In Vitro Susceptibility of Berberine Combined with Antifungal Agents Against the Yeast Form of Talaromyces marneffei

Autor: Cunwei Cao, Rong Hu, Chun-Yang Huang, Yu-jiao Li, Xiu-ying Li, Justin Joseph, Gang Liang, Alex Andrianopoulos, Tian-min Li, Xiao-lu Luo, Yan-Qing Zheng, Hong Luo, Dongyan Zheng, Kai-Su Pan, Jing Guo, Le-min Wen
Rok vydání: 2019
Předmět:
Zdroj: Mycopathologia. 184:295-301
ISSN: 1573-0832
0301-486X
Popis: Talaromyces (Penicillium) marneffei can cause fatal disseminated infection in immunocompromised hosts. However, therapeutic strategies for the mycosis are limited. Reports of the other fungi suggest that berberine, a component of traditional herb, inhibitors interact with antifungal agents to improve the treatment outcomes. In the study, we evaluated the in vitro efficacy of berberine in combination with conventional antifungal agents against the pathogenic yeast form of T. marneffei. We demonstrate the synergistic effect of combination of berberine with fluconazole (52.38%), itraconazole (66.67%), voriconazole (71.43%), amphotericin B (71.43%) or caspofungin (52.38%) of T. marneffei strains, respectively. Time-kill curves confirmed the synergistic interaction, and no antagonistic was observed in all of the combinations. In conclusion, berberine could enhance the efficacy of conventional antifungal agents against the yeast form of T. marneffei in vitro. The results indicated berberine might have a potential role in combination therapy for talaromycosis.
Databáze: OpenAIRE