Sodium ascorbate kills Candida albicans in vitro via iron-catalyzed Fenton reaction: importance of oxygenation and metabolism

Future Microbiol. 2016 Dec;11(12):1535-1547. doi: 10.2217/fmb-2016-0063. Epub 2016 Nov 18.

Abstract

Aim: Ascorbate can inhibit growth and even decrease viability of various microbial species including Candida albicans. However the optimum conditions and the mechanism of action are unclear. Materials/methodology: Candida albicans shaken for 90 min in a buffered solution of ascorbate (90 mM) gave a 5-log reduction of cell viability, while there was no killing without shaking, in growth media with different carbon sources or at 4°C. Killing was inhibited by the iron chelator 2,2'-bipyridyl. Hydroxyphenyl fluorescein probe showed the intracellular generation of hydroxyl radicals.

Results/conclusion: Ascorbate-mediated killing of C. albicans depends on oxygenation and metabolism, involves iron-catalyzed generation of hydroxyl radicals via Fenton reaction and depletion of intracellular NADH. Ascorbate could serve as a component of a topical antifungal therapy.

Keywords: Candida albicans; ascorbate; hydroxyl radicals; oxidative stress; vitamin C.

MeSH terms

  • Antifungal Agents / chemistry
  • Antifungal Agents / pharmacology*
  • Ascorbic Acid / chemistry
  • Ascorbic Acid / pharmacology*
  • Candida albicans / chemistry
  • Candida albicans / drug effects*
  • Candida albicans / growth & development
  • Candida albicans / metabolism
  • Hydrogen Peroxide / chemistry
  • Hydroxyl Radical / metabolism
  • Iron / chemistry
  • Iron / metabolism*
  • Kinetics
  • NAD / metabolism
  • Oxidation-Reduction
  • Oxygen / metabolism

Substances

  • Antifungal Agents
  • Fenton's reagent
  • NAD
  • Hydroxyl Radical
  • Hydrogen Peroxide
  • Iron
  • Ascorbic Acid
  • Oxygen