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用于预防恶性疟原虫感染的抗生素:多西环素对塞内加尔分离株的体外活性

Antibiotics for prophylaxis of Plasmodium falciparum infections: in vitro activity of doxycycline against Senegalese isolates.

作者信息

Pradines B, Spiegel A, Rogier C, Tall A, Mosnier J, Fusai T, Trape J F, Parzy D

机构信息

Unité de Parasitologie, Institut de Médecine Tropicale du Service de Santé des Armées, Marseille, France.

出版信息

Am J Trop Med Hyg. 2000 Jan;62(1):82-5. doi: 10.4269/ajtmh.2000.62.82.

Abstract

The in vitro activities of doxycycline, chloroquine, quinine, amodiaquine, artemether, pyrimethamine, and cycloguanil were evaluated against Plasmodium falciparum isolates from Senegal (Dielmo and Ndiop), using an isotopic, micro, drug susceptibility test. The 71-50% inhibitory concentration (IC50) values for doxycycline ranged from 0.7 to 108.0 microM and the geometric mean IC50 for the 71 isolates was 11.3 microM (95% confidence interval = 9.5-13.4 microM). The activity of doxycycline did not differ significantly (P = 0.0858) between the chloroquine-susceptible isolates and the chloroquine-resistant isolates. There was no in vitro correlation between the responses to doxycycline and those to artemether, chloroquine, quinine, amodiaquine, pyrimethamine, and cycloguanil, suggesting no in vitro cross-resistance among these drugs. Potency was increased by prolonged exposure. In 96-hr incubations, the activity of doxycycline was 4-5-fold more increased than in 48-hr incubations. The in vitro activity of doxycycline against intraerythrocytic stages of multidrug-resistant P. falciparum, its action against the preerythrocytic forms, the lack of correlation between the responses in vitro of P. falciparum to doxycycline and the other antimalarial drugs, and its original potential site of action are factors that favor its use as antimalarial drug.

摘要

采用同位素微量药物敏感性试验,评估了多西环素、氯喹、奎宁、阿莫地喹、蒿甲醚、乙胺嘧啶和环氯胍对来自塞内加尔(迪耶尔莫和恩迪奥普)的恶性疟原虫分离株的体外活性。多西环素的71 - 50%抑制浓度(IC50)值范围为0.7至108.0微摩尔,71株分离株的几何平均IC50为11.3微摩尔(95%置信区间 = 9.5 - 13.4微摩尔)。氯喹敏感分离株和氯喹耐药分离株之间多西环素的活性无显著差异(P = 0.0858)。多西环素与蒿甲醚、氯喹、奎宁、阿莫地喹、乙胺嘧啶和环氯胍的体外反应之间无相关性,表明这些药物之间不存在体外交叉耐药性。延长暴露时间可增强效力。在96小时孵育中,多西环素的活性比48小时孵育时增加了4至5倍。多西环素对多重耐药恶性疟原虫红细胞内期的体外活性、对疟原虫前期形式的作用、恶性疟原虫对多西环素与其他抗疟药物的体外反应缺乏相关性以及其原始潜在作用位点,都是有利于将其用作抗疟药物的因素。

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