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Sphaeropsidin A Loaded in Liposomes to Reduce Its Cytotoxicity and Preserve Antifungal Activity Against Candida auris
Annalisa Buonanno1, Maria Michela Salvatore1,2, Antonia Feola1
1Department of Biology, University of Naples Federico II, Via Cinthia, 80126 Naples, Italy.
Abstract:
Candida species constitute the most common cause of fungal infections in humans; the emergence of resistance and biofilm formation by Candida species further threaten the limited availability of antifungal agents. Over the past decade, C. auris has caused significant outbreaks worldwide and has emerged as a human pathogenic fungus that causes diseases ranging from superficial to life-threatening disseminated infections. Despite the recent advances in antifungal research, the mechanisms of drug resistance in C. auris remain poorly understood even as its ability to form biofilms poses a significant therapeutic challenge. The purpose of this research was to elucidate the fungal properties of Sphaeropsidin A (SphA), a secondary metabolite derived from Diplodia fungi, with a specific focus on its efficacy against C. auris. This study revealed that SphA and its liposomal encapsulated (SphA-L) form are fungistatic with time-kill kinetics highlighting their efficacy and significantly inhibited the formation of C. auris biofilms. Our investigation into the antifungal mechanism of this drug revealed notable alterations in ROS production and the disruption of the Candida cell cycle. Our findings show that SphA-L impairs key pathogenic traits of C. auris, such as its ability to adhere to human epithelial cell lines, while exhibiting no harmful effects on human cells, highlighting its potential as a future therapeutic agent. In Caenorhabditis elegans infection models, both ShpA and SphA-L displayed effective antifungal activity, significantly reducing the C. auris fungal load and improving nematode survival rates, underscoring their promise as antifungal candidates. Overall, the potent antifungal effects of SphA and SphA-L against C. auris encourage further research.
Insights
Sphaeropsidin A (SphA) and its liposomal form (SphA-L) show potent antifungal activity against Candida auris, inhibiting biofilm formation and reducing fungal load in infection models. This discovery offers a promising new therapeutic avenue for combating drug-resistant fungal infections.
Area of Science:
- Mycology
- Pharmacology
- Infectious Diseases
Background:
- Candida species are common causes of human fungal infections, with resistance and biofilm formation posing significant challenges.
- Candida auris outbreaks are increasing globally, causing superficial to life-threatening disseminated infections.
- Mechanisms of drug resistance and biofilm formation in C. auris are poorly understood, necessitating new therapeutic strategies.
Purpose of the Study:
- To investigate the antifungal properties of Sphaeropsidin A (SphA), a metabolite from Diplodia fungi, against Candida auris.
- To evaluate the efficacy of SphA and its liposomal form (SphA-L) in inhibiting C. auris growth and biofilm formation.
- To elucidate the mechanism of action of SphA against C. auris.
Main Methods:
- Time-kill kinetics assays were used to determine the fungistatic and fungicidal activity of SphA and SphA-L.
- Biofilm formation inhibition assays were conducted to assess the impact of SphA and SphA-L on C. auris biofilms.
- Studies on reactive oxygen species (ROS) production and cell cycle disruption were performed to understand the antifungal mechanism.
- Adherence assays using human epithelial cell lines and Caenorhabditis elegans infection models were employed to evaluate SphA-L's efficacy and safety.
Main Results:
- SphA and SphA-L demonstrated fungistatic activity with significant inhibition of Candida auris biofilm formation.
- Antifungal mechanisms involved alterations in ROS production and disruption of the Candida cell cycle.
- SphA-L effectively impaired C. auris adherence to human epithelial cells without causing harm to the cells.
- In vivo studies using C. elegans models showed reduced fungal load and improved survival rates with SphA and SphA-L treatment.
Conclusions:
- SphA and SphA-L exhibit potent antifungal effects against Candida auris, including inhibition of biofilm formation and key pathogenic traits.
- The observed mechanisms involve ROS modulation and cell cycle disruption, highlighting SphA-L's potential as a therapeutic agent.
- SphA-L demonstrates safety towards human cells and efficacy in infection models, warranting further research for clinical application.
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