Evidence map›Paper›PMID 40900204›Full record

ArticleMycopathologia2025

Chloroquine Alone and Combined with Antifungal Drug Against Candida albicans Biofilms In Vitro and In Vivo via Autophagy Inhibition.

Xiao Zhao, Qiaochu Wu, Chenyu Weng, Shuangbo Xu, Yufei Wang, Weiyu Yuan, Xuening Xiong, Wanjing Chen, Xin Wei

Abstract read
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In one paragraph

Article in Mycopathologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. StudyingPharmaceuticals (Basel, Switzerland) · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xiao ZhaoDepartment of Endodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.
Qiaochu WuDepartment of Endodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.
Chenyu WengDepartment of Endodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.
Shuangbo XuThe Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.
Yufei WangDepartment of Endodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.
Weiyu YuanDepartment of Endodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.
Xuening XiongDepartment of Endodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.
Wanjing ChenDepartment of Endodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.
Xin WeiDepartment of Endodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China. weixinart@163.com.ORCID http://orcid.org/0000-0001-5446-2372

Funding

the National Natural Science Foundation of China 81970945
6 · The paper itself

Abstract

objectivesCandida albicans (C. albicans) is a common opportunistic fungal pathogen that poses a serious threat to human health. Autophagy inhibition decreased the resistance of C. albicans. This study investigated the antifungal activity of autophagy inhibitor chloroquine (CQ) against C. albicans biofilms and its synergistic potential with antifungal drug, and the underlying mechanisms.

methodsThe inhibitory effect of CQ on C. albicans biofilms was determined using the XTT assay. The interactions between CQ and antifungal drugs were evaluated using the FICI and ΔE models. The in vivo efficacy and biosafety were assessed in a murine model with oral candidiasis. The antifungal effects were further evaluated through time-kill assays, live/dead staining, and scanning electron microscopy. The autophagic regulation was analyzed using the expression of autophagy-related genes and proteins, reactive oxygen species (ROS), and alkaline phosphatase (ALP), and an ATG9 deletion strain was used to confirm the involvement.

resultsCQ exhibited antifungal activity against both standard and drug-resistant C. albicans strains, and showed significant synergy with amphotericin B (AmB). In vivo, CQ alone or in combination with AmB effectively against oral candidiasis in mice with good biosafety. Mechanistically, CQ alone or combined with AmB downregulated autophagy-related gene and protein expression, elevated ROS levels, and suppressed ALP activity. Consistently, ATG9 deletion reduced CQ efficacy in vitro and vivo, confirming CQ's antifungal effect via autophagy inhibition.

conclusionsCQ enhances antifungal activity against C. albicans biofilms in vitro and in vivo by inducing oxidative stress and inhibiting autophagy, and exhibits synergistic effects with AmB.

Indexed as

Antifungal AgentsAutophagyBiofilmsCandida albicansChloroquineAmphotericin BAnimalsCandidiasis, OralDisease Models, AnimalDrug SynergismDrug Therapy, CombinationFemaleMiceMicrobial Sensitivity TestsMicrobial ViabilityReactive Oxygen SpeciesAmphotericin BAntifungal AgentsChloroquineReactive Oxygen SpeciesAutophagyCandida albicansChloroquineDrug resistanceSynergistic effects

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.