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一种双芳氧基丙胺衍生物的体外药代动力学/药效学建模及其对黑腹果蝇系统性念珠菌病的疗效

In vitro pharmacokinetics/pharmacodynamics modeling and efficacy against systemic candidiasis in Drosophila melanogaster of a bisaryloxypropanamine derivative.

作者信息

Dalla Lana Daiane Flores, Kaminski Taís Fernanda Andrzejewski, Lavorato Stefânia Neiva, Merkel Simone, Zanette Régis Adriel, da Rosa Priscila Dallé, Staudt Keli Jaqueline, de Araújo Bibiana Verlindo, da Costa Bárbara, Quatrin Priscilla Maciel, Bazana Luana Candice Genz, Ferreira Felipe Alves, Caurio Cássia Ferreira Braz, de Andrade Saulo Fernandes, Alves Ricardo José, Fuentefria Alexandre Meneghello

机构信息

Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Centro das Ciências Biológicas e da Saúde, Universidade Federal do Oeste da Bahia, Bahia, Brazil.

出版信息

Med Mycol. 2021 Jan 4;59(1):58-66. doi: 10.1093/mmy/myaa030.

Abstract

The number of deaths due to systemic fungal infections is increasing alarmingly, which is aggravated by the limitations of traditional treatments and multidrug resistance. Therefore, the research and development of new therapeutic options against pathogenic fungi is an urgent need. To evaluate the fungicidal activity of a synthetic compound, 1,3-bis-(3,4-dichlorophenoxy)propan-2-aminium chloride (2j), through time-kill studies and pharmacokinetics/pharmacodynamics (PK/PD) modeling. The protective effect of the compound was also evaluated using the Drosophila melanogaster minihost model of candidiasis. Mathematical modeling of time-kill data of compound 2j was performed to obtain PD characteristics. Additionally, Toll-deficient D. melanogaster flies were infected with a Candida albicans strain and treated with 2j. We observed that compound 2j demonstrated a time- and dose-dependent fungicidal effect against Candida spp. and dermatophytes, even at low concentrations, and rapidly achieved kill rates reaching the maximum effect in less than one hour. The efficacy of the compound against systemic candidiasis in D. melanogaster flies was comparable to that achieved by fluconazole. These results support the potential of compound 2j as a systemic antifungal agent candidate and serve as a starting point for further studies involving mammalian animal models.

摘要

由于系统性真菌感染导致的死亡人数正以惊人的速度增加,传统治疗方法的局限性和多重耐药性使这一情况更加恶化。因此,研发针对致病真菌的新治疗方案迫在眉睫。为了通过时间杀菌研究和药代动力学/药效学(PK/PD)建模来评估合成化合物1,3-双-(3,4-二氯苯氧基)丙-2-氯化铵(2j)的杀菌活性。还使用果蝇白色念珠菌感染小型宿主模型评估了该化合物的保护作用。对化合物2j的时间杀菌数据进行数学建模以获得药效学特征。此外,用白色念珠菌菌株感染Toll缺陷型果蝇并用2j进行治疗。我们观察到,即使在低浓度下,化合物2j对念珠菌属和皮肤癣菌也表现出时间和剂量依赖性的杀菌作用,并在不到一小时内迅速达到最大杀菌率。该化合物对果蝇系统性念珠菌病的疗效与氟康唑相当。这些结果支持了化合物2j作为系统性抗真菌剂候选物的潜力,并为涉及哺乳动物动物模型的进一步研究提供了起点。

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