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Updated: Aug 13, 2026

Live-cell Video Microscopy of Fungal Pathogen Phagocytosis
Published on: January 9, 2013
Effect of Antifungal-Treated Host Macrophages on Candida glabrata
Hong-Bin Li1, Na Li1, Shu-Ran Wen1
1Department of Dermatology and Venereology, First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan, China.
Objective:
Candida glabrata (C. glabrata) causes infections associated with severe sepsis and high mortality. This study describes the effects of micafungin (MCF), itraconazole (ICZ), and amphotericin B (AmB) on the function of macrophages during C. glabrata infection.
Methods:
RAW264.1 macrophages were treated with MCF, ICZ, or AmB and then challenged with C. glabrata. Cytokines from infected macrophage supernatants and the levels of superoxide dismutase (SOD) in macrophages were measured at different time points after phagocytosis.
Results:
The activity of SOD was significantly increased in RAW264.1 cells that phagocytized C. glabrata and reached a peak level at 6 hours (P < 0.05). ICZ and AmB did not affect the SOD activity in cells that phagocytized C. glabrata versus that in untreated macrophage. C. glabrata stimulated macrophages to secrete cytokines. Neither ICZ nor AmB affected the secretion of interleukin-6 (IL-6), interleukin-8 (IL-8), or tumor necrosis factor-α (TNF-α) by C. glabrata-infected macrophages. However, MCF downregulated the secretion of TNF-α by infected macrophages and reduced the SOD activity of C. glabrata compared with those in untreated controls.
Conclusion:
Echinocandins may increase their antifungal efficacy by altering the innate immune response of macrophages and attenuating antioxidants of this organism.
Insights
Micafungin (MCF) alters macrophage immune responses and reduces Candida glabrata antioxidants, potentially enhancing antifungal efficacy. Itraconazole (ICZ) and amphotericin B (AmB) showed no significant effects on these parameters.
Area of Science:
- Immunology
- Mycology
- Pharmacology
Background:
- Candida glabrata infections are linked to severe sepsis and high mortality.
- Understanding host-pathogen interactions and antifungal drug effects on immune cells is crucial.
Purpose of the Study:
- To investigate the impact of micafungin (MCF), itraconazole (ICZ), and amphotericin B (AmB) on macrophage function during Candida glabrata infection.
Main Methods:
- RAW264.1 macrophages were treated with MCF, ICZ, or AmB, then challenged with C. glabrata.
- Cytokine secretion and superoxide dismutase (SOD) activity were measured post-phagocytosis.
Main Results:
- SOD activity increased in C. glabrata-infected macrophages, peaking at 6 hours.
- MCF downregulated TNF-α secretion and reduced C. glabrata's SOD activity.
- ICZ and AmB did not significantly alter SOD activity or cytokine secretion.
Conclusions:
- Echinocandins like MCF may enhance antifungal activity by modulating macrophage innate immunity.
- MCF's effect on macrophage response and fungal antioxidants suggests a novel therapeutic mechanism.
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