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AAC Accepts, published online ahead of print on 21 August 2006
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Antimicrob. Agents Chemother. doi:10.1128/AAC.00393-06
Copyright (c) 2006, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.

Calcineurin Promotes Infection of the Cornea by Candida albicans and can be Targeted to Enhance Fluconazole Therapy

Chiatogu Onyewu, Natalie A. Afshari*, and Joseph Heitman*

Departments of Molecular Genetics and Microbiology, Medicine, and Pharmacology and Cancer Biology, and Duke University Eye Center, Duke University Medical Center, Durham, North Carolina 27710

* To whom correspondence should be addressed. Email: afsha003{at}mc.duke.edu, heitm001{at}duke.edu.


   Abstract

In an established Candida albicans murine keratitis model, combination therapy with ophthalmic preparations of fluconazole and cyclosporine A (CsA) demonstrated in vivo drug synergy and effectively resolved wild-type C. albicans infection more rapidly than monotherapy with either drug. Calcineurin, the target of CsA, was also found to contribute to pathogenicity.




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