Antifungal activity of ibuprofen against aspergillus species and its interaction with common antifungal drugs
10.3760/cma.j.issn.0366-6999.2010.19.015
- Author:
Li-Juan LI
1
;
Wei CHEN
;
Hui XU
;
Zhe WAN
;
Ruo-Yu LI
;
Wei LIU
Author Information
1. Department of Dermatovenerology, Peking University First Hospital, Research Center for Medical Mycology, Peking University, Beijing 100034, China
- Keywords:
aspergillus spp.;
ibuprofen;
antifungal susceptibility;
drug interaction
- From:
Chinese Medical Journal
2010;123(19):2701-2705
- CountryChina
- Language:Chinese
-
Abstract:
Background The incidence of invasive aspergillosis (IA) has increased in frequency in immunocompromised patients with a variety of diseases. The poor prognosis might be due to limited treatment option. This study aimed to evaluate antifungal activity of ibuprofen against clinical isolates of aspergillus species, as well as its interaction with azoles or with amphotericin B or with micafungin.Methods Antifungal activity of ibuprofen against 10 strains of Aspergillus fumigatus, Aspergillus flavus, and Aspergillus terreus were tested with both disk diffusion assay and standard broth microdilution method. To determine whether ibuprofen combined with itraconazole, voriconazole, amphotericin B, or micafungin had interactive effects on aspergillus spp., we used both disk diffusion assay and Chequerboard method.Results As for disk diffusion method, ibuprofen produced a zone of growth inhibition with diameters of (20.1±3.9) mm at 48 hours of incubation. As for broth microdilution method, the minimal inhibitory concentration (MIC) ranges of ibuprofen against aspergillus spp. were 1000-2000 μg/ml, and the minimal fungicidal concentration (MFC) ranges of that was 2000-8000 μg/ml. For 2 of 5 isolates, when ibuprofen combined with itraconazole or voriconazole, the zones of growth inhibition were larger than those of the individual drug. The results of Chequerboard method showed that fractional inhibitory concentration index (FICI) ranges were 1.125-2.500.Conclusions Ibuprofen is active against aspergillus spp.. And ibuprofen does not affect the in vitro activity of itraconazole, voriconazole, amphotericin B or micafungin against aspergillus spp..
