Cetylpyridinium Chloride Induces Resistance Genes in Candida Albicans

Year 2023, Issue: 19, 68 - 81, 29.04.2023

Banu Uygun-can

https://doi.org/10.38079/igusabder.1021179

Abstract

Aim: The antimicrobial cetylpyridinium chloride (CPC) is used in the management of denture stomatitis-associated oral candidiasis as an alternative therapy as well as for oral hygiene. Cetylpyridinium chloride survives in the oral cavity for long periods at low doses, which fluctuates due to the dynamics of the oral cavity. In this study, it was aimed to evaluate the impact of different sub-therapeutic CPC concentrations (1/100, 1/200) for different time periods (0.,5., 2., 24., 48. h) on the expression of drug-resistance genes (CDR1, CDR2, MDR1, ERG11) in Candida albicans SC5314.
Method: Total RNA was extracted immediately after antimicrobial exposure using the Biospeedy® Tri-Easy Isolation Kit followed by Real-Time Quantitative Reverse Transcription polymerase chain reaction (qRT-PCR). The data were analyzed by the comparative 2-ΔΔCT method to calculate the relative expression of the target genes after treatment with different CPC concentrations, standardized to the housekeeping gene Actin.
Results: In this study, it was found that the drug resistance gene expression levels increased after exposure to high CPC concentrations (1/100) for 48 h, whereas the gene expression levels were downregulated at 1/200.
Conclusion: These results may provide an insight into the mechanisms of action of drug-resistance genes in Candida albicans and aid the development of future strategies for using CPC as an alternative therapy.

Keywords

Cetylpyridinium chloride, drug-resistance genes, oral candidiasis, candida albicans, antimicrobial agents

Supporting Institution

Marmara University, Scientific Research Projects Committee

Project Number

No. SAG- B-040712 0261

Thanks

Thanks to Prof. Dr. Tanju Kadir for valuable discussions and feedback on the manuscript.

Setilpridinyum Klorür Candida Albicans Direnç Genlerini İndükler

Abstract

Amaç: Antimikrobiyal setilpridinyum klorür (CPC), ağız hijyeninin yanı sıra alternatif bir tedavi olarak protez stomatitiyle ilişkili oral kandidiyazis tedavisinde kullanılır. Setilpridinyum klorür (CPC), ağız boşluğunun dinamikleri nedeniyle dilue olarak ağız boşluğunda düşük dozlarda uzun süre mevcut kalır. Bu çalışmada, farklı zaman periyotlarında (0.,5., 2., 24., 48. saat) farklı alt terapötik CPC konsantrasyonlarının (1/100, 1/200) Candida albicans SC5314'te ilaca direnç genlerinin (CDR1, CDR2, MDR1, ERG11) ekspresyonu üzerindeki etkisinin değerlendirilmesi amaçlanmıştır.
Yöntem: Toplam RNA, antimikrobiyal ile maruziyetten hemen sonra Biospeedy® Tri-Easy Isolation Kit ve ardından qRT-PCR kullanılarak ekstre edildi. Bu veriler, farklı CPC konsantrasyonları ile muameleden sonra hedef genlerin nispi ekspresyonunu hesaplamak için karşılaştırmalı 2-ΔΔCT yöntemiyle analiz edildi, Aktin housekeeping genine standardize edildi.
Bulgular: Bu çalışmada, 48 saat boyunca, yüksek CPC konsantrasyonuna (1/100) maruz kalan örneklerde Candida ilaç direnci gen ekspresyon seviyelerinin arttığı, buna karşın 1/200 konsantrasyonunda bekletildiğinde azaldığı bulundu.
Sonuç: Bu sonuçlar, Candida albicans'ta ilaca dirençli genlerin etki mekanizmaları hakkında bir fikir verebilir ve alternatif bir tedavi olarak CPC'yi kullanmak için gelecekteki stratejilerin geliştirilmesine yardımcı olabilir.

Keywords

Setilpridinyum klorür, ilaç direnç genleri, oral kandidiyazis, candida albicans, antimikrobiyal ajanlar

Project Number

No. SAG- B-040712 0261

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