Chaillot Julien, Tebbji Faiza, García Carlos, Wurtele Hugo, Pelletier René, Sellam Adnane
Infectious Diseases Research Centre-CRI, Research Center of the CHU de Québec, Université Laval, Quebec, QC, Canada.
Maisonneuve-Rosemont Hospital Research Center, Montreal, QC, Canada.
Front Microbiol. 2017 Oct 9;8:1956. doi: 10.3389/fmicb.2017.01956. eCollection 2017.
Current antifungal drugs suffer from limitations including toxicity, the emergence of resistance and decreased efficacy at low pH that are typical of human vaginal surfaces. Here, we have shown that the antipsychotic drug valproic acid (VPA) exhibited a strong antifungal activity against both sensitive and resistant in pH condition similar to that encountered in vagina. VPA exerted a strong anti-biofilm activity and attenuated damage of vaginal epithelial cells caused by . We also showed that VPA synergizes with the allylamine antifungal, Terbinafine. We undertook a chemogenetic screen to delineate biological processes that underlies VPA-sensitivity in and found that vacuole-related genes were required to tolerate VPA. Confocal fluorescence live-cell imaging revealed that VPA alters vacuole integrity and support a model where alteration of vacuoles contributes to the antifungal activity. Taken together, this study suggests that VPA could be used as an effective antifungal against vulvovaginal candidiasis.
目前的抗真菌药物存在局限性,包括毒性、耐药性的出现以及在人体阴道表面典型的低pH值环境下疗效降低。在此,我们已经表明,抗精神病药物丙戊酸(VPA)在类似于阴道环境的pH条件下,对敏感菌和耐药菌均表现出强大的抗真菌活性。VPA具有很强的抗生物膜活性,并减轻了由[此处原文缺失相关病原体]引起的阴道上皮细胞损伤。我们还表明,VPA与烯丙胺类抗真菌药特比萘芬具有协同作用。我们进行了化学遗传学筛选,以确定[此处原文缺失相关真菌名称]对VPA敏感性的生物学过程,发现与液泡相关的基因是耐受VPA所必需的。共聚焦荧光活细胞成像显示,VPA改变了液泡的完整性,并支持了一个液泡改变有助于抗真菌活性的模型。综上所述,本研究表明VPA可作为治疗外阴阴道念珠菌病的有效抗真菌药物。