# Identification of effective SCY-078 analogues targeting C. auris

> **NIH NIH R21** · CASE WESTERN RESERVE UNIVERSITY · 2020 · $200,521

## Abstract

Candida auris (C. auris) is an emerging pathogenic fungal species that exhibits a multi-drug resistant
phenotype and has been the source organism for several outbreaks in healthcare facilities worldwide. Indeed,
researchers at the Centers for Disease Control (CDC) have proclaimed C. auris “the new kid on the block” in
reference to all of the unknown aspects of this fungus, and the atypical phenotypic profile compared to other
fungal species. Unusual points regarding C. auris include; ability to act as a nidus of infection through human
skin; an independent emergence of four separate populations on three continents; the inability to identify the
organism by most standard techniques (except DNA sequencing and advanced MALDI-TOF MS approaches),
the frequent misidentification as C. haemulonii; and aggressive antifungal resistance that has been
summarized by the CDC as “concerning”. Our preliminary investigation of C. auris revealed a reduced
production of biofilm formation and decreased adherence as compared to C. albicans, suggesting that C. auris
may use alternative pathogenic mechanism(s) to infect host. Given the concerning profile of antifungal
resistance to all classes of known antifungal therapeutics, it is of paramount importance to identify
new therapies with efficacy toward C. auris. To address this need, we performed preliminary studies using
a new semisynthetic derivative of the natural product enfumafungin, a fungal beta-1,3-D-glucan synthase
inhibitor termed SCY-078. Our preliminary data indicated that SCY-078 was capable of blocking C. auris cell
division, and possessed potent anti-biofilm activity, however, certain strains of C. auris were less susceptible to
SCY-078. In order to identify new, potentially better antifungal agents capable of inhibiting C. auris, we
screened newly synthesized structurally modified SCY-078 analogues (n=27) for minimal inhibitory
concentration (MIC) and minimal fungicidal concentration (MFC) on 5 clinical isolates. We identified 3 SCY-
078 analogues with better efficacy toward C. auris than the parent SCY-078 compound. We seek to expand
our pool of clinical isolates to improve rigor and ensure that the observed killing is not strain-specific.
Expanding our clinical isolate pool (from different geographic regions and susceptibility profiles to current
antifungals) will help to improve the reproducibility of MIC/MFC calculations and narrow our analogue selection
to the most efficacious compound. Identification of compound(s) with improved distribution may also identify
reagents capable of treating cutaneous C. auris infections, as modeled in our murine disseminated and guinea
pig cutaneous C. auris models. The following specific aims address the critical need to advance better
antifungal agents and improve our understanding of their distribution and potential mechanism(s) of resistance
to therapy; 1) Determine the antifungal susceptibility of C. auris clinical isolates to SCY-078 analogues; 2)
Determine the...

## Key facts

- **NIH application ID:** 9838725
- **Project number:** 5R21AI143305-02
- **Recipient organization:** CASE WESTERN RESERVE UNIVERSITY
- **Principal Investigator:** Mahmoud A Ghannoum
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $200,521
- **Award type:** 5
- **Project period:** 2018-12-15 → 2021-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9838725

## Citation

> US National Institutes of Health, RePORTER application 9838725, Identification of effective SCY-078 analogues targeting C. auris (5R21AI143305-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9838725. Licensed CC0.

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