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新型三唑类化合物D0870在实验性小鼠感染中对葡萄牙念珠菌和白吉利丝孢酵母的活性。

Activities of D0870, a novel triazole, against Candida lusitaniae and Trichosporon beigelii in experimental murine infections.

作者信息

Karyotakis N C, Dignani M C, Hachem R, Anaissie E J

机构信息

Department of Medical Specialties, University of Texas M. D. Anderson Cancer Center, Houston 77030, USA.

出版信息

Antimicrob Agents Chemother. 1995 Feb;39(2):571-3. doi: 10.1128/AAC.39.2.571.

Abstract

Candida lusitaniae and Trichosporon beigelii may cause life-threatening infections in the immunocompromised host and may be resistant to amphotericin B. We assessed the activities of a new triazole, D0870, against one T. beigelii and four C. lusitaniae strains, in comparison with those of fluconazole and amphotericin B. Immunosuppressed CF1 mice, intravenously infected with each fungal strain, received 3 days of therapy with oral D0870 (5 or 25 mg/kg of body weight daily), fluconazole (5 to 50 mg/kg daily), or parenteral amphotericin B (1 or 2 mg/kg daily). Survival was significantly prolonged and kidney fungus titers were reduced in mice treated with D0870 compared with untreated mice (P < or = 0.05). Treatment with D0870 was significantly more effective than that with amphotericin B or fluconazole in animals infected with two of the C. lusitaniae strains and equally effective for the remaining two C. lusitaniae strains and the T. beigelii strain. Fluconazole and amphotericin B failed to improve the survival of mice infected with one and two C. lusitaniae strains, respectively. D0870 was active against all the organisms tested, including those resistant to fluconazole and amphotericin B.

摘要

葡萄牙念珠菌和白吉利丝孢酵母可在免疫功能低下的宿主中引起危及生命的感染,并且可能对两性霉素B耐药。我们评估了一种新型三唑类药物D0870对一株白吉利丝孢酵母和四株葡萄牙念珠菌的活性,并与氟康唑和两性霉素B进行比较。免疫抑制的CF1小鼠静脉内感染每种真菌菌株后,接受为期3天的口服D0870(每日5或25mg/kg体重)、氟康唑(每日5至50mg/kg)或胃肠外给予两性霉素B(每日1或2mg/kg)治疗。与未治疗的小鼠相比,用D0870治疗的小鼠生存期显著延长,肾脏真菌滴度降低(P≤0.05)。在感染两株葡萄牙念珠菌的动物中,用D0870治疗比用两性霉素B或氟康唑治疗显著更有效,而对其余两株葡萄牙念珠菌和白吉利丝孢酵母菌株则同样有效。氟康唑和两性霉素B分别未能提高感染一株和两株葡萄牙念珠菌的小鼠的生存率。D0870对所有测试的菌株均有活性,包括那些对氟康唑和两性霉素B耐药的菌株。

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本文引用的文献

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Mycoses caused by Candida lusitaniae.由葡萄牙念珠菌引起的真菌病。
Rev Infect Dis. 1987 Sep-Oct;9(5):1006-12. doi: 10.1093/clinids/9.5.1006.

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