Bellanger Anne-Pauline, Albert Nathaniel D, Lewis Russell E, Walsh Thomas J, Kontoyiannis Dimitrios P
Department of Infectious Diseases, MD Anderson Cancer Center, Houston, Texas, USA Chrono-Environment UMR 6249 Research Team, Franche-Comté University and Parasitology-Mycology Department, Central University Hospital (CHU), Besançon, France.
Department of Infectious Diseases, MD Anderson Cancer Center, Houston, Texas, USA.
Antimicrob Agents Chemother. 2015 Dec;59(12):7830-2. doi: 10.1128/AAC.01583-15. Epub 2015 Sep 21.
Triazole prophylaxis has become the norm in patients with hematological malignancies. Breakthrough infections caused by Mucorales during triazole prophylaxis remain a challenging problem. We found that preexposure of Rhizopus oryzae to antifungal triazoles (fluconazole, voriconazole, posaconazole, and itraconazole) did not modify the in vitro susceptibility of Rhizopus oryzae to posaconazole. In contrast, preexposure of Rhizopus to triazoles was associated with the enhanced in vitro susceptibility of R. oryzae to amphotericin B. Preexposure to posaconazole did not alter the virulence of R. oryzae in the fly model of mucormycosis.
三唑类预防用药已成为血液系统恶性肿瘤患者的常规治疗方法。在三唑类预防用药期间,由毛霉目真菌引起的突破性感染仍然是一个具有挑战性的问题。我们发现,米根霉预先暴露于抗真菌三唑类药物(氟康唑、伏立康唑、泊沙康唑和伊曲康唑)并不会改变米根霉对泊沙康唑的体外敏感性。相比之下,米根霉预先暴露于三唑类药物与米根霉对两性霉素B的体外敏感性增强有关。预先暴露于泊沙康唑并不会改变米根霉在毛霉病果蝇模型中的毒力。