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Article

Ecotoxicity and Mutagenicity Assessment of Novel Antifungal Agents VT-1161 and T-2307

by
Edith Guadalupe Padilla Suarez
1,
Antonietta Siciliano
1,*,
Marisa Spampinato
1,2,
Angela Maione
1,
Marco Guida
1,2,
Giovanni Libralato
1 and
Emilia Galdiero
1
1
Department of Biology, University of Naples Federico II, Complesso Universitario Monte Sant’Angelo, Via Cintia 4, 80126 Naples, Italy
2
NBFC—National Biodiversity Future Center, 90133 Palermo, Italy
*
Author to whom correspondence should be addressed.
Molecules 2024, 29(19), 4739; https://doi.org/10.3390/molecules29194739
Submission received: 10 September 2024 / Revised: 30 September 2024 / Accepted: 2 October 2024 / Published: 7 October 2024

Abstract

:
Antifungal substances are essential for managing fungal infections in humans, animals, and plants, and their usage has significantly increased due to the global rise in fungal infections. However, the extensive application of antifungal agents in pharmaceuticals, personal care products, and agriculture has led to their widespread environmental dissemination through various pathways, such as excretion, improper disposal, and agricultural runoff. Despite advances in wastewater treatment, many antifungal compounds persist in the environment, affecting non-target organisms and contributing to resistance development. This study investigates the environmental impact of two novel antifungal agents, VT-1161 and T-2307, recently introduced as alternatives for treating resistant Candida spp. We assessed their ecotoxicity and mutagenicity using multiple bioassays: immobilization of Daphnia magna, growth inhibition of Raphidocelis subcapitata, luminescence inhibition of Aliivibrio fischeri, and mutagenicity on Salmonella typhimurium strain TA100. Results indicate that both VT-1161 and T-2307 exhibit lower toxicity compared to existing antifungal compounds, with effective concentrations (EC50) causing 50% response ranging from 14.34 to 27.92 mg L−1. Furthermore, both agents were classified as less hazardous based on the Globally Harmonized System of Classification and Labeling of Chemicals. Despite these favorable results, further research is needed to understand their environmental behavior, interactions, and potential resistance development among non-target species. Our findings highlight the importance of comprehensive environmental risk assessments to ensure the sustainable use of new antifungal agents.

