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Extracellular phospholipase production of oral Candida albicans isolates from smokers, diabetics, asthmatics, denture wearers and healthy individuals following brief exposure to polyene, echinocandin and azole antimycotics
Ellepola, Arjuna N. B; Samaranayake, L. P; Khan, Z. U.
  • Ellepola, Arjuna N. B; Kuwait University. Faculty of Dentistry. Health Sciences Center. KW
  • Samaranayake, L. P; Kuwait University. Faculty of Dentistry. Health Sciences Center. KW
  • Khan, Z. U; Kuwait University. Faculty of Dentistry. Health Sciences Center. KW
Braz. j. microbiol ; 47(4): 911-916, Oct.-Dec. 2016. tab
Artículo en Inglés | LILACS | ID: biblio-828186
ABSTRACT
Abstract Objective Candida albicans is the primary causative agent of oral candidosis, and one of its key virulent attributes is considered to be its ability to produce extracellular phospholipases that facilitate cellular invasion. Oral candidosis can be treated with polyenes, and azoles, and the more recently introduced echinocandins. However, once administered, the intraoral concentration of these drugs tend to be sub-therapeutic and rather transient due to factors such as the diluent effect of saliva and cleansing effect of the oral musculature. Hence, intra-orally, the pathogenic yeasts may undergo a brief exposure to antifungal drugs. We, therefore, evaluated the phospholipase production of oral C. albicans isolates following brief exposure to sub-therapeutic concentrations of the foregoing antifungals. Materials and methods Fifty C. albicans oral isolates obtained from smokers, diabetics, asthmatics using steroid inhalers, partial denture wearers and healthy individuals were exposed to sub-therapeutic concentrations of nystatin, amphotericin B, caspofungin, ketoconazole and fluconazole for one hour. Thereafter the drugs were removed and the phospholipase production was determined by a plate assay using an egg yolk-agar medium. Results The phospholipase production of these isolates was significantly suppressed with a percentage reduction of 10.65, 12.14, 11.45 and 6.40% following exposure to nystatin, amphotericin B, caspofungin and ketoconazole, respectively. This suppression was not significant following exposure to fluconazole. Conclusions Despite the sub-therapeutic, intra oral, bioavailability of polyenes, echinocandins and ketoconazole, they are likely to produce a persistent antifungal effect by suppressing phospholipase production, which is a key virulent attribute of this common pathogenic yeast.
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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Fosfolipasas / Candida albicans / Candidiasis Bucal / Antifúngicos Límite: Humanos Idioma: Inglés Revista: Braz. j. microbiol Asunto de la revista: Microbiologia Año: 2016 Tipo del documento: Artículo País de afiliación: Kuwait Institución/País de afiliación: Kuwait University/KW

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Fosfolipasas / Candida albicans / Candidiasis Bucal / Antifúngicos Límite: Humanos Idioma: Inglés Revista: Braz. j. microbiol Asunto de la revista: Microbiologia Año: 2016 Tipo del documento: Artículo País de afiliación: Kuwait Institución/País de afiliación: Kuwait University/KW