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Antimicrobial Agents and Chemotherapy, December 2000, p. 3389-3394, Vol. 44, No. 12
Research Department, Glaxo Wellcome S.A., 28760 Tres
Cantos, Madrid, Spain
Received 9 March 2000/Returned for modification 16 July
2000/Accepted 9 September 2000
Sordarin derivatives represent a new class of antifungal agents
that act as potent inhibitors of fungal protein synthesis and possess a
broad spectrum of activity. The in vivo activity of GM193663 and
GM237354 was studied in mouse models of disseminated candidiasis and
aspergillosis and in a rat model of pneumocystosis. The pharmacokinetic
behavior of both sordarin derivatives was studied in mice and rats. In
all studies, compounds were administered by the subcutaneous route.
After a subcutaneous dose of 50 mg/kg of body weight to mice, the
maximum level in serum, area under the concentration-time curve,
half-life, and clearance for GM193663 and GM237354 were 51.8 and 23 µg/ml, 79.5 and 46 µg · h/ml, 0.8 and 0.85 h, and 21 and 25 ml/h, respectively. Systemic candidiasis and aspergillosis were
established in CD-1 male mice infected with Candida
albicans or Aspergillus fumigatus. For systemic
candidiasis, compounds were given three times per day for seven
consecutive days at 15, 30, 60, or 120 mg/kg/day. GM193663 and GM237354
showed dose-related efficacy against C. albicans, with 50%
effective doses, 1 month after infection, of 25.2 and 10.7 mg/kg/dose,
respectively. In experimental infections with A. fumigatus,
GM237354 was given three times per day at 30, 60, or 120 mg/kg/day for
five consecutive days. Animals treated with GM237354 demonstrated
irregular responses. The survival of animals treated with GM237354 was
0, 30, and 0% at 30, 60, and 120 mg/kg/day, respectively. The
therapeutic efficacy of GM193663 and GM237354 against
Pneumocystis carinii was studied in an experimental
P. carinii pneumonia (PCP) rat model. After a subcutaneous
dose of 10 mg/kg given to rats, the maximum level in serum, area under
the concentration-time curve, half-life, and clearance for GM193663 and
GM237354 were 6.6 and 7.2 µg/ml, 8.5 and 11.8 µg · h/ml, 0.7 and 0.8 h, and 230 and 133 ml/h, respectively. To induce
spontaneous PCP, rats were chronically immunosuppressed with
dexamethasone. Infected animals were treated twice daily for 10 days at
0.2, 2, or 10 mg/kg/day. The therapeutic effect was estimated by the
reduction in the number of cysts in the lungs of treated versus
untreated animals. GM193663 and GM237354 significantly reduced the mean
(± standard deviation) log number of cysts from 7.6 ± 0.2 in the
untreated group to 4.7 ± 0.2 and 4.6 ± 0.1, respectively, when the drugs were administered at a dose of 2 mg/kg/day. The log
number of cysts was also reduced in infected animals given lower doses
of the compounds (0.2 mg/kg/day). In summary, GM193663 and GM237354 are
new sordarin derivatives that may potentially play a major role in the
treatment of candidiasis and PCP. Further testing with
Aspergillus in other animal models is warranted.
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Activities of Sordarins in Experimental Models of
Candidiasis, Aspergillosis, and Pneumocystosis
*
Corresponding author. Mailing address: Glaxo Wellcome,
S.A., Parque Tecnológico de Madrid, Severo Ochoa, 2, 28760 Tres
Cantos, Madrid, Spain. Phone: 34.91.80.70.481. Fax: 34.91.80.70.595. E-mail: dgv28867{at}glaxowellcome.co.uk.
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