Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2000-4-13
pubmed:abstractText
In immunocompetent mice with candidiasis, successful therapy with amphotericin B and fluconazole relies on the induction of protective, T helper (Th) type 1 responses, an effect potentiated by concomitant interleukin (IL)-4 neutralization. To assess the therapeutic efficacy of combined treatments with antifungals and immunomodulators in conditions of immunosuppression, leukopenic or neutropenic mice with disseminated candidiasis were treated with amphotericin B or fluconazole alone or in combination with soluble IL-4 receptor (sIL-4R) or recombinant (r) IL-12 or IL-10 neutralizing monoclonal antibodies. We found that (1) the synergistic effect of sIL-4R and antifungals is retained in immunocompromised mice; (2) synergism with amphotericin B was superior to that with fluconazole, particularly in leukopenic mice; (3) rIL-12 synergized with fluconazole in neutropenic mice; and (4) IL-10 neutralization was always of limited efficacy. This study indicates that the therapeutic efficacy of antifungals is differentially potentiated by cytokines or cytokine antagonists and is influenced by host immune reactivity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0022-1899
pubmed:author
pubmed:issnType
Print
pubmed:volume
181
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
686-94
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:10669356-Amphotericin B, pubmed-meshheading:10669356-Animals, pubmed-meshheading:10669356-Antibodies, Monoclonal, pubmed-meshheading:10669356-Antifungal Agents, pubmed-meshheading:10669356-Candida albicans, pubmed-meshheading:10669356-Candidiasis, pubmed-meshheading:10669356-Combined Modality Therapy, pubmed-meshheading:10669356-Cytokines, pubmed-meshheading:10669356-Female, pubmed-meshheading:10669356-Fluconazole, pubmed-meshheading:10669356-Humans, pubmed-meshheading:10669356-Immunocompromised Host, pubmed-meshheading:10669356-Immunotherapy, pubmed-meshheading:10669356-Interleukin-10, pubmed-meshheading:10669356-Interleukin-12, pubmed-meshheading:10669356-Kidney, pubmed-meshheading:10669356-Mice, pubmed-meshheading:10669356-Mice, Inbred BALB C, pubmed-meshheading:10669356-RNA, Messenger, pubmed-meshheading:10669356-Receptors, Interleukin-4, pubmed-meshheading:10669356-Recombinant Proteins, pubmed-meshheading:10669356-Th1 Cells
pubmed:year
2000
pubmed:articleTitle
Host immune reactivity determines the efficacy of combination immunotherapy and antifungal chemotherapy in candidiasis.
pubmed:affiliation
Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, 06122 Perugia, Italy.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't