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PMID: 19307370 Published · ppublish English Journal Article Research Support, N.I.H., Extramural Research Support, N.I.H., Intramural

Antifungal activities of natural and synthetic iron chelators alone and in combination with azole and polyene antibiotics against Aspergillus fumigatus.

Antimicrobial agents and chemotherapy ·Vol. 53 ·No. 6 ·2009-06-00 ·Pages 2654-6

Zarember KA, Cruz AR, Huang CY, Gallin JI

Abstract

Antifungal effects of iron chelators (lactoferrin, deferoxamine, deferiprone, and ciclopirox) were tested alone and in combination with antifungal drugs against Aspergillus fumigatus B5233 conidia. Lactoferrin, ciclopirox, and deferiprone inhibited whereas deferoxamine enhanced fungal growth. Antifungal synergy against conidia was observed for combinations of ketoconazole with ciclopirox or deferiprone, lactoferrin with amphotericin B, and fluconazole with deferiprone. Iron chelation alone or combined with antifungal drugs may be useful for prevention and treatment of mycosis.

MeSH Terms
Amphotericin B/pharmacology Antifungal Agents/pharmacology Aspergillus fumigatus/drug effects Ciclopirox Deferiprone Drug Combinations Fluconazole/pharmacology Iron Chelating Agents/pharmacology Ketoconazole/pharmacology Microbial Sensitivity Tests Pyridones/pharmacology
Chemicals
Antifungal Agents Drug Combinations Iron Chelating Agents Pyridones Ciclopirox Deferiprone Amphotericin B Fluconazole Ketoconazole
Authors & Affiliations
4 authors, click to expand affiliations / ORCID
Zarember Kol A
Laboratory of Host Defenses, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland 20892-1456, USA. kzarember@niaid.nih.gov
Cruz Anna R
Huang Chiung-Yu
Gallin John I
References (24)
24 references, click to expand
  1. Deferiprone iron chelation as a novel therapy for experimental mucormycosis.
    J Antimicrob Chemother. 2006 Nov;58(5):1070-3 PMID: 16928702
  2. Combination antifungal therapy.
    Antimicrob Agents Chemother. 2004 Mar;48(3):693-715 PMID: 14982754
  3. Posaconazole vs. fluconazole or itraconazole prophylaxis in patients with neutropenia.
    N Engl J Med. 2007 Jan 25;356(4):348-59 PMID: 17251531
  4. Combination antifungal therapy: a critical review of the evidence.
    Clin Microbiol Infect. 2008 May;14 Suppl 4:65-70 PMID: 18430131
  5. Systemic fungal infections caused by Aspergillus species: epidemiology, infection process and virulence determinants.
    Curr Drug Targets. 2005 Dec;6(8):875-86 PMID: 16375671
  6. Posaconazole or fluconazole for prophylaxis in severe graft-versus-host disease.
    N Engl J Med. 2007 Jan 25;356(4):335-47 PMID: 17251530
  7. Aspergillosis case-fatality rate: systematic review of the literature.
    Clin Infect Dis. 2001 Feb 1;32(3):358-66 PMID: 11170942
  8. Increased bone marrow iron stores is an independent risk factor for invasive aspergillosis in patients with high-risk hematologic malignancies and recipients of allogeneic hematopoietic stem cell transplantation.
    Cancer. 2007 Sep 15;110(6):1303-6 PMID: 17614303
  9. Combination antifungals: an update.
    Expert Rev Anti Infect Ther. 2007 Oct;5(5):883-92 PMID: 17914921
  10. The iron chelator deferasirox protects mice from mucormycosis through iron starvation.
    J Clin Invest. 2007 Sep;117(9):2649-57 PMID: 17786247
  11. Itraconazole to prevent fungal infections in chronic granulomatous disease.
    N Engl J Med. 2003 Jun 12;348(24):2416-22 PMID: 12802027
  12. An overview of drug combination analysis with isobolograms.
    J Pharmacol Exp Ther. 2006 Oct;319(1):1-7 PMID: 16670349
  13. Frequent severe liver iron overload after stem cell transplantation and its possible association with invasive aspergillosis.
    Bone Marrow Transplant. 2004 Sep;34(6):505-9 PMID: 15286693
  14. Current options in antifungal pharmacotherapy.
    Pharmacotherapy. 2008 May;28(5):614-45 PMID: 18447660
  15. Fungal infections in primary immunodeficiencies.
    Eur J Pediatr. 2007 Nov;166(11):1099-117 PMID: 17551753
  16. Caspofungin versus liposomal amphotericin B for empirical antifungal therapy in patients with persistent fever and neutropenia.
    N Engl J Med. 2004 Sep 30;351(14):1391-402 PMID: 15459300
  17. Association of hepatic iron overload with invasive fungal infection in liver transplant recipients.
    Liver Transpl. 2006 Dec;12(12):1799-804 PMID: 16741903
  18. Iron uptake from ferrioxamine and from ferrirhizoferrin by germinating spores of Rhizopus microsporus.
    Biochem Pharmacol. 1994 May 18;47(10):1843-50 PMID: 8204101
  19. Mucormycosis during deferoxamine therapy is a siderophore-mediated infection. In vitro and in vivo animal studies.
    J Clin Invest. 1993 May;91(5):1979-86 PMID: 8486769
  20. Determination of antifungal drug susceptibilities of Aspergillus species by a fluorescence-based microplate assay.
    J Antimicrob Chemother. 2005 Jan;55(1):102-5 PMID: 15546970
  21. Ciclopirox for the treatment of superficial fungal infections: a review.
    Int J Dermatol. 2003 Sep;42 Suppl 1:3-9 PMID: 12895181
  22. Aspergillus fumigatus and aspergillosis.
    Clin Microbiol Rev. 1999 Apr;12(2):310-50 PMID: 10194462
  23. Invasive aspergillosis in primary immunodeficiencies.
    Med Mycol. 2005 May;43 Suppl 1:S247-59 PMID: 16110817
  24. Human polymorphonuclear leukocytes inhibit Aspergillus fumigatus conidial growth by lactoferrin-mediated iron depletion.
    J Immunol. 2007 May 15;178(10):6367-73 PMID: 17475866
Article Info
Journal
Antimicrobial agents and chemotherapy
Abbr.
Antimicrob Agents Chemother
ISSN
1098-6596
Published
2009-06-00
Epub
2009-00-23
Pages
2654-6
Language
English
Region
United States
NLM ID
0315061
PMCID
PMC2687209
Subset
IM
Grants
Intramural NIH HHS · United States
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