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使用艾沙康唑或泊沙康唑进行预防可保护免疫抑制小鼠免受肺毛霉病感染。

Prophylaxis with Isavuconazole or Posaconazole Protects Immunosuppressed Mice from Pulmonary Mucormycosis.

作者信息

Gebremariam Teclegiorgis, Alkhazraji Sondus, Baldin Clara, Kovanda Laura, Wiederhold Nathan P, Ibrahim Ashraf S

机构信息

Division of Infectious Diseases, Los Angeles Biomedical Research Institute at Harbor-University of California Los Angeles (UCLA) Medical Center and St. John's Cardiovascular Research Center, Torrance, California, USA.

Astellas Pharma Global Development, Inc., Northbrook, Illinois, USA.

出版信息

Antimicrob Agents Chemother. 2017 Apr 24;61(5). doi: 10.1128/AAC.02589-16. Print 2017 May.

DOI:10.1128/AAC.02589-16
PMID:28264840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5404573/
Abstract

We assessed prophylactic or continuous therapy of isavuconazole, posaconazole, or voriconazole in treating pulmonary murine mucormycosis. In the prophylaxis studies, only isavuconazole treatment resulted in significantly improved survival and lowered tissue fungal burden of immunosuppressed mice infected with In the continuous treatment studies, isavuconazole and posaconazole, but not voriconazole, equally prolonged survival time and lowered tissue fungal burden compared to placebo-treated mice. These results support the use of isavuconazole and posaconazole in prophylaxis treatment.

摘要

我们评估了艾沙康唑、泊沙康唑或伏立康唑在治疗小鼠肺部毛霉菌病中的预防性或持续性治疗效果。在预防研究中,只有艾沙康唑治疗可显著提高感染的免疫抑制小鼠的生存率并降低组织真菌负荷。在持续性治疗研究中,与安慰剂治疗的小鼠相比,艾沙康唑和泊沙康唑(而非伏立康唑)同样延长了生存时间并降低了组织真菌负荷。这些结果支持将艾沙康唑和泊沙康唑用于预防性治疗。

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Antimicrob Agents Chemother. 2017 Apr 24;61(5). doi: 10.1128/AAC.02589-16. Print 2017 May.
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本文引用的文献

1
Monotherapy or combination therapy of isavuconazole and micafungin for treating murine mucormycosis.异曲康唑和米卡芬净单药或联合治疗小鼠毛霉菌病
J Antimicrob Chemother. 2017 Feb;72(2):462-466. doi: 10.1093/jac/dkw433. Epub 2016 Oct 24.
2
Isavuconazole treatment for mucormycosis: a single-arm open-label trial and case-control analysis.伊曲康唑治疗毛霉病:一项单臂开放标签试验和病例对照分析。
Lancet Infect Dis. 2016 Jul;16(7):828-837. doi: 10.1016/S1473-3099(16)00071-2. Epub 2016 Mar 9.
3
Comparative pharmacodynamics of posaconazole in neutropenic murine models of invasive pulmonary aspergillosis and mucormycosis.泊沙康唑在侵袭性肺曲霉病和毛霉病中性粒细胞减少小鼠模型中的比较药效学。
Antimicrob Agents Chemother. 2014 Nov;58(11):6767-72. doi: 10.1128/AAC.03569-14. Epub 2014 Sep 2.
4
Breakthrough invasive fungal disease in patients receiving posaconazole primary prophylaxis: a 4-year study.接受泊沙康唑初级预防治疗的患者中突破性侵袭性真菌病:一项 4 年研究。
Clin Microbiol Infect. 2014 Nov;20(11):O952-9. doi: 10.1111/1469-0691.12688. Epub 2014 Jul 12.
5
Isavuconazole therapy protects immunosuppressed mice from mucormycosis.艾沙康唑治疗可保护免疫抑制小鼠免受毛霉菌病感染。
Antimicrob Agents Chemother. 2014;58(4):2450-3. doi: 10.1128/AAC.02301-13. Epub 2014 Feb 3.
6
A reference laboratory experience of clinically achievable voriconazole, posaconazole, and itraconazole concentrations within the bloodstream and cerebral spinal fluid.参考实验室在血液和脑脊液中实现的伏立康唑、泊沙康唑和伊曲康唑的临床可达浓度的经验。
Antimicrob Agents Chemother. 2014;58(1):424-31. doi: 10.1128/AAC.01558-13. Epub 2013 Nov 4.
7
Efficacy of liposomal amphotericin B and posaconazole in intratracheal models of murine mucormycosis.脂质体两性霉素 B 和泊沙康唑在小鼠毛霉病气管内模型中的疗效。
Antimicrob Agents Chemother. 2013 Jul;57(7):3340-7. doi: 10.1128/AAC.00313-13. Epub 2013 May 6.
8
Healthcare-associated mucormycosis.医疗机构相关性毛霉病。
Clin Infect Dis. 2012 Feb;54 Suppl 1:S44-54. doi: 10.1093/cid/cir867.
9
A global analysis of mucormycosis in France: the RetroZygo Study (2005-2007).法国毛霉病的全球分析:RetroZygo 研究(2005-2007 年)。
Clin Infect Dis. 2012 Feb;54 Suppl 1:S35-43. doi: 10.1093/cid/cir880.
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Zygomycosis in Europe: analysis of 230 cases accrued by the registry of the European Confederation of Medical Mycology (ECMM) Working Group on Zygomycosis between 2005 and 2007.欧洲接合菌病:欧洲医学真菌学会(ECMM)接合菌病工作组 2005 年至 2007 年登记的 230 例病例分析。
Clin Microbiol Infect. 2011 Dec;17(12):1859-67. doi: 10.1111/j.1469-0691.2010.03456.x. Epub 2011 Jul 1.