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Chinese Journal of Mycology 2015, Vol. 10  Issue (3): 139-145.

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Inhibitory effects of baicalin in combination with fluconazole against Candida albicans biofilms

YAN Gui-ming1,2, Shi Gao-xiang1,2, SHAO Jing1,2, WANG Tian-ming1,2, XIA Dan1,2, WANG Chang-zhong1,2   

  1. 1. School of Integrated Traditional and WesternMedicine, Anhui University of Chinese Medicine, Hefei 230038, China;
    2. Institute of Integrated Traditional and Western Medicine, Anhui Academy of Chinese Medicine, Hefei 230038, China
  • Received:2015-03-25 Online:2015-06-28 Published:2015-06-28

Abstract:

Objective This study aimed to investigate the antifungal activity of baicalin alone or in combination with fluconazole against Candida albicans biofilms and to explore the related mechanism.Methods Checkerboard method was uased to study the interrelation of baicalin and fluconazole on C.albicans;Time-kill curve was used to evaluate the effect of baicalin alone and in combination with fluconazole on C.albicans;XTT reduction assay and measurement of biofilm biomass assay were performed to investigate the antibiofilm activity of baicalin alone and in combination with fluconazole;Scanning electron microscopy (SEM) and confocal laser scanning microscopy (CLSM) were used to observe the three-dimensional structure of C.albicans biofilms;Cellular surface hydrophobicity (CSH) assay was performed to investigate the effect of baicalin alone and in combination with fluconazole on adherence in C.albicans;Quantitative real time PCR (qRT-PCR) was performed to measure the expression of adhesion and hypal related genes.Results Synergistic effect was showed in anti-biofilm by baicalin in combination with fluconazole,and FICI was between 0.28-0.5;SEM and CLSM showed that baicalin alone and in combination with fluconazole could destruct and resulted in scant or nonexistent biofilms;And expressions of ALS1,ALS3,EAP1,SUN41,CSH1 were significantly downregulated 6%,51%,24%,13%和39% by qRT-PCR.Conclusion Synergistic effect of baicalin in combination with fluconazole on C.albicans biofilm included by influenced the expression of adhesion,CSH controlling genes,and decreased the CSH.

Key words: baicalin, C.albicans, biofilms, fluconazole, synergism

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