Farnesol increases the activity of echinocandins against Candida auris biofilms

被引:33
|
作者
Nagy, Fruzsina [1 ]
Toth, Zoltan [1 ]
Daroczi, Lajos [2 ]
Szekely, Adrien [3 ]
Borman, Andrew M. [3 ]
Majoros, Laszlo [1 ]
Kovacs, Renato [1 ,4 ]
机构
[1] Univ Debrecen, Fac Med, Dept Med Microbiol, Nagyerdei Krt 98, H-4032 Debrecen, Hungary
[2] Univ Debrecen, Fac Sci & Technol, Dept Solid State Phys, Debrecen, Hungary
[3] Publ Hlth England, UK Natl Mycol Reference Lab, Bristol, Avon, England
[4] Univ Debrecen, Fac Pharm, Nagyerdei Krt 98, H-4032 Debrecen, Hungary
关键词
Candida auris; biofilm; synergy; farnesol; lock therapy; MICAFUNGIN; CASPOFUNGIN; APOPTOSIS;
D O I
10.1093/mmy/myz057
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Candida auris biofilms exhibit decreased susceptibility to echinocandins, which is associated with poorer clinical outcomes. Farnesol is a quorum-sensing molecule enhancing the activity of antifungals; therefore, we evaluated the in vitro effect of farnesol with anidulafungin, caspofungin, or micafungin against biofilms using fractional inhibitory concentration indexes (FICI), Bliss independence model, LIVE/DEAD-assay and scanning electron microscopy. Based on mathematical models, farnesol caused synergism in eleven out of twelve cases (FICIs range 0.133-0.507; Bliss synergy volume range 70.39-204.6 mu M-2%). This was confirmed by microscope images of combination-exposed biofilms. Our study showed the prominent effect of farnesol with echinocandins against C. auris biofilms.
引用
收藏
页码:404 / 407
页数:4
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