In Vitro and In Vivo Synergy of Fosmidomycin, a Novel Antimalarial Drug, with Clindamycin

Autor: Jochen Wiesner, Dajana Henschker, David B. Hutchinson, Hassan Jomaa, Ewald Beck
Rok vydání: 2002
Předmět:
Zdroj: Antimicrobial Agents and Chemotherapy. 46:2889-2894
ISSN: 1098-6596
0066-4804
DOI: 10.1128/aac.46.9.2889-2894.2002
Popis: Fosmidomycin acts through inhibition of 1-deoxy- d -xylulose 5-phosphate (DOXP) reductoisomerase, a key enzyme of the nonmevalonate pathway of isoprenoid biosynthesis. It possesses potent antimalarial activity in vitro and in murine malaria. In a recent clinical study, fosmidomycin was effective and well tolerated in the treatment of patients with acute uncomplicated Plasmodium falciparum malaria but resulted in an unacceptably high rate of recrudescence. In order to identify a potential combination partner, the interaction of fosmidomycin with a number of antimalarial drugs in current use was investigated in a series of in vitro experiments. Synergy was observed between fosmidomycin and the lincosamides, lincomycin and clindamycin. The efficacy of a combination of fosmidomycin and clindamycin was subsequently demonstrated in the Plasmodium vinckei mouse model.
Databáze: OpenAIRE