51. Rimonabant potentiates the antifungal activity of amphotericin B by increasing cellular oxidative stress and cell membrane permeability.
- Author
-
Zhang M, Lu J, Duan X, Chen J, Jin X, Lin Z, Pang Y, Wang X, Lou H, and Chang W
- Subjects
- Animals, Candida albicans drug effects, Candidemia drug therapy, Cryptococcosis drug therapy, Cryptococcus neoformans drug effects, Drug Synergism, Fungi classification, Male, Mice, Mice, Inbred BALB C, Microbial Sensitivity Tests, Small Molecule Libraries pharmacology, Amphotericin B pharmacology, Antifungal Agents pharmacology, Biofilms drug effects, Cell Membrane Permeability drug effects, Fungi drug effects, Oxidative Stress drug effects, Rimonabant pharmacology
- Abstract
Amphotericin B (AmB) is a very effective antifungal agent, and resistance in clinical isolates is rare. However, clinical treatment with AmB is often associated with severe side effects. Reducing the administration dose of AmB by combining it with other agents is a promising strategy to minimize this toxicity. In this study, we screened a small compound library and observed that the anti-obesity drug rimonabant exhibited synergistic antifungal action with AmB against Candida species and Cryptococcus neoformans. Moreover, the combination of AmB and rimonabant exhibited synergistic or additive effects against Candida albicans biofilm formation and cell viability in preformed biofilms. The effects of this combination were further confirmed in vivo using a murine systemic infection model. Exploration of the mechanism of synergy revealed that rimonabant enhances the fungicidal activity of AmB by increasing cellular oxidative stress and cell membrane permeability. These findings provide a foundation for the possible development of AmB-rimonabant polytherapies for fungal infections., (© The Author(s) 2021. Published by Oxford University Press on behalf of FEMS.)
- Published
- 2021
- Full Text
- View/download PDF