In vitro effects of selective serotonin reuptake inhibitors on Cryptococcus gattii capsule and biofilm

Infections caused by Cryptococcus gattii mainly affect immunocompetent individuals and the treatment presents important limitations. This study aimed to validate the efficacy of selective serotonin reuptake inhibitors (SSRI), fluoxetine hydrochloride (FLH), and paroxetine hydrochloride (PAH) in vitr...

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Detalles Bibliográficos
Autores: Viveiro, Letícia Rampazzo Da Gama [UNESP], Rehem, Amanda Rodrigues [UNESP], Santos, Evelyn Luzia De Souza [UNESP], Carmo, Paulo Henrique Fonseca Do [UNESP], Junqueira, Juliana Campos [UNESP], Scorzoni, Liliana [UNESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/308535
Acceso en línea:http://dx.doi.org/10.1093/femspd/ftae001
https://hdl.handle.net/11449/308535
Access Level:acceso abierto
Palabra clave:Antifungal
Biofilm
Cryptococcus gattii
Serotonin reuptake inhibitors
Descripción
Sumario:Infections caused by Cryptococcus gattii mainly affect immunocompetent individuals and the treatment presents important limitations. This study aimed to validate the efficacy of selective serotonin reuptake inhibitors (SSRI), fluoxetine hydrochloride (FLH), and paroxetine hydrochloride (PAH) in vitro against C. gattii. The antifungal activity of SSRI using the microdilution method revealed a minimal inhibitory concentration (MIC) of 31.25 μg/ml. The combination of FLH or PAH with amphotericin B (AmB) was analyzed using the checkerboard assay and the synergistic effect of SSRI in combination with AmB was able to reduce the SSRI or AmB MIC values 4-8-fold. When examining the effect of SSRI on the induced capsules, we observed that FLH and PAH significantly decreased the size of C. gattii capsules. In addition, the effects of FLH and PAH were evaluated in biofilm biomass and viability. The SSRI were able to reduce biofilm biomass and biofilm viability. In conclusion, our results indicate the use of FLH and PAH exhibited in vitro anticryptococcal activity, representing a possible future alternative for the cryptococcosis treatment.