Effects of echinocandins in combination with nikkomycin Z against invasive candida albicans bloodstream isolates and the fks mutants

Yuk Yam Cheung, Mamie Hui

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21 Citations (Scopus)

Abstract

We evaluated the in vitro and in vivo effects of nikkomycin Z combined with an echinocandin (anidulafungin or micafungin) against two Candida albicans isolates and their lab-derived echinocandin-resistant fks mutants with FKS1 S645Y and FKS1 S645P. Synergistic effects were observed in all tested strains (fractional inhibitory concentration index, 0.5). Enhanced survival was observed in an immuno-compromised murine model (log-rank test, P 0.02). Our study demonstrated the therapeutic potential of nikkomycin Z-echinocandin combinations in managing echinocandin resistance.

Original languageEnglish
Article numbere00619-17
JournalAntimicrobial Agents and Chemotherapy
Volume61
Issue number11
DOIs
Publication statusPublished - Nov 2017

Keywords

  • Candida albicans
  • Echinocandin
  • FKS
  • Nikkomycin Z

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