ASP2397对具有或不具有获得性唑类耐药机制的曲霉分离株的体外活性。
In Vitro Activity of ASP2397 against Aspergillus Isolates with or without Acquired Azole Resistance Mechanisms.
作者信息
Arendrup Maiken Cavling, Jensen Rasmus Hare, Cuenca-Estrella Manuel
机构信息
Unit for Mycology, Statens Serum Institut, Copenhagen, Denmark
Unit for Mycology, Statens Serum Institut, Copenhagen, Denmark.
出版信息
Antimicrob Agents Chemother. 2015 Nov 9;60(1):532-6. doi: 10.1128/AAC.02336-15. Print 2016 Jan.
ASP2397 is a new compound with a novel and as-yet-unknown target different from that of licensed antifungal agents. It has activity against Aspergillus and Candida glabrata. We compared its in vitro activity against wild-type and azole-resistant A. fumigatus and A. terreus isolates with that of amphotericin B, itraconazole, posaconazole, and voriconazole. Thirty-four isolates, including 4 wild-type A. fumigatus isolates, 24 A. fumigatus isolates with alterations in CYP51A TR/L98H (5 isolates), M220 (9 isolates), G54 (9 isolates), and HapE (1 isolate), and A. terreus isolates (2 wild-type isolates and 1 isolate with an M217I CYP51A alteration), were analyzed. EUCAST E.Def 9.2 and CLSI M38-A2 MIC susceptibility testing was performed. ASP2397 MIC50 values (in milligrams per liter, with MIC ranges in parentheses) determined by EUCAST and CLSI were 0.5 (0.25 to 1) and 0.25 (0.06 to 0.25) against A. fumigatus CYP51A wild-type isolates and were similarly 0.5 (0.125 to >4) and 0.125 (0.06 to >4) against azole-resistant A. fumigatus isolates, respectively. These values were comparable to those for amphotericin B, which were 0.25 (0.125 to 0.5) and 0.25 (0.125 to 0.25) against wild-type isolates and 0.25 (0.125 to 1) and 0.25 (0.125 to 1) against isolates with azole resistance mechanisms, respectively. In contrast, MICs for the azole compounds were elevated and highest for itraconazole: >4 (1 to >4) and 4 (0.5 to >4) against isolates with azole resistance mechanisms compared to 0.125 (0.125 to 0.25) and 0.125 (0.06 to 0.25) against wild-type isolates, respectively. ASP2397 was active against A. terreus CYP51A wild-type isolates (MIC 0.5 to 1), whereas MICs of both azole and ASP2397 were elevated for the mutant isolate. ASP2397 displayed in vitro activity against A. fumigatus and A. terreus isolates which was independent of the presence or absence of azole target gene resistance mutations in A. fumigatus. The findings are promising at a time when azole-resistant A. fumigatus is emerging globally.
ASP2397是一种新型化合物,具有与已获许可的抗真菌药物不同的全新且未知的靶点。它对曲霉属和光滑念珠菌具有活性。我们将其对野生型和唑类耐药烟曲霉及土曲霉分离株的体外活性与两性霉素B、伊曲康唑、泊沙康唑和伏立康唑进行了比较。分析了34株分离株,包括4株野生型烟曲霉分离株、24株CYP51A TR/L98H(5株)、M220(9株)、G54(9株)和HapE(1株)发生改变的烟曲霉分离株,以及土曲霉分离株(2株野生型分离株和1株CYP51A发生M217I改变的分离株)。进行了EUCAST E.Def 9.2和CLSI M38 - A2 MIC药敏试验。通过EUCAST和CLSI测定的ASP2397对烟曲霉CYP51A野生型分离株的MIC50值(以毫克/升计,括号内为MIC范围)分别为0.5(0.25至1)和0.25(0.06至0.25),对唑类耐药烟曲霉分离株的MIC50值分别为0.5(0.125至>4)和0.125(0.06至>4)。这些值与两性霉素B的值相当,两性霉素B对野生型分离株的值分别为0.25(0.125至0.5)和0.25(0.125至0.25),对具有唑类耐药机制的分离株的值分别为0.25(0.125至1)和0.25(0.125至1)。相比之下,唑类化合物的MIC值升高,伊曲康唑的MIC值最高:对具有唑类耐药机制的分离株分别为>4(1至>4)和4(0.5至>4),而对野生型分离株分别为0.125(0.125至0.25)和0.125(0.06至0.25)。ASP2397对土曲霉CYP51A野生型分离株有活性(MIC为0.5至1),而突变分离株的唑类和ASP2397的MIC值均升高。ASP2397对烟曲霉和土曲霉分离株显示出体外活性,且与烟曲霉中是否存在唑类靶基因抗性突变无关。在全球唑类耐药烟曲霉不断出现的当下,这些发现很有前景。
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