Doxorubicin induces drug efflux pumps in Candida albicans.

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Serval ID
serval:BIB_E9854960CDC4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Doxorubicin induces drug efflux pumps in Candida albicans.
Journal
Medical Mycology
Author(s)
Kofla G., Turner V., Schulz B., Storch U., Froelich D., Rognon B., Coste A.T., Sanglard D., Ruhnke M.
ISSN
1460-2709[electronic], 1369-3786[linking]
Publication state
Published
Issued date
2011
Volume
49
Number
2
Pages
132-142
Language
english
Abstract
Candida albicans is one of the most important opportunistic fungal pathogens. It can cause serious fungal diseases in immunocompromised patients, including those with cancer. Treatment failures due to the emergence of drug-resistant C. albicans strains have become a serious clinical problem. Resistance incidents were often mediated by fungal efflux pumps which are closely related to the human ABC transporter P-glycoprotein (P-gp). P-gp is often overexpressed in cancer cells and confers resistance to many cytotoxic drugs. We examined whether cytotoxic drugs commonly used for cancer treatment (doxorubicin and cyclophosphamide) could alter the expression of genes responsible for the development of fluconazole resistance in Candida cells in the way they can influence homologous genes in cancer cell lines. ABC transporters (CDR1 and CDR2) and other resistance genes (MDR1 and ERG11) were tested by real-time PCR for their expression in C. albicans cells at the mRNA level after induction by antineoplastic drugs. The results were confirmed by a lacZ gene reporter system and verified at the protein level using GFP and immunoblotting. We showed that doxorubicin is a potent inducer of CDR1/CDR2 expression in C. albicans at both the mRNA and protein level and thus causes an increase in fluconazole MIC values. However, cyclophosphamide, which is not a substrate of human P-gp, did not induce ABC transporter expression in C. albicans. Neither doxorubicin nor cyclophosphamide could influence the expression of the other resistance genes (MDR1 and ERG11). The induction of CDR1/CDR2 by doxorubicin in C. albicans and the resulting alteration of antifungal susceptibility might be of clinical relevance for the antifungal treatment of Candida infections occurring after anticancer chemotherapy with doxorubicin.
Pubmed
Web of science
Open Access
Yes
Create date
15/03/2011 10:20
Last modification date
14/02/2022 8:57
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