The effect of fungichromin (FC) on the formation of Candida albicans biofilm was assessed using 2,3-bis(2-methoxy-4-nitro-5-sulfo-phenyl)-2H-tetrazolium-5-carboxanilide (XTT) reduction method, scanning electron microscopy (SEM) and confocal laser scanning microscopy (CLSM). Results showed that FC revealed an inhibitory effect on the formation of C. albicans biofilm in a dose-dependent manner with a minimum inhibitory concentration (MIC) of 10 µg/mL. Over 80% of biofilm formation was inhibited by FC at the concentration of 40 µg/mL when compared with the control. Similarly, real-time PCR showed that the expression of the genes such as ALS1, ALS3, HWP1, EFG1, HYR1, CPH1 and BCR1 appeared to be remarkably affected by FC at the concentration of 20 µg/mL during the biofilm formation. In addition, FC could also induce the apoptosis of C. albicans cells in a dose-dependent manner. Therefore, FC displayed potent activity against the formation of C. albicans biofilm in vitro and played an important role in reducing the incidence of device-associated infections.
Key words fungichromin (FC); Candida albicans; biofilmCandida albicans is a dimorphic yeast that can be either a commensal or an opportunistic pathogen with the capability to cause a variety of infections, ranging from superficial mucous membrane infection to life-threatening systemic diseases.
1,2)Invasive candidiasis carries unacceptably high mortality, which is reported to be as high as 40-60%.3) One of the major reasons for this phenomenon is that candidiasis can adapt to a variety of environmental conditions through attaching to the surface and growing in microbial community in a mode of biofilm.4) Biofilm can be formed not only on host tissues, but also on prosthesis and indwelling medical devices, such as urinary and vascular catheters, (dental) implants, prostheses, and heart valves.5,6) C. albicans biofilm can lead to a significantly increased resistance to conventional antifungal drugs.
7)Another important reason for the low success rate in treating candidiasis is due to the limited number of antifungal agents. Also, the treatment efficacy of antifungal agents is limited because of toxicity and resistance. 8,9) Fungichromin (FC), as one of polyene antibiotics, has been reported for its in vitro antifungal properties including C. albicans [10][11][12] ; however, until now, the activity of FC against sessile cells in C. albicans biofilm has never been studied. The aim of the present study is to explore the inhibitory effect of FC on the formation of C. albicans biofilm so as to evaluate the potential therapeutic implication for biofilm-associated candidal infections.
MATERIALS AND METHODS
Minimum Inhibitory Concentration (MIC) and Minimum Fungicidal Concentration (MFC)C. albicans was prepared using broth dilution technique. FC with the gradient concentration of 0.625-80 µg/mL was prepared by two-fold serial dilution technique through RPMI 1640 medium buffered to pH 7.0 with MOPS buffer, and then inoculated with 100 µL of C. albicans suspension. Fluconazole...