Vacuolar iron export alters the synergy between doxycycline and fluconazole by affecting cidal ROS levels in <i>Candida albicans</i>

, yet many cells survive above the minimal inhibitory concentrations (MIC) by growing slowly, which can prolong infection and foster resistance. We show that intracellular iron homeostasis alters the fluconazole characteristics by affecting ROS accumulation in mitochondria, and that this is the molecular mechanism underlying the combination therapy of fluconazole and doxycycline. These results place iron release from the vacuole at the center of azole responses, suggesting novel ways to boost azole efficacy.

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Publication Details

Journal
mBio
Published
2026-04-20
DOI
https://doi.org/10.1128/mbio.00416-26
Primary Topic
Antifungal resistance and susceptibility
Type
article
Field-Weighted Citation Impact
0.00

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article

Vacuolar iron export alters the synergy between doxycycline and fluconazole by affecting cidal ROS levels in Candida albicans

Michelle Holtappels, Martine De Jonge, Patrick Van Dijck, Wouter Van Genechten et al.
mBio
Antifungal resistance and susceptibility
article

Vacuolar iron export alters the synergy between doxycycline and fluconazole by affecting cidal ROS levels in Candida albicans

Michelle Holtappels, Martine De Jonge, Patrick Van Dijck, Wouter Van Genechten, Rudy Vergauwen, Gauthier Cornips
article en

Abstract

, yet many cells survive above the minimal inhibitory concentrations (MIC) by growing slowly, which can prolong infection and foster resistance. We show that intracellular iron homeostasis alters the fluconazole characteristics by affecting ROS accumulation in mitochondria, and that this is the molecular mechanism underlying the combination therapy of fluconazole and doxycycline. These results place iron release from the vacuole at the center of azole responses, suggesting novel ways to boost azole efficacy.

mBio
VIB-KU Leuven Center for Cancer Biology (BE), Institute of Philosophy (HU)
Onderzoeksraad, KU Leuven
Good health and well-being
Openalex Percentile: Top 10%
Antifungal resistance and susceptibility
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