ABSTRACT
The efficacies of dicationic carbazole compounds, nitazoxanide (NTZ), and paromomycin were evaluated against the AUCp1 isolate of
Cryptosporidium parvum
by using a neonatal mouse model. Compounds were solubilized or suspended in deionized water and administered orally by gavage to neonatal mice at a constant dose rate on days 0 to 5 (treatment started on day 0). Dose rates varied for individual carbazole compounds but ranged from 0.65 to 20 mg/kg of body weight. NTZ was tested at 100 and 150 mg/kg, and paromomycin was tested at 50 mg/kg. Efficacies were determined by comparing numbers of oocysts present in treated versus control mice at necropsy examination on day 6. Demonstrable efficacy was observed for several carbazole compounds, based on significant reductions in the numbers of oocysts recovered from treated mice versus control mice. Compounds 1, 7, and 10 (19.0 mg/kg) reduced oocyst passage in treated mice to less than 5% of that in control mice. Treatment with compounds 6, 8, and 9 (17.0 mg/kg) resulted in reductions of oocyst output to less than 10% of that in controls. Although they were not comparable in efficacy to compounds 1, 6, 7, 8, 9, and 10, treatment with other carbazole compounds resulted in statistically significant reductions in oocyst output in treated versus control mice. Compound 1 retained efficacy resulted in reduction of oocyst output to approximately 6% of that in controls when the dose was reduced to 5 mg/kg. Further reductions in the dose rate resulted in considerable reductions in anticryposporidial activity. Likewise, the efficacies of compounds 9 and 10 were reduced substantially when the doses were lowered to one-half the screening dose. Paromomycin yielded excellent activity (reduction of oocyst output to <2% of that in controls) at a dose of 50 mg/kg. NTZ yielded moderate efficacy as powder and injectable formulations administered at 100 mg/kg orally (reduction of oocyst output to 42 and 26% of that in controls, respectively). Oral administration of the injectable formulation of NTZ at a dose of 150 mg/kg resulted in improved efficacy (oocyst output, <5% of that in controls).
摘要
对二阳离子咔唑化合物、硝唑胺(NTZ)和帕罗霉素在新生小鼠模型中对AUCp1分离的隐孢子虫(Cryptosporidium parvum)的疗效进行了评估。化合物被溶解或悬浮在去离子水中,并在0至5天(治疗始于第0天)以恒定剂量经口灌胃给新生小鼠。个别咔唑化合物的剂量率有所不同,但范围从0.65到20毫克/千克体重。NTZ以100和150毫克/千克进行测试,帕罗霉素以50毫克/千克进行测试。通过比较尸检检查时治疗组与对照组小鼠中存在的孢子囊数量,确定了疗效。对于几种咔唑化合物,观察到了明显的疗效,基于治疗小鼠中从孢子囊中恢复的数量与对照小鼠的显著减少。化合物1、7和10(19.0毫克/千克)使治疗小鼠中的孢子囊排出量降低到对照小鼠的不到5%。化合物6、8和9(17.0毫克/千克)的治疗导致孢子囊产量降低到对照组的不到10%。尽管它们在疗效上与化合物1、6、7、8、9和10不可比拟,但使用其他咔唑化合物进行治疗导致治疗组与对照组小鼠中的孢子囊产量显著降低。当剂量降低到5毫克/千克时,化合物1保持了疗效,导致孢子囊排出量降低到对照组的约6%。剂量率进一步降低导致抗隐孢子虫活性显著降低。同样,当剂量降低到筛选剂量的一半时,化合物9和10的疗效显著降低。帕罗霉素在50毫克/千克的剂量下表现出优异的活性(孢子囊排出量降低到对照组的<2%)。NTZ作为粉剂和注射剂口服时,以100毫克/千克的剂量表现出中等的疗效(孢子囊排出量分别降低到对照组的42%和26%)。口服150毫克/千克的NTZ注射剂剂型导致改善的疗效(孢子囊排出量<5%)。