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Antimicrobial Agents and Chemotherapy, August 1999, p. 2043-2045, Vol. 43, No. 8
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Quinupristin-Dalfopristin Is Active against Toxoplasma gondii

Anis A. Khan,1,2 Teri R. Slifer,1 Fausto G. Araujo,1 and Jack S. Remington1,2,*

Department of Infectious Diseases, Research Institute, Palo Alto Medical Foundation, Palo Alto, California 94301,1 and Department of Infectious Disease and Geographic Medicine, Stanford University School of Medicine, Stanford, California 943052

Received 5 February 1999/Returned for modification 20 April 1999/Accepted 12 May 1999

Synercid and each of its components (quinupristin and dalfopristin) were examined for their activities against Toxoplasma gondii. In vitro, intracellular replication of tachyzoites was inhibited by synercid and each of its two components. The 50% inhibitory concentrations of synercid, quinupristin, and dalfopristin were 1.6, 2.7, and 6.3 µg/ml, respectively. Thus, synercid was markedly more active than its components. Treatment of acutely infected mice with 100 or 200 mg of synercid per kg of body weight per day administered intraperitoneally for 10 days resulted in survival of 50% (P = 0.0002) and 100% (P < 0.0001) of infected mice, respectively, whereas all control mice died by day 18. In contrast, treatment with 200 mg of either quinupristin and dalfopristin per kg per day alone resulted in only 20% survival; treatment with 50 mg of either drug per kg per day resulted only in the prolongation of time to death. These results suggest that synercid may be useful for treatment of toxoplasmosis in humans.


* Corresponding author. Mailing address: Department of Immunology and Infectious Diseases, Research Institute, Palo Alto Medical Foundation, 860 Bryant St., Palo Alto, CA 94301. Phone: (650) 853-6061. Fax: (650) 329-9853.


Antimicrobial Agents and Chemotherapy, August 1999, p. 2043-2045, Vol. 43, No. 8
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



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