Chinese Journal of Dermatology ›› 2025, Vol. 58 ›› Issue (12): 1141-1147.doi: 10.35541/cjd.20240668

• Original Articles • Previous Articles     Next Articles

Effect of the deacetylase inhibitor AK-1 on the in vitro activity of fluconazole against Candida albicans

Zhou Xiaowei1,2, Mei Huan1, Liu Weida1,2, Li Xiaofang1,2   

  1. 1Department of Medical Mycology, Hospital for Skin Diseases, Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing 210042, China; 2Jiangsu Provincial Key Laboratory of Dermatology, Nanjing 210042, China
  • Received:2024-12-05 Revised:2025-10-21 Online:2025-12-15 Published:2025-12-04
  • Contact: Li Xiaofang E-mail:Lxf3568@163.com
  • Supported by:
    National Natural Science Foundation of China (82073455, 82273546, 81903229); National Key Research and Development Program of China (2022YFC2504804); Jiangsu Provincial Medical Key Laboratory, Jiangsu Province Capability Improvement Project through Science, Technology, and Education (ZDXYS202204)

Abstract: 【Abstract】 Objective To investigate the effect of the deacetylase inhibitor AK-1 on the antifungal activity of fluconazole (FCZ) against Candida albicans (C. albicans). Methods RPMI-1640 media containing FCZ at different concentrations of 0.0625 - 32 μg/ml were prepared. C. albicans strains were inoculated onto the medium plates, and the growth was observed after 24 hours. The inhibitory effects on fungal growth were assessed after 24-hour treatment with or without 75 μmol/L AK-1 (+/-), solvent dimethyl sulfoxide (DMSO) (+/-), and low concentrations of FCZ (0.0625, 0.125 μg/ml) (+/-). Western blot analysis was performed to evaluate the effects of AK-1 and FCZ on acetylation and crotonylation modifications in C. albicans, and normalized relative levels of acetylation and crotonylation modifications were calculated with the values of the blank group (AK-1-/DMSO-/FCZ- group) set as the baseline value of 1. One-way analysis of variance was used for comparisons among multiple groups, and the least significant difference-t test for multiple comparisons. Results FCZ at concentrations of 0.125 - 32 μg/ml markedly inhibited the growth of C. albicans. Co-treatment with DMSO and FCZ (AK-1-/DMSO+/FCZ+ group) resulted in stronger inhibition of fungal growth compared with the FCZ treatment alone (AK-1-/DMSO-/FCZ+ group). However, the addition of AK-1 (AK-1+/DMSO+/FCZ+ group) reversed the inhibitory effect of DMSO and FCZ on fungal growth. Further experiments demonstrated that both acetylation (0.766 ± 0.055) and crotonylation levels (0.856 ± 0.032) were significantly reduced (both P < 0.05) in the AK-1-/DMSO-/FCZ+ group (0.0625 μg/ml FCZ treatment alone) compared with the blank group; co-treatment with DMSO and FCZ (AK-1-/DMSO+/FCZ+ group) further decreased acetylation (0.501 ± 0.073) and crotonylation levels (0.723 ± 0.044) compared with FCZ treatment alone (both P < 0.05); the AK-1+/DMSO+/FCZ+ group showed increased acetylation (0.846 ± 0.014) and crotonylation levels (1.325 ± 0.119) compared with the AK-1-/DMSO+/FCZ+ group, while exhibited significantly lower acetylation levels but significantly higher crotonylation levels than the blank group (both P < 0.05). Conclusion The deacetylase inhibitor AK-1 may reverse the inhibitory effect of FCZ on C. albicans by regulating acetylation and crotonylation modifications.

Key words: Candida albicans, Fluconazole, Sirtuin 2 inhibitor, AK-1, Acetylation, Crotonylation