Holotoxin A1 from Apostichopus japonicus inhibited oropharyngeal and
intra-abdominal candidiasis by inducing oxidative damage in Candida
albicans
Abstract
Background and Purpose: The holotoxin A1, isolated from Apostichopus
japonicus, has shown potent antifungal activities with unclear mechanism
and efficacy against candidiasis. This study aimed to reveal the
antifungal effects and mechanism of holotoxin A1 against Candida
albicans in vitro and in candidiasis murine models for the first time.
Experimental Approach: The antifungal effect of holotoxin A1 against C.
albicans was tested in vitro. To explore the antifungal mechanism of
holotoxin A1, the transcriptome, ROS levels, and mitochondrial function
of C. albicans was evaluated. The oropharyngeal and intra-abdominal
candidiasis mouse models were used to verify the effectiveness and
systematic toxicity in vivo. Key Results: Holotoxin A1 was a potent
fungicide against C. albicans SC5314, clinical strains and
drug-resistant strains. Holotoxin A1 inhibited the oxidative
phosphorylation and induced oxidative damage by increasing intracellular
accumulation of ROS in C. albicans. Holotoxin A1 caused the disfunction
of mitochondria by depolarizing the mitochondrial membrane potential and
reducing the production of ATP. Holotoxin A1 directly inhibited the
enzymatic activity of mitochondrial complex I (CI) and antagonized with
the rotenone, an inhibitor of CI, against C. albicans. Meanwhile, the CI
subunit NDH51 null mutants showed the decreased susceptibility to
holotoxin A1. Furthermore, holotoxin A1 significantly reduced fungal
burden and infections with no significant systemic toxicity in
oropharyngeal and intra-abdominal candidiasis murine models. Conclusions
and Implications: Holotoxin A1 was a promising candidate for the
development of novel antifungal drug against both oropharyngeal and
intra-abdominal candidiasis, especially caused by the drug resistant
strains.