Enhanced in vitro activity of WR99210 in combination with dapsone against Mycobacterium avium complex
Author(s) -
Lisa M. Shah,
Michelle S DeStefano,
Michael H. Cynamon
Publication year - 1996
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.40.11.2644
Subject(s) - dapsone , in vitro , microbiology and biotechnology , dihydrofolate reductase , minimum inhibitory concentration , mycobacterium avium intracellulare infection , microgram , chemistry , mycobacterium , biology , pharmacology , bacteria , enzyme , biochemistry , immunology , genetics
WR99210, a dihydrofolate reductase inhibitor, has promising in vitro activity against Mycobacterium avium complex (MAC). The in vitro activities of WR99210 alone and in combination with a fixed concentration of dapsone (0.5 microgram/ml) were evaluated against 35 clinical MAC isolates by a broth dilution method. The MIC at which 50% of isolates were inhibited (MIC50) and MIC90 of WR99210 alone were 2 and 8 micrograms/ml, respectively. The MIC50 and MIC90 of WR99210 in combination with dapsone were 0.25 and 4 micrograms/ml, respectively. Overall, 75% of the MAC isolates displayed enhanced susceptibility to the combination.
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