Hui [VerfasserIn]
Chen, Haisheng [VerfasserIn]
Shi, Wenna [VerfasserIn]
Shi, Jing [VerfasserIn]
Yuan, Jupeng [VerfasserIn]
Duan, Cunxian [VerfasserIn]
Fan, Qing [VerfasserIn]
Liu, Yuguo [VerfasserIn]

Links:

Volltext

Themen:

6A9O50735X
8VZV102JFY
Antifungal Agents
Antimicrobial resistance
Artemisinins
Artenimol
Biofilm
Candida albicans
Dihydroartemisinin
Drug combination
Drug resistance
Fluconazole
Journal Article
Potential mechanism
Reactive Oxygen Species
Reactive oxygen species
Research Support, Non-U.S. Gov't
Synergism

Anmerkungen:

Date Completed 09.12.2021

Date Revised 14.12.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.2217/fmb-2020-0148

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325126410