Anti-biofilm peptides can rescue fluconazole and amphotericin B efficacies against Candida albicans

  • Ann Kathrin Kissmann
  • , Vanessa Mildenberger
  • , Markus Krämer
  • , Daniel Alpízar-Pedraza
  • , Ernesto M. Martell-Huguet
  • , Julio A. Perez-Erviti
  • , Ahmet Cetinkaya
  • , Joanna Pietrasik
  • , Anselmo J. Otero-Gonzalez
  • , Carolina Firacative
  • , Armando Rodríguez
  • , Ludger Ständker
  • , Tanja Weil
  • , Steffen Stenger
  • , Frank Rosenau

Research output: Contribution to JournalResearch Articlepeer-review

Abstract

Candida albicans infections are a global health thread and challenge healthcare environments due to acquired resistances against prominent antifungals like amphotericin B and fluconazole, which additionally have severe adverse effects. The peptide Pom-1 originally isolated from the freshwater mollusk Pomacea poeyana, and its derivatives Pom-1 A-F have proven their potential against biofilms of clinical C. albicans isolates and were suspected to act without candidolytic pore-formation. Here, Pom-1 and its derivatives were shown to act as neutralizing antimicrobial peptides (nAMPs) inhibiting cell-cell interactions and hence biofilm formation. Combining Pom-1 nAMPs with fluconazole and amphotericin B restored their efficacy against resistant C. albicans isolates. Addition of Pom-1 nAMPs allowed to reduce required concentrations to 10–50% below their described effective therapeutic doses. This opens doors not only to mitigate adverse effects of fluconazole and amphotericin B therapies, but also towards novel combination therapies against C. albicans as a severe re-emerging pathogen.

Original languageEnglish (US)
Article number24593
Pages (from-to)24593
JournalScientific Reports
Volume15
Issue number1
DOIs
StatePublished - Jul 9 2025

All Science Journal Classification (ASJC) codes

  • General

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