Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Giving a Hand: Synthetic Peptides Boost the Antifungal Activity of Itraconazole against Cryptococcus Neoformans

Version 1 : Received: 22 December 2022 / Approved: 26 December 2022 / Online: 26 December 2022 (03:44:06 CET)

A peer-reviewed article of this Preprint also exists.

Aguiar, T.K.B.; Feitosa, R.M.; Neto, N.A.S.; Malveira, E.A.; Gomes, F.I.R.; Costa, A.C.M.; Freitas, C.D.T.; Mesquita, F.P.; Souza, P.F.N. Giving a Hand: Synthetic Peptides Boost the Antifungal Activity of Itraconazole against Cryptococcus neoformans. Antibiotics 2023, 12, 256. Aguiar, T.K.B.; Feitosa, R.M.; Neto, N.A.S.; Malveira, E.A.; Gomes, F.I.R.; Costa, A.C.M.; Freitas, C.D.T.; Mesquita, F.P.; Souza, P.F.N. Giving a Hand: Synthetic Peptides Boost the Antifungal Activity of Itraconazole against Cryptococcus neoformans. Antibiotics 2023, 12, 256.

Abstract

Cryptococcus neoformans is a multidrug-resistant human pathogenic yeast responsible for infections in immunocompromised patients. Here, Itraconazole (ITR), a commercial antifungal drug with low effectiveness against C. neoformans, was combined with different synthetic peptides Mo-CBP3-PepII, RcAlb-PepII, RcAlb-PepIII, PepGAT, and PepKAA. The mechanisms of action responsible for the synergistic effect were evaluated for the best combinations by Fluorescence Microscopy (FM). The synthetic peptides enhanced the activity of ITR by 10-fold against C. neoformans. Our results demonstrated that the combinations could induce pore formation in the membrane and overaccumulation of ROS on C. neoformans cells. Our findings indicate that our peptides successfully potentialize the activity of ITR by reducing it by 10-fold to reach antifungal activity against C. neoformans. Therefore, synthetic peptides are potential molecules to act as co-adjuvant agents in treating Cryptococcal infections.

Keywords

azole drugs; cryptococcal meningitis; resistance; synergism; synthetic antifungal peptides

Subject

Biology and Life Sciences, Immunology and Microbiology

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