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Original Articles
In Vitro Activities of LY303366 against Clinical Isolates of Candida spp., Cryptococcus neoformans and Aspergillus spp.
Kyungwon Lee, M.D., Dongeun Yong, M.D., Hee Bong Shin, M.D., Young Ah Kim, M.D. and Yunsop Chong, M.D.
Department of Clinical Pathology and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea
Vol.32 Num.4 (p274~279)
Background:Fungal infection became more prevalent with the increase of compromised patients, requiring less toxic potent antifungal agents. LY303366, a new semisynthetic antifungal agent of echinocandin class, was reported to be active against Candida spp. and filamentous fungi.
Methods:In vitro activities of LY303366 were determined against clinical isolates of fungi by NCCLS broth microdilution test using RPMI 1640 medium.
Results:MIC90s of LY303366 were 0.03 μg/mL for C. albicans, 2 μg/mL for C. parapsilosis, 0.12 μg/mL for C. tropicalis. LY303366 was more active against C.albicans and C. tropicalis than amphotericin B, 5-fluorocytosine, or fluconazole. It was less active than other agents against C. neoformans. MIC range of LY303366 against Aspergillus spp. was 8->16 μg/mL.
Conclusion:Very high in vitro activity of LY303366 against recent clinical isolates of Candida spp. including fluconazole resistant ones, suggests its usefulness for the treatment of candidal infections.
Keywords : Antifungal activity, LY303366, C. albicans, C. neoformans, Aspergillus spp.