In vitro interactions between primycin and different statins in their effects against some clinically important fungi

J Med Microbiol. 2010 Feb;59(Pt 2):200-205. doi: 10.1099/jmm.0.013946-0. Epub 2009 Oct 29.

Abstract

The in vitro antifungal activities of primycin (PN) and various statins against some opportunistic pathogenic fungi were investigated. PN completely inhibited the growth of Candida albicans (MIC 64 microg ml(-1)) and Candida glabrata (MIC 32 microg ml(-1)), and was very effective against Paecilomyces variotii (MIC 2 microg ml(-1)), but had little effect on Aspergillus fumigatus, Aspergillus flavus or Rhizopus oryzae (MICs >64 microg ml(-1)). The fungi exhibited different degrees of sensitivity to the statins; fluvastatin (FLV) and simvastatin (SIM) exerted potent antifungal activities against a wide variety of clinically important fungal pathogens. Atorvastatin, rosuvastatin and lovastatin (LOV) had a slight effect against all fungal isolates tested, whereas pravastatin was completely ineffective. The in vitro interactions between PN and the different statins were investigated using a standard chequerboard titration method. When PN was combined with FLV, LOV or SIM, both synergistic and additive effects were observed. The extent of inhibition was higher when these compounds were applied together, and the concentrations of PN and the given statin needed to block fungal growth completely could be decreased by several dilution steps. Similar interactions were observed when the variability of the within-species sensitivities was investigated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antifungal Agents / pharmacology
  • Drug Interactions
  • Fungi / drug effects*
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / pharmacology*
  • Macrolides / pharmacology*
  • Microbial Sensitivity Tests

Substances

  • Antifungal Agents
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Macrolides
  • primycin