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Updated: Nov 28, 2025

A Soluble Tetrazolium-Based Reduction Assay to Evaluate the Effect of Antibodies on Candida tropicalis Biofilms
Published on: September 16, 2022
Combination Therapy to Treat Fungal Biofilm-Based Infections
Jana Tits1, Bruno P A Cammue1, Karin Thevissen1
1Centre of Microbial and Plant Genetics, Katholieke Universiteit Leuven, 3001 Leuven, Belgium.
Abstract:
An increasing number of people is affected by fungal biofilm-based infections, which are resistant to the majority of currently-used antifungal drugs. Such infections are often caused by species from the genera Candida, Aspergillus or Cryptococcus. Only a few antifungal drugs, including echinocandins and liposomal formulations of amphotericin B, are available to treat such biofilm-based fungal infections. This review discusses combination therapy as a novel antibiofilm strategy. More specifically, in vitro methods to discover new antibiofilm combinations will be discussed. Furthermore, an overview of the main modes of action of promising antibiofilm combination treatments will be provided as this knowledge may facilitate the optimization of existing antibiofilm combinations or the development of new ones with a similar mode of action.
Insights
Fungal biofilm infections are hard to treat. This review explores combination therapies and in vitro methods to find new treatments for these drug-resistant fungal infections.
Area of Science:
- Mycology
- Infectious Diseases
- Pharmacology
Background:
- Fungal biofilm infections are a growing global health concern.
- These infections, often caused by Candida, Aspergillus, or Cryptococcus species, exhibit high resistance to standard antifungal drugs.
- Limited treatment options, such as echinocandins and liposomal amphotericin B, are available.
Purpose of the Study:
- To review combination therapy as a novel strategy against fungal biofilm infections.
- To discuss in vitro methods for discovering new antibiofilm combinations.
- To provide an overview of the mechanisms of action for promising combination treatments.
Main Methods:
- Literature review focusing on combination antifungal therapies.
- Discussion of in vitro screening techniques for identifying synergistic drug combinations.
- Analysis of the modes of action of effective antibiofilm treatments.
Main Results:
- Combination therapy presents a promising approach to overcome antifungal drug resistance in biofilms.
- In vitro methods are crucial for the discovery and validation of new antibiofilm strategies.
- Understanding treatment mechanisms aids in optimizing existing therapies and developing novel ones.
Conclusions:
- Combination therapy is a key strategy for combating challenging fungal biofilm infections.
- Further research into in vitro methods and mechanisms of action will drive the development of more effective treatments.
- Optimizing combination therapies can enhance treatment efficacy and combat drug resistance.
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