The opportunistic fungus Candida albicans is the most important fungus in the case of oral and deep-seated infections. C. albicans is able to grow in yeast and hyphal forms depending on environmental conditions. 1,2) The external pH and temperature induce morphological transition in C. albicans.3) C. albicans can grow under conditions ranging from pH 2 to 10.4) The hyphal growth is observed above pH 6 and yeast growth is observed below pH 5.5) Under aerobic conditions, glucose is metabolized to acetyl CoA via the glycolysis pathway. At this time, the glycolysis pathway generates ATP molecules in the cytoplasm. When acetyl CoA enters the tricarboxylic acid (TCA) cycle in the mitochondrion, NADH is generated.6) Then, reoxidation of NADH through the mitochondrial respiratory chain induces a volume of ATP molecules. While under anaerobic condition, the TCA cycle and mitochondrial respiratory chain are terminated, the regeneration of NAD ϩ is caused by the alcohol fermentation pathway. In this pathway, acetaldehyde plays a role as the exogenous electron acceptor to produce ATP.
7)Sodium sulfite is used as a leading food preservative. 8) As sodium sulfite binds to oxygen and induces an anaerobic condition (2Na 2 SO 3 ϩO 2 ϭ2Na 2 SO 4 ), 9) the growth of aerobic microorganisms is effectively inhibited. Sodium sulfite showed a negative effect on mutagenicity studies and was not irritating or sensitizing on clinical tests. 10) There are a few studies describing the effects of sodium sulfite on human neutrophils and macrophages, in which activation of superoxide production and gene expression by sulfite are demonstrated.11-13) However, there is no report about the effect of sodium sulfite on C. albicans, a facultative anaerobic fungus.In this study, we demonstrated that sodium sulfite showed an anti-Candida activity under acidic conditions, and described its activity.
MATERIALS AND METHODSReagent Sodium sulfite (Nacalai Tesque) was used in this study.Fungus Candida albicans BWP yeast cells was maintained at 27°C in Sabouraud's liquid medium (2% glucose, 1% peptone and 0.5% yeast extract) with shaking for 24 h. After the incubation, the yeast cells were washed with sterilized water, then suspended in RPMI1640 medium (Nissui) for various experiments.
Effect of Sodium Sulfite on the Growth of C. albicansTo monitor the effect of pH on the anti-Candida activity of sodium sulfite, RPMI1640 medium mixed with sodium sulfite (final concentration 10 mg/ml) was adjusted to pH 3, 4, 5, 6 and 7 by adding 1 N HCl solution, respectively. C. albicans BWP (final concentration 1ϫ10 5 cells/ml) was suspended in pH-adjusted RPMI1640 medium and incubated at 37°C in 5% CO 2 for 24 h. After incubation, the total number of cells was measured at OD 620 using Immuno Mini NJ-2300 (Inter Med). To examine whether the effect of sodium sulfite is candidacidal or candidastatic, C. albicans cells treated with sodium sulfite were harvested and washed twice with sterilized water, then the cells were suspended in fresh RPMI1640 medium (pH 7). Twenty-four ho...