Frontiers in Microbiology (Oct 2017)

A Linear 19-Mer Plant Defensin-Derived Peptide Acts Synergistically with Caspofungin against Candida albicans Biofilms

  • Tanne L. Cools,
  • Caroline Struyfs,
  • Caroline Struyfs,
  • Jan W. Drijfhout,
  • Soňa Kucharíková,
  • Soňa Kucharíková,
  • Celia Lobo Romero,
  • Celia Lobo Romero,
  • Patrick Van Dijck,
  • Patrick Van Dijck,
  • Marcelo H. S. Ramada,
  • Marcelo H. S. Ramada,
  • Carlos Bloch,
  • Bruno P. A. Cammue,
  • Bruno P. A. Cammue,
  • Karin Thevissen

DOI
https://doi.org/10.3389/fmicb.2017.02051
Journal volume & issue
Vol. 8

Abstract

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Public health problems are associated with device-associated biofilm infections, with Candida albicans being the major fungal pathogen. We previously identified potent antibiofilm combination treatment in which the antifungal plant defensin HsAFP1 is co-administered with caspofungin, the preferred antimycotic to treat such infections. In this study, we identified the smallest linear HsAFP1-derived peptide that acts synergistically with caspofungin or anidulafungin against C. albicans as HsLin06_18, a 19-mer peptide derived from the C-terminal part of HsAFP1. The [caspofungin + HsLin06_18] combination significantly reduced in vitro biofilm formation of Candida glabrata and C. albicans on catheters, as well as biofilm formation of a caspofungin-resistant C. albicans strain. The [caspofungin + HsLin06_18] combination was not cytotoxic and reduced biofilm formation of C. albicans in vivo using a subcutaneous rat catheter model, as compared to control treatment. Mode of action research on the [caspofungin + HsLin06_18] combination pointed to caspofungin-facilitated HsLin06_18 internalization and immediate membrane permeabilization. All these findings point to broad-spectrum antibiofilm activity of a combination of HsLin06_18 and caspofungin.

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