A Cyclam Salt as an Antifungal Agent: Interference with Candida spp. and Cryptococcus neoformans Mechanisms of Virulence.

The importance of fungal infections, particularly those caused by yeasts, is increasing among the medical community. Candida albicans and Cryptococcus neoformans are amongst the high-priority fungal species identified by the World Health Organization (WHO) and are considered in the critical group, while Candida krusei is included in the medium-priority group. The cyclam salt H 4 [H 2 ( 4-CF3 PhCH 2 ) 2 Cyclam]Cl 4 proved to be active against the growth of these three yeasts, and the aim of this work was to verify its interference with their virulence mechanisms, whether shared or unique. H 4 [H 2 ( 4-CF3 PhCH 2 ) 2 Cyclam]Cl 4 significantly inhibited biofilm production and catalase activity, being able to interfere with C. albicans dimorphic transition and C. neoformans melanin production. At the minimal inhibitory concentration (MIC) values, H 4 [H 2 ( 4-CF3 PhCH 2 ) 2 Cyclam]Cl 4 had no antioxidant effect, as determined by the DPPH method. When using the RAW264.7 macrophage cell line, H 4 [H 2 ( 4-CF3 PhCH 2 ) 2 Cyclam]Cl 4 reduced nitric oxide (NO) detection (the Griess reaction), but this effect was associated with a significant toxic effect on the cells.