Skip to main content
Antimicrobial Agents and Chemotherapy logoLink to Antimicrobial Agents and Chemotherapy
. 1992 Jan;36(1):92–94. doi: 10.1128/aac.36.1.92

Fusidic acid is highly active against extracellular and intracellular Mycobacterium leprae.

S G Franzblau 1, A N Biswas 1, E B Harris 1
PMCID: PMC189233  PMID: 1590706

Abstract

The activity of fusidic acid against Mycobacterium leprae was studied in axenic medium and in bacilli residing within mouse peritoneal macrophages. Activity was assessed by subsequent quantitation of bacillary radiorespirometric activity. Significant inhibition in both systems was observed at 0.156 micrograms/ml, and an approximately 50% reduction in activity occurred after exposure to 1.25 to 2.5 micrograms/ml. The excellent human pharmacokinetics and in vitro activity of fusidic acid against the leprosy bacillus warrant a clinical trial of this drug for leprosy.

Full text

PDF
92

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams L. B., Franzblau S. G., Vavrin Z., Hibbs J. B., Jr, Krahenbuhl J. L. L-arginine-dependent macrophage effector functions inhibit metabolic activity of Mycobacterium leprae. J Immunol. 1991 Sep 1;147(5):1642–1646. [PubMed] [Google Scholar]
  2. Boonkitticharoen V., Ehrhardt J. C., Kirchner P. T. Radiometric assay of bacterial growth: analysis of factors determining system performance and optimization of assay technique. J Nucl Med. 1987 Feb;28(2):209–217. [PubMed] [Google Scholar]
  3. Brown K. N., Percival A. Penetration of antimicrobials into tissue culture cells and leucocytes. Scand J Infect Dis Suppl. 1978;(14):251–260. [PubMed] [Google Scholar]
  4. Farber B. F., Yee Y. C., Karchmer A. W. Interaction between rifampin and fusidic acid against methicillin-resistant coagulase-positive and -negative staphylococci. Antimicrob Agents Chemother. 1986 Jul;30(1):174–175. doi: 10.1128/aac.30.1.174. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Franzblau S. G. Drug susceptibility testing of Mycobacterium leprae in the BACTEC 460 system. Antimicrob Agents Chemother. 1989 Dec;33(12):2115–2117. doi: 10.1128/aac.33.12.2115. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Franzblau S. G., Hastings R. C. In vitro and in vivo activities of macrolides against Mycobacterium leprae. Antimicrob Agents Chemother. 1988 Dec;32(12):1758–1762. doi: 10.1128/aac.32.12.1758. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Franzblau S. G., Hastings R. C. Rapid in vitro metabolic screen for antileprosy compounds. Antimicrob Agents Chemother. 1987 May;31(5):780–783. doi: 10.1128/aac.31.5.780. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Franzblau S. G. In vitro activities of aminoglycosides, lincosamides, and rifamycins against Mycobacterium leprae. Antimicrob Agents Chemother. 1991 Jun;35(6):1232–1234. doi: 10.1128/aac.35.6.1232. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Franzblau S. G., O'Sullivan J. F. Structure-activity relationships of selected phenazines against Mycobacterium leprae in vitro. Antimicrob Agents Chemother. 1988 Oct;32(10):1583–1585. doi: 10.1128/aac.32.10.1583. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Franzblau S. G. Oxidation of palmitic acid by Mycobacterium leprae in an axenic medium. J Clin Microbiol. 1988 Jan;26(1):18–21. doi: 10.1128/jcm.26.1.18-21.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Franzblau S. G., White K. E. Comparative in vitro activities of 20 fluoroquinolones against Mycobacterium leprae. Antimicrob Agents Chemother. 1990 Feb;34(2):229–231. doi: 10.1128/aac.34.2.229. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Franzblau S. G., White K. E., O'Sullivan J. F. Structure-activity relationships of tetramethylpiperidine-substituted phenazines against Mycobacterium leprae in vitro. Antimicrob Agents Chemother. 1989 Nov;33(11):2004–2005. doi: 10.1128/aac.33.11.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Gilbert M. Topical 2% mupirocin versus 2% fusidic acid ointment in the treatment of primary and secondary skin infections. J Am Acad Dermatol. 1989 Jun;20(6):1083–1087. doi: 10.1016/s0190-9622(89)70137-7. [DOI] [PubMed] [Google Scholar]
  14. Harris E. B., Franzblau S. G., Hastings R. C. Inhibition of phenolic glycolipid-I synthesis in extracellular Mycobacterium leprae as an indicator of antimicrobial activity. Int J Lepr Other Mycobact Dis. 1988 Dec;56(4):588–591. [PubMed] [Google Scholar]
  15. Hoffner S. E., Olsson-Liljequist B., Rydgård K. J., Svenson S. B., Källenius G. Susceptibility of mycobacteria to fusidic acid. Eur J Clin Microbiol Infect Dis. 1990 Apr;9(4):294–297. doi: 10.1007/BF01968066. [DOI] [PubMed] [Google Scholar]
  16. Ramasesh N., Adams L. B., Franzblau S. G., Krahenbuhl J. L. Effects of activated macrophages on Mycobacterium leprae. Infect Immun. 1991 Sep;59(9):2864–2869. doi: 10.1128/iai.59.9.2864-2869.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Ramasesh N., Krahenbuhl J. L., Hastings R. C. In vitro effects of antimicrobial agents on Mycobacterium leprae in mouse peritoneal macrophages. Antimicrob Agents Chemother. 1989 May;33(5):657–662. doi: 10.1128/aac.33.5.657. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Reeves D. S. The pharmacokinetics of fusidic acid. J Antimicrob Chemother. 1987 Oct;20(4):467–476. doi: 10.1093/jac/20.4.467. [DOI] [PubMed] [Google Scholar]
  19. SHEPARD C. C., CHANG Y. T. Effect of several anti-leprosy drugs on multiplication of human leprosy bacilli in footpads of mice. Proc Soc Exp Biol Med. 1962 Mar;109:636–638. doi: 10.3181/00379727-109-27293. [DOI] [PubMed] [Google Scholar]
  20. Sibley L. D., Krahenbuhl J. L. Mycobacterium leprae-burdened macrophages are refractory to activation by gamma interferon. Infect Immun. 1987 Feb;55(2):446–450. doi: 10.1128/iai.55.2.446-450.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Taburet A. M., Guibert J., Kitzis M. D., Sorensen H., Acar J. F., Singlas E. Pharmacokinetics of sodium fusidate after single and repeated infusions and oral administration of a new formulation. J Antimicrob Chemother. 1990 Feb;25 (Suppl B):23–31. doi: 10.1093/jac/25.suppl_b.23. [DOI] [PubMed] [Google Scholar]
  22. Van Caekenberghe D. Comparative in-vitro activities of ten fluoroquinolones and fusidic acid against Mycobacterium spp. J Antimicrob Chemother. 1990 Sep;26(3):381–386. doi: 10.1093/jac/26.3.381. [DOI] [PubMed] [Google Scholar]
  23. Verbist L. The antimicrobial activity of fusidic acid. J Antimicrob Chemother. 1990 Feb;25 (Suppl B):1–5. doi: 10.1093/jac/25.suppl_b.1. [DOI] [PubMed] [Google Scholar]

Articles from Antimicrobial Agents and Chemotherapy are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES