Miltefosine inhibits Candida albicans and non-albicans Candida spp. biofilms and impairs the dispersion of infectious cells.

Miltefosine inhibits Candida albicans and non-albicans Candida spp. biofilms and impairs the dispersion of infectious cells.
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DOI:
10.1016/j.ijantimicag.2016.07.022
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发表时间:
2016-11
影响因子:
10.8
通讯作者:
T. Vila;K. Ishida;S. Seabra;S. Rozental
T. Vila;K. Ishida;S. Seabra;S. Rozental
中科院分区:
医学2区
文献类型:
--
作者:
T. Vila;K. Ishida;S. Seabra;S. Rozental

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Candidaspp. can adhere to and form biofilms over different surfaces, becoming less susceptible to antifungal treatment. Resistance of biofilms to antifungal agents is multifactorial and the extracellular matrix (ECM) appears to play an important role. Among the few available antifungals for treatment of candidaemia, only the lipid formulations of amphotericin B (AmB) and the echinocandins are effective against biofilms. Our group has previously demonstrated that miltefosine has an important effect againstCandida albicansbiofilms. Thus, the aim of this work was to expand the analyses of the in vitro antibiofilm activity of miltefosine to non-albicans Candidaspp. Miltefosine had significant antifungal activity against planktonic cells and the development of biofilms ofC. albicans,Candida parapsilosis,Candida tropicalisandCandida glabrata. The activity profile in biofilms was superior to fluconazole and was similar to that of AmB and caspofungin. Biofilm-derived cells with their ECM extracted became as susceptible to miltefosine as planktonic cells, confirming the importance of the ECM in the biofilm resistant behaviour. Miltefosine also inhibited biofilm dispersion of cells at the same concentration needed to inhibit planktonic cell growth. The data obtained in this work reinforce the potent inhibitory activity of miltefosine on biofilms of the four most pathogenicCandidaspp. and encourage further studies for the utilisation of this drug and/or structural analogues on biofilm-related infections.