Fine Chemical and Natural Products Laboratory, IRNASUS CONICET-UCC, Universidad Católica de Córdoba, Avda. Armada Argentina 3555, X5016DHK, Córdoba, Argentina.
Department of Medicine, Division of Health Science, Universidad del Norte, Km 5, Vía Puerto Colombia, Área Metropolitana de Barranquilla, 081007, Barranquilla, Colombia.
BMC Complement Med Ther. 2022 Oct 12;22(1):264. doi: 10.1186/s12906-022-03745-4.
BACKGROUND: The development of multidrug resistance (MDR) associated with the overexpression of the efflux transporters Mdr1 and Cdr1 in Candida species impedes antifungal therapies. The urgent need for novel agents able to inhibit the function of both pumps, led us to evaluate this property in 137 extracts obtained from Argentinian plants. METHODS: The ability of the extracts to reverse efflux pump-mediated MDR was determined with an agar chemosensitization assay using fluconazole (FCZ) resistant Mdr1- and Cdr1-overexpressing clinical isolates of Candida albicans and Candida glabrata as well as Saccharomyces cerevisiae strains selectively expressing Mdr1 (AD/CaMDR1) or Cdr1 (AD/CaCDR1). The resistance-reversing activity of the most potent extracts was further confirmed using a Nile Red accumulation assay. RESULTS: Fifteen plant extracts overcame the FCZ resistance of Candida albicans 1114, which overexpresses CaMdr1 and CaCdr1, and AD/CaMDR1, with those from Acalypha communis and Solanum atriplicifolium being the most effective showing 4- to 16-fold reversal of resistance at concentrations ≥ 25 µg/mL. Both extracts, and to a lesser extent that from Pterocaulon alopecuroides, also restored FCZ sensitivity in CgCdr1-overexpressing C. glabrata 109 and in AD/CaCDR1 with fold reversal values ranging from 4 to 32 and therefore demonstrating a dual effect against Mdr1 and Cdr1. Both, A. communis and S. atriplicifolium extracts at concentrations ≥ 12.5 and ≥ 25 µg/mL, respectively, increased the intracellular Nile Red accumulation in all yeast strains overexpressing efflux pumps. CONCLUSIONS: The non-toxic and highly active extracts from A. communis and S. atripicifolium, provide promising sources of compounds for potentiating the antifungal effect of FCZ by blocking the efflux function of Mdr1 and Cdr1 transporters.
背景:在念珠菌属物种中,多药耐药(MDR)的发展与外排转运蛋白 Mdr1 和 Cdr1 的过度表达有关,这阻碍了抗真菌治疗。我们迫切需要能够抑制这两种泵功能的新型药物,因此我们评估了来自阿根廷植物的 137 种提取物的这种特性。
方法:使用琼脂化学增敏试验,使用氟康唑(FCZ)耐药 Mdr1 和 Cdr1 过表达的临床分离株白色念珠菌和光滑念珠菌以及选择性表达 Mdr1(AD/CaMDR1)或 Cdr1(AD/CaCDR1)的酿酒酵母菌株,确定提取物逆转外排泵介导的 MDR 的能力。最有效的提取物的逆转耐药活性进一步通过尼罗红积累试验得到证实。
结果:15 种植物提取物克服了白色念珠菌 1114 的 FCZ 耐药性,该菌过表达 CaMdr1 和 CaCdr1 以及 AD/CaMDR1,其中 Acalypha communis 和 Solanum atriplicifolium 的提取物最有效,在浓度≥25μg/ml 时表现出 4 至 16 倍的耐药性逆转。两种提取物,以及程度较小的 Pterocaulon alopecuroides 提取物,也恢复了 CgCdr1 过表达的 C. glabrata 109 和 AD/CaCDR1 对 FCZ 的敏感性,逆转倍数范围为 4 至 32,因此对 Mdr1 和 Cdr1 具有双重作用。在所有过度表达外排泵的酵母菌株中,A. communis 和 S. atriplicifolium 提取物在浓度分别≥12.5 和≥25μg/ml 时,均增加了细胞内尼罗红的积累。
结论:A. communis 和 S. atriplicifolium 的无毒且高度有效的提取物为通过阻断 Mdr1 和 Cdr1 转运蛋白的外排功能来增强 FCZ 的抗真菌作用提供了有希望的化合物来源。
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