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Updated: Jun 27, 2026

Bio-energetics Investigation of Candida albicans Using Real-time Extracellular Flux Analysis
Published on: March 19, 2019
Allicin enhances the oxidative damage effect of amphotericin B against Candida albicans
MaoMao An1, Hui Shen, YongBing Cao
1Department of Clinical Pharmacology, Chinese People's Liberation Army General Hospital, Beijing, PR China. maoan168@yahoo.com.cn
Abstract:
Amphotericin B (AmB) is the gold standard of antifungal treatment for the most severe invasive mycoses. In addition to the interaction of AmB with ergosterol in the fungi cell membrane, several studies have demonstrated oxidative damage involved in the fungicidal activity of AmB. In this study, allicin, an allyl sulphur compound from garlic, was shown to enhance significantly the effect of AmB against Candida albicans in vitro and in vivo, although allicin did not exert a fungicidal effect. Further study first demonstrated that allicin-mediated oxidative damage, such as phospholipid peroxidation in the plasma membrane, via influencing the defence of C. albicans against oxidative damage may be the cause of the synergistic interaction between allicin and AmB. We envision that a combination of AmB with allicin may prove to be a promising strategy for the therapy of disseminated candidiasis.
Insights
Allicin, a compound from garlic, significantly boosts the antifungal power of Amphotericin B against Candida albicans. This synergy is due to allicin enhancing oxidative damage, offering a promising strategy for invasive fungal infections.
Area of Science:
- Mycology
- Pharmacology
- Biochemistry
Background:
- Amphotericin B (AmB) is a primary antifungal agent for severe mycoses.
- Oxidative damage contributes to AmB's fungicidal activity.
- Candida albicans is a common cause of invasive fungal infections.
Purpose of the Study:
- To investigate the synergistic effect of allicin and AmB against Candida albicans.
- To elucidate the mechanism behind the observed synergy.
- To evaluate the potential of this combination therapy for disseminated candidiasis.
Main Methods:
- In vitro and in vivo experiments were conducted using Candida albicans.
- The study assessed the fungicidal activity of AmB alone, allicin alone, and the combination.
- Mechanistic studies focused on oxidative damage pathways and cellular defense mechanisms.
Main Results:
- Allicin significantly enhanced the antifungal efficacy of AmB against Candida albicans.
- Allicin alone showed no significant fungicidal effect.
- The synergy appears to stem from allicin-induced oxidative damage, specifically phospholipid peroxidation, by impairing the fungus's defense against oxidative stress.
Conclusions:
- Allicin potentiates the action of Amphotericin B against Candida albicans.
- The combination therapy targets fungal oxidative stress defenses for enhanced fungicidal activity.
- Combining AmB with allicin presents a promising therapeutic strategy for disseminated candidiasis.
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