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Antimicrobial Agents and Chemotherapy, May 1999, p. 1034-1041, Vol. 43, No. 5
Department of Medical Microbiology and
Immunology, University of Alberta, Walter MacKenzie Centre,
Edmonton, Alberta T6G 2J2, Canada
Received 15 October 1998/Returned for modification 7 January
1999/Accepted 3 March 1999
The processes involved in cell death are complex, and individual
techniques measure specific fractions of the total population. The interaction of Candida albicans with amphotericin B was
measured with fluorescent probes with different cellular
affinities. These were used to provide qualitative and quantitative
information of physiological parameters which contribute to
fungal cell viability. SYBR Green I and 5,(6)-carboxyfluorescein were
used to assess membrane integrity, and bis-(1,3-dibutylbarbituric
acid)trimethine oxonol and 3,3-dihexyloxacarbocyanine
iodide were used to evaluate alterations in membrane potential. The
fluorescent indicators were compared with replication competency, the
conventional indicator of viability. By using these tools, the
evaluation of the response of C. albicans to amphotericin B
time-kill curves delineated four categories which may represent a
continuum between alive and dead. The data showed that replication
competency (CFU per milliliter) as determined by conventional
antifungal susceptibility techniques provided only an estimate
of inhibition. Interpretation of fluorescent staining
characteristics indicated that C. albicans cells which were replication incompetent after exposure to greater than 0.5 µg of amphotericin B per ml still maintained degrees of physiological function.
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Assessment of the Effect of Amphotericin B on
the Vitality of Candida albicans
*
Corresponding author. Mailing address: Department of
Microbiology and Public Health, 2B3.08 Walter MacKenzie Centre,
University of Alberta Hospital, 8440-112 St., Edmonton, Alberta, Canada
T6G 2J2. Phone: (780) 407-4461. Fax: (780) 407-3864. E-mail:
rpr{at}bugs.uah.ualberta.ca.
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