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Antimicrobial Agents and Chemotherapy, April 1998, p. 843-848, Vol. 42, No. 4
Division of Environmental Health Sciences, Columbia
University School of Public Health, New York, New York
10032,1 and
Center for Environmental
Research and Conservation, Columbia University, New York, New York
100272
Received 16 October 1997/Returned for modification 8 December
1997/Accepted 4 February 1998
Cyclosporine and nonimmunosuppressive cyclosporin (CS) analogs were
demonstrated to be potent inhibitors of the growth of the intracellular
parasite Cryptosporidium parvum in short-term (48-h) in
vitro cultures. Fifty-percent inhibitory concentrations (IC50s) were 0.4 µM for SDZ 033-243, 1.0 µM for SDZ
PSC-833, and 1.5 µM for cyclosporine. Two other analogs were less
effective than cyclosporine: the IC50 of SDZ 205-549 was 5 µM, and that of SDZ 209-313 was 7 µM. These were much lower than
the IC50 of 85 µM of paromomycin, a standard positive
control for in vitro drug assays for this parasite. In addition,
intracellular growth of excysted sporozoites that had been incubated
for 1 h in cyclosporine was significantly reduced, suggesting that
the drug can inhibit sporozoite invasion. The cellular activities of
the CS analogs used have been characterized for mammalian cells and
protozoa. The two analogs that were most active in inhibiting C. parvum, SDZ PSC-833 and SDZ 033-243, bind weakly to cyclophilin,
a peptidyl proline isomerase which is the primary target of
cyclosporine and CS analogs. However, they are potent modifiers of the
activity of the P glycoproteins/multidrug resistance (MDR)
transporters, members of the ATP-binding cassette (ABC) superfamily.
Hence, both cyclophilin and some ABC transporters may be targets for this class of drugs, although drugs that preferentially interact with
the latter are more potent. Cyclosporine (0.5 µM) had no significant
chemosensitizing activity. That is, it did not significantly increase
sensitivity to paromomycin, suggesting that an ABC transporter is not
critical in the efflux of this drug. Cyclosporine at concentrations up
to 50 µM was not toxic to host Caco-2 cells in the CellTiter 96 assay. The results of this study complement those of studies of the
inhibitory effect of cyclosporine and CS analogs on other apicomplexan
parasites, Plasmodium falciparum, Plasmodium
vivax, and Toxoplasma gondii.
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Cyclosporin Analogs Inhibit In Vitro Growth of
Cryptosporidium parvum
*
Corresponding author. Mailing address: VC15-220, 630 West 168th St., New York, NY 10032. Phone: (212) 305-6727. Fax: (212) 305-4496. E-mail: mp191{at}columbia.edu.
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