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Optimizing and tailoring cold atmospheric plasma parameters for C. albicans biofilms eradication
Manca Lunder1, Sebastian Dahle2, Rok Fink1
1Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia.
Frontiers in Microbiology
|April 27, 2026
Summary
Cold atmospheric plasma (CAP) effectively eradicates Candida albicans biofilms. Optimal voltage and duration are key for complete biofilm removal, impacting viability, membrane integrity, and composition.
Area of Science:
- Microbiology
- Biophysics
- Biotechnology
Background:
- Candida albicans biofilms pose significant challenges in healthcare settings due to their resistance to conventional therapies.
- Understanding the mechanisms of biofilm control is crucial for developing effective treatment strategies.
Purpose of the Study:
- To investigate the efficacy of cold atmospheric plasma (CAP) in eradicating Candida albicans biofilms.
- To determine the influence of applied voltage and treatment duration on CAP's effectiveness against biofilms.
Main Methods:
- Evaluation of CAP effects on inhibition zones, biofilm viability, metabolism, and cell membrane integrity.
- Assessment of biofilm oxidative stress, biomass composition (lipids, proteins, carbohydrates), and hyphal structure.
- Correlation of CAP treatment parameters (voltage, duration) with observed biofilm changes.
Main Results:
- Increased applied voltage and treatment duration significantly reduced biofilm viability, with complete eradication achieved at higher parameters.
- CAP treatment led to increased cell membrane damage and oxidative stress within the biofilms.
- Morphological analysis revealed hyphal contraction and compression, alongside significant alterations in biofilm biomass composition.
Conclusions:
- Optimal cold atmospheric plasma (CAP) parameters demonstrate significant potential for controlling Candida albicans biofilms.
- CAP treatment induces complex changes in biofilm viability, morphology, and composition, offering a promising therapeutic avenue.

