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一种宿主防御肽模拟物,溴硝醇,增强了卡泊芬净抗真菌活性,针对人类致病性真菌。

A host defense peptide mimetic, brilacidin, potentiates caspofungin antifungal activity against human pathogenic fungi.

机构信息

Faculdade de Ciências Farmacêuticas de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brazil.

Visiting professor at Drug Research and Development Center, Department of Physiology and Pharmacology, Federal University of Ceará, Fortaleza, Ceará, 60451, Brazil.

出版信息

Nat Commun. 2023 Apr 12;14(1):2052. doi: 10.1038/s41467-023-37573-y.

Abstract

Fungal infections cause more than 1.5 million deaths a year. Due to emerging antifungal drug resistance, novel strategies are urgently needed to combat life-threatening fungal diseases. Here, we identify the host defense peptide mimetic, brilacidin (BRI) as a synergizer with caspofungin (CAS) against CAS-sensitive and CAS-resistant isolates of Aspergillus fumigatus, Candida albicans, C. auris, and CAS-intrinsically resistant Cryptococcus neoformans. BRI also potentiates azoles against A. fumigatus and several Mucorales fungi. BRI acts in A. fumigatus by affecting cell wall integrity pathway and cell membrane potential. BRI combined with CAS significantly clears A. fumigatus lung infection in an immunosuppressed murine model of invasive pulmonary aspergillosis. BRI alone also decreases A. fumigatus fungal burden and ablates disease development in a murine model of fungal keratitis. Our results indicate that combinations of BRI and antifungal drugs in clinical use are likely to improve the treatment outcome of aspergillosis and other fungal infections.

摘要

真菌感染每年导致超过 150 万人死亡。由于抗真菌药物的耐药性不断出现,迫切需要新的策略来对抗危及生命的真菌感染。在这里,我们确定宿主防御肽模拟物 brilacidin(BRI)与两性霉素 B(CAS)具有协同作用,可对抗 CAS 敏感和 CAS 耐药的烟曲霉、白念珠菌、耳念珠菌和 CAS 固有耐药性新型隐球菌分离株。BRI 还增强唑类药物对烟曲霉和几种毛霉目真菌的作用。BRI 通过影响细胞壁完整性途径和细胞膜电位在烟曲霉中发挥作用。BRI 与 CAS 联合使用可显著清除免疫抑制的侵袭性肺曲霉病小鼠模型中的烟曲霉肺部感染。BRI 单独使用也可降低烟曲霉的真菌负荷,并在真菌性角膜炎的小鼠模型中消除疾病的发展。我们的研究结果表明,临床使用的 BRI 与抗真菌药物联合使用可能会改善侵袭性曲霉病和其他真菌感染的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfab/10097819/5eb155546259/41467_2023_37573_Fig1_HTML.jpg

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