Susceptibility of Sporothrix brasiliensis isolates to amphotericin B, azoles, and terbinafine.

Abstract

The in vitro activity of the antifungal agents amphotericin B (AMB), itraconazole (ITC), posaconazole (PSC), voriconazole (VRC), and terbinafine (TRB) against 32 Brazilian isolates of Sporothrix brasiliensis, including 16 isolates from a recent (2011-2012) epidemic in Rio de Janeiro state, was examined. We describe and genotype new isolates and clustered them with 16 older (from 2004 or earlier) S. brasiliensis isolates by phylogenetic analysis. We tested both the yeast and the mycelium form of all isolates using broth microdilution methods based on the reference protocols M38-A2 and M27-A3 (recommended by the Clinical and Laboratory Standards Institute). Considering minimum inhibitory concentrations (MICs) and minimum fungicidal concentrations (MFCs), TRB was found to be the most active drug in vitro for both fungal forms, followed by PSC. Several isolates showed high MICs for AMB and/or ITC, which are currently used as first-line therapy for sporotrichosis. VRC displayed very low activity against S. brasiliensis isolates. The primary morphological modification observed on treated yeasts by transmission electron microscopy analysis was changes in cell wall. Our results indicate that TRB is the antifungal with the best in vitro activity against S. brasiliensis and support the use of TRB as a promising option for the treatment of cutaneous and/or lymphocutaneous sporotrichosis.

• Authors: Luana Pereira Borba-Santos, Anderson Messias Rodrigues, Thalita Braga Gagini, Geisa Ferreira Fernandes, Rafaela Castro, Zoilo Pires de Camargo, Marcio Nucci, Leila Maria Lopes-Bezerra, Kelly Ishida, Sonia Rozental
• Journal: Medical mycology (Med Mycol) Vol. 53 Issue 2 Pg. 178-88 (Feb 01 2015) ISSN: 1460-2709 [Electronic] England
• PMID: 25394542 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © The Author 2014. Published by Oxford University Press on behalf of The International Society for Human and Animal Mycology. All rights reserved. For permissions, please e-mail: [email protected].

Chemical References

• Antifungal Agents
• Calmodulin
• DNA, Fungal
• Fungal Proteins
• Naphthalenes
• Amphotericin B
• Terbinafine

Topics

• Amphotericin B (pharmacology)
• Antifungal Agents (pharmacology)
• Brazil (epidemiology)
• Calmodulin (genetics)
• Cell Wall (ultrastructure)
• Cluster Analysis
• DNA, Fungal (chemistry, genetics)
• Disease Outbreaks
• Fungal Proteins (genetics)
• Humans
• Microbial Sensitivity Tests
• Microbial Viability (drug effects)
• Microscopy, Electron, Transmission
• Molecular Sequence Data
• Naphthalenes (pharmacology)
• Phylogeny
• Sequence Analysis, DNA
• Sporothrix (classification, drug effects, genetics, ultrastructure)
• Sporotrichosis (epidemiology, microbiology)
• Terbinafine