1. Introduction

Antifungal substances play a crucial role in treating fungal infections in humans, animals, and plants, particularly in ensuring crop growth [1,2]. The pharmaceutical industry has seen a notable increase in the use of antifungal medications, due to the increasing prevalence of fungal infections globally [3,4,5]. Moreover, these compounds are also commonly present in multiple personal care products [6,7]. Additionally, the use of fungicides in agriculture as a preventive measure has substantially increased over the last decades [8].
The widespread use of antifungal substances has resulted in various pathways for these substances into the environment, including through human and animal excretion, improper disposal of medications, and agricultural runoff [9,10,11]. Despite advancements in wastewater treatment systems, they often struggle to remove fungicides fully [7,9]. This inefficiency is attributed to variations in hydrophilicity and biodegradation rates among different compounds [9]. When released into the environment, antifungal substances can contaminate multiple matrices, including surface and groundwater, soil, and sediment [12,13].
Although antifungal drugs are designed to target fungal cells specifically, they can also impact non-target organisms in the environment, leading to adverse effects on multiple terrestrial and aquatic organisms across various trophic levels [9,14,15,16]. Due to their potential environmental impact and increasing concentrations in surface waters, the European Surface Water Watch List has included several antifungal substances [17]. Moreover, another problem arising from unintentional exposure to antifungal agents is the development of resistance, which leads to higher use of multiple substances [18,19].
As a mitigation measure against the increasing environmental concentration of antifungal drugs, research has been performed to assess the effects of sustainable alternatives. Moreover, the development of new antifungal agents could also help to address the mono- and multidrug resistance of diverse fungal species [20]. Much research on yeast fungi is directed towards Candida spp. This focus is driven by both their extensively studied medical importance and their growing prevalence and resistance to antifungal drugs [21]. Two novel antifungal agents VT-1161 and T-2307 come as an alternative for the treatment of invasive fungal infections caused by Candida spp.
The agent VT-1161, also known as oteseconazole, was approved by the US FDA in April 2022 and is the first approved selective and orally available CYP51 inhibitor [22,23]. By targeting the CYP51 enzyme, the ergosterol biosynthesis is disrupted, leading to the accumulation of toxic sterols and destabilization of the fungal plasma membrane [24]. VT-1161 is effective against fluconazole-resistant Candida albicans strains as well as non-albicans species [25].
As for the agent T-2307, it exhibits a novel mechanism of action against antifungal activity by selectively collapsing the mitochondrial membrane potential in yeasts compared to mammalian cells [26,27]. Moreover, this agent is currently under evaluation as clinical data demonstrating its safety and efficacy in humans are currently unavailable [28].
Furthermore, there is currently limited information available on the environmental impacts and ecotoxicity of VT-1161 and T-2307 on non-target species. Therefore, further research is necessary to understand the specific ecotoxicity profiles and potential risks associated with their use in antifungal treatments. In this study, we investigated the ecotoxicological effects of VT-1161 and T-2307 for the first time. We conducted multiple tests to assess their toxicity, including tests for the mobility of the freshwater crustacean Daphnia magna, the growth inhibition of the green microalgae Raphidocelis subcapitata, the luminescence inhibition of the bioluminescent bacterium Aliivibrio fischeri, and the mutagenicity on the bacteria Salmonella typhimurium strain TA100.
By examining the ecotoxicity and mutagenicity of VT-1161 and T-2307, this study contributes to understanding their environmental risks. Our findings provide insights into their effects on aquatic organisms, algae, bacteria, and genetic material, aiding in the development of safer and more sustainable antifungal alternatives and mitigating associated environmental impacts.

2. Results

2.1. Daphnia magna Assay

The acute toxicity test with Daphnia magna exposed to VT-1161 and T-2307 for 48 h revealed a concentration-dependent response in both compounds, as shown in Figure 1. As the concentrations increased, the proportion of immobility also increased for both compounds, reaching an immobility of 100% for VT-1161 and 90% for T-2307 at the concentration of 50 mg L−1. The 48 h effective concentrations causing 50% of immobility correspond to 20.94 and 17.93 mg L−1 for VT-1161 and T-2307, respectively.

2.2. Raphidocelis subcapitata Assay

The effects of VT-1161 and T-2307 on the growth of the green algae Raphidocelis subcapitata are shown in Figure 2. The inhibitory effects increased with increasing concentration. The compound T-2307 had a higher inhibitory effect, causing around 82% inhibition at 50 mg L−1 while VT-1161 caused around 65% inhibition at the same concentration. The effective concentrations causing 50% inhibition correspond to 27.92 and 14.34 mg L−1 for VT-1161 and T-2307, respectively.

2.3. Aliivibrio fischeri Assay

The effects of VT-1161 and T-2307 on the luminescence inhibition of the bacteria Aliivibrio fischeri are shown in Figure 3. For this species, increasing concentrations caused higher inhibition of luminescence; however, the effects were maintained below 80% for both compounds. The highest concentration tested of 50 mg L−1 caused around 63% and 75% inhibition for VT-1161 and T-2307, respectively. The effective concentrations causing 50% inhibition correspond to 22.39 and 22.58 mg L−1 for VT-1161 and T-2307, respectively.

2.4. Salmonella typhimurium Assay

The mutagenicity of VT-1161 and T-2307 to S. typhimurium is shown in Figure 4. The mutagenicity ratio was estimated based on the number of revertants (his+). From the two concentrations tested, 1.56 mg L−1 had a lower ratio than 50 mg L−1. However, both concentrations were below a ratio of 2, resulting in a non-positive mutagenicity induced by the two substances tested.

