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Antimicrobial Agents and Chemotherapy, May 2000, p. 1284-1290, Vol. 44, No. 5
Department of Chemotherapy, GlaxoWellcome,
S.A., Madrid, Spain,1 and Laboratoire de
Parasitologie, Faculté de Pharmacie,2
Faculté de Médecine et Centre Hospitalier Regional
Universitaire du Lille,3 and
Department of Microbiology of Ecosystems, Institut Pasteur de
Lille,4 Lille, France
Received 9 July 1999/Returned for modification 14 November
1999/Accepted 28 January 2000
Pneumocystis carinii pneumonia remains one of the most
serious complications of immunosuppressed patients. In this study, the in vitro pharmacodynamic parameters of four sordarin derivatives (GM 191519, GM 237354, GM 193663, and GM 219771) have been evaluated by
a new quantitative approach and compared with the commercially available drugs pentamidine, atovaquone, and
trimethoprim-sulfamethoxazole (TMP-SMX). In vitro activities and in
vivo therapeutic efficacies of sordarin derivatives against P. carinii were also evaluated. In vitro activity was determined by
the broth microdilution technique, comparing the total number of
microorganisms in treated and drug-free cultures by using Giemsa
staining. The in vitro maximum effect (Emax),
the drug concentrations to reach 50% of Emax
(EC50), and the slope of the dose-response curve were then
estimated by the Hill equation (Emax sigmoid
model). Sordarin derivatives were the most potent agents against
P. carinii, with EC50s of 0.00025, 0.0007, 0.0043, and 0.025 µg/ml for GM 191519, GM 237354, GM 193663, and GM
219771, respectively. The EC50s of pentamidine, atovaquone, and TMP-SMX were 0.025, 0.16, and 26.7/133.5 µg/ml, respectively. The
results obtained with this approach showed GM 237354 and GM 191519 to
be approximately 35- and 100-fold more active in vitro than
pentamidine, the most active marketed compound. All sordarin derivatives tested were at least 5,000-fold more active in vitro than
TMP-SMX. The three sordarin derivatives tested in vivo
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
In Vitro Pharmacodynamic Parameters of Sordarin Derivatives
in Comparison with Those of Marketed Compounds against
Pneumocystis carinii Isolated from Rats
GM 191519, GM
237354, and GM 219771
showed a marked therapeutic efficacy, defined as
reduction of cyst forms per gram of lung. GM 191519 was the most potent
(daily dose reducing 50% of the P. carinii burden in the
lungs [ED50], 0.05 mg/kg/day) followed by GM 237354 and
GM 219771 (ED50s, 0.30 and 0.49 mg/kg/day, respectively). Good agreement between in vitro parameters and in vivo outcome was
obtained when P. carinii pneumonia in rats was treated with sordarin derivatives.
*
Corresponding author. Mailing address: GlaxoWellcome,
S.A., Parque Tecnológico de Madrid, C/ Severo Ochoa 2, 28760 - Tres Cantos, Madrid, Spain. Phone: 34 91 807 04 81. Fax: 34 91 807 05 95. E-mail: DGV28867{at}GLAXOWELLCOME.CO.UK.
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