Treatment of Pneumocystis carinii pneumonia with 1,3-beta-glucan synthesis inhibitors

Proc Natl Acad Sci U S A. 1990 Aug;87(15):5950-4. doi: 10.1073/pnas.87.15.5950.

Abstract

Pneumocystis carinii pneumonia is a major cause of death in AIDS patients in the United States. The presently available treatments have limited use due to a high incidence of adverse reactions. Therefore, there is an urgent need for a safer method for treatment and prevention of this disease. Recent evidence has suggested that P. carinii is related to fungi and that the wall of the cyst form contains 1,3-beta-glucan as a major constituent. Based on this, several proposed 1,3-beta-glucan synthesis inhibitors were evaluated for their ability to control P. carinii pneumonia in vivo. Compounds from two classes of 1,3-beta-glucan synthesis inhibitors, the echinocandins and papulacandins, were found to be effective against P. carinii.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Bacterial Agents*
  • Antifungal Agents / pharmacology
  • Candida albicans / drug effects
  • Disease Models, Animal
  • Echinocandins
  • Glucans / antagonists & inhibitors*
  • Glucans / biosynthesis
  • Lung / microbiology
  • Lung / pathology
  • Male
  • Peptides*
  • Peptides, Cyclic / pharmacology
  • Peptides, Cyclic / therapeutic use
  • Pneumocystis / drug effects
  • Pneumocystis / isolation & purification
  • Pneumonia, Pneumocystis / drug therapy*
  • Pneumonia, Pneumocystis / pathology
  • Pyrans / poisoning
  • Pyrans / therapeutic use*
  • Rats
  • Rats, Inbred Strains
  • Sulfamethoxazole / pharmacology
  • Sulfamethoxazole / therapeutic use
  • Trimethoprim / pharmacology
  • Trimethoprim / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Antifungal Agents
  • Echinocandins
  • Glucans
  • Peptides
  • Peptides, Cyclic
  • Pyrans
  • pneumocandin A(0)
  • L 687781
  • Trimethoprim
  • Sulfamethoxazole