Table 1.
Antibiotics | Fungus | In vitro (MIC: μg/mL) | In vivo | In combination (synergistic effects) | Relevant molecular mechanism | Ref. |
---|---|---|---|---|---|---|
Tobramycin | Fusarium spp. | > 64 | - | VRC, AmB | Probably increases permeability of the cell wall and cell membrane. | Venturini et al. (2016) |
Gentamicin | Resistant-azole C. albicans | > 512 | G. mellonella | FLC |
(I) Suppresses overexpression of the efflux pump. (II) Reduces phospholipase activity of resistant C. albicans. |
Lu et al. (2018) |
Clarithromycin | C. tropicalis | - | - | AmB, ANI | - | Fernández-Rivero et al. (2017) |
C. parapsilosis, C. glabrata, C. albicans | No effects | - | AmB | - | Del Pozo et al. (2011) | |
Pythium insidiosum | 0.25–8 | - | - | - | Loreto et al. (2014) | |
Azithromycin | Pythium insidiosum | 1–16 | - | - | - | Loreto et al. (2014) |
Aspergillus spp. | No effects | - | AmB | Probably inhibits mitochondrial protein synthesis. | Nguyen et al. (1997) | |
Norfloxacin | C. albicans | - | - | MIA | - | Moneib (1995) |
Levofloxacin | C. albicans, A. fumigatus | + | - | AmB, CAS | Probably inhibits fungal DNA replication by binding to fungal topoisomerase. | Stergiopoulou et al. (2009) |
Gatifloxacin | Candida spp. | + | - | - | - | Ozdek et al. (2006) |
Moxifloxacin | C. albicans | + | - | Liposomal AmB, CAS | Probably inhibits fungal DNA replication by binding to fungal topoisomerase. | Ozdek et al. (2006); Stergiopoulou et al. (2009); Deren et al. (2010) |
Ciprofloxacin | C. albicans | + | - | AmB | Probably inhibits fungal DNA replication by binding to C. albicans topoisomerase. | Stergiopoulou et al. (2009) |
A. fumigatus | + | - | AmB, CAS, ARC | |||
Trovafloxacin | C. albicans | No effects | Murine | FLC, AmB | - | Sugar et al. (1997) |
C. tropicalis, C. neoformans | No effects | - | FLC, AmB | |||
Tetracycline | C. albicans | 320–2560 | G. mellonella | AmB, FLC | - | Lew et al. (1977); Gu et al. (2018) |
Demeclocycline | C. albicans | 640 | - | AmB | - | Lew et al. (1977) |
Doxycycline | C. parapsilosis, C. krusei, C. glabrata | No effects | - | AmB | Probably inhibits protein synthesis. | El-Azizi (2007) |
C. albicans | 640–1280 | G. mellonella | AmB, FLC, CAS |
(I) Inhibits FLC-inducible efflux pump gene overexpression. (II) Disturbs calcium homeostasis. (III) Disturbs iron homeostasis. |
Lew et al. (1977); Miceli et al. (2009); Fiori and Van Dijck (2012); Gao et al. (2013); Gao et al. (2014); Gu et al. (2018) | |
Minocycline | Resistant-FLC C. albicans | 256–512 | - | AmB, FLC | Disturbs calcium homeostasis. | Lew et al. (1977); Shi et al. (2010) |
A. fumigatus | 0.125–4 | G. mellonella | ITR, VRC, POS | Probably interferes with the balance of cellular electrolytes and loss of mitochondrial function. | Loreto et al. (2014); Gao et al. (2020) | |
A. flavus, F. solani, F. oxysporum | 0.125–4 | - | ITR, VRC, POS | |||
Tigecycline | C. albicans | 2048 | - | AmB, FLC, CAS | - | Ku et al. (2010) |
Fusarium spp. | 0.25–4 | - | VRC, AmB | Inhibits the synthesis of protein. | Loreto et al. (2014); Venturini et al. (2016) | |
Polymyxin B | C. albicans | - | - | AmB, KET, MIA | Probably alters cell membrane permeability. | Moneib (1995) |
Fusarium spp. | 4–16 | - | VRC, AmB | Probably disturbs the synthesis of ergosterol. | Venturini et al. (2016) | |
C. neoformans | 8–256 | - | FLC | Probably through binding anionic lipids on fungal membrane and destroys membrane integrity. | Zhai et al. (2010) | |
Rhizopus oryzae | 32 | - | - | |||
A. fumigatus | 28–56 | - | - | |||
Rifampicin | C. tropicalis | - | - | AmB, ANI | - | Fernández-Rivero et al. (2017) |
C. parapsilosis, C. glabrata, C. albicans, C. krusei | No effects | - | AmB | Probably disturbs RNA synthesis in the presence of AmB. | El-Azizi (2007); Loreto et al. (2014) | |
Linezolid | Pythium insidiosum | 1–32 | - | - | Inhibits protein synthesis. | Loreto et al. (2014) |
C. neoformans | > 64 | - | AmB | - | Rossato et al. (2015) | |
C. albicans | > 512 | G. mellonella | FLC, ITR, VRC | Probably inhibits mitochondrial protein synthesis and interferes with the induction of stress-response mitochondrial chaperones. | Lu et al. (2019) |
Note: VRC, voriconazole; AmB, amphotericin B; FLC, fluconazole; ITR, itraconazole; CTZ, clotrimazole; POS, posaconazole; ANI, anidulafungin; MIA, micafungin; CAS, caspofungin; KET, ketoconazole; -, no studies were mentioned in the corresponding references; +, the drug has antifungal effect, but no specific data in the corresponding references