Abstract

The large mortality and morbidity rate of C. albicans infections is a crucial problem in medical mycology. Because the generation of biofilms and drug resistance are growing concerns, the growth of novel antifungal agents and the looking for newer objectives are necessary. In this review, inhibitors of C. albicans biofilm generation and molecular mechanisms of intestinal epithelial barrier protection are elucidated. Recent studies on various transcription elements; quorum-sensing molecules; host responses to adherence; and changes in efflux pumps, enzymes, bud to hyphal transition, and lipid profiles have increased the knowledge of the intricate mechanisms underlying biofilm resistance. In addition, the growth of novel biomaterials with anti-adhesive nature, natural products, drugs, bioactive compounds, proteins, lipids, and carbohydrates are being researched. Recently, more and more attention has been given to various metal nanoparticles that have also appeared as antibiofilm agents in C. albicans. The intestinal epithelial obstacle exerts an crucial effect on keeping intestinal homeostasis and is increasingly associated with various disorders associated with the intestine such as inflammatory bowel disease (IBD), irritable bowel syndrome, metabolic syndrome, allergies, hepatic inflammation, septic shock, etc. However, whether their involvement in the prevention of other intestinal disorders like IBD are useful in C. albicans remains unknown. Further studies must be carried out in order to validate their inhibition functions in intestinal C. albicans. This provides innovates ideas for intestinal C. albicans treatment.

Highlights

  • Fungal infections due to Candida species represent an important cause of nosocomial bloodstream infections and are especially usual among seriously ill and intensive care patients and the patients with a solid malignancy or in recovery from abdominal operation (Pongrácz et al, 2015; Li et al, 2016)

  • One study leads to the identification of about 2,293 compounds from the chemical library of the National Cancer Institute which were categorized into three sets- (i) NCI Natural set, Out of all the compounds present in this set six hits were confirmed against C. albicans biofilm formation

  • Recent vitro and animals studies revealed that cold-inducible RNAbinding Protein (CIRBP) provides a protective effect in cases of hypothermia. These findings demonstrated the possibility of utilizing innate mechanisms of CIRBP to sustain the intestinal epithelial barrier during deep hypothermic circulatory arrest (DHCA) for the first time

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Summary

Ziyao Peng and Jianguo Tang*

Because the generation of biofilms and drug resistance are growing concerns, the growth of novel antifungal agents and the looking for newer objectives are necessary. The intestinal epithelial obstacle exerts an crucial effect on keeping intestinal homeostasis and is increasingly associated with various disorders associated with the intestine such as inflammatory bowel disease (IBD), irritable bowel syndrome, metabolic syndrome, allergies, hepatic inflammation, septic shock, etc. Whether their involvement in the prevention of other intestinal disorders like IBD are useful in C. albicans remains unknown. Further studies must be carried out in order to validate their inhibition functions in intestinal C. albicans.

INTRODUCTION
Natural Products
Antifungal Agents
Phenotypic Screening
Protein and Peptide Inhibitors
Lipid Inhibitors
Polysaccharide Inhibitors
Other Inhibitors
Mucus Layer
Combination of Antifungal Drugs and Protease Inhibitors Human serum
Epidermal Growth Factor Receptors
Nuclear Receptors
Findings
CONCLUSION

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