A recyclable and light-triggered nanofibrous membrane against the emerging fungal pathogen Candida auris

Xinyao Liu1,2,3, Chuan Guo4, Kaiwen Zhuang1,2,3

  • 1Department of Dermatovenereology, West China Hospital, Sichuan University, Chengdu, China.

Plos Pathogens
|May 25, 2022
PubMed

Insights

A new polylactic acid-hypocrellin A (PLA-HA) nanofibrous membrane effectively combats the drug-resistant fungus Candida auris using antimicrobial photodynamic therapy (aPDT). This recyclable membrane shows promise for treating infections with minimal side effects.

Area of Science:

  • Biomedical Engineering
  • Materials Science
  • Infectious Diseases

Background:

  • Candida auris is a dangerous, drug-resistant fungus causing severe infections.
  • Antimicrobial photodynamic therapy (aPDT) is a promising treatment, but research on C. auris is limited.
  • Novel strategies are needed to combat C. auris due to its high mortality and resistance.

Purpose of the Study:

  • To develop a novel, recyclable antimicrobial strategy against Candida auris.
  • To investigate the efficacy and mechanism of a polylactic acid-hypocrellin A (PLA-HA) nanofibrous membrane using aPDT.
  • To evaluate the biocompatibility and in vivo performance of the PLA-HA-aPDT system.

Main Methods:

  • Fabrication of a recyclable and biodegradable polylactic acid-hypocrellin A (PLA-HA) nanofibrous membrane.
  • In vitro assessment of PLA-HA-aPDT against C. auris planktonic cells and biofilms, including repeated use efficacy.
  • In vivo evaluation of PLA-HA-aPDT on C. auris-infected wounds, assessing healing, inflammation, and toxicity.
  • Mechanistic studies involving reactive oxygen species (ROS), mitochondrial dysfunction, and apoptosis induction in C. auris.

Main Results:

  • PLA-HA-aPDT significantly reduced C. auris survival in plankton and biofilms.
  • The membrane retained significant fungicidal activity after four repeated uses.
  • In vivo studies demonstrated accelerated wound healing and reduced inflammation with no obvious toxicity.
  • PLA-HA-aPDT induced C. auris apoptosis via increased ROS, mitochondrial dysfunction, and caspase activation.

Conclusions:

  • The developed PLA-HA nanofibrous membrane is a recyclable and effective platform for aPDT against C. auris.
  • PLA-HA-aPDT demonstrates excellent biocompatibility, safety, and potent antifungal activity.
  • This novel approach offers a promising therapeutic candidate for C. auris skin and mucous membrane infections.

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