Guedes Paulo Marcos da Matta, Urbina Julio A, de Lana Marta, Afonso Luis C C, Veloso Vanja M, Tafuri Washington L, Machado-Coelho George L L, Chiari Egler, Bahia Maria Terezinha
Departamento Ciências Biológicas, Instituto de Ciências Exatas e Biológicas, Universidade Federal de Ouro Preto. Ouro Preto, Minas Gerais, CEP 35400-000, Brazil.
Antimicrob Agents Chemother. 2004 Nov;48(11):4286-92. doi: 10.1128/AAC.48.11.4286-4292.2004.
Albaconazole is an experimental triazole derivative with potent and broad-spectrum antifungal activity and a remarkably long half-life in dogs, monkeys, and humans. In the present work, we investigated the in vivo activity of this compound against two strains of the protozoan parasite Trypanosoma (Schizotrypanum) cruzi, the causative agent of Chagas' disease, using dogs as hosts. The T. cruzi strains used in the study were previously characterized (murine model) as susceptible (strain Berenice-78) and partially resistant (strain Y) to the drugs currently in clinical use, nifurtimox and benznidazole. Our results demonstrated that albaconazole is very effective in suppressing the proliferation of the parasite and preventing the death of infected animals. Furthermore, the parasitological, PCR, serological, and proliferative assay results indicated parasitological cure indices of 25 and 100% among animals inoculated with T. cruzi strain Y when they were treated with albaconazole at 1.5 mg/kg of body weight/day for 60 and 90 days, respectively. On the other hand, although albaconazole given at 1.5 mg/kg/day was very effective in suppressing the proliferation of the parasite in animals infected with the Berenice-78 T. cruzi strain, no parasitological cure was observed among them, even when a longer treatment period (150 doses) was used. In conclusion, our results demonstrate that albaconazole has trypanocidal activity in vivo and is capable of inducing radical parasitological cure, although natural resistance to this compound was also indicated. Furthermore, the compound can be used in long-term treatment schemes (60 to 150 days) with minimal toxicity and thus represents a potentially useful candidate for the treatment of human Chagas' disease.
阿巴康唑是一种实验性三唑衍生物,具有强大的广谱抗真菌活性,在犬、猴和人类体内的半衰期极长。在本研究中,我们以犬为宿主,研究了该化合物对两种原生动物寄生虫克氏锥虫(裂殖锥虫属)菌株的体内活性,克氏锥虫是恰加斯病的病原体。研究中使用的克氏锥虫菌株先前在鼠模型中被鉴定为对目前临床使用的药物硝呋替莫和苯硝唑敏感(贝雷妮丝 - 78菌株)和部分耐药(Y菌株)。我们的结果表明,阿巴康唑在抑制寄生虫增殖和预防受感染动物死亡方面非常有效。此外,寄生虫学、聚合酶链反应、血清学和增殖试验结果表明,在用阿巴康唑以1.5毫克/千克体重/天的剂量分别治疗60天和90天的情况下,接种Y克氏锥虫菌株的动物中,寄生虫学治愈率分别为25%和100%。另一方面,尽管以1.5毫克/千克/天的剂量给予阿巴康唑在抑制感染贝雷妮丝 - 78克氏锥虫菌株的动物体内寄生虫增殖方面非常有效,但即使使用更长的治疗期(150剂),也未观察到其中有寄生虫学治愈的情况。总之,我们的结果表明,阿巴康唑在体内具有杀锥虫活性,能够诱导彻底的寄生虫学治愈,尽管也表明该化合物存在天然耐药性。此外,该化合物可用于长期治疗方案(60至150天),毒性极小,因此是治疗人类恰加斯病的潜在有用候选药物。