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抗真菌药物治疗隐球菌病的药代动力学和药效学研究的实验模型。

Experimental models for pharmacokinetic and pharmacodynamic studies of antifungals used in cryptococcosis treatment.

机构信息

Laboratory of Antifungal Chemotherapy, Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, 05508-000, Brazil.

Faculty of Pharmacy, Pharmaceutical Sciences Post-Graduation Program, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90610-000, Brazil.

出版信息

Future Microbiol. 2022 Aug;17:969-982. doi: 10.2217/fmb-2021-0291. Epub 2022 Jun 13.

Abstract

Studies on cryptococcosis in the mammal animal model have demonstrated the occurrence of central nervous system infection and similarities in fungal pathogenicity with clinical and immunological features of the human infection. Although there is still a lack of studies involving pharmacokinetics (PK) and pharmacodynamics (PD) in animal models of cryptococcosis in the literature, these experimental models are useful for understanding this mycosis and antifungal effectiveness in improving the therapeutic schemes. The scope of this review is to describe and discuss the main mammal animal models for PK and PD studies of antifungals used in cryptococcosis treatment. Alternative models and computational methods are also addressed. All approaches for PK/PD studies are relevant to investigating drug-infection interaction and improving cryptococcosis therapy.

摘要

对哺乳动物动物模型中隐球菌病的研究表明,中枢神经系统感染的发生以及真菌的致病性与人类感染的临床和免疫特征相似。尽管文献中仍然缺乏隐球菌病动物模型中涉及药代动力学(PK)和药效学(PD)的研究,但这些实验模型有助于了解这种真菌感染以及抗真菌药物在改善治疗方案方面的有效性。本文综述的范围是描述和讨论用于隐球菌病治疗的抗真菌药物 PK 和 PD 研究的主要哺乳动物动物模型。还涉及了替代模型和计算方法。所有用于 PK/PD 研究的方法都与研究药物-感染相互作用和改善隐球菌病治疗有关。

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