Conditional Lethality of the Diprotic Weak Bases Chloroquine and Quinacrine against Cryptococcus neoformans

TS Harrison, GE Griffin, SM Levitz - The journal of infectious …, 2000 - academic.oup.com
TS Harrison, GE Griffin, SM Levitz
The journal of infectious diseases, 2000academic.oup.com
Chloroquine at 10 μM enhances the activity of macrophages against Cryptococcus
neoformans but does not directly inhibit cryptococcal growth. The antifungal activity of higher
chloroquine concentrations likely to be found within the acidic cryptococcal phagosome was
tested. Concentrations of⩽ 30 μM inhibited cryptococcal growth, and there was fungal killing
at concentrations of⩽ 100 μM. Activity was dependent on physiologic temperature and pH.
Quinacrine was 50-fold more active than chloroquine, and concentrations as low as 100 n M …
Abstract
Chloroquine at 10 μM enhances the activity of macrophages against Cryptococcus neoformans but does not directly inhibit cryptococcal growth. The antifungal activity of higher chloroquine concentrations likely to be found within the acidic cryptococcal phagosome was tested. Concentrations of ⩽30 μM inhibited cryptococcal growth, and there was fungal killing at concentrations of ⩽100 μM. Activity was dependent on physiologic temperature and pH. Quinacrine was 50-fold more active than chloroquine, and concentrations as low as 100 nM enhanced macrophage anticryptococcal activity. Quinacrine was concentrated within a vacuolar system within the fungal cell and highly concentrated within intracellular C. neoformans. Ammonium chloride and bafilomycin A both inhibited cryptococcal growth, suggesting that the activity of chloroquine and quinacrine may in part be due to disruption of pH-dependent processes. These findings add to the known spectrum of activity of chloroquine and quinacrine. These, and related compounds, may have utility for the treatment of cryptococcosis.
Oxford University Press