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Antimicrobial Agents and Chemotherapy, March 1999, p. 471-475, Vol. 43, No. 3
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

In Vitro and In Vivo Activities of NS-718, a New Lipid Nanosphere Incorporating Amphotericin B, against Aspergillus fumigatus

Takakazu Otsubo,1 Shigefumi Maesaki,1 Mohammad Ashraf Hossain,1 Yoshihiro Yamamoto,1 Kazunori Tomono,1 Takayoshi Tashiro,1 Junzo Seki,2 Yoshifumi Tomii,2 Satoru Sonoke,2 and Shigeru Kohno1,*

The Second Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501,1 and Research Laboratories, Nippon Shinyaku Co., Ltd., 14 Nishinosho-Monguchicho, Kisshoin, Minami-ku, Kyoto, 601-8550,2 Japan

Received 27 August 1998/Returned for modification 1 October 1998/Accepted 4 December 1998

We evaluated the in vitro and in vivo potencies of a new lipid nanosphere that incorporates amphotericin B (AmB), NS-718, against Aspergillus fumigatus. The in vitro activity of NS-718 (the MIC at which 90% of strains are inhibited [MIC90], 0.25 µg/ml) against 18 isolates of A. fumigatus was similar to that of deoxycholate AmB (D-AmB; Fungizone; MIC90, 0.25 µg/ml), but NS-718 was more potent than liposomal AmB (L-AmB; AmBisome; MIC90, 1.0 µg/ml). The in vivo efficacy of NS-718 in a rat model of invasive pulmonary aspergillosis was compared with those of D-AmB and L-AmB. A low dose (1 mg/kg of body weight) of L-AmB was ineffective (survival rate, 0%), although equivalent doses of D-AmB and NS-718 were more effective (survival rate, 17%). However, a higher dose of NS-718 (3 mg/kg) was more effective (survival rate, 100%) than equivalent doses of D-AmB and L-AmB (survival rate, 0%). To explain these differences, pharmacokinetic studies showed higher concentrations of AmB in the plasma of rats treated with NS-718 than in the plasma of those treated with D-AmB. Our results suggest that NS-718, a new preparation of AmB, is a promising antifungal agent with activity against pulmonary aspergillosis.


* Corresponding author. Mailing address: The Second Department of Internal Medicine, Nagasaki University School of Medicine, Sakamoto 1-7-1, Nagasaki 852-8501, Japan. Phone: 81-95-849-7271. Fax: 81-95-849-7285. E-mail: sk1227{at}net.nagasaki-u.ac.jp.


Antimicrobial Agents and Chemotherapy, March 1999, p. 471-475, Vol. 43, No. 3
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



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