Low-Dose Amphotericin B and Murine Dialyzable Spleen Extracts Protect against Systemic Candida Infection in Mice

Candida albicans causes opportunistic systemic infections with high mortality (30%–50%). Despite significant nephrotoxicity, amphotericin (AmB) is still used for the treatment of this serious fungal infection. Therefore, alternative treatments are urgently needed. Dialyzable leukocyte extracts have...

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Main Authors: F. Robledo-Ávila, M. Pérez-Tapia, A. Limón-Flores, L. Pavon, R. Hernández-Pando, I. Wong-Baeza, G. González-González, C. Tovar, S. Estrada-Parra, I. Estrada-García
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2013/194064
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author F. Robledo-Ávila
M. Pérez-Tapia
A. Limón-Flores
L. Pavon
R. Hernández-Pando
I. Wong-Baeza
G. González-González
C. Tovar
S. Estrada-Parra
I. Estrada-García
author_facet F. Robledo-Ávila
M. Pérez-Tapia
A. Limón-Flores
L. Pavon
R. Hernández-Pando
I. Wong-Baeza
G. González-González
C. Tovar
S. Estrada-Parra
I. Estrada-García
author_sort F. Robledo-Ávila
collection DOAJ
description Candida albicans causes opportunistic systemic infections with high mortality (30%–50%). Despite significant nephrotoxicity, amphotericin (AmB) is still used for the treatment of this serious fungal infection. Therefore, alternative treatments are urgently needed. Dialyzable leukocyte extracts have been used successfully to treat patients with mucocutaneous candidiasis, but their effectiveness in systemic candidiasis has not been evaluated. In this study, low-dose AmB (0.1 mg/kg) plus 10 pg of murine dialyzable spleen extracts (mDSE) were tested in a systemic candidiasis mouse model. Survival, tissue fungal burden, kidney damage, kidney cytokines, and serum levels of IL-6 and hepcidin were evaluated. Our results showed that the combined treatment of low-dose AmB plus mDSE improved survival and reduced kidney fungal burden and histopathology; these effects correlated with increased kidney concentration of IFN-γ and TGF-β1, decreased levels of TNF-α, IL-6, and IL-10, as well as high levels of systemic IL-6 and hepcidin. Low-dose AmB and mDSE synergized to clear the infectious agent and reduced tissue damage, confirming the efficacy of a low dose of AmB, which might decrease the risk of drug toxicity. Further studies are necessary to explore these findings and its implications in future therapeutic approaches.
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spelling doaj-art-f0d05de1dea6469b83d5652c74a457232025-02-03T01:33:27ZengWileyClinical and Developmental Immunology1740-25221740-25302013-01-01201310.1155/2013/194064194064Low-Dose Amphotericin B and Murine Dialyzable Spleen Extracts Protect against Systemic Candida Infection in MiceF. Robledo-Ávila0M. Pérez-Tapia1A. Limón-Flores2L. Pavon3R. Hernández-Pando4I. Wong-Baeza5G. González-González6C. Tovar7S. Estrada-Parra8I. Estrada-García9Department of Immunology, National School of Biological Sciences (ENCB), National Polytechnic Institute (IPN), 11340 Mexico City, DF, MexicoBioprocesses Development and Research Unit (UDIBI), National School of Biological Sciences (ENCB), National Polytechnic Institute (IPN), 11340 Mexico City, DF, MexicoDepartment of Immunology, Faculty of Medicine, Autonomous University of Nuevo León (UANL), 64460 San Nicolás de los Garza, NL, MexicoLaboratory of Psychoimmunology, National Institute of Psychiatry “Ramón de la Fuente”, 14080 Mexico City, DF, MexicoDepartment of Pathology, National Institute of Medical Sciences and Nutrition “Salvador Zubirán”, 14000 Mexico City, DF, MexicoDepartment of Immunology, National School of Biological Sciences (ENCB), National Polytechnic Institute (IPN), 11340 Mexico City, DF, MexicoDepartment of Microbiology, Faculty of Medicine, Autonomous University of Nuevo León (UANL), 64460 San Nicolás de los Garza, NL, MexicoDepartment of Microbiology, National School of Biological Sciences (ENCB), National Polytechnic Institute (IPN), 11340 Mexico City, DF, MexicoDepartment of Immunology, National School of Biological Sciences (ENCB), National Polytechnic Institute (IPN), 11340 Mexico City, DF, MexicoDepartment of Immunology, National School of Biological Sciences (ENCB), National Polytechnic Institute (IPN), 11340 Mexico City, DF, MexicoCandida albicans causes opportunistic systemic infections with high mortality (30%–50%). Despite significant nephrotoxicity, amphotericin (AmB) is still used for the treatment of this serious fungal infection. Therefore, alternative treatments are urgently needed. Dialyzable leukocyte extracts have been used successfully to treat patients with mucocutaneous candidiasis, but their effectiveness in systemic candidiasis has not been evaluated. In this study, low-dose AmB (0.1 mg/kg) plus 10 pg of murine dialyzable spleen extracts (mDSE) were tested in a systemic candidiasis mouse model. Survival, tissue fungal burden, kidney damage, kidney cytokines, and serum levels of IL-6 and hepcidin were evaluated. Our results showed that the combined treatment of low-dose AmB plus mDSE improved survival and reduced kidney fungal burden and histopathology; these effects correlated with increased kidney concentration of IFN-γ and TGF-β1, decreased levels of TNF-α, IL-6, and IL-10, as well as high levels of systemic IL-6 and hepcidin. Low-dose AmB and mDSE synergized to clear the infectious agent and reduced tissue damage, confirming the efficacy of a low dose of AmB, which might decrease the risk of drug toxicity. Further studies are necessary to explore these findings and its implications in future therapeutic approaches.http://dx.doi.org/10.1155/2013/194064
spellingShingle F. Robledo-Ávila
M. Pérez-Tapia
A. Limón-Flores
L. Pavon
R. Hernández-Pando
I. Wong-Baeza
G. González-González
C. Tovar
S. Estrada-Parra
I. Estrada-García
Low-Dose Amphotericin B and Murine Dialyzable Spleen Extracts Protect against Systemic Candida Infection in Mice
Clinical and Developmental Immunology
title Low-Dose Amphotericin B and Murine Dialyzable Spleen Extracts Protect against Systemic Candida Infection in Mice
title_full Low-Dose Amphotericin B and Murine Dialyzable Spleen Extracts Protect against Systemic Candida Infection in Mice
title_fullStr Low-Dose Amphotericin B and Murine Dialyzable Spleen Extracts Protect against Systemic Candida Infection in Mice
title_full_unstemmed Low-Dose Amphotericin B and Murine Dialyzable Spleen Extracts Protect against Systemic Candida Infection in Mice
title_short Low-Dose Amphotericin B and Murine Dialyzable Spleen Extracts Protect against Systemic Candida Infection in Mice
title_sort low dose amphotericin b and murine dialyzable spleen extracts protect against systemic candida infection in mice
url http://dx.doi.org/10.1155/2013/194064
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