Natural-Compound Adjuvants Dismantle Candida Biofilms: Mechanisms, Design Rules, and Biofilm-Aware Pharmacology

Device- and mucosa-associated candidiasis is difficult to cure because Candida biofilms shield cells from antifungals, leading to relapse and device failure. Standard treatment decisions are still largely guided by planktonic susceptibility tests, which poorly predict the drug exposure needed to clear mature biofilms. Here we synthesize evidence that natural-compound adjuvants can dismantle key biofilm defenses and outline design rules to rationalize biofilm-aware combination therapy. Across Candida albicans, non-albicans species and Candida auris, the most reproducible adjuvant effects fell into three themes: (1) reprogramming adhesion and morphogenesis, (2) disrupting membrane sterol homeostasis, and (3)…

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  Vysoká Škola Chemicko-technologická v Praze