Ceballos-Garzon Andres, Lebrat Julien, Holzapfel Marion, Josa Diego F, Welsch Jeremy, Mercer Derry
BIOASTER Research Institute, Lyon, France.
Studies in Translational Microbiology and Emerging Diseases (MICROS) Research Group, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia.
Antimicrob Agents Chemother. 2025 Jun 4;69(6):e0013725. doi: 10.1128/aac.00137-25. Epub 2025 May 15.
This study comprehensively assessed the activity of manogepix (MNGX), ibrexafungerp (IBF), amphotericin B (AMB), rezafungin (RZF), and caspofungin (CAS) against planktonic cells and mature biofilms of spp.-reference and clinical strains using the Calgary biofilm device. Mature-phase biofilms of , ), and were exposed to a range of drug concentrations (0.12-128 µg/mL). Minimum Inhibitory Concentration (MIC) values for planktonic cells were ≤2 µg/mL for all strains; however, biofilm-associated MICs, minimum biocidal concentration (MBC), minimum biofilm eradication (MBEC), and minimum biofilm damaging concentration (MBDC) were significantly higher (2-4,119 times). Geometric mean (GM) of MBEC values indicated that MNGX had the highest antifungal activity within species, with a GM-MBEC of 5.9 µg/mL. Despite its overall potency, MNGX was less effective against biofilms from clade IV strains, where IBF showed superior activity. While not the most potent agent overall, AMB induced the smallest fold-change increases (2- to 32-fold) in biofilm-associated states data compared to planktonic MICs. Conversely, CAS exhibited the lowest activity against spp. biofilms. The eradication of and biofilms required substantially higher concentrations than , with some agents, such as RZF and CAS, necessitating up to 42-fold increases in dosage. In conclusion, our model highlights the antibiofilm activity of novel antifungals against major species, revealing significant differences in efficacy among species. MNGX demonstrated the highest activity, underscoring its potential as a promising candidate for the treatment of biofilm-related infections.
本研究使用卡尔加里生物膜装置,全面评估了曼诺地昔(MNGX)、依布康唑(IBF)、两性霉素B(AMB)、瑞扎芬净(RZF)和卡泊芬净(CAS)对 属参考菌株和临床菌株的浮游细胞及成熟生物膜的活性。 、 和 的成熟阶段生物膜暴露于一系列药物浓度(0.12 - 128 µg/mL)下。所有菌株的浮游细胞最小抑菌浓度(MIC)值均≤2 µg/mL;然而,生物膜相关的MIC、最小杀菌浓度(MBC)、最小生物膜根除浓度(MBEC)和最小生物膜损伤浓度(MBDC)显著更高(2 - 4,119倍)。MBEC值的几何平均值表明,MNGX在 属内具有最高的抗真菌活性,GM - MBEC为5.9 µg/mL。尽管MNGX总体效力较强,但对IV进化枝菌株的生物膜效果较差,而IBF在这些菌株中表现出更强的活性。虽然AMB总体上不是效力最强的药物,但与浮游MIC相比,其在生物膜相关状态数据中诱导的倍数变化最小(2至32倍)。相反,CAS对 属生物膜的活性最低。根除 和 的生物膜所需浓度比 高得多,一些药物,如RZF和CAS,剂量需要增加多达42倍。总之,我们的 模型突出了新型抗真菌药物对主要 属物种的抗生物膜活性,揭示了不同物种之间疗效的显著差异。MNGX表现出最高的活性,强调了其作为治疗生物膜相关感染的有前途候选药物的潜力。
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