Volume 10, Issue 3 (2024)                   IEM 2024, 10(3): 237-243 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mohamadi A, Hashemi S J, Daie Ghazvini R, Rezaei S, Rafat Z, Ardi P. Detection of the In-Vitro Inhibitory Effects of Nitroglycerin on Candida albicans, Trichophyton rubrum, and Aspergillus flavus. IEM 2024; 10 (3) :237-243
URL: http://iem.modares.ac.ir/article-4-74218-en.html
1- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Food Microbiology Research Center, Tehran University of Medical Sciences, Tehran, Iran , sjhashemi@tums.ac.ir
3- Department of Medical Parasitology and Mycology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
4- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:   (738 Views)
Background: The present investigation aimed to survey the in-vitro inhibitory effects of nitroglycerin against Candida albicansTrichophyton rubrum, and Aspergillus flavus.
Materials & Methods: In the current investigation, 99 fungal isolates were gathered from patients referred to the Medical Mycology Laboratory of Tehran University of Medical Sciences. The disk diffusion method was done based on Clinical and Laboratory Standards Institute (CLSI) M44-S2 guidelines. Also, the microdilution method was performed base on CLSI guidelines for filamentous fungi (document M38-A2) and yeasts (document M27-A3).
Findings: In the disk diffusion method, all isolates of C. albicans (n=33, 100%) and A. flavus (n=33, 100%) showed sensitivity to nitroglycerin, whereas all isolates of T. rubrum (n=33, 100%) showed resistance to nitroglycerin. On the other hand, in the microdilution method, the minimum inhibitory concentration (MIC) of nitroglycerin against C. albicans and A. flavus isolates was 0.5 mg/mL, whereas the MIC of nitroglycerin against T. rubrum was 0.12 mg/mL.
The results showed that the MIC of nitroglycerin against dermatophytes was about one-quarter of its MIC against C. albicans and A. flavus, and this difference was statistically significant (p< .05).
Conclusion: Considering the potential and efficacy of nitroglycerin against yeasts and filamentous fungi (saprophytes and dermatophytes), complementary in-vivo and in-vitro studies should be done.
Full-Text [PDF 648 kb]   (225 Downloads)    
Article Type: Original Research | Subject: Mycology
Received: 2024/03/10 | Accepted: 2024/06/19 | Published: 2024/08/20

References
1. Khairat SM, Sayed AM, Nabih M, Soliman NS, Hassan YM. Prevalence of Candida blood stream infections among children in tertiary care hospital: Detection of species and antifungal susceptibility. Infect Drug Resist. 2019;12:2409-16. [DOI:10.2147/IDR.S196972] [PMID] []
2. Rafat Z, Hashemi SJ, Ashrafi K, Nikokar I, Jafari A, Foroushani AR, et al. Epidemiology, laboratory diagnosis, and clinical aspects of fungal pulmonary infections in 384 patients hospitalized in pulmonary units in Guilan province, Iran. Iran J Microbiol. 2020;12(4):353-63. [DOI:10.18502/ijm.v12i4.3940] [PMID] []
3. Rudramurthy SM, Paul RA, Chakrabarti A, Mouton JW, Meis JF. Invasive aspergillosis by Aspergillus flavus: Epidemiology, diagnosis, antifungal resistance, and management. J Fungi. 2019;5(3):55. [DOI:10.3390/jof5030055] [PMID] []
4. Rudramurthy SM, Shankarnarayan SA, Dogra S, Shaw D, Mushtaq K, Paul RA, et al. Mutation in the squalene epoxidase gene of Trichophyton interdigitale and Trichophyton rubrum associated with allylamine resistance. Antimicrob Agents Chemother. 2018;62(5):e02522-17. [DOI:10.1128/AAC.02522-17] [PMID] []
5. Su H, Packeu A, Ahmed SA, Al-Hatmi AM, Blechert O, İlkit M, et al. Species distinction in the Trichophyton rubrum complex. J Clin Microbiol. 2019;57(9):e00352-19. [DOI:10.1128/JCM.00352-19] [PMID] []
