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This study aimed to determine the effect of synbiotic  Musa acuminata  skin extract (MASE) and  Streptococcus salivarius  K12 (K12) on  Candida  species biofilm formation. Liquid chromatography quadrupole time-of-flight (LC-Q-TOF-MS) was conducted to characterize MASE. To determine the effect of synbiotic on  Candida  biofilm, 200 µL of RPMI-1640 containing  Candida , K12, and MASE were pipetted into the same well and incubated at 37 °C for 72 h. A similar protocol was repeated with K12 or MASE to determine the probiotic and prebiotic effects, respectively. Dimorphism, biofilm biomass, and  Candida  total cell count (TCC) were determined. A total of 60 compounds were detected in MASE.  C. albicans  (ALT5) and  Candida lusitaniae  exhibited the highest reduction in biofilm biomass when co-cultured with prebiotic (77.70 ± 7.67%) and synbiotic (97.73 ± 0.28%), respectively. All  Candida  spp. had decreased TCC and hyphae when co-cultured with synbiotic. In conclusion, MASE and K12 inhibit  Candida  biofilm formation.

Synbiotic Musa acuminata skin extract and Streptococcus salivarius K12 inhibit candida species biofilm formation