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Updated: May 12, 2026

Candida albicans Biofilm Development on Medically-relevant Foreign Bodies in a Mouse Subcutaneous Model Followed by Bioluminescence Imaging
Published on: January 27, 2015
Biofilm-Associated Candidiasis: Pathogenesis, Prevalence, Challenges and Therapeutic Options
Valerie Amann1, Ann-Kathrin Kissmann1, Carolina Firacative2
1Institute of Pharmaceutical Biotechnology, Ulm University, 89081 Ulm, Germany.
Abstract:
The rising prevalence of fungal infections, especially those caused by Candida species, presents a major risk to global health. With approximately 1.5 million deaths annually, the urgency for effective treatment options has never been greater. Candida spp. are the leading cause of invasive infections, significantly impacting immunocompromised patients and those in healthcare settings. C. albicans, C. parapsilosis and the emerging species C. auris are categorized as highly dangerous species because of their pathogenic potential and increasing drug resistance. This review comparatively describes the formation of microbial biofilms of both bacterial and fungal origin, including major pathogens, thereby creating a novel focus. Biofilms can further complicate treatment, as these structures provide enhanced resistance to antifungal therapies. Traditional antifungal agents, including polyenes, azoles and echinocandins, have shown effectiveness, yet resistance development continues to rise, necessitating the exploration of novel therapeutic approaches. Antimicrobial peptides (AMPs) such as the anti-biofilm peptides Pom-1 and Cm-p5 originally isolated from snails represent promising candidates due to their unique mechanisms of action and neglectable cytotoxicity. This review article discusses the challenges posed by Candida infections, the characteristics of important species, the role of biofilms in virulence and the potential of new therapeutic options like AMPs.
Insights
Fungal infections, particularly from Candida species, cause 1.5 million deaths yearly. This review explores biofilms and antimicrobial peptides (AMPs) as novel treatments against drug-resistant Candida strains.
Area of Science:
- Mycology and Microbiology
- Infectious Diseases
- Drug Discovery
Background:
- * Rising global incidence of fungal infections, especially invasive Candida species, leading to significant mortality.
- * Candida auris, Candida albicans, and Candida parapsilopsis are key pathogens with increasing antifungal resistance.
- * Microbial biofilms exacerbate infections and treatment challenges due to enhanced pathogen resistance.
Purpose of the Study:
- * To comparatively review microbial biofilm formation in bacterial and fungal pathogens.
- * To highlight the challenges posed by Candida infections and their virulence factors.
- * To explore novel therapeutic strategies, focusing on antimicrobial peptides (AMPs).
Main Methods:
- * Comprehensive literature review on Candida species, biofilm formation, and antifungal resistance.
- * Comparative analysis of bacterial and fungal biofilm structures and functions.
- * Examination of antimicrobial peptides (AMPs) as potential anti-biofilm agents.
Main Results:
- * Biofilms significantly increase resistance to conventional antifungal drugs (polyenes, azoles, echinocandins).
- * Emerging Candida species like C. auris exhibit high pathogenic potential and drug resistance.
- * Antimicrobial peptides (AMPs), such as Pom-1 and Cm-p5, show promise with unique mechanisms and low cytotoxicity.
Conclusions:
- * Candida biofilms present a major hurdle in treating invasive fungal infections.
- * Novel therapeutic agents, particularly AMPs, offer a promising avenue against resistant Candida strains.
- * Further research into AMPs is crucial for developing effective treatments for life-threatening fungal infections.
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