Publications [#140766] of John D Hamilton

Papers Published

1. JD Hamilton, DM Elliott, Combined activity of amphotericin B and 5-fluorocytosine against Cryptococcus neoformans in vitro and in vivo in mice., The Journal of infectious diseases, UNITED STATES, vol. 131 no. 2 (February, 1975), pp. 129-37, ISSN 0022-1899
   (last updated on 2007/12/26)

   Abstract:
   The in vitro and in vivo activities of amphotericin B and 5-fluorocytosine (5-FC) alone and in combination were studied to determine possible drug interactions against two strains of Cryptococcus neoformans, one sensitive to 5-FC and one resistant to 5-FC. In vitro tube dilution studies demonstrated only additive effects with the 5-FC-sensitive organism but antagonism with eth 5-FC-resistant organism. A mouse model of cryptococcal meningitis allowed comparative drug trails in a new model for the detection of drug interactions. Drug combinations were no more effective against meningitis caused by the 5-FC-sensitive organism than the additive effects of the individual drugs. However, meningitis caused by the 5-FC-resistant Cryptococcus responded less to drug combinations than to either drug alone. Serum levels of amphotericin B and 5-FC were comparable in all groups. No evidence of toxicity from the drug combinations was found. No inhibition of development of resistance to 5-FC by the combination with amphotericin B was detected.

   Keywords:
   Amphotericin B • Animals • Cryptococcosis • Cryptococcus • Cryptococcus neoformans • Cytosine • Disease Models, Animal* • Drug Interactions • Drug Resistance, Microbial • Drug Therapy, Combination • Flucytosine • Meningitis • Mice • administration & dosage* • analogs & derivatives* • drug effects* • drug therapy* • etiology • growth & development • metabolism • pharmacology • toxicity