Synergistic activity of Coptis Chinensis and clotrimazole against Candida Albicans

Introduction: Candida albicans is an important and widespread opportunistic pathogen. In recent years, studies have found that traditional Chinese medicine (TCM) can inhibit the growth of various types of fungi without inducing drug resistance. This study aims to investigate the anti-C. albicans abi...

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Main Authors: Wan-Yun Feng, Un-Ieng Cheang, Ka-I Wong, Hio-Ian Cheong, Li-Rong Meng, Pedro Fong
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Pharmacological Research - Modern Chinese Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667142523000738
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author Wan-Yun Feng
Un-Ieng Cheang
Ka-I Wong
Hio-Ian Cheong
Li-Rong Meng
Pedro Fong
author_facet Wan-Yun Feng
Un-Ieng Cheang
Ka-I Wong
Hio-Ian Cheong
Li-Rong Meng
Pedro Fong
author_sort Wan-Yun Feng
collection DOAJ
description Introduction: Candida albicans is an important and widespread opportunistic pathogen. In recent years, studies have found that traditional Chinese medicine (TCM) can inhibit the growth of various types of fungi without inducing drug resistance. This study aims to investigate the anti-C. albicans abilities of four types of TCM extracts, namely Oroxylum indicum, Coptis chinensis, Verbena officinalis and Ramulus cinnamomi. Materials and methods: Oxford cup assays were employed to determine the sensitivity of C. albicans to the TCM extracts and establish the initial effective concentrations for further experiments. Broth microdilution methods and checkerboard microdilution assays were used to determine the C. albicans inhibition activities of the individual TCM extract and their combinations with clotrimazole and eugenol. Results: Among the four TCM extracts, C. chinensis had the highest potency against C. albicans, indicated by the minimum inhibitory concentration (MIC50) and minimum fungicidal concentration (MFC) values of 30 and 60 mg/mL, respectively. The C. chinensis extract also potentiated the anti-C. albicans activity of clotrimazole, indicated by a fractional Inhibitory concentration index (FICI) of 0.25. Both O. indicum and V. officinalis showed additive effects on C. chinensis in the TCM combinations. The combination of clotrimazole (a Western medicine compound) and eugenol (a TCM ingredient) had a weak additive effect with a FICI value of 1.0. Conclusion: This study supports further investigations of C. chinensis for the development of adjuvant therapeutic agents to current anti-fungal treatment against C. albicans infection.
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spelling doaj.art-b6d4966352bb4f488708398e0e7bd6e22023-09-17T04:57:58ZengElsevierPharmacological Research - Modern Chinese Medicine2667-14252023-09-018100287Synergistic activity of Coptis Chinensis and clotrimazole against Candida AlbicansWan-Yun Feng0Un-Ieng Cheang1Ka-I Wong2Hio-Ian Cheong3Li-Rong Meng4Pedro Fong5Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, People's Republic of ChinaFaculty of Health Sciences and Sports, Macao Polytechnic University, Macao, People's Republic of ChinaFaculty of Health Sciences and Sports, Macao Polytechnic University, Macao, People's Republic of ChinaFaculty of Health Sciences and Sports, Macao Polytechnic University, Macao, People's Republic of ChinaCorrespondence to: Faculty of Health Sciences and Sports, Macao Polytechnic University, Meng Tak Building, Room 730, Rua de Luís Gonzaga Gomes, Macao, People's Republic of China.; Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, People's Republic of ChinaCorrespondence to: Faculty of Health Sciences and Sports, Macao Polytechnic University, Meng Tak Building, Room 705, Rua de Luís Gonzaga Gomes, Macao, People's Republic of China.; Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, People's Republic of ChinaIntroduction: Candida albicans is an important and widespread opportunistic pathogen. In recent years, studies have found that traditional Chinese medicine (TCM) can inhibit the growth of various types of fungi without inducing drug resistance. This study aims to investigate the anti-C. albicans abilities of four types of TCM extracts, namely Oroxylum indicum, Coptis chinensis, Verbena officinalis and Ramulus cinnamomi. Materials and methods: Oxford cup assays were employed to determine the sensitivity of C. albicans to the TCM extracts and establish the initial effective concentrations for further experiments. Broth microdilution methods and checkerboard microdilution assays were used to determine the C. albicans inhibition activities of the individual TCM extract and their combinations with clotrimazole and eugenol. Results: Among the four TCM extracts, C. chinensis had the highest potency against C. albicans, indicated by the minimum inhibitory concentration (MIC50) and minimum fungicidal concentration (MFC) values of 30 and 60 mg/mL, respectively. The C. chinensis extract also potentiated the anti-C. albicans activity of clotrimazole, indicated by a fractional Inhibitory concentration index (FICI) of 0.25. Both O. indicum and V. officinalis showed additive effects on C. chinensis in the TCM combinations. The combination of clotrimazole (a Western medicine compound) and eugenol (a TCM ingredient) had a weak additive effect with a FICI value of 1.0. Conclusion: This study supports further investigations of C. chinensis for the development of adjuvant therapeutic agents to current anti-fungal treatment against C. albicans infection.http://www.sciencedirect.com/science/article/pii/S2667142523000738Candida albicansClotrimazoleCoptis chinensisHerbal medicinesSynergismTraditional Chinese medicine
spellingShingle Wan-Yun Feng
Un-Ieng Cheang
Ka-I Wong
Hio-Ian Cheong
Li-Rong Meng
Pedro Fong
Synergistic activity of Coptis Chinensis and clotrimazole against Candida Albicans
Pharmacological Research - Modern Chinese Medicine
Candida albicans
Clotrimazole
Coptis chinensis
Herbal medicines
Synergism
Traditional Chinese medicine
title Synergistic activity of Coptis Chinensis and clotrimazole against Candida Albicans
title_full Synergistic activity of Coptis Chinensis and clotrimazole against Candida Albicans
title_fullStr Synergistic activity of Coptis Chinensis and clotrimazole against Candida Albicans
title_full_unstemmed Synergistic activity of Coptis Chinensis and clotrimazole against Candida Albicans
title_short Synergistic activity of Coptis Chinensis and clotrimazole against Candida Albicans
title_sort synergistic activity of coptis chinensis and clotrimazole against candida albicans
topic Candida albicans
Clotrimazole
Coptis chinensis
Herbal medicines
Synergism
Traditional Chinese medicine
url http://www.sciencedirect.com/science/article/pii/S2667142523000738
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AT hioiancheong synergisticactivityofcoptischinensisandclotrimazoleagainstcandidaalbicans
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