Marra Emanuele, Sousa Vitor L, Gaziano Roberta, Pacello M Lucrezia, Arseni Brunilde, Aurisicchio Luigi, De Santis Rita, Salvatori Giovanni
Takis srl, Rome, Italy
Areta International, Gerenzano, Italy.
Antimicrob Agents Chemother. 2014 Oct;58(10):6284-6. doi: 10.1128/AAC.03038-14. Epub 2014 Jul 28.
Posaconazole is currently used for the prophylaxis of invasive pulmonary aspergillosis (IPA). Limitations to posaconazole usage are drug-drug interactions and side effects. PTX3 is an innate immunity glycoprotein with opsonic activity, proven to be protective in IPA animal models. This study investigated the combination of posaconazole with PTX3. The results indicate synergy between PTX3 and posaconazole against aspergillosis, suggesting that a combination of reduced doses of posaconazole with the immune response enhancer PTX3 might represent a treatment option with a higher therapeutic index than posaconazole.
泊沙康唑目前用于预防侵袭性肺曲霉病(IPA)。泊沙康唑使用的局限性在于药物相互作用和副作用。PTX3是一种具有调理活性的天然免疫糖蛋白,已证实在IPA动物模型中具有保护作用。本研究调查了泊沙康唑与PTX3的联合应用。结果表明PTX3和泊沙康唑在抗曲霉病方面具有协同作用,这表明降低剂量的泊沙康唑与免疫反应增强剂PTX3联合使用可能是一种治疗选择,其治疗指数高于泊沙康唑。