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β-lactam substituted polycyclic fused pyrrolidine/pyrrolizidine derivatives eradicate C. albicans in an ex vivo human dentinal tubule model by inhibiting sterol 14-α demethylase and cAMP pathway
Gowri, Meiyazhagan, Beaula, Winfred Sofi, Biswal, Jayashree, Dhamodharan, Prabhu, Saiharish, Raghavan, Rohan Prasad, Surabi, Pitani, Ravishankar, Kandaswamy, Deivanayagam, Raghunathan, Ragavachary, Jeyakanthan, JeyaramanShow More
Published in Elsevier B.V.
2016
PMID: 26723175
Volume: 1860
   
Issue: 4
Pages: 636 - 647
Abstract
Background Further quest for new anti-fungal compounds with proven mechanisms of action arises due to resistance and dose limiting toxicity of existing agents. Among the human fungal pathogens C. albicans predominate by infecting several sites in the body and in particular oral cavity and root canals of human tooth. Methods In the present study, we screened a library of β-lactam substituted polycyclic fused pyrrolidine/pyrrolizidine compounds against Candida sp. Detailed molecular studies were carried out with the active compound 3 on C. albicans. Morphological damage and antibiofilm activity of compound 3 on C. albicans was studied using scanning electron microscopy (SEM). Biochemical evidence for membrane damage was studied using flow cytometry. In silico docking studies were carried out to elucidate the mechanism of action of compound 3. Further, the antifungal activity of compound 3 was evaluated in an ex vivo dentinal tubule infection model. Results Screening data showed that several new compounds were active against Candida sp. Among them, Compound 3 was most potent and exerted time kill effect at 4 h, post antifungal effect up to 6 h. When used in combination with fluconazole or nystatin, compound 3 revealed an minimum inhibitory concentration (MIC) decrease by 4 fold for both drugs used. In-depth molecular studies with compound 3 on C. albicans showed that this compound inhibited yeast to hyphae (Y-H) conversion and this involved the cAMP pathway. Further, SEM images of C. albicans showed that compound 3 caused membrane damage and inhibited biofilm formation. Biochemical evidence for membrane damage was confirmed by increased propidium iodide (PI) uptake in flow cytometry. Further, in silico studies revealed that compound 3 docks with the active site of the key enzyme 14-α-demethylase and this might inhibit ergosterol synthesis. In support of this, ergosterol levels were found to be decreased by 32 fold in compound 3 treated samples as analyzed by high performance liquid chromatography (HPLC). Further, the antifungal activity of compound 3 was evaluated in an ex vivo dentinal tubule infection model, which mimics human tooth root canal infection. Confocal laser scanning microscopy studies showed 83% eradication of C. albicans and a 6 log reduction in colony forming unit (CFU) after 24 h treatment in the infected tooth samples in this model. Conclusion Compound 3 was found to be very effective in eradicating C. albicans by inhibiting cAMP pathway and ergosterol biosynthesis. General Significance The results of this study can pave the way for developing new antifungal agents with well deciphered mechanisms of action and can be a promising antifungal agent or medicament against root canal infection. © 2015 Elsevier B.V. All rights reserved.
About the journal
JournalData powered by TypesetBiochimica et Biophysica Acta - General Subjects
PublisherData powered by TypesetElsevier B.V.
ISSN03044165
Open AccessNo
Concepts (59)
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    BETA LACTAM DERIVATIVE
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    Cyclic amp
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    ERGOSTEROL
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    FLUCONAZOLE
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    Nystatin
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    Pyrrolidine derivative
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    PYRROLIZIDINE DERIVATIVE
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    STEROL 14ALPHA DEMETHYLASE
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    Antifungal agent
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    Beta lactam
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    STEROL 14ALPHA DEMETHYLASE
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    STEROL 14ALPHA DEMETHYLASE INHIBITOR
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    Antifungal activity
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    Article
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    Biofilm
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    Candida albicans
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    CANDIDIASIS
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    COLONY FORMING UNIT
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    Computer model
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    Controlled study
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    Dentin
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    Drug potentiation
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    Drug screening
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    Drug structure
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    Enzyme active site
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    Enzyme inhibition
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    EX VIVO STUDY
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    Flow cytometry
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    Fungus hyphae
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    High performance liquid chromatography
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    Human
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    Human tissue
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    Membrane damage
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    Minimum inhibitory concentration
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    Molecular docking
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    Nonhuman
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    Priority journal
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    Scanning electron microscopy
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    TOOTH ROOT CANAL
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    Yeast
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    Biological model
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    CANDIDIASIS
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    Chemistry
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    DENTAL PULP CAVITY
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    Growth, development and aging
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    Metabolism
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    Microbiology
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    Pathology
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    Second messenger
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    Ultrastructure
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    14-ALPHA DEMETHYLASE INHIBITORS
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    Antifungal agents
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    BETA-LACTAMS
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    CANDIDIASIS
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    DENTAL PULP CAVITY
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    Humans
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    Models, biological
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    SECOND MESSENGER SYSTEMS
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    STEROL 14-DEMETHYLASE