Fluvastatin potentiates the activity of caspofungin against Aspergillus fumigatus in vitro
Abstract
Statins (anticholesterol drugs) inhibit HMG-CoA reductase, which is a key rate-limiting enzyme in the synthesis of sterols in fungi. We therefore investigated the in vitro inhibitory activity of various statins against Aspergillus fumigatus alone and in combination with antifungal drugs. Fresh conidial suspensions from 10 clinical isolates of A. fumigatus were obtained. The MIC and minimum fungicidal concentration (MFC) were determined by the Clinical and Laboratory Standards Institute M-38A protocol and the fungicidal activity by time-kill study. Fluvastatin (FST) showed good activity (MIC, 2 mg/L; MFC, 4 mg/L) against A. fumigatus; other statins had no activity (MIC > or = 256 mg/L). FST enhanced the activity of caspofungin (CFG) against A. fumigatus; subinhibitory concentrations of FST in combination with CFG showed >99.9% killing of A. fumigatus conidia, whereas either drug alone showed poor activity at subinhibitory concentrations. FST potentiated the antifungal activity of CFG but displayed no specific interaction with voriconazole or amphotericin B.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Synergistic and/or additive interaction of AMB, caspofungin, VCZ, and primycin with FLV on growth reduction of Aspergillus fumigatus was demonstrated.
“Synergistic and/or additive interaction of AMB, caspofungin, VCZ, PN with FLV on the growth reduction of Aspergillus fumigatus was demonstrated [28,37] .”
From Statins as antifungal agents (2011) · cites this paper as [37]
Cites
Aspergillosis Case-Fatality Rate: Systematic Review of the Literature
Lin, S., Schranz, J., & Teutsch, S. M. (2001) · Clinical Infectious Diseases · doi:10.1086/318483 · Cited by 1,408 · see citing works
Combination Antifungal Therapy for Invasive Aspergillosis
Marr, K. A., Boeckh, M., Carter, R. A., Kim, H. W., & Corey, L. (2004) · Clinical Infectious Diseases · doi:10.1086/423380 · Cited by 607 · see citing works
The statins as anticancer agents.
Chan, K., Oza, A. M., & Siu, L. L. (2003) · PubMed · Cited by 607 · see citing works
Combination antifungal therapy
Johnson, M. D., MacDougall, C., Ostrosky-Zeichner, L., Perfect, J. R., & Rex, J. H. (2004) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.48.3.693-715.2004 · Cited by 541 · see citing works
Kontoyiannis, D. P., Hachem, R. Y., Lewis, R. E., Rivero, G., Torres, H. A., Thornby, J. A., Champlin, R., Kantarjian, H. M., Bodey, G. P., & RAAD, I. I. (2003) · Cancer · doi:10.1002/cncr.11479 · Cited by 287 · see citing works
Kirkpatrick, W. R., Perea, S. H., Coco, B. J., & Patterson, T. F. (2002) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.46.8.2564-2568.2002 · Cited by 284 · see citing works
Wilding, E. I., Brown, J. R., Bryant, A. P., Chalker, A. F., Holmes, D. J., Ingraham, K. A., Iordănescu, S., So, C. Y., Rosenberg, M. J., & Gwynn, M. N. (2000) · Journal of Bacteriology · doi:10.1128/jb.182.15.4319-4327.2000 · Cited by 262 · see citing works
Petraitis, V., Petraitienė, R., Sarafandi, A. A., Kelaher, A. M., Lyman, C. A., Casler, H. E., Sein, T., Groll, A. H., Bacher, J. D., Avila, N. A., et al. (2003) · The Journal of Infectious Diseases · doi:10.1086/375420 · Cited by 233 · see citing works
Refractory Aspergillus pneumonia in patients with acute leukemia
Aliff, T. B., Maslak, P. G., Jurcic, J. G., Heaney, M. L., Cathcart, K. N. S., Sepkowitz, K. A., & Weiss, M. A. (2003) · Cancer · doi:10.1002/cncr.11115 · Cited by 227 · see citing works
Biochemistry of Cell Walls and Membranes in Fungi
Kuhn, P. J., Trinci, A. P. J., Jung, M. J., Goosey, M. W., & Copping, L. G. (1990) · Springer eBooks · doi:10.1007/978-3-642-74215-6 · Cited by 202 · see citing works
Pharmacokinetics of Fluvastatin After Single and Multiple Doses in Normal Volunteers
Tse, F. L. S., Jaffe, J. M., & Troendle, A. J. (1992) · The Journal of Clinical Pharmacology · doi:10.1002/j.1552-4604.1992.tb05773.x · Cited by 176 · see citing works