2.5. Hazard Ranking

The hazard ranking of antifungal compounds is crucial for understanding their environmental impact and guiding regulatory decisions. This study utilizes data from existing literature to classify the effective concentrations (EC50) of various antifungal compounds according to the Globally Harmonized System of Classification and Labelling of Chemicals (GHS). The effective concentration (EC50) is the concentration at which 50% of the maximum effect is observed, serving as a standard measure of toxicity.
Based on the data collected, we have analyzed 37 different exposure scenarios involving several species and antifungal compounds (Table 1). The results indicate a significant variation in toxicity levels across the different compounds and species tested.
Approximately 40% of the effective concentrations (16 out of 37 exposures) fall into this category, characterized by an EC50 of ≤1 mg L−1. Compounds in this category include clotrimazole, econazole, fluconazole, ketoconazole, and miconazole. These compounds exhibit high toxicity to aquatic organisms such as Daphnia magna and Raphidocelis subcapitata even at very low concentrations.
The second largest category, with 13 scenarios, involves compounds that are classified as toxic with an EC50 range between <1 mg L−1 and ≤10 mg L−1. Compounds like ketoconazole and tebuconazole frequently appear in this category, indicating substantial toxic effects, though not as severe as those in the very toxic category.
Seven scenarios fall under the harmful category, characterized by an EC50 between <10 mg L−1 and ≤100 mg L−1. This classification includes compounds such as VT-1161 and T-2307, which demonstrate moderate toxicity to species like D. magna and A. fischeri.
Only one scenario is considered not harmful, with an EC50 > 100 mg L−1. Fluconazole at higher concentrations (530 mg L−1) for D. magna falls into this category, indicating a significantly lower risk compared to other compounds.

3. Discussion

The EC50 values obtained for the species tested (A. fischeri, R. subcapitata, and D. magna) for the compounds VT-1161 and T-2307 are indicative of their relative safety compared to other antifungal agents. VT-1161 exhibited EC50 values ranging from 20.94 to 27.92 mg L−1, while T-2307 had values between 14.34 and 22.58 mg L−1.
For instance, clotrimazole’s 48 h EC50 for D. magna was much lower at 5.14 mg L−1 [43] (and an even higher toxicity was reported in [30], with an EC50 of 0.020 mg L−1). For the compound climbazole, the EC50 for R. subcapitata (formerly Pseudokirchneriella subcapitata) ranged between 0.21 and 1.19 mg L−1, while for D. magna the EC50 was estimated to be 15.99 mg L−1 [30]. Furthermore, for ketoconazole’s toxicity, the 48 h EC50 for D. magna was also estimated at a lower concentration of 1.51 mg L−1 [39]. These values were one to two orders of magnitude lower than those obtained for VT-1161 and T-2307, highlighting their lower environmental toxicity.
This lower toxicity is a significant advantage for the potential future use of VT-1161 and T-2307, as they display lower toxicity to non-target organisms. According to the Globally Harmonized System (GHS) classification, both VT-1161 and T-2307 were categorized as harmful (EC50 values between 10 mg L−1 and 100 mg L−1), whereas many other antifungal compounds fall into the very toxic category (EC50 values ≤ 1 mg L−1).
The high proportion of scenarios classified as very toxic underscores the severe environmental impact of certain antifungal compounds. These findings highlight the need for stringent regulations and the development of safer alternatives. The detailed classification provides a comprehensive overview of the relative hazards associated with each compound, guiding future research and regulatory efforts. The compounds clotrimazole, econazole, and miconazole, which frequently appear in the very toxic category, demand particular attention due to their widespread use and potential for significant ecological disruption. Conversely, compounds like VT-1161 and T-2307, categorized as harmful, represent a moderate risk, yet their impact should not be underestimated.
The lack of mutagenic activity at both tested concentrations is a favorable outcome, suggesting that these compounds do not pose a genetic risk under the conditions evaluated. This is particularly important for the environmental and human health risk assessment of these compounds, as mutagenicity is a critical factor in determining the safety and regulatory status of chemical substances.
While the toxicity of antifungal compounds is crucial, another important factor to consider is their usage, which directly influences their environmental concentrations. Heavy usage of a compound increases its potential to reach the environment. Furthermore, if the compound is not effectively removed by wastewater treatment plants, its probability of reaching the environment rises.
The exposure of non-target species in the environment can lead to the development of resistance and reduce the effectiveness of these compounds against their target species. This is a common issue for many compounds currently on the market and needs to be considered for new compounds yet to be approved. To understand the potential of VT-1161 and T-2307 to reach the environment and expose non-target species, it is important to consider their kinetics and their interactions with other compounds commonly found in wastewater treatment. Currently, pharmacokinetic data are still not available for T-2307 [27]. Further studies should include detailed pharmacokinetic analyses to understand the behavior of these compounds in the environment, their degradation pathways, and their interactions with other chemicals commonly found in wastewater. Such studies will provide a comprehensive understanding of their environmental fate and inform guidelines for their safe use.

