In Vitro Susceptibility of Field Isolates of Leishmania donovani to Miltefosine and Amphotericin B: Correlation with Sodium Antimony Gluconate Susceptibility and Implications for Treatment in Areas of Endemicity

被引:66
作者
Kumar, Dhiraj [1 ]
Kulshrestha, Arpita [1 ]
Singh, Ruchi [1 ]
Salotra, Poonam [1 ]
机构
[1] Inst Pathol ICMR, New Delhi 110029, India
关键词
PROGRAMMED CELL-DEATH; INDIAN KALA-AZAR; DRUG-RESISTANCE; VISCERAL LEISHMANIASIS; REFRACTORINESS; BIOSYNTHESIS; TRANSPORTER; MECHANISM; PROTEIN;
D O I
10.1128/AAC.01233-08
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Indian Leishmania donovani isolates (n = 19) from regional zones representing various levels of antimony resistance displayed significantly (P < 0.01) correlated results with respect to in vitro susceptibility to the antileishmanial drugs sodium antimony gluconate, amphotericin B, and Miltefosine, raising the possibility of cross-resistance mechanisms operating in the field isolates. The results of gene expression analysis of LdMT and LdRos3 were suggestive of alternate mechanisms of Miltefosine susceptibility in the isolates.
引用
收藏
页码:835 / 838
页数:4
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