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. 2021 Jun 21;105(13):5259–5279. doi: 10.1007/s00253-021-11407-7

Table 1.

Summary of antibacterial drugs with antifungal activity

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