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Effects of the Natural Peptide Crotamine from a South American Rattlesnake on Candida auris, an Emergent Multidrug Antifungal Resistant Human Pathogen.

Abstract
Invasive Candida infections are an important growing medical concern and treatment options are limited to a few antifungal drug classes, with limited efficacies depending on the infecting organism. In this scenario, invasive infections caused by multiresistant Candida auris are emerging in several places around the world as important healthcare-associated infections. As antimicrobial peptides (AMPs) exert their activities primarily through mechanisms involving membrane disruption, they have a lower chance of inducing drug resistance than general chemical antimicrobials. Interestingly, we previously described the potent candicidal effect of a rattlesnake AMP, crotamine, against standard and treatment-resistant clinical isolates, with no hemolytic activity. We evaluated the antifungal susceptibility of several Candida spp. strains cultured from different patients by using the Clinical and Laboratory Standards Institute (CLSI) microdilution assay, and the antifungal activity of native crotamine was evaluated by a microbial growth inhibition microdilution assay. Although all Candida isolates evaluated here showed resistance to amphotericin B and fluconazole, crotamine (40-80 µM) exhibited in vitro activity against most isolates tested. We suggest that this native polypeptide from the South American rattlesnake Crotalus durissus terrificus has potential as a structural model for the generation of a new class of antimicrobial compounds with the power to fight against multiresistant Candida spp.
AuthorsCaroline Dal Mas, Luana Rossato, Thaís Shimizu, Eduardo B Oliveira, Pedro I da Silva Junior, Jacques F Meis, Arnaldo Lopes Colombo, Mirian A F Hayashi
JournalBiomolecules (Biomolecules) Vol. 9 Issue 6 (May 28 2019) ISSN: 2218-273X [Electronic] Switzerland
PMID31141959 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Crotalid Venoms
  • Peptides
  • crotamine
Topics
  • Animals
  • Candida (drug effects)
  • Crotalid Venoms (pharmacology)
  • Crotalus
  • Drug Resistance, Fungal (drug effects)
  • Drug Resistance, Multiple (drug effects)
  • Geography
  • Humans
  • Microbial Sensitivity Tests
  • Peptides (pharmacology)
  • Phenotype

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