Da Silva Ferreira, M. E., Colombo, A. L., Paulsen, I., Ren, Q., Wortman, J., Huang, J., Goldman, M. H. S., & Goldman, G. H. (2005) · Medical Mycology · doi:10.1080/13693780400029114 · Cited by 158 · see citing works
Manavathu, E. K. (2000) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/46.2.229 · Cited by 140 · see citing works
Self-citationBiochemistry of cell walls and membranes in fungi
(1990) · General Pharmacology The Vascular System · doi:10.1016/0306-3623(90)90487-7 · Cited by 138 · see citing works
Chamilos, G., Lewis, R. E., & Kontoyiannis, D. P. (2006) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.50.1.96-103.2006 · Cited by 121 · see citing works
Effects of antimycotic azoles on growth and sterol biosynthesis of Leishmania promastigotes
Beach, D., Goad, L. J., & Holz, G. G. (1988) · Molecular and Biochemical Parasitology · doi:10.1016/0166-6851(88)90166-1 · Cited by 119 · see citing works
Urbina, J. A., Lazardi, K., Marchán, E., Visbal, G., Aguirre, T., Piras, M. M., Piras, R., Maldonado, R. A., Payares, G., & de Souza, W. (1993) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.37.3.580 · Cited by 110 · see citing works
Lorenz, R. T., & Parks, L. W. (1990) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.34.9.1660 · Cited by 104 · see citing works
Chin, N. X., Weitzman, I., & Della-Latta, P. (1997) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.41.4.850 · Cited by 101 · see citing works
Espinel‐Ingroff, A., Fothergill, A., Ghannoum, M. A., et al. (2005) · Journal of Clinical Microbiology · doi:10.1128/jcm.43.10.5243-5246.2005 · Cited by 101 · see citing works
Cholesterol-independent Effects of Statins and New Therapeutic Targets: Ischemic Stroke and Dementia
Miida, T., Hirayama, S., & Nakamura, Y. (2004) · Journal of Atherosclerosis and Thrombosis · doi:10.5551/jat.11.253 · Cited by 97 · see citing works
Katano, H., Pesnicak, L., & Cohen, J. I. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0305149101 · Cited by 87 · see citing works
Shalit, I., Shadkchan, Y., Samra, Z., et al. (2003) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.47.4.1416-1418.2003 · Cited by 74 · see citing works
Manavathu, E. K. (2003) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dkg242 · Cited by 73 · see citing works
Self-citationSong, J. L., Lyons, C. N., Holleman, S., Oliver, B. G., & White, T. C. (2003) · Medical Mycology · doi:10.1080/1369378031000137233 · Cited by 62 · cited 2× · see citing works
“They are known to inhibit protein isoprenylation, a highly conserved essential process for apoptosis in prokaryotes and eukaryotes (Grellier et al., 1994; Song et al., 2003; Wilding et al., 2000), and possess antiinflammatory and anticancer properties as well (Chan et al.”
BackgroundEffects of ketoconazole on sterol biosynthesis by Trypanosomacruzi epimastigotes
Beach, D., Goad, L. J., & Holz, G. G. (1986) · Biochemical and Biophysical Research Communications · doi:10.1016/0006-291x(86)90410-9 · Cited by 60 · see citing works
Grellier, P., Valentin, A., Millerioux, V., Schrével, J., & Rigomier, D. (1994) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.38.5.1144 · Cited by 59 · see citing works
Afeltra, J., Vitale, R. G., Mouton, J. W., & Verweij, P. E. (2004) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.48.4.1335-1343.2004 · Cited by 56 · see citing works
Xiong, Q., Hassan, S. A., Wilson, W. K., Han, X. Y., May, G. S., Tarrand, J. J., & Matsuda, S. P. T. (2005) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.49.2.518-524.2005 · Cited by 55 · see citing works
Bard, M., & Downing, J. F. (1981) · Microbiology · doi:10.1099/00221287-125-2-415 · Cited by 39 · see citing works
Microcin E492 Is an Unmodified Peptide Related in Structure to Colicin V
Pons, A., Zorn, N., Vignon, D., et al. (2002) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.46.1.229-230.2002 · Cited by 36 · see citing works
Combination Therapy for Aspergillosis: Is It Needed, and Which Combination?
