Evidence map›Paper›PMID 41402845›Full record

ArticleAnnals of clinical microbiology and antimicrobials2025

Synergistic effect of lactoferrin combined with fluconazole to overcome antifungal resistance in Candida species.

Iñigo de-la-Fuente, Juan Daniel Carton, Andrea Guridi, Nerea Jauregizar, Guillermo Quindós, Elena Eraso, Elena Sevillano

Abstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Iñigo de-la-Fuente *Department of Immunology, Microbiology and Parasitology, Faculty of Medicine and Nursing, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Leioa, 48940, Bizkaia, Spain.
Juan Daniel Carton *Department of Immunology, Microbiology and Parasitology, Faculty of Medicine and Nursing, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Leioa, 48940, Bizkaia, Spain.
Andrea GuridiDepartment of Immunology, Microbiology and Parasitology, Faculty of Medicine and Nursing, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Leioa, 48940, Bizkaia, Spain. andrea.guridi@ehu.eus.ORCID http://orcid.org/0000-0002-4231-0969
Nerea JauregizarDepartment of Pharmacology, Faculty of Medicine and Nursing, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Leioa, 48940, Bizkaia, Spain.ORCID http://orcid.org/0000-0002-8738-0901
Guillermo QuindósDepartment of Immunology, Microbiology and Parasitology, Faculty of Medicine and Nursing, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Leioa, 48940, Bizkaia, Spain.ORCID http://orcid.org/0000-0003-0438-2248
Elena ErasoDepartment of Immunology, Microbiology and Parasitology, Faculty of Medicine and Nursing, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Leioa, 48940, Bizkaia, Spain.ORCID http://orcid.org/0000-0002-9043-9265
Elena SevillanoDepartment of Immunology, Microbiology and Parasitology, Faculty of Medicine and Nursing, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Leioa, 48940, Bizkaia, Spain.ORCID http://orcid.org/0000-0002-3472-984X

Funding

Eusko Jaurlaritza GIC21/24 IT1607-22Spanish Government PID2020-117983RB-I00
6 · The paper itself

Abstract

backgroundThe incidence of drug-resistant candidiasis has increased in recent decades, leading to significant treatment challenges and high morbidity and mortality rates. The development of new therapeutic options is crucial, but it is a complex and time-consuming process; an interesting strategy to face this problem is to combine existing antifungal drugs with synergistic agents to enhance treatment efficacy, reduce dosage and prevent resistance development.

methodsWe analyzed the activity of lactoferrin against 80 isolates of 14 Candida species, including Candida auris according to both EUCAST and CLSI guidelines. Moreover, interaction between fluconazole and lactoferrin was assessed by checkerboard method against a selection of 38 isolates of eight Candida species, and by time-kill curves against six isolates of two Candida species, including fluconazole susceptible and resistant isolates.

resultsSynergistic and additive effects were demonstrated, with effective inhibition of Candida growth. Furthermore, combination therapy significantly reduced fluconazole minimum inhibitory concentrations (MICs) and showed synergistic effect against fluconazole-resistant isolates.

conclusionsLactoferrin has significant potential value in the treatment of candidiasis and further exploration of its potential clinical applications is of great importance. The ability of lactoferrin to enhance the efficacy of existing antifungal drugs while potentially reducing the development of antifungal resistance makes it an intriguing candidate for future research and development efforts.

Indexed as

Antifungal AgentsCandidaDrug Resistance, FungalFluconazoleLactoferrinCandidiasisDrug SynergismDrug Therapy, CombinationHumansMicrobial Sensitivity TestsAntifungal AgentsFluconazoleLactoferrinAntifungal resistanceCandidaCLSIEUCASTFluconazoleLactoferrinSynergistic effect

Identifiers

PMID41402845
PMCPMC12821989

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Registered trials

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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 OpenQuestion graph.