Make azoles active again: chalcones as potent reversal agents of transporters-mediated resistance in Candida albicans

Future Med Chem. 2018 Sep 1;10(18):2177-2186. doi: 10.4155/fmc-2018-0081. Epub 2018 Jul 25.

Abstract

Aim: Resistance against antifungals used for Candida albicans (Ca) treatment is mediated by two multidrug transporters, Mdr1p and Cdr1p, which are of enormous interest to the development of modulators combined with antifungals.

Experimental: A set of chalcones was synthesized by condensation reactions in laboratory and was then subject to biological assays to evaluate the effects on different yeast strains. Results: The obtained chalcones were screened using the checkerboard liquid chemosensitization assays. Compounds 4, 10, 12 and 18, when combined with fluconazole, triggered strong sensitization on yeast strains overexpressing CaMdr1p and CaCdr1p, whereas displaying no cytotoxicity by themselves towards control strains and transporter-expressing yeast cells. In the Nile Red transport assay, the two most active compounds, 12 and 18 showed moderate-to-high accumulation of Nile Red with different behaviors towards the two transporters.

Conclusion: Chalcones are promising drug candidates for further development to make azole antifungals active again.

Keywords: Candida albicans; Cdr1p; Mdr1p; antifungal; chalcones; resistance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP-Binding Cassette Transporters / antagonists & inhibitors
  • ATP-Binding Cassette Transporters / metabolism*
  • Antifungal Agents / chemistry*
  • Antifungal Agents / pharmacology
  • Azoles / chemistry*
  • Azoles / pharmacology
  • Candida albicans / drug effects
  • Candida albicans / metabolism*
  • Chalcones / chemistry
  • Chalcones / pharmacology
  • Drug Resistance, Fungal* / drug effects
  • Fungal Proteins / antagonists & inhibitors
  • Fungal Proteins / metabolism*
  • Oxazines / metabolism
  • Structure-Activity Relationship

Substances

  • ATP-Binding Cassette Transporters
  • Antifungal Agents
  • Azoles
  • Chalcones
  • Fungal Proteins
  • Oxazines
  • nile red