Synergistic activity of dobutamine combined with azoles and its mechanism of action against strains of Candida glabrata .
Fatima Dd BarrosoLisandra J da SilvaLívia G do Av SáCecília R SilvaJoão Ba NetoFrancisca Ba do NascimentoHelaine A QueirozAmanda C LeitãoVitória Pf CabralDaniel S RodriguesAmanda D BarbosaBruno C CavalcantiManoel O MoraisHélio V N JúniorPublished in: Future microbiology (2022)
Aims: To evaluate the antifungal effect of dobutamine against Candida glabrata as well as its synergism with azoles and its action on biofilm. Methods: The M27-A3 protocol and flow cytometry were used for elucidation of the possible mechanism of action. Results: The tested isolates presented MICs ranging from 2 to 32 μg/ml for dobutamine, with fungistatic effect. A total of 82% of the strains showed synergism with fluconazole, with 90% showing synergism with itraconazole. The effect on biofilm formation was nonsignificant. Cytometry tests showed that dobutamine induced mitochondrial depolarization. Conclusion: Dobutamine has an antifungal effect on strains of C. glabrata and synergistic activity with azoles. This effect is probably mediated by increased oxidative damage to the membrane.