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Published on: July 18, 2012
Cryptococcus laurentii biofilms: structure, development and antifungal drug resistance
1Department of Biotechnology and Microbiology, Kannur University, Kannur, 670 661 Kerala, India.
Abstract:
A great number of fungal infections are related to biofilm formation on inert or biological surfaces, which are recalcitrant to most treatments and cause human mortality. Cryptococcus laurentii has been diagnosed as the aetiological pathogen able to cause human infections mainly in immunosuppressed patients and the spectrum of clinical manifestations ranges from skin lesions to fungaemia. The effect of temperature, pH and surface preconditioning on C. laurentii biofilm formation was determined by 2, 3-bis (2-methoxy-4-nitro-5-sulfophenyl)-5-[(phenylamino) carbonyl]-2H-tetrazolium hydroxide (XTT) reduction assay. Scanning electron microscopic (SEM) analysis of C. laurentii biofilms demonstrated surface topographies of profuse growth and dense colonization with extensive polymeric substances around the cells. In this study, we determined the activity of amphotericin B, itraconazole and fluconazole against C. laurentii free-living cells and biofilms. The activity of antifungals tested was greater against free-living cells, but sessile cells fell into the resistant range for these antifungal agents. Extracellular polymeric substances (EPS), comprising the matrix of C. laurentii biofilms, were isolated by ultrasonication. Fourier transform infrared spectroscopy (FT-IR) was performed with ethanol-precipitated and dried samples. Also, the multielement analysis of the EPS was performed by inductively coupled plasma optical emission spectroscopy (ICP-OES).
Insights
Cryptococcus laurentii biofilms are resistant to common antifungals. This study investigated biofilm formation and antifungal activity, revealing sessile cells are recalcitrant to treatment, necessitating new therapeutic strategies.
Area of Science:
- Medical Mycology
- Antimicrobial Resistance
- Biofilm Research
Background:
- Fungal infections, particularly those involving biofilms, pose a significant threat due to treatment recalcitrance and mortality.
- Cryptococcus laurentii is an emerging pathogen causing infections in immunocompromised individuals, with diverse clinical presentations.
Purpose of the Study:
- To investigate the factors influencing Cryptococcus laurentii biofilm formation.
- To evaluate the efficacy of common antifungal agents against C. laurentii biofilms.
- To characterize the extracellular polymeric substances (EPS) of C. laurentii biofilms.
Main Methods:
- Biofilm formation was assessed using the XTT reduction assay under varying conditions (temperature, pH, surface preconditioning).
- Scanning electron microscopy (SEM) visualized biofilm structure and cell colonization.
- Antifungal susceptibility testing (amphotericin B, itraconazole, fluconazole) was performed on both free-living and sessile C. laurentii cells.
- EPS isolation via ultrasonication, followed by Fourier transform infrared spectroscopy (FT-IR) and inductively coupled plasma optical emission spectroscopy (ICP-OES) for chemical and elemental analysis.
Main Results:
- Environmental factors like temperature, pH, and surface preconditioning influence C. laurentii biofilm development.
- SEM revealed dense cell colonization and extensive extracellular polymeric substances in biofilms.
- Antifungal agents showed reduced efficacy against C. laurentii biofilms compared to free-living cells, with sessile cells exhibiting resistance.
- EPS composition and elemental content were analyzed, providing insights into the biofilm matrix.
Conclusions:
- Cryptococcus laurentii biofilms present a significant challenge due to their inherent resistance to standard antifungal therapies.
- Understanding biofilm formation and matrix composition is crucial for developing effective treatment strategies against C. laurentii infections.
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