PMID- 7751374 OWN - NLM STAT- MEDLINE DCOM- 19950622 LR - 20210526 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 33 IP - 3 DP - 1995 Mar TI - Susceptibility testing of Candida albicans and Aspergillus species by a simple microtiter menadione-augmented 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide assay. PG - 661-7 AB - We describe a simple microtiter method for determining the susceptibility of Candida albicans and hyphal forms of Aspergillus fumigatus against antifungal agents. The assay measures mitochondrial respiration by determining reduction of 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) to formazan, a process that is enhanced in the presence of menadione. C. albicans or conidial suspensions of A. fumigatus are seeded into microtiter plates. Hyphal outgrowth of Aspergillus spp. was achieved by a 12 to 14-h culture at 30 degrees C. Antifungal agents (amphotericin B, fluconazole, itraconazole) were added to the cultures for 24 h. Thereafter, incubations were continued for 3 h in the presence of MTT plus 0.1 mM menadione. Formazan formation was quantified photometrically after extraction of the formazan with acid isopropanol. Well-defined dose-response curves reflecting impairment of mitochondrial function by the antifungal agents were obtained. With C. albicans, the results correlated excellently with the MIC determinations performed according to the standard macrodilution procedure. In confirmation of a recent report, it was found that fluconazole was unable to exert its fungistatic action on a sensitive C. albicans strain in the presence of serum. The presented method can easily be integrated in the standard repertoire of a diagnostic microbiology laboratory and should prove useful as a means to assess the antifungal action of various agents on yeasts and filamentous fungi in the presence and absence of serum proteins or body fluids. FAU - Jahn, B AU - Jahn B AD - Institute of Medical Microbiology and Hygiene, Hochhaus am Augustusplatz, Mainz, Germany. FAU - Martin, E AU - Martin E FAU - Stueben, A AU - Stueben A FAU - Bhakdi, S AU - Bhakdi S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (Formazans) RN - 0 (Tetrazolium Salts) RN - 0 (Thiazoles) RN - 117038-70-7 (2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-5-((phenylamino)carbonyl)-2H-tetrazolium hydroxide) RN - 12001-79-5 (Vitamin K) RN - 304NUG5GF4 (Itraconazole) RN - 7XU7A7DROE (Amphotericin B) RN - 8VZV102JFY (Fluconazole) RN - EUY85H477I (thiazolyl blue) SB - IM MH - Amphotericin B/pharmacology MH - Aspergillus fumigatus/*drug effects/metabolism MH - Candida albicans/*drug effects/metabolism MH - Dose-Response Relationship, Drug MH - Fluconazole/pharmacology MH - Formazans/analysis MH - Itraconazole/pharmacology MH - Microbial Sensitivity Tests/*methods MH - Mitochondria/metabolism MH - Tetrazolium Salts/*metabolism MH - Thiazoles/*metabolism MH - Vitamin K/*pharmacology PMC - PMC228010 EDAT- 1995/03/01 00:00 MHDA- 1995/03/01 00:01 PMCR- 1995/03/01 CRDT- 1995/03/01 00:00 PHST- 1995/03/01 00:00 [pubmed] PHST- 1995/03/01 00:01 [medline] PHST- 1995/03/01 00:00 [entrez] PHST- 1995/03/01 00:00 [pmc-release] AID - 10.1128/jcm.33.3.661-667.1995 [doi] PST - ppublish SO - J Clin Microbiol. 1995 Mar;33(3):661-7. doi: 10.1128/jcm.33.3.661-667.1995.