Wheat, L. J. (2003) · The Journal of Infectious Diseases · doi:10.1086/375418 · Cited by 24 · see citing works
Hughes, C. E., Harris, C., Peterson, L. R., et al. (1984) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.26.6.837 · Cited by 20 · see citing works
[The growth of Rhodotorula rubra yeasts and their synthesis of ergosterol on media with lovastatin].
Baranova, N. A., Vg, K., & Ns, E. (1996) · PubMed · Cited by 7 · see citing works
HMG-CoA to Isopentenyl Pyrophosphate — Enzymology and Inhibition
Abeles, R. H. (1990) · Springer eBooks · doi:10.1007/978-3-642-74215-6_11 · Cited by 2 · see citing works
Monma, M., Nakamura, Y., Okamura, T., & Sugai, J. (1977) · The Journal of Japan Atherosclerosis Society · doi:10.5551/jat1973.5.3_253 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Echinocandins in antifungal pharmacotherapy
Patil, A., & Majumdar, S. (2017) · Journal of Pharmacy and Pharmacology · doi:10.1111/jphp.12780 · Cited by 145 · see citing works
Yasmin, S., Alcazar-Fuoli, L., Gründlinger, M., Puempel, T., Cairns, T., Blatzer, M., Lopez, J. F., Grimalt, J. O., Bignell, E., & Haas, H. (2012) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1106399108 · Cited by 126 · see citing works
Nyilasi, I., Kocsubé, S., Krizsán, K., Galgóczy, L., Pesti, M., Papp, T., & Vágvölgyi, C. (2010) · FEMS Microbiology Letters · doi:10.1111/j.1574-6968.2010.01972.x · Cited by 83 · see citing works
Tavakkoli, A., Johnston, T. P., & Sahebkar, A. (2020) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2020.107483 · Cited by 73 · see citing works
Sun, H., & Singh, N. (2009) · Clinical Infectious Diseases · doi:10.1086/597039 · Cited by 65 · see citing works
Nyilasi, I., Kocsubé, S., Pesti, M., Lukács, G., Papp, T., & Vágvölgyi, C. (2010) · Journal of Medical Microbiology · doi:10.1099/jmm.0.013946-0 · Cited by 35 · see citing works
Galgóczy, L. (2011) · World Journal of Clinical Infectious Diseases · doi:10.5495/wjcid.v1.i1.4 · Cited by 21 · see citing works
Is there a role for statins in fungal infections?
Bergman, P. W., & Björkhem-Bergman, L. (2013) · Expert Review of Anti-infective Therapy · doi:10.1586/14787210.2014.856755 · Cited by 12 · see citing works
Topical statins as antifungals: a review
Khoury, D. M., Ghaoui, N., El Tayar, E., Dagher, R., El Hawa, M., Rubeiz, N., Abbas, O., & Kurban, M. (2024) · International Journal of Dermatology · doi:10.1111/ijd.17068 · Cited by 3 · see citing works
Multifunctionality of statins as antimicrobials
Plotkin, B. J., Borrelli, A., Erbst, M., Zheng, V., Konaklieva, M. I., Schileru, N., & Sigar, I. M. (2022) · World Journal of Biology Pharmacy and Health Sciences · doi:10.30574/wjbphs.2022.11.3.0114 · Cited by 1 · see citing works
- Authors
- Natesan, S. K., Chandrasekar, P. H., Alangaden, G. J., & Manavathu, E. K.
- Affiliations
- Wayne State University (US)
- Venue
- Diagnostic Microbiology and Infectious Disease
- Publisher
- Elsevier BV
- Published
- 2008-04
- Volume
- 60
- Issue
- 4
- Pages
- 369-373
- ISSN
- 0732-8893 (ISSN-L)
- OpenAlex
- W2170180955
- Semantic Scholar
- 50486028b020cde1e920abe45c284c580612036e
- Cited by
- 32
- References
- 36
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 4 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2013: 3
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diagnostic Microbiology and Infectious Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Life Sciences › Agricultural and Biological Sciences › Ecology, Evolution, Behavior and Systematics › Fungal Plant Pathogen Control
- Keywords
- fluvastatin, caspofungin, Aspergillus fumigatus, statins, antifungal synergy, combination antifungal therapy, HMG-CoA reductase inhibition, voriconazole, amphotericin B, invasive aspergillosis
- MeSH terms
- Caspofungin, Fluvastatin, Antifungal Agents, Aspergillus fumigatus, Drug Synergism, Fatty Acids, Monounsaturated, Humans, Indoles, Microbial Sensitivity Tests, Colony Count, Microbial, Microbial Viability, Echinocandins, Lipopeptides
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review