四种两性霉素B制剂(两性霉素B、安浮特克、安必素和Abelcet)对系统性小鼠曲霉病的比较疗效。
Comparative efficacies of four amphotericin B formulations--Fungizone, amphotec (Amphocil), AmBisome, and Abelcet--against systemic murine aspergillosis.
作者信息
Clemons Karl V, Stevens David A
机构信息
California Institute for Medical Research and Department of Medicine, Santa Clara Valley Medical Center, San Jose, California 95128, USA.
出版信息
Antimicrob Agents Chemother. 2004 Mar;48(3):1047-50. doi: 10.1128/AAC.48.3.1047-1050.2004.
We compared various amphotericin B formulations (no treatment or 0.8 mg of Fungizone [conventional deoxycholate amphotericin B] per kg of body weight, or 0.8, 4, or 8 mg of Amphocil, AmBisome, or Abelcet per kg of body weight) for treatment of systemic murine aspergillosis. In two studies, all formulations prolonged survival, with the results for AmBisome nearly equivalent to those for Fungizone; Amphocil and Abelcet were less effective or equivalent depending on the severity of infection. No survivors were cured in both kidneys and brain, but each formulation showed efficacy, especially in the kidneys. Although higher doses could be given, no lipid-based formulation showed consistent superiority over Fungizone or over each other.
我们比较了多种两性霉素B制剂(不治疗或每千克体重给予0.8毫克的Fungizone[传统脱氧胆酸盐两性霉素B],或每千克体重给予0.8、4或8毫克的安浮特克、两性霉素B脂质体或Abelcet)用于治疗系统性小鼠曲霉病的效果。在两项研究中,所有制剂均延长了生存期,两性霉素B脂质体的结果与Fungizone几乎相当;安浮特克和Abelcet的效果则根据感染的严重程度而较差或相当。在肾脏和脑部均无存活者被治愈,但每种制剂均显示出疗效,尤其是在肾脏方面。尽管可以给予更高剂量,但没有一种脂质体制剂显示出比Fungizone或彼此之间有持续的优势。