Influence of doxorubicin on fluconazole susceptibility and efflux pump gene expression of Candida dubliniensis

Med Mycol. 2012 May;50(4):421-6. doi: 10.3109/13693786.2011.608730. Epub 2011 Sep 22.

Abstract

The effect of doxorubicin (DOX) on the fluconazole (FLU) susceptibility of C. dubliniensis was investigated. Isolates were exposed to DOX and FLU in a chequerboard assay and resistance gene expressions were analysed after DOX exposure. The susceptibility of the yeast to FLU was decreased in the presence of DOX in the chequerboard assay with FIC indices suggesting an antagonistic effect. Gene expression analyses showed an overexpression of CdCDR2. Hence, DOX was found to have an impact on resistance mechanisms in C. dubliniensis isolates.

MeSH terms

  • Antifungal Agents / pharmacology*
  • Biological Transport, Active / drug effects*
  • Candida / drug effects*
  • Doxorubicin / pharmacology*
  • Fluconazole / pharmacology*
  • Gene Expression / drug effects*
  • Gene Expression Profiling
  • Humans
  • Microbial Sensitivity Tests

Substances

  • Antifungal Agents
  • Doxorubicin
  • Fluconazole