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

Antimicrob Agents Chemother. 2009 Feb;53(2):835-8. doi: 10.1128/AAC.01233-08. Epub 2008 Nov 17.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amphotericin B / pharmacology*
  • Amphotericin B / therapeutic use
  • Animals
  • Antimony Sodium Gluconate / pharmacology*
  • Antimony Sodium Gluconate / therapeutic use
  • Antiprotozoal Agents / pharmacology*
  • Antiprotozoal Agents / therapeutic use
  • DNA Primers
  • Drug Resistance
  • Humans
  • India / epidemiology
  • Leishmania donovani / drug effects*
  • Leishmania donovani / genetics
  • Leishmaniasis, Visceral / drug therapy*
  • Leishmaniasis, Visceral / parasitology
  • Phosphorylcholine / analogs & derivatives*
  • Phosphorylcholine / pharmacology
  • Phosphorylcholine / therapeutic use
  • Reverse Transcriptase Polymerase Chain Reaction

Substances

  • Antiprotozoal Agents
  • DNA Primers
  • Phosphorylcholine
  • miltefosine
  • Amphotericin B
  • Antimony Sodium Gluconate