In vitro synergism of a water insoluble fraction of Uncaria tomentosa combined with fluconazole and terbinafine against resistant non-Candida albicans isolates
Autor: | Aline Jacobi Dalla Lana, Anderson Ramos Carvalho, Alexandre Meneghello Fuentefria, Bruna Pippi, George González Ortega, Samuel Kaiser, Renata Cougo Moraes |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
Antifungal Agents natural products 030106 microbiology Pharmaceutical Science Naphthalenes Microbiology 03 medical and health sciences Cell Wall Drug Resistance Fungal Spectroscopy Fourier Transform Infrared Drug Discovery Uncaria tomentosa medicine Cat's Claw Candida albicans Fluconazole Terbinafine polyphenols Pharmacology Plants Medicinal Calorimetry Differential Scanning biology Candida glabrata Plant Extracts lcsh:RM1-950 Water Drug Synergism checkerboard General Medicine antifungal resistance biology.organism_classification Corpus albicans In vitro 030104 developmental biology lcsh:Therapeutics. Pharmacology Solubility Complementary and alternative medicine Checkerboard Microscopy Electron Scanning Plant Bark candida Molecular Medicine Phytotherapy medicine.drug |
Zdroj: | Pharmaceutical Biology, Vol 55, Iss 1, Pp 406-415 (2017) |
ISSN: | 1744-5116 1388-0209 |
Popis: | Context: Uncaria tomentosa D.C. (Rubiaceae) has several biological activities, including activity against resistant Candida strains. The synergistic interaction with terbinafine or fluconazole can be an important alternative to overcome this resistance. Objectives: The potential synergy between a water insoluble fraction (WIF) from Uncaria tomentosa bark and the antifungals terbinafine (TRB) and fluconazole (FLZ) against non-Candida albicans resistant strains was investigated. Materials and methods: TRB and FLZ, alone and combined with WIF, were tested by the checkerboard procedure using the micro-dilution technique against seven isolates of Candida glabrata and C. krusei. The molecular interactions occurring outside the cell wall were evaluated by scanning electron microscopy, Fourier transform infrared (FT-IR) and differential scanning calorimetry (DSC) analysis. Results: The checkerboard inhibitory assay demonstrated synergy for WIF:TRB and WIF:FLZ combinations, respectively. The best synergistic cell damage was demonstrated unequivocally for the associations of WIF and TRB (1.95:4.0 μg/mL) and WIF and FLZ (1.95:8.0 μg/mL). The comparison of the FT-IR spectra of the antifungal alone, and in combination with WIF, allows recognizing clear differences in 3000, 1600, 1400, and 700–800 cm−1 bands. Additionally, modifications on TRB and FLZ thermograms were clearly noticed after their combination with WIF. Conclusions: DSC and infrared analysis demonstrated intermolecular interactions between WIF and either TRB or FLZ. Hence, quite likely the synergistic effect is related to interaction events occurring outside the cell wall between antifungal and cat’s claw proanthocyanidins. A direct action on the cell wall is suggested, without connection with the ABC efflux pump mechanism. |
Databáze: | OpenAIRE |
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