The Light-activated Effect of Natural Anthraquinone Parietin against Candida auris and Other Fungal Priority

Johannes Fiala1, Thomas Roach2, Andreas Holzinger2

  • 1Department of Pharmacognosy, Institute of Pharmacy, Center for Molecular Biosciences Innsbruck, University of Innsbruck, Austria.

Planta Medica
|June 6, 2024
PubMed

Insights

Parietin, a natural compound, shows potent antimicrobial photodynamic therapy (aPDT) activity against Candida species and Cryptococcus neoformans. This light-enhanced treatment effectively inhibits fungal growth by targeting cell membranes and inducing cell death.

Area of Science:

  • Microbiology
  • Photochemistry
  • Pharmacology

Background:

  • Antimicrobial photodynamic therapy (aPDT) is an emerging strategy for combating pathogenic microbes.
  • Candida species, including the critical pathogen Candida auris, pose significant threats to human health.
  • Natural compounds are being investigated as novel agents for aPDT.

Purpose of the Study:

  • To evaluate the light-enhanced antifungal activity of the natural compound parietin against various yeast species.
  • To determine the molecular mechanisms underlying parietin's antifungal action in aPDT.
  • To assess parietin's efficacy against WHO priority fungal pathogens.

Main Methods:

  • A modified EUCAST protocol was employed to assess parietin's photoactivity.
  • Antifungal efficacy was tested against multiple strains of five yeast species.
  • Mechanisms of action were investigated through cellular uptake, reactive electrophilic species (RES) analysis, and singlet oxygen yield measurements.

Main Results:

  • Parietin demonstrated significant inhibition of microbial growth (>90%) at low concentrations (0.156–1.250 mg/L) under specific light conditions (428 nm, 30 J/cm², 30 min).
  • Effective inhibition was observed against Candida tropicalis, Cryptococcus neoformans, Candida auris, Candida glabrata, and Candida albicans.
  • Mode-of-action analysis revealed that parietin targets the cell membrane, inducing cell death via ROS-mediated lipid peroxidation upon light irradiation.

Conclusions:

  • Parietin exhibits potent light-enhanced fungicidal activity against clinically relevant Candida species and Cryptococcus neoformans.
  • Parietin effectively targets three of the four critical fungal threats identified by the WHO.
  • Parietin represents a promising natural compound for developing novel aPDT strategies against multidrug-resistant fungi.