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本文引用的文献

1
Evaluation of the hepatobiliary system in patients with paracoccidioidomycosis treated with cotrimoxazole or itraconazole.用复方新诺明或伊曲康唑治疗的副球孢子菌病患者肝胆系统的评估。
Med Mycol. 2018 Jul 1;56(5):531-540. doi: 10.1093/mmy/myx080.
2
Itraconazole in combination with neutrophil depletion reduces the expression of genes related to pulmonary fibrosis in an experimental model of paracoccidioidomycosis.在副球孢子菌病实验模型中,伊曲康唑联合中性粒细胞减少可降低与肺纤维化相关基因的表达。
Med Mycol. 2018 Jul 1;56(5):579-590. doi: 10.1093/mmy/myx087.
3
New Trends in Paracoccidioidomycosis Epidemiology.副球孢子菌病流行病学的新趋势
J Fungi (Basel). 2017 Jan 3;3(1):1. doi: 10.3390/jof3010001.
4
Healthcare workers' hands as a vehicle for the transmission of virulent strains of Candida spp.: A virulence factor approach.医护人员的手部作为传播 Candida spp. 毒力株的载体:一种毒力因子方法。
Microb Pathog. 2017 Dec;113:225-232. doi: 10.1016/j.micpath.2017.10.044. Epub 2017 Oct 23.
5
Neglected endemic mycoses.被忽视的地方性真菌病。
Lancet Infect Dis. 2017 Nov;17(11):e367-e377. doi: 10.1016/S1473-3099(17)30306-7. Epub 2017 Jul 31.
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Brazilian guidelines for the clinical management of paracoccidioidomycosis.巴西副球孢子菌病临床管理指南。
Rev Soc Bras Med Trop. 2017 Sep-Oct;50(5):715-740. doi: 10.1590/0037-8682-0230-2017. Epub 2017 Jul 12.
7
Targeting the Homoserine Dehydrogenase of Paracoccidioides Species for Treatment of Systemic Fungal Infections.针对荚膜组织胞浆菌物种的同型丝氨酸脱氢酶进行系统性真菌感染的治疗。
Antimicrob Agents Chemother. 2017 Aug 24;61(9). doi: 10.1128/AAC.00165-17. Print 2017 Sep.
8
Hepatic Disease with Portal Hypertension and Acute Juvenile Paracoccidioidomycosis: A Report of Two Cases and Literature Review.伴有门静脉高压的肝脏疾病和急性少年型荚膜组织胞浆菌病:两例病例报告及文献复习。
Mycopathologia. 2017 Oct;182(9-10):915-919. doi: 10.1007/s11046-017-0152-6. Epub 2017 Jun 2.
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Targeting pathogen metabolism without collateral damage to the host.靶向病原体代谢而不损害宿主。
Sci Rep. 2017 Jan 13;7:40406. doi: 10.1038/srep40406.
10
Amphotericin B deoxycholate versus liposomal amphotericin B: effects on kidney function.两性霉素B去氧胆酸盐与两性霉素B脂质体:对肾功能的影响。
Cochrane Database Syst Rev. 2015 Nov 23;2015(11):CD010481. doi: 10.1002/14651858.CD010481.pub2.

从. 中靶向分支酸合酶的有前途的新型抗真菌治疗方法

Promising New Antifungal Treatment Targeting Chorismate Synthase from .

机构信息

Department of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, Paraná, Brazil.

Department of Technology, Universidade Estadual de Maringá, Umuarama, Paraná, Brazil.

出版信息

Antimicrob Agents Chemother. 2018 Dec 21;63(1). doi: 10.1128/AAC.01097-18. Print 2019 Jan.

DOI:10.1128/AAC.01097-18
PMID:30348661
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6325199/
Abstract

Paracoccidioidomycosis (PCM), caused by , is a systemic mycosis with granulomatous character and a restricted therapeutic arsenal. The aim of this work was to search for new alternatives to treat largely neglected tropical mycosis, such as PCM. In this context, the enzymes of the shikimate pathway constitute excellent drug targets for conferring selective toxicity because this pathway is absent in humans but essential for the fungus. In this work, we have used a homology model of the chorismate synthase (EC 4.2.3.5) from (CS) and performed a combination of virtual screening and molecular dynamics testing to identify new potential inhibitors. The best hit, CP1, successfully adhered to pharmacological criteria (adsorption, distribution, metabolism, excretion, and toxicity) and was therefore used in experiments. Here we demonstrate that CP1 binds with a dissociation constant of 64 ± 1 μM to recombinant chorismate synthase from and inhibits enzymatic activity, with a 50% inhibitory concentration (IC) of 47 ± 5 μM. As expected, CP1 showed no toxicity in three cell lines. On the other hand, CP1 reduced the fungal burden in lungs from treated mice, similar to itraconazole. In addition, histopathological analysis showed that animals treated with CP1 displayed less lung tissue infiltration, fewer yeast cells, and large areas with preserved architecture. Therefore, CP1 was able to control PCM in mice with a lower inflammatory response and is thus a promising candidate and lead structure for the development of drugs useful in PCM treatment.

摘要

球腔菌病(PCM)由引起,是一种具有肉芽肿特征和有限治疗手段的系统性真菌病。本研究旨在寻找新的替代方法来治疗被忽视的热带真菌病,如 PCM。在这种情况下,莽草酸途径的酶是赋予选择性毒性的极好药物靶点,因为该途径在人类中不存在,但对真菌至关重要。在这项工作中,我们使用了来自的分支酸合酶(CS)的同源模型,并结合虚拟筛选和分子动力学测试来识别新的潜在抑制剂。最佳命中物 CP1 成功符合药物标准(吸收、分布、代谢、排泄和毒性),因此在实验中使用。在这里,我们证明 CP1 与重组来自的分支酸合酶的解离常数为 64±1μM,并抑制酶活性,半数抑制浓度(IC)为 47±5μM。正如预期的那样,CP1 在三种细胞系中均无毒性。另一方面,CP1 降低了治疗小鼠肺部的真菌负荷,与伊曲康唑相似。此外,组织病理学分析表明,用 CP1 治疗的动物显示出较少的肺组织浸润、较少的酵母细胞和保留更多结构的大面积区域。因此,CP1 能够在小鼠中控制 PCM,炎症反应较低,因此是开发用于 PCM 治疗的药物的有前途的候选物和先导结构。