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Erythromycin and amphotericin B together may elevate Candida's tolerance.

Women's Health Weekly

| May 08, 2003 | COPYRIGHT 2003 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2003 MAY 8 - (NewsRx.com & NewsRx.net) -- "Coadministration of erythromycin and amphotericin B to control bacterial and fungal infections, respectively, may inadvertently lead to an elevation in the tolerance of Candida albicans for [the latter]," report medical mycologists.

"Exposure of the yeast Candida albicans to the macrolide antibiotic erythromycin (C37H67NO13) results in elevated tolerance to the polyene antifungal amphotericin e. Erythromycin displays no fungistatic activity against C. albicans but inhibits the synthesis of cytochromes, particularly cytochrome aa(3)," said P. Geraghty and colleagues, National University of Ireland.

Exposing cells to 10 mg/mL erythromycin reduces aerobic respiration by up to 90% and also severely reduced cellular ergosterol levels, the researchers said.

"Erythromycin inhibits protein biosynthesis in ribosomes (mitoribosomes) located within the mitochondrion of the yeast cell, which results in a disruption of cytochrome biosynthesis with an adverse effect on respiration. The synthesis of ergosterol is oxygen dependent and consequently ergosterol levels are depleted in ...

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