Effect of Cold Atmospheric Plasma Jet Associated to Polyene Antifungals on <i>Candida albicans</i> Biofilms

The increasing incidence of antifungal resistance represents a great challenge in the medical area and, for this reason, new therapeutic alternatives for the treatment of fungal infections are urgently required. Cold atmospheric plasma (CAP) has been proposed as a promising alternative technique for...

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Main Authors: Lady Daiane Pereira Leite, Maria Alcionéia Carvalho de Oliveira, Mariana Raquel da Cruz Vegian, Aline da Graça Sampaio, Thalita Mayumi Castaldelli Nishime, Konstantin Georgiev Kostov, Cristiane Yumi Koga-Ito
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/26/19/5815
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author Lady Daiane Pereira Leite
Maria Alcionéia Carvalho de Oliveira
Mariana Raquel da Cruz Vegian
Aline da Graça Sampaio
Thalita Mayumi Castaldelli Nishime
Konstantin Georgiev Kostov
Cristiane Yumi Koga-Ito
author_facet Lady Daiane Pereira Leite
Maria Alcionéia Carvalho de Oliveira
Mariana Raquel da Cruz Vegian
Aline da Graça Sampaio
Thalita Mayumi Castaldelli Nishime
Konstantin Georgiev Kostov
Cristiane Yumi Koga-Ito
author_sort Lady Daiane Pereira Leite
collection DOAJ
description The increasing incidence of antifungal resistance represents a great challenge in the medical area and, for this reason, new therapeutic alternatives for the treatment of fungal infections are urgently required. Cold atmospheric plasma (CAP) has been proposed as a promising alternative technique for the treatment of superficial candidiasis, with inhibitory effect both in vitro and in vivo. However, little is known on the association of CAP with conventional antifungals. The aim of this study was to evaluate the effects of the association between CAP and conventional polyene antifungals on <i>Candida albicans</i> biofilms. <i>C. albicans</i> SC 5314 and a clinical isolate were used to grow 24 or 48 h biofilms, under standardized conditions. After that, the biofilms were exposed to nystatin, amphotericin B and CAP, separately or in combination. Different concentrations of the antifungals and sequences of treatment were evaluated to establish the most effective protocol. Biofilms viability after the treatments was compared to negative control. Data were compared by One-way ANOVA and post hoc Tukey (5%). The results demonstrate that 5 min exposure to CAP showed more effective antifungal effect on biofilms when compared to nystatin and amphotericin B. Additionally, it was detected that CAP showed similar (but smaller in magnitude) effects when applied in association with nystatin and amphotericin B at 40 µg/mL and 60 µg/mL. Therefore, it can be concluded that the application of CAP alone was more effective against <i>C. albicans</i> biofilms than in combination with conventional polyene antifungal agents.
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spelling doaj.art-c6d31d2e8e554f36bf4b21d09e5023762023-11-22T16:33:04ZengMDPI AGMolecules1420-30492021-09-012619581510.3390/molecules26195815Effect of Cold Atmospheric Plasma Jet Associated to Polyene Antifungals on <i>Candida albicans</i> BiofilmsLady Daiane Pereira Leite0Maria Alcionéia Carvalho de Oliveira1Mariana Raquel da Cruz Vegian2Aline da Graça Sampaio3Thalita Mayumi Castaldelli Nishime4Konstantin Georgiev Kostov5Cristiane Yumi Koga-Ito6Science Applied to Oral Health, Graduate Program of Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos 12245-000, BrazilOral Biopathology, Graduate Program of Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos 12245-000, BrazilScience Applied to Oral Health, Graduate Program of Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos 12245-000, BrazilScience Applied to Oral Health, Graduate Program of Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos 12245-000, BrazilLeibniz Institute for Plasma Science and Technology, 17489 Greifswald, GermanyDepartment of Physics, Guaratinguetá Faculty of Engineering, São Paulo State University (Unesp), Guaratinguetá 12516-410, BrazilScience Applied to Oral Health, Graduate Program of Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos 12245-000, BrazilThe increasing incidence of antifungal resistance represents a great challenge in the medical area and, for this reason, new therapeutic alternatives for the treatment of fungal infections are urgently required. Cold atmospheric plasma (CAP) has been proposed as a promising alternative technique for the treatment of superficial candidiasis, with inhibitory effect both in vitro and in vivo. However, little is known on the association of CAP with conventional antifungals. The aim of this study was to evaluate the effects of the association between CAP and conventional polyene antifungals on <i>Candida albicans</i> biofilms. <i>C. albicans</i> SC 5314 and a clinical isolate were used to grow 24 or 48 h biofilms, under standardized conditions. After that, the biofilms were exposed to nystatin, amphotericin B and CAP, separately or in combination. Different concentrations of the antifungals and sequences of treatment were evaluated to establish the most effective protocol. Biofilms viability after the treatments was compared to negative control. Data were compared by One-way ANOVA and post hoc Tukey (5%). The results demonstrate that 5 min exposure to CAP showed more effective antifungal effect on biofilms when compared to nystatin and amphotericin B. Additionally, it was detected that CAP showed similar (but smaller in magnitude) effects when applied in association with nystatin and amphotericin B at 40 µg/mL and 60 µg/mL. Therefore, it can be concluded that the application of CAP alone was more effective against <i>C. albicans</i> biofilms than in combination with conventional polyene antifungal agents.https://www.mdpi.com/1420-3049/26/19/5815<i>Candida albicans</i>antifungalcold plasma
spellingShingle Lady Daiane Pereira Leite
Maria Alcionéia Carvalho de Oliveira
Mariana Raquel da Cruz Vegian
Aline da Graça Sampaio
Thalita Mayumi Castaldelli Nishime
Konstantin Georgiev Kostov
Cristiane Yumi Koga-Ito
Effect of Cold Atmospheric Plasma Jet Associated to Polyene Antifungals on <i>Candida albicans</i> Biofilms
Molecules
<i>Candida albicans</i>
antifungal
cold plasma
title Effect of Cold Atmospheric Plasma Jet Associated to Polyene Antifungals on <i>Candida albicans</i> Biofilms
title_full Effect of Cold Atmospheric Plasma Jet Associated to Polyene Antifungals on <i>Candida albicans</i> Biofilms
title_fullStr Effect of Cold Atmospheric Plasma Jet Associated to Polyene Antifungals on <i>Candida albicans</i> Biofilms
title_full_unstemmed Effect of Cold Atmospheric Plasma Jet Associated to Polyene Antifungals on <i>Candida albicans</i> Biofilms
title_short Effect of Cold Atmospheric Plasma Jet Associated to Polyene Antifungals on <i>Candida albicans</i> Biofilms
title_sort effect of cold atmospheric plasma jet associated to polyene antifungals on i candida albicans i biofilms
topic <i>Candida albicans</i>
antifungal
cold plasma
url https://www.mdpi.com/1420-3049/26/19/5815
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