The rise in the use of biomedical devices and implants has seen a concomitant surge in the advent of device-related nosocomial (hospital-acquired) infections of bacterial and fungal origins. The most common nosocomial fungal infection is candidiasis caused mainly by Candida albicans biofilms. Candidiasis is associated with an unacceptably high mortality rate, and there is an urgent need for the discovery of new antifungal drugs that prevent or control biofilm formation. To this end, we recently developed an ultra-high-throughput microarray platform consisting of nano-scale biofilms of C. albicans encapsulated in collagen or alginate hydrogel matrices for antifungal drug screening. Here, we report that the choice of matrix influences the apparent susceptibility of C. albicans to the common antifungal drugs, amphotericin B, and caspofungin. While amphotericin B is equally effective against biofilms grown in collagen and alginate matrices, caspofungin is effective only against biofilms grown only in alginate, but not in collagen. We demonstrate differences in the distribution of the drugs in the two matrices may contribute to the susceptibility of C. albicans nano-biofilms. In a larger context, our results highlight the importance of the choice of matrix as a parameter in 3D cell encapsulation, and suggest a screening strategy to predict drug performance in vivo.

译文

:随着生物医学装置和植入物使用的增加,伴随着细菌和真菌起源的与装置有关的医院(医院获得性)感染的出现也随之而来。最常见的医院内真菌感染是主要由白色念珠菌生物膜引起的念珠菌病。念珠菌病的死亡率高得令人无法接受,因此迫切需要发现能够预防或控制生物膜形成的新型抗真菌药物。为此,我们最近开发了一种超高通量的微阵列平台,该平台由封装在胶原蛋白或藻酸盐水凝胶基质中的白色念珠菌的纳米级生物膜组成,用于抗真菌药物筛选。在这里,我们报告说,基质的选择会影响白色念珠菌对常见的抗真菌药,两性霉素B和卡泊芬净的表观敏感性。虽然两性霉素B对胶原蛋白和藻酸盐基质中生长的生物膜同样有效,但是卡泊芬净仅对藻酸盐中生长的生物膜有效,而对胶原蛋白中无效。我们证明了在两种基质中药物分布的差异可能有助于白色念珠菌纳米生物膜的敏感性。在更大的范围内,我们的结果突出了选择基质作为3D细胞封装参数的重要性,并提出了一种预测体内药物性能的筛选策略。

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