4. Materials and Methods

4.1. Chemicals

T-2307, a synthesized compound from Toyama Chemical Co., Ltd. (Tokyo, Japan), and VT-1161, supplied by Target Mol-tebu-bio, Chemicals Inc. (Mont Belvieu, TX, USA), were used in this study. Stock solutions of the compounds were prepared by dissolving the powders in 5% v/v artificial freshwater [30] to reach a final concentration of 100 mg L−1. Furthermore, the stock solution of T-2307 underwent ultrasonication for 20 min, and the pH was adjusted to 3.0 ± 0.1 using HCl (1 M) to ensure proper dissolution and homogeneity.

4.2. Daphnia magna Assay

The immobilization tests with D. magna were conducted following ISO guidelines [44] using an in-house culture at the Hygiene Department at the UNINA. Organisms under 24 h old were exposed to concentrations of 1.56, 3.12, 6.25, 12.50, 25, and 50 mg L−1 and to a negative control of freshwater media. Each concentration had four replicates containing five organisms each. The exposure was conducted at a temperature of 20 ± 1 °C and under continuous illumination of approx. 1000 lux. Immobilization was assessed at 24 and 48 h after exposure using a stereomicroscope.

4.3. Raphidocelis subcapitata Assay

The growth inhibition test with R. subcapitata was conducted following ISO guidelines [45] using an in-house culture at the Hygiene Department at the UNINA. Algal cultures were incubated in Erlenmeyer flasks at 20 ± 1 °C on a shaker at 100 rpm and under continuous daylight fluorescent tube illumination of approximately 6300 lux with a 16:8 L:D photoperiod. The initial inoculum concentration was set at 104 cells mL−1, exposed to the concentrations of 1.56, 3.12, 6.25, 12.50, 25, and 50 mg L−1 and to a negative control of freshwater media. Six replicates were set up for both the control samples and the treatments and were maintained under the same conditions as the algal culture for 72 h.

4.4. Aliivibrio fischeri Assay

The luminescence inhibition test was performed on Allivibrio fischeri (strain NRRL-B-11177), purchased from WaterTox STD (ECOtest S.L., Valencia, Spain), and performed according to [46]. The luminescence was measured using a Microtox luminometer Model 500, (AZUR Environmental, Carlsbad, CA, USA) equipped with a cell incubated at a constant temperature of 15 ± 1 °C, and readings were taken after 30 min of exposure at a wavelength of 490 nm. The Osmotic Adjustment Solution was added to the media to adapt the marine bacterium to freshwater. The bacteria were exposed to the concentrations of 1.56, 3.12, 6.25, 12.50, 25, and 50 mg L−1 and to a negative control.

4.5. Salmonella typhimurium Assay

The mutagenicity in Salmonella typhimurium strain TA100 was assessed by observing the potential mutations that would allow the bacteria to grow without needing histidine (his-), following the protocol [47]. For the assay, a kit obtained from ECOTOX LDS (Milan, Italy) was used to perform the test. Two exposure concentrations of 1.56 and 50 mg L−1 of each compound were used and bromocresol purple was added as a pH indicator. Distilled water served as the negative control and sodium azide as the positive control for TA100 without S9 (human p450).
The plates were incubated at 37 °C for 3 to 5 days and sealed in hermetic plastic bags to avoid contamination. At the end of the exposure period, wells that showed a decrease in pH due to bacterial growth turned yellow and were counted as revertants (his+), indicating a positive result for mutagenicity. Wells that remained purple indicated a negative result (non-mutagenic compound).

