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Candidate vaginal microbicides with activity against Chlamydia trachomatis and Neisseriagonorrhoeae.

Abstract
Vaginal microbicides with activity towards organisms that cause sexually transmitted infections have been proposed as a strategy to reduce transmission. Small-molecule inhibitors of Chlamydia trachomatis serovar D belonging to the class of salicylidene acylhydrazides (INPs) have been shown to work through a mechanism that involves iron restriction. Expanding on this work, ten INPs were tested against a lymphogranuloma venereum strain of C. trachomatis (serovar L2), Neisseria gonorrhoeae, and hydrogen peroxide-producing Lactobacillus crispatus and Lactobacillus jensenii. Seven INPs had minimal inhibitory concentrations (MICs) and minimal bactericidal concentrations of <50 microM towards C. trachomatis L2. Three INPs had a MIC <12.5 microM against N. gonorrhoeae. Inhibition was reversed by iron, holo-transferrin and holo-lactoferrin but not by the iron-poor forms of these compounds. The compounds exhibited no bactericidal activity toward Lactobacillus. The INPs were not cytotoxic to HeLa 229 cells. When INP 0341 was tested in a mouse model of a Chlamydia vaginal infection there was a significant reduction in the number of mice shedding C. trachomatis up to 4 days after infection (P<0.01). In summary, select INPs are promising vaginal microbicide candidates as they inhibit the growth of two common sexually transmitted organisms in vitro, are active in a mouse model against C. trachomatis, are not cytotoxic and do not inhibit organisms that compose the normal vaginal flora.
AuthorsHencelyn Chu, Anatoly Slepenkin, Mikael Elofsson, Pia Keyser, Luis M de la Maza, Ellena M Peterson
JournalInternational journal of antimicrobial agents (Int J Antimicrob Agents) Vol. 36 Issue 2 Pg. 145-50 (Aug 2010) ISSN: 1872-7913 [Electronic] Netherlands
PMID20605703 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
CopyrightCopyright (c) 2010 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
Chemical References
  • Anti-Infective Agents
  • Hydrazines
  • INP 0341
Topics
  • Administration, Intravaginal
  • Animals
  • Anti-Infective Agents (pharmacology, therapeutic use)
  • Chlamydia Infections (prevention & control, transmission)
  • Chlamydia trachomatis (drug effects)
  • Disease Models, Animal
  • Female
  • Gonorrhea (prevention & control, transmission)
  • HeLa Cells
  • Humans
  • Hydrazines (pharmacology, therapeutic use)
  • Lactobacillus (drug effects)
  • Mice
  • Mice, Inbred C3H
  • Microbial Sensitivity Tests
  • Neisseria gonorrhoeae (drug effects)
  • Vagina (microbiology)

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