Fang Jia-You, Tang Kai-Wei, Yang Sien-Hung, Alalaiwe Ahmed, Yang Yu-Ching, Tseng Chih-Hua, Yang Shih-Chun
Pharmaceutics Laboratory, Graduate Institute of Natural Products, Chang Gung University, Taoyuan City, Taiwan.
Research Center for Food and Cosmetic Safety, Research Center for Chinese Herbal Medicine, Chang Gung University of Science and Technology, Taoyuan City, Taiwan.
Front Microbiol. 2020 Aug 26;11:2053. doi: 10.3389/fmicb.2020.02053. eCollection 2020.
is the most common cause of fungal infection. The emergence of drug resistance leads to the need for novel antifungal agents. We aimed to design naphthofuranquinone analogs to treat drug-resistant for topical application on cutaneous candidiasis. The time-killing response, agar diffusion, and live/dead assay of the antifungal activity were estimated against 5-fluorocytosine (5-FC)- or fluconazole-resistant strains. A total of 14 naphthofuranquinones were compared for their antifungal potency. The lead compounds with hydroxyimino (TCH-1140) or -acetyl oxime (TCH-1142) moieties were the most active agents identified, showing a minimum inhibitory concentration (MIC) of 1.5 and 1.2 μM, respectively. Both compounds were superior to 5-FC and fluconazole for killing planktonic fungi. Naphthofuranquinones efficiently diminished the microbes inside and outside the biofilm. TCH-1140 and TCH-1142 were delivered into -infected keratinocytes to eradicate intracellular fungi. The compounds did not reduce the burden inside the macrophages, but the naphthofuranquinones promoted the transition of fungi from the virulent hypha form to the yeast form. In the skin mycosis mouse model, topically applied 5-FC and TCH-1140 reduced the load from 1.5 × 10 to 5.4 × 10 and 1.4 × 10 CFU, respectively. The infected abscess diameter was significantly decreased by TCH-1140 (3-4 mm) as compared to the control (8 mm). The disintegrated skin-barrier function induced by the fungi was recovered to the baseline by the compound. The data support the potential of TCH-1140 as a topical agent for treating drug-resistant infection without causing skin irritation.
是真菌感染最常见的病因。耐药性的出现导致需要新型抗真菌药物。我们旨在设计萘并呋喃醌类似物,用于治疗耐药性皮肤念珠菌病的局部应用。针对5-氟胞嘧啶(5-FC)或氟康唑耐药菌株,评估了抗真菌活性的时间杀菌反应、琼脂扩散和死活检测。共比较了14种萘并呋喃醌的抗真菌效力。具有羟基亚氨基(TCH-1140)或乙酰肟(TCH-1142)部分的先导化合物是鉴定出的最具活性的药物,其最小抑菌浓度(MIC)分别为1.5和1.2μM。两种化合物在杀死浮游真菌方面均优于5-FC和氟康唑。萘并呋喃醌能有效减少生物膜内外的微生物。TCH-1140和TCH-1142被递送至感染的角质形成细胞中以根除细胞内真菌。这些化合物并未降低巨噬细胞内的真菌负荷,但萘并呋喃醌促进了真菌从致病菌丝形式向酵母形式的转变。在皮肤真菌病小鼠模型中,局部应用的5-FC和TCH-1140分别将真菌负荷从1.5×10降至5.4×10和1.4×10 CFU。与对照(8mm)相比,TCH-1140使感染脓肿直径显著减小(3-4mm)。该化合物使由真菌诱导的皮肤屏障功能破坏恢复至基线水平。这些数据支持TCH-1140作为一种局部用药治疗耐药真菌感染且不引起皮肤刺激的潜力。