4.6. Data Analysis

Data were analyzed with R Studio for Windows (Version 2023.06.0) [48]. The effective concentrations causing 50% of the response on the organisms A. fischeri, R. subcapitata, and D. magna were estimated by fitting on dose–response models using the extension package “drc” [49]. For the data analysis of R. subcapitata and A. fischeri tests, the measurements were normalized to the control to estimate an inhibition percentage.
For the test organism S. typhimurium, results were expressed as the mutagenicity ratio. This was calculated by dividing the number of revertants (his+) in the treatments by the number of naturally occurring (negative control). The treatments were considered mutagenic if the mutagenicity ratio was 2 or greater.
Furthermore, multiple fungicide compounds were classified according to the Globally Harmonized System of Classification and Labeling of Chemicals (GHS) [50] to compare the hazard ranking of substances currently on the market and the two substances of this study.

5. Conclusions

The experimental results indicate the following effects of the tested compounds: for Daphnia magna, the EC50 after 48 h was 20.94 mg L−1 for VT-1161 and 17.93 mg L−1 for T-2307. In Raphidocelis subcapitata, growth inhibition (EC50) after 72 h was 27.92 mg L−1 for VT-1161 and 14.34 mg L−1 for T-2307. For Aliivibrio fischeri, luminescence inhibition (EC50) after 30 min was observed at 20.94 mg L−1 for VT-1161 and 22.58 mg L−1 for T-2307. These findings illustrate the varying sensitivities of the organisms to the two compounds, with T-2307 exhibiting slightly higher toxicity towards D. magna and R. subcapitata, while both species maintained the same order of magnitude across all three species tested.
Moreover, the lower toxicity and favorable hazard classification of VT-1161 and T-2307 suggest their potential as safer alternatives for antifungal treatments compared to other compounds documented in the literature. However, it is essential to consider their environmental impact, especially their usage patterns and the efficiency of wastewater treatment processes in removing these compounds. The potential for non-target species to develop resistance underscores the importance of comprehensive environmental risk assessments for new antifungal compounds. Understanding the kinetics and interactions of VT-1161 and T-2307 with other substances in wastewater is crucial for evaluating their environmental safety and ensuring their effectiveness remains uncompromised. Future studies should focus on these aspects to support the responsible development and application of these promising antifungal agents.

Author Contributions

Conceptualization, A.S. and E.G.; methodology, A.S., E.G.P.S., A.M. and M.S.; software, E.G.P.S.; validation, E.G., M.G., A.S. and G.L.; formal analysis, E.G.P.S., A.M. and M.S.; investigation, A.S., M.S. and G.L.; resources, E.G. and M.G.; data curation, E.G.P.S. and M.S.; writing—original draft preparation, A.S., E.G.P.S. and M.G.; writing—review and editing, E.G. and G.L.; visualization, A.S. and E.G.; supervision, A.S., E.G., M.G. and G.L.; project administration, E.G. and M.G. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

Data are contained within the article.

Conflicts of Interest

The authors declare no conflicts of interest.

