Antifungal and antibiofilm effect of duloxetine hydrochloride against Cryptococcus neoformans and Cryptococcus gattii

Summary Cryptococcosis is an invasive mycosis caused mainly by Cryptococcus gattii and C. neoformans and is treated with amphotericin B (AMB), fluconazole and 5-fluorocytosine. However, antifungal resistance, limited and toxic antifungal arsenal stimulate the search for therapeutic strategies such a...

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Veröffentlicht in:Folia microbiologica 2024-12, Vol.69 (6), p.1247-1254
Hauptverfasser: Rehem, Amanda Rodrigues, da Gama Viveiro, Letícia Rampazzo, De Souza Santos, Evelyn Luzia, do Carmo, Paulo Henrique Fonseca, da Silva, Newton Soares, Junqueira, Juliana Campos, Scorzoni, Liliana
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container_issue 6
container_start_page 1247
container_title Folia microbiologica
container_volume 69
creator Rehem, Amanda Rodrigues
da Gama Viveiro, Letícia Rampazzo
De Souza Santos, Evelyn Luzia
do Carmo, Paulo Henrique Fonseca
da Silva, Newton Soares
Junqueira, Juliana Campos
Scorzoni, Liliana
description Summary Cryptococcosis is an invasive mycosis caused mainly by Cryptococcus gattii and C. neoformans and is treated with amphotericin B (AMB), fluconazole and 5-fluorocytosine. However, antifungal resistance, limited and toxic antifungal arsenal stimulate the search for therapeutic strategies such as drug repurposing. Among the repurposed drugs studied, the selective serotonin reuptake inhibitors (SSRIs) have shown activity against Cryptococcus spp . However, little is known about the antifungal effect of duloxetine hydrochloride (DH), a selective serotonin and norepinephrine reuptake inhibitor (SSNRI), against C. neoformans and C. gattii. In this study, DH inhibited the growth of several C. neoformans and C. gattii strains at concentrations ranging from 15.62 to 62.50 µg/mL. In addition, DH exhibited fungicidal activity ranging from 15.62 to 250 µg/mL. In biofilm, DH treatment reduced Cryptococcus spp. biomass at a level comparable to AMB, with a significant reduction (85%) for C. neoformans biofilms. The metabolic activity of C. neoformans and C. gattii biofilms decreased significantly (99%) after treatment with DH. Scanning electron micrographs confirmed the anti-biofilm activity of DH, as isolated cells could be observed after treatment. In conclusion, DH showed promising antifungal activity against planktonic cells and biofilms of C. neoformans and C. gattii, opening perspectives for further studies with DH in vivo .
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However, antifungal resistance, limited and toxic antifungal arsenal stimulate the search for therapeutic strategies such as drug repurposing. Among the repurposed drugs studied, the selective serotonin reuptake inhibitors (SSRIs) have shown activity against Cryptococcus spp . However, little is known about the antifungal effect of duloxetine hydrochloride (DH), a selective serotonin and norepinephrine reuptake inhibitor (SSNRI), against C. neoformans and C. gattii. In this study, DH inhibited the growth of several C. neoformans and C. gattii strains at concentrations ranging from 15.62 to 62.50 µg/mL. In addition, DH exhibited fungicidal activity ranging from 15.62 to 250 µg/mL. In biofilm, DH treatment reduced Cryptococcus spp. biomass at a level comparable to AMB, with a significant reduction (85%) for C. neoformans biofilms. The metabolic activity of C. neoformans and C. gattii biofilms decreased significantly (99%) after treatment with DH. 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subjects Amphotericin B
Antifungal activity
Applied Microbiology
Biocompatibility
Biofilms
Biomedical and Life Sciences
Cryptococcosis
Cryptococcus
Cryptococcus gattii
Cryptococcus neoformans
Drug resistance
Duloxetine
Electron micrographs
Environmental Engineering/Biotechnology
Fluconazole
Fungi
Fungicidal activity
Fungicides
Immunology
In vivo methods and tests
Life Sciences
Microbiology
Mycosis
Norepinephrine
Original Article
Planktonic cells
Serotonin
Serotonin uptake inhibitors
title Antifungal and antibiofilm effect of duloxetine hydrochloride against Cryptococcus neoformans and Cryptococcus gattii
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