Synergistic activity of dobutamine combined with azoles and its mechanism of action against strains ofCandida glabrata

Author:

Barroso Fatima DD1,da Silva Lisandra J1,Sá Lívia GAV12ORCID,da Silva Cecília R1ORCID,Neto João BA12,do Nascimento Francisca BA1,Queiroz Helaine A1,Leitão Amanda C1,Cabral Vitória PF1,Rodrigues Daniel S1,Barbosa Amanda D1,Cavalcanti Bruno C3,Morais Manoel O3,Júnior Hélio VN1ORCID

Affiliation:

1. Department of Clinical and Toxicological Analysis, School of Pharmacy, Federal University of Ceará, Fortaleza, Brazil

2. Faculty of Biomedicine, Unichristus University Center, Fortaleza, Brazil

3. Drug Research and Development Center, Federal University of Ceará, Fortaleza, CE, 60430-276, Brazil

Abstract

Aims: To evaluate the antifungal effect of dobutamine against Candida glabrata as well as its synergism with azoles and its action on biofilm. Methods: The M27-A3 protocol and flow cytometry were used for elucidation of the possible mechanism of action. Results: The tested isolates presented MICs ranging from 2 to 32 μg/ml for dobutamine, with fungistatic effect. A total of 82% of the strains showed synergism with fluconazole, with 90% showing synergism with itraconazole. The effect on biofilm formation was nonsignificant. Cytometry tests showed that dobutamine induced mitochondrial depolarization. Conclusion: Dobutamine has an antifungal effect on strains of C. glabrata and synergistic activity with azoles. This effect is probably mediated by increased oxidative damage to the membrane.

Publisher

Future Medicine Ltd

Subject

Microbiology (medical),Microbiology

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