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Figure 1. The 48 h concentration–immobility curve of Daphnia magna exposed to VT-1161 and T-2307.
Figure 1. The 48 h concentration–immobility curve of Daphnia magna exposed to VT-1161 and T-2307.
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Figure 2. The 72 h concentration–inhibition of growth of Raphidocelis subcapitata exposed to VT-1161 and T-2307.
Figure 2. The 72 h concentration–inhibition of growth of Raphidocelis subcapitata exposed to VT-1161 and T-2307.
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Figure 3. The 30 min concentration–luminescence inhibition of Aliivibrio fischeri exposed to VT-1161 and T-2307.
Figure 3. The 30 min concentration–luminescence inhibition of Aliivibrio fischeri exposed to VT-1161 and T-2307.
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Figure 4. The mutagenic ratio of Salmonella typhimurium exposed to VT-1161 and T-2307.
Figure 4. The mutagenic ratio of Salmonella typhimurium exposed to VT-1161 and T-2307.
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Table 1. Classification of antifungal compounds following the Globally Harmonized System of Classification and Labelling of Chemicals, according to the effective concentrations causing 50% of the effect.
Table 1. Classification of antifungal compounds following the Globally Harmonized System of Classification and Labelling of Chemicals, according to the effective concentrations causing 50% of the effect.
CompoundSpeciesExposure Time (h)EC50 [mg L−1]ReferencesHazard Ranking
ClotrimazoleR. subcapitata72 h0.29[29]****
D. magna48 h0.03[29]****
Green algae96 h0.13[30]****
D. magna48 h0.04[30]****
R. subcapitata72 h0.098[31]****
D. magna48 h0.02[31]****
D. magna48 h1.49[32]***
EconazoleD. magna48 h0.24[33]****
D. magna48 h0.4[34]****
R. subcapitata72 h1.37[35]***
R. subcapitata72 h1.37[36]***
FluconazoleGreen algae96 h0.001162[30]****
D. magna48 h0.002766[30]****
Green algae96 h55.4[37]**
D. magna48 h530[37]*
KetoconazoleGreen algae96 h4.36[30]***
D. magna48 h2.39[30]***
Green algae72 h0.28[38]****
D. magna48 h6.57[38]***
D. magna48 h1.5[39]***
D. magna48 h6.57[34]***
R. subcapitata72 h0.28[36]****
R. subcapitata72 h0.3[40]****
MiconazoleGreen algae96 h0.16[30]****
D. magna48 h0.04[30]****
Green algae72 h1.35[38]***
D. magna48 h0.4[38]****
R. subcapitata72 h1.35[36]***
TebuconazoleD. magna48 h2.37[41]***
D. magna48 h6.75[42]***
R. subcapitata72 h2.09[42]***
VT-1161D. magna48 h20.94This study**
R. subcapitata72 h27.92This study**
A. fischeri30 min20.94This study**
T-2307D. magna48 h17.93This study**
R. subcapitata72 h14.34This study**
A. fischeri30 min22.58This study**
Hazard ranking according to effective concentrations values: **** Very toxic (≤1 mg L−1); *** Toxic (<1 mg L−1 ≤ 10 mg L−1); ** Harmful: (<10 mg L−1 ≤ 100 mg L−1); * Not harmful: (>100 mg L−1).
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MDPI and ACS Style

Padilla Suarez, E.G.; Siciliano, A.; Spampinato, M.; Maione, A.; Guida, M.; Libralato, G.; Galdiero, E. Ecotoxicity and Mutagenicity Assessment of Novel Antifungal Agents VT-1161 and T-2307. Molecules 2024, 29, 4739. https://doi.org/10.3390/molecules29194739

AMA Style

Padilla Suarez EG, Siciliano A, Spampinato M, Maione A, Guida M, Libralato G, Galdiero E. Ecotoxicity and Mutagenicity Assessment of Novel Antifungal Agents VT-1161 and T-2307. Molecules. 2024; 29(19):4739. https://doi.org/10.3390/molecules29194739

Chicago/Turabian Style

Padilla Suarez, Edith Guadalupe, Antonietta Siciliano, Marisa Spampinato, Angela Maione, Marco Guida, Giovanni Libralato, and Emilia Galdiero. 2024. "Ecotoxicity and Mutagenicity Assessment of Novel Antifungal Agents VT-1161 and T-2307" Molecules 29, no. 19: 4739. https://doi.org/10.3390/molecules29194739

APA Style

Padilla Suarez, E. G., Siciliano, A., Spampinato, M., Maione, A., Guida, M., Libralato, G., & Galdiero, E. (2024). Ecotoxicity and Mutagenicity Assessment of Novel Antifungal Agents VT-1161 and T-2307. Molecules, 29(19), 4739. https://doi.org/10.3390/molecules29194739

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