In vitro and in vivo antifungal profile of a novel and long-acting inhaled azole, PC945, on aspergillus fumigatus infection
Author(s)
Type
Journal Article
Abstract
The profile of PC945, a novel triazole antifungal designed for administration via inhalation, was assessed in a range of in vitro and in vivo studies. PC945 was characterized as a potent, tightly binding inhibitor of Aspergillus fumigatus sterol 14α-demethylase (CYP51A and CYP51B) activity (50% inhibitory concentrations [IC50s], 0.23 μM and 0.22 μM, respectively) with characteristic type II azole binding spectra. Against 96 clinically isolated A. fumigatus strains, the MIC values of PC945 ranged from 0.032 to >8 μg/ml, while those of voriconazole ranged from 0.064 to 4 μg/ml. Spectrophotometric analysis of the effects of PC945 against itraconazole-susceptible and -resistant A. fumigatus growth yielded IC50 (determined based on optical density [OD]) values of 0.0012 to 0.034 μg/ml, whereas voriconazole (0.019 to >1 μg/ml) was less effective than PC945. PC945 was effective against a broad spectrum of pathogenic fungi (with MICs ranging from 0.0078 to 2 μg/ml), including Aspergillus terreus, Trichophyton rubrum, Candida albicans, Candida glabrata, Candida krusei, Cryptococcus gattii, Cryptococcus neoformans, and Rhizopus oryzae (1 or 2 isolates each). In addition, when A. fumigatus hyphae or human bronchial cells were treated with PC945 and then washed, PC945 was found to be absorbed quickly into both target and nontarget cells and to produce persistent antifungal effects. Among temporarily neutropenic immunocompromised mice infected with A. fumigatus intranasally, 50% of the animals survived until day 7 when treated intranasally with PC945 at 0.56 μg/mouse, while posaconazole showed similar effects (44%) at 14 μg/mouse. This profile affirms that topical treatment with PC945 should provide potent antifungal activity in the lung.
Date Issued
2017-05-01
Date Acceptance
2017-02-14
Citation
Antimicrobial Agents and Chemotherapy, 2017, 61 (5), pp.1-14
ISSN
0066-4804
Publisher
American Society for Microbiology
Start Page
1
End Page
14
Journal / Book Title
Antimicrobial Agents and Chemotherapy
Volume
61
Issue
5
Copyright Statement
© 2017 Colley et al.
This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license .
This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license .
License URL
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000403532100038&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Microbiology
Pharmacology & Pharmacy
Aspergillus fumigatus
azole
inhalation
CYP51
azole resistant
long acting
INVASIVE PULMONARY ASPERGILLOSIS
GLOBAL BURDEN
ITRACONAZOLE RESISTANCE
VORICONAZOLE
MENINGITIS
MUTATION
ENZYMES
GROWTH
MODEL
LUNG
Publication Status
Published
Article Number
ARTN e02280-16
Date Publish Online
2017-04-24