In light of the need for new antifungal agents, the candidacidal activities
of human lactoferrin (hLF) and synthetic peptides representing the first,
hLF(1-11), and second, hLF(21-31), cationic domains of its N terminus were
compared. The results revealed that hLF(1-11) was more effective in killing
fluconazole-resistant Candida albicans than hLF(21-31) and much more effec
tive than lactoferrin, as determined microbiologically and by propidium iod
ide (PI) staining. By using hLF(1-11) and various derivatives, it,vas found
that the second and third residues of the N terminus of hLP(1-11) were cri
tical for its candidacidal activity. Detailed investigation to elucidate th
e mechanism of action of hLF(1-11) revealed a dose-dependent release of ATP
by Candida upon exposure to hLF(1-11). Our observations that sodium azide
reduced the PI uptake and candidacidal activity of hLF(1-11) and that, upon
exposure to hLF(1-11), the fluorescent dye rhodamine 123 first accumulated
inside the mitochondria and later was released into the cytoplasm indicate
that the peptide triggers the energized mitochondrion. Furthermore, oxidiz
ed ATP, which interferes with the interaction of ATP with its extracellular
receptors, blocked the candidacidal action of hLF(1-11), as measured micro
biologically and by PI staining. Addition of ATP (or analogues) aas not a s
ufficient stimulus to kill C. albicans or to act synergistically with subop
timal concentrations of the peptide. The main conclusions are that the firs
t two arginines at the N terminus of hLF are critical in the candidacidal a
ctivity of hLF(1-11) and that extracellular ATP is essential but not suffic
ient for the peptide to exert its candidacidal activity.