Synergistic antifungal activity of KB425796-C in combination with micafungin against Aspergillus fumigatus and its efficacy in murine infection models

J Antibiot (Tokyo). 2013 Aug;66(8):479-84. doi: 10.1038/ja.2013.57. Epub 2013 Jun 12.

Abstract

KB425796-C is a novel antifungal metabolite produced by the newly isolated bacterial strain Paenibacillus sp. No. 530603. This compound is a 40-membered macrocyclic lipopeptidolactone consisting of 12 amino acids and a 3-hydroxy-15-methylpalmitoyl moiety. KB425796-C displayed antifungal activity against micafungin-resistant fungi and was fungicidal to Trichosporon asahii in vitro. In a murine systemic infection model of T. asahii, KB425796-C showed excellent efficacy upon i.p. administration at 32 mg kg(-1). In addition, KB425796-C induced morphological changes in the hyphae of Aspergillus fumigatus and had fungicidal effects in combination with micafungin. In a mouse model of septic A. fumigatus infection, although non-treated mice survived for a maximum of only 6 days, the survival rate of micafungin-treated mice (0.1 mg kg(-1)) increased to 20%, while the survival rate of mice treated with a combination of micafungin (0.1 mg kg(-1)) and KB425796-C (32 mg kg(-1)) increased to 100% during the 31-day post-infection period. Our findings suggest that KB425796-C is a good candidate for the treatment of aspergillosis in combination with micafungin.

MeSH terms

  • Animals
  • Antifungal Agents / administration & dosage
  • Antifungal Agents / isolation & purification
  • Antifungal Agents / pharmacology*
  • Aspergillosis / drug therapy*
  • Aspergillus fumigatus / drug effects*
  • Depsipeptides / chemistry
  • Depsipeptides / isolation & purification
  • Depsipeptides / pharmacology*
  • Disease Models, Animal
  • Drug Resistance, Fungal
  • Drug Synergism
  • Drug Therapy, Combination
  • Echinocandins / administration & dosage
  • Echinocandins / pharmacology*
  • Female
  • Injections, Intraperitoneal
  • Lipopeptides / administration & dosage
  • Lipopeptides / pharmacology*
  • Micafungin
  • Mice
  • Mice, Inbred DBA
  • Mice, Inbred ICR
  • Paenibacillus / metabolism
  • Sepsis / drug therapy
  • Sepsis / microbiology
  • Survival Rate
  • Trichosporon / drug effects
  • Trichosporonosis / drug therapy

Substances

  • Antifungal Agents
  • Depsipeptides
  • Echinocandins
  • KB425796-C
  • Lipopeptides
  • Micafungin