Amphotericin B Penetrates into the Central Nervous System through Focal Disruption of the Blood-Brain Barrier in Experimental Hematogenous Candida Meningoencephalitis
Author(s) -
Vidmantas Petraitis,
Rūta Petraitienė,
Jessica M. Valdez,
Vasilios Pyrgos,
Martin J. Lizak,
Brenda Klaunberg,
Darius Kalasauskas,
Algidas Basevičius,
John Bacher,
Daniel K. Benjamin,
William Hope,
Thomas J. Walsh
Publication year - 2019
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01626-19
Subject(s) - candida albicans , meningoencephalitis , in vivo , blood–brain barrier , cerebrospinal fluid , amphotericin b , pathology , evans blue , in vitro , central nervous system , bolus (digestion) , medicine , biology , microbiology and biotechnology , surgery , antifungal , biochemistry
HematogenousCandida meningoencephalitis (HCME) is a life-threatening complication of neonates and immunocompromised children. Amphotericin B (AmB) shows poor permeation and low cerebrospinal fluid (CSF) concentrations but is effective in the treatment of HCME. In order to better understand the mechanism of CNS penetration of AmB, we hypothesized that AmB may achieve focally higher concentrations in infected CNS lesions.
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