6. Kim KH, Kerndt CC, Adnan G, Schaller DJ. Nitroglycerin. Treasure Island (FL): StatPearls Publishing; 2021.
7. Divakaran S, Loscalzo J. The role of nitroglycerin and other nitrogen oxides in cardiovascular therapeutics. J Am Coll Cardiol. 2017;70(19):2393-410. [DOI:10.1016/j.jacc.2017.09.1064] [PMID] []
8. Palmeira-de-Oliveira A, Ramos AR, Gaspar C, Palmeira-de-Oliveira R, Gouveia P, Martinez-de-Oliveira J. In vitro anti-Candida activity of lidocaine and nitroglycerin: Alone and combined. Infect Dis Obstet Gynecol. 2012;2012(1):727248. [DOI:10.1155/2012/727248] [PMID] []
9. Wingard JR, Merz WG, Saral R. Candida tropicalis: A major pathogen in immunocompromised patients. Ann Intern Med. 1979;91(4):539-43. [DOI:10.7326/0003-4819-91-4-539] [PMID]
10. Zaini F, Mehbod A, Emami M. Medical mycology. 3rd ed. Tehran University Press; 2013.
11. Chen S, Tong ZS, Lee OC, Halliday C, Playford EG, Widmer F, et al. Clinician response to Candida organisms in the urine of patients attending hospital. Eur J Clin Microbiol Infect Dis. 2008;27:201-8. [DOI:10.1007/s10096-007-0427-9] [PMID]
12. Behera HS, Srigyan D. Evaluation of polymerase chain reaction over routine microbial diagnosis for the diagnosis of fungal keratitis. Optom Vis Sci. 2021;98(3):280-4. [DOI:10.1097/OPX.0000000000001652] [PMID]
13. Clinical and Laboratory Standards Institute. M38-A2: Reference method for broth dilution antifungal susceptibility testing of filamentous fungi; Approved standard. 2nd ed. Wayne, PA: Clinical and Laboratory Standards Institute; 2008.
14. Clinical and Laboratory Standards Institute. M27-A4: Reference method for broth dilution antifungal susceptibility testing of yeasts; Approved standard. 4th ed. Wayne, PA: Clinical and Laboratory Standards Institute; 2017.
15. Rafat Z, Sasani E, Salimi Y, Hajimohammadi S, Shenagari M, Roostaei D. The prevalence, etiological agents, clinical features, treatment, and diagnosis of HIV-associated oral candidiasis in pediatrics across the world: A systematic review and meta-analysis. Front Pediatr. 2021;9:805527. [DOI:10.3389/fped.2021.805527] [PMID] []
16. Sarvestani HK, Mahmoudi S, Khaki PA, Ansari S, Ghaderkhani S, Roostaei D, et al. Epidemiology, risk factors, species distribution, and antifungal susceptibility of candidemia among hospitalized patients with COVID-19. Curr Med Mycol. 2021;7(4):12-8.
17. Aghamirian MR, Ghiasian SA. Onychomycosis in Iran: Epidemiology, causative agents, and clinical features. Nippon Ishinkin Gakkai Zasshi. 2010;51(1):23-9. [DOI:10.3314/jjmm.51.23] [PMID]
18. Mikaeili A, Karimi I. The incidence of onychomycosis infection among patients referred to hospitals in Kermanshah province, western Iran. Iran J Public Health. 2013;42(3):320-5.
19. Rashidi N, Rezaie S, Hashemi SJ, Habibi A, Baghersad MH, Daie R, et al. Synthesis, cytotoxicity evaluation, and antifungal activity of novel nitroglycerin derivatives against clinical Candida albicans isolates. Iran J Public Health. 2021;50(9):1872-81. [DOI:10.18502/ijph.v50i9.7060]
20. Clinical and Laboratory Standards Institute. Informational supplement M44-S2: Zone diameter interpretive standards, corresponding minimal inhibitory concentration (MIC) interpretive breakpoints and quality control limits for antifungal disk diffusion susceptibility testing of yeasts. Wayne, PA: Clinical and Laboratory Standards Institute: 2007.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.