Xia Jinping, Qian Fang, Xu Wenqian, Zhang Zhenzhen, Wei Xin
a Jiangsu Key Laboratory of Oral Diseases , School of Stomatology, Nanjing Medical University , Nanjing , PR China.
Biofouling. 2017 Apr;33(4):283-293. doi: 10.1080/08927014.2017.1295304. Epub 2017 Mar 20.
Antifungal resistance is a serious problem in clinical infections. Farnesol, which is a potential antifungal agent against biofilms formed by Candida albicans resistant strains (a fluconazole-resistant isolate derived from SC5314 and two clinical Candida resistant isolates), was investigated in this study. The inhibitory effects of farnesol on biofilms were examined by XTT assay. The morphological changes and biofilm thicknesses were analyzed by scanning electron microscopy and confocal laser scanning microscopy, respectively. Additionally, the checkerboard microdilution method was used to investigate the interactions between farnesol and antifungals (fluconazole, amphotericin B, caspofungin, itraconazole, terbinafine and 5-flurocytosine) against biofilms. The results showed decreased SMICs of farnesol and thinner biofilms in the farnesol-treated groups, indicating that farnesol inhibited the development of biofilms formed by the resistant strain. Furthermore, there were synergistic effects between farnesol and fluconazole/5-flurocytosine, while there were antagonistic effects between farnesol and terbinafine/itraconazole, respectively, on the biofilms formed by the resistant strains.
抗真菌耐药性是临床感染中的一个严重问题。本研究对法尼醇进行了调查,它是一种针对白色念珠菌耐药菌株(一种源自SC5314的氟康唑耐药分离株和两种临床念珠菌耐药分离株)形成的生物膜的潜在抗真菌剂。通过XTT法检测法尼醇对生物膜的抑制作用。分别通过扫描电子显微镜和共聚焦激光扫描显微镜分析形态变化和生物膜厚度。此外,采用棋盘微量稀释法研究法尼醇与抗真菌药物(氟康唑、两性霉素B、卡泊芬净、伊曲康唑、特比萘芬和5-氟胞嘧啶)对生物膜的相互作用。结果显示,法尼醇处理组中法尼醇的最低杀菌浓度降低,生物膜变薄,表明法尼醇抑制了耐药菌株形成生物膜的过程。此外,法尼醇与氟康唑/5-氟胞嘧啶之间存在协同作用,而法尼醇与特比萘芬/伊曲康唑之间分别对耐药菌株形成的生物膜存在拮抗作用。