Synergistic Effects and Mechanisms of Budesonide in Combination with Fluconazole against Resistant Candida albicans.

Candida albicans is an important opportunistic pathogen, causing both superficial mucosal infections and life-threatening systemic diseases in the clinic. The emergence of drug resistance in Candida albicans has become a noteworthy phenomenon due to the extensive use of antifungal agents and the dev...

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Main Authors: Xiuyun Li, Cuixiang Yu, Xin Huang, Shujuan Sun
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5179115?pdf=render
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author Xiuyun Li
Cuixiang Yu
Xin Huang
Shujuan Sun
author_facet Xiuyun Li
Cuixiang Yu
Xin Huang
Shujuan Sun
author_sort Xiuyun Li
collection DOAJ
description Candida albicans is an important opportunistic pathogen, causing both superficial mucosal infections and life-threatening systemic diseases in the clinic. The emergence of drug resistance in Candida albicans has become a noteworthy phenomenon due to the extensive use of antifungal agents and the development of biofilms. This study showed that budesonide potentiates the antifungal effect of fluconazole against fluconazole-resistant Candida albicans strains both in vitro and in vivo. In addition, our results demonstrated, for the first time, that the combination of fluconazole and budesonide can reverse the resistance of Candida albicans by inhibiting the function of drug transporters, reducing the formation of biofilms, promoting apoptosis and inhibiting the activity of extracellular phospholipases. This is the first study implicating the effects and mechanisms of budesonide against Candida albicans alone or in combination with fluconazole, which may ultimately lead to the identification of new potential antifungal targets.
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spelling doaj.art-f8eeda1d14de4a8989505b9420e711252022-12-21T18:40:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011112e016893610.1371/journal.pone.0168936Synergistic Effects and Mechanisms of Budesonide in Combination with Fluconazole against Resistant Candida albicans.Xiuyun LiCuixiang YuXin HuangShujuan SunCandida albicans is an important opportunistic pathogen, causing both superficial mucosal infections and life-threatening systemic diseases in the clinic. The emergence of drug resistance in Candida albicans has become a noteworthy phenomenon due to the extensive use of antifungal agents and the development of biofilms. This study showed that budesonide potentiates the antifungal effect of fluconazole against fluconazole-resistant Candida albicans strains both in vitro and in vivo. In addition, our results demonstrated, for the first time, that the combination of fluconazole and budesonide can reverse the resistance of Candida albicans by inhibiting the function of drug transporters, reducing the formation of biofilms, promoting apoptosis and inhibiting the activity of extracellular phospholipases. This is the first study implicating the effects and mechanisms of budesonide against Candida albicans alone or in combination with fluconazole, which may ultimately lead to the identification of new potential antifungal targets.http://europepmc.org/articles/PMC5179115?pdf=render
spellingShingle Xiuyun Li
Cuixiang Yu
Xin Huang
Shujuan Sun
Synergistic Effects and Mechanisms of Budesonide in Combination with Fluconazole against Resistant Candida albicans.
PLoS ONE
title Synergistic Effects and Mechanisms of Budesonide in Combination with Fluconazole against Resistant Candida albicans.
title_full Synergistic Effects and Mechanisms of Budesonide in Combination with Fluconazole against Resistant Candida albicans.
title_fullStr Synergistic Effects and Mechanisms of Budesonide in Combination with Fluconazole against Resistant Candida albicans.
title_full_unstemmed Synergistic Effects and Mechanisms of Budesonide in Combination with Fluconazole against Resistant Candida albicans.
title_short Synergistic Effects and Mechanisms of Budesonide in Combination with Fluconazole against Resistant Candida albicans.
title_sort synergistic effects and mechanisms of budesonide in combination with fluconazole against resistant candida albicans
url http://europepmc.org/articles/PMC5179115?pdf=render
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AT xinhuang synergisticeffectsandmechanismsofbudesonideincombinationwithfluconazoleagainstresistantcandidaalbicans
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