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.

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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