Evaluation of a Cyclic GMP-Dependent Protein Kinase Inhibitor in Treatment of Murine Toxoplasmosis: Gamma Interferon Is Required for Efficacy
- 1 February 2002
- journal article
- Published by American Society for Microbiology in Antimicrobial Agents and Chemotherapy
- Vol. 46 (2), 300-7
- https://doi.org/10.1128/aac.46.2.300-307.2002
Abstract
The trisubstituted pyrrole 4-[2-(4-fluorophenyl)-5-(1-methylpiperidine-4-yl)-1H-pyrrol-3-yl]pyridine (compound 1) is a potent inhibitor of cyclic GMP-dependent protein kinases from Apicomplexan protozoa and displays cytostatic activity againstToxoplasma gondiiin vitro.Compound 1 has now been evaluated againstT. gondiiinfections in the mouse and appeared to protect the animals when given intraperitoneally at 50 mg/kg twice daily for 10 days. However, samples from brain, spleen, and lung taken from infected treated mice revealed the presence of parasites after cessation of administration of compound 1, indicating that a transient asymptomatic parasite recrudescence occurs in all survivors. The ability of mice to controlToxoplasmainfection after compound 1 treatment has been terminated suggested that the mouse immune system plays a synergistic role with chemotherapy in controlling the infection. To explore this possibility, gamma interferon (IFN-γ)-knockout mice were infected with parasites and treated with compound 1, and survival was compared to that of normal mice. IFN-γ-knockout mice were protected againstT. gondiithroughout the treatment phase but died during the posttreatment phase in which peak recrudescence was observed in treated immunocompetent mice. These data suggest that an IFN-γ-dependent immune response was essential for controlling and resolving parasite recrudescence in mice treated with compound 1. In addition, when compound 1-cured immunocompetent mice were rechallenged with a lethal doseof T. gondii,all survived (n= 32). It appears that the cytostatic nature of compound 1 provides an “immunization” phase during chemotherapy which allows the mice to survive the recrudescence and any subsequent challenge with a lethal dose ofT. gondii.Keywords
This publication has 26 references indexed in Scilit:
- Discontinuation of Primary Prophylaxis againstPneumocystis cariniiPneumonia in HIV-1–Infected Adults Treated with Combination Antiretroviral TherapyNew England Journal of Medicine, 1999
- Treatment regimens for patients with toxoplasmic encephalitisClinical Therapeutics, 1996
- Escherichia coli β-galactosidase as an in vitro and in vivo reporter enzyme and stable transfection marker in the intracellular protozoan parasite Toxoplasma gondiiGene, 1996
- Role of IL 12 in induction of cell-mediated immunity to Toxoplasma gondiiResearch in Immunology, 1995
- Toxoplasmosis in Patients with CancerClinical Infectious Diseases, 1993
- Response to Treatment for an Intracellular Infection in a T Cell-Deficient Host: Toxoplasmosis in Nude MiceThe Journal of Infectious Diseases, 1993
- Toxoplasmic Encephalitis in AIDSClinical Infectious Diseases, 1992
- Toxoplasmic EncephalitisThe Journal of Infectious Diseases, 1988
- Neurological manifestations of the acquired immunodeficiency syndrome (AIDS): Experience at UCSF and review of the literatureJournal of Neurosurgery, 1985
- Specific Labeling of Intracellular Toxoplasma gondii with Uracil*The Journal of Protozoology, 1977