Proton pump inhibitors versus Cryptococcus species: effects on in vitro susceptibility and melanin production

Future Microbiol. 2019 Apr:14:489-497. doi: 10.2217/fmb-2018-0340. Epub 2019 Apr 29.

Abstract

Aim: This study aimed to evaluate the effects of proton pump inhibitors (PPIs) on growth and melanin production by Cryptococcus spp. Materials & methods: Minimum inhibitory concentrations (MICs) of omeprazole, esomeprazole, rabeprazole, pantoprazole and lansoprazole against Cryptococcus spp. were determined and the effect of PPIs on melanin production was evaluated, in the presence or absence of copper sulfate or glutathione. Results: PPIs showed MICs ranging from 125-1000 μg/ml and decreased melanization by Cryptococcus cells. Addition of copper sulfate or gluthatione restored melanogenesis of cells grown in the presence of PPIs. The presence of PPIs and glyphosate decreased copper sulfate toxicity (1 mM). Conclusion: PPIs inhibited melanogenesis of Cryptococcus spp., possibly by chelating copper or inhibiting copper ATPase transport.

Keywords: spp.; antifungal susceptibility; melanin; proton pump inhibitors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Triphosphatases
  • Antifungal Agents / pharmacology*
  • Copper
  • Copper Sulfate / metabolism
  • Cryptococcus / drug effects*
  • Cryptococcus / growth & development
  • Cryptococcus / metabolism*
  • Culture Media / chemistry
  • Esomeprazole / pharmacology
  • Glutathione / metabolism
  • Glycine / analogs & derivatives
  • Glyphosate
  • Humans
  • Lansoprazole / pharmacology
  • Melanins / biosynthesis*
  • Microbial Sensitivity Tests
  • Omeprazole / pharmacology
  • Pantoprazole / pharmacology
  • Proton Pump Inhibitors / pharmacology*
  • Rabeprazole / pharmacology

Substances

  • Antifungal Agents
  • Culture Media
  • Melanins
  • Proton Pump Inhibitors
  • Lansoprazole
  • Rabeprazole
  • Copper
  • Pantoprazole
  • Adenosine Triphosphatases
  • Glutathione
  • Omeprazole
  • Copper Sulfate
  • Esomeprazole
  • Glycine