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001-es BibID:	BIBFORM094600
035-os BibID:	(WoS)000709571800009 (Scopus)85117395605
Első szerző:	Nagy Fruzsina (molekuláris biológus)
Cím:	In vitro and in vivo interaction of caspofungin with isavuconazole against Candida auris planktonic cells and biofilms / Nagy Fruzsina, Tóth Zoltán, Nyikos Fanni, Forgács Lajos, Jakab Ágnes, Borman Andrew M., Majoros László, Kovács Renátó
Dátum:	2021
ISSN:	1369-3786
Megjegyzések:	The in vitro and in vivo efficacy of caspofungin was determined in combination with isavuconazole against Candida auris. Drug-drug interactions were assessed utilising the fractional inhibitory concentration indices (FICIs), the Bliss independence model and an immunocompromised mouse model. Median planktonic minimum inhibitory concentrations (pMICs) of 23 C. auris isolates were between 0.5 and 2 mg/L and between 0.015 and 4 mg/L for caspofungin and isavuconazole, respectively. Median pMICs for caspofungin and isavuconazole in combination showed 2-128-fold and 2-256-fold decreases, respectively. Caspofungin and isavuconazole showed synergism in 14 out of 23 planktonic isolates (FICI range 0.03-0.5; Bliss cumulative synergy volume range 0-4.83). Median sessile MICs (sMIC) of 14 biofilm-forming isolates were between 32 and > 32 mg/L and between 0.5 and > 2 mg/L for caspofungin and isavuconazole, respectively. Median sMICs for caspofungin and isavuconazole in combination showed 0-128-fold and 0-512-fold decreases, respectively. Caspofungin and isavuconazole showed synergistic interaction in 12 out of 14 sessile isolates (FICI range 0.023-0.5; Bliss cumulative synergy volume range 0.13-234.32). In line with the in vitro findings, synergistic interactions were confirmed by in vivo experiments. The fungal kidney burden decreases were more than 3 log volumes in mice treated with combination of 1 mg/kg caspofungin and 20 mg/kg isavuconazole daily; this difference was statistically significant compared with control mice (p < 0.001). Despite the favourable effect of isavuconazole in combination with caspofungin, further studies are needed to confirm the therapeutic advantage of this combination when treating an infection caused by C. auris.
Tárgyszavak:	Orvostudományok Gyógyszerészeti tudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Medical Mycology. - 59 : 10 (2021), p. 1015-1023. -
További szerzők:	Tóth Zoltán (1990-) (molekuláris biológus) Nyikos Fanni Forgács Lajos Jakab Ágnes (1987-) (biológus) Borman, Andrew M. Majoros László (1966-) (szakorvos, klinikai mikrobiológus) Kovács Renátó László (1987-) (molekuláris biológus)
Pályázati támogatás:	EFOP-3.6.3-VEKOP-16-2017-00009 EFOP GINOP-2.3.4-15-2020-00008 GINOP ÚNKP-19-3 Egyéb ÚNKP-20-3 Egyéb
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