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Azole-synergistic anti-candidal activity of altenusin, a biphenyl metabolite of the endophytic fungus Alternaria alternata isolated from Terminalia chebula Retz.

Abstract
In this study, a tropical endophytic fungus, Alternaria alternata Tche-153 was isolated from a Thai medicinal plant Terminalia chebula Rezt. The ethyl acetate extract prepared from the fermentation broth exhibited significant ketoconazole-synergistic activity against Candida albicans. Bioassay-directed fractionation of the ethyl acetate extract led to the isolation of altenusin (1), isoochracinic acid (2), and altenuic acid (3) together with 2,5-dimethyl-7-hydroxychromone (4). Using the disc diffusion method and the microdilution chequerboard technique, only altenusin (1) in combination with each of three azole drugs, ketoconazole, fluconazole or itraconazole at their low sub-inhibitory concentrations exhibited potent synergistic activity against C. albicans with the fractional inhibitory concentration index range of 0.078 to 0.188. This first discovery of altenusin (1) as a new azole-synergistic prototype possessing a biphenyl structure is of significance for further development of new azole-synergists to treat invasive candidiasis.
AuthorsJatuporn Phaopongthai, Suthep Wiyakrutta, Duangdeun Meksuriyen, Nongluksna Sriubolmas, Khanit Suwanborirux
JournalJournal of microbiology (Seoul, Korea) (J Microbiol) Vol. 51 Issue 6 Pg. 821-8 (Dec 2013) ISSN: 1976-3794 [Electronic] Korea (South)
PMID24385360 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antifungal Agents
  • Azoles
  • Biphenyl Compounds
  • altenusin
Topics
  • Alternaria (chemistry, genetics, isolation & purification, metabolism)
  • Antifungal Agents (chemistry, metabolism, pharmacology)
  • Azoles (pharmacology)
  • Biphenyl Compounds (chemistry, metabolism, pharmacology)
  • Candida (drug effects)
  • Drug Synergism
  • Endophytes (chemistry, genetics, isolation & purification, metabolism)
  • Microbial Sensitivity Tests
  • Molecular Sequence Data
  • Molecular Structure
  • Phylogeny
  • Terminalia (microbiology)

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