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JAC Advance Access originally published online on April 29, 2004
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Journal of Antimicrobial Chemotherapy (2004) 53, 1101-1104
© 2004 The British Society for Antimicrobial Chemotherapy

Treatment of acute Chlamydia pneumoniae infection with telithromycin in C57BL/6J mice

L. Törmäkangas1,*, E. Saario2, D. Bem David3, A. Bryskier3, M. Leinonen1 and P. Saikku4

1 National Public Health Institute, P.O. Box 310, FIN-90101 Oulu; 2 Department of Internal Services, National Public Health Institute, Helsinki; 4 Department of Medical Microbiology, University of Oulu, Oulu, Finland; 3 Clinical Pharmacology Anti-infectives, Aventis Pharma, Paris, France

Received 10 November 2003; returned 18 December 2003; revised 17 February 2004; accepted 27 February 2004

Objectives: The efficacy of telithromycin, a new ketolide antibiotic, was investigated in the treatment of acute Chlamydia pneumoniae infection in a mouse model.

Methods: C57BL/6J mice were inoculated intranasally, and the effects of three different doses of telithromycin (25, 50 and 100 mg/kg) were assessed after 5 and 10 days of treatment. Lungs for culture, PCR, histopathology, and blood for serum samples were collected immediately after each treatment period and at 3 weeks post-inoculation. C. pneumoniae-specific antibodies were analysed, and the effect of treatment was assessed by culture, detection of C. pneumoniae DNA and determination of histopathological inflammatory changes in mouse lungs.

Results: Culture negativity in the lungs was achieved with the higher doses, 50 and 100 mg/kg, after 10 days of treatment. C. pneumoniae DNA was not totally eradicated with the treatments, but the groups treated with 50 and 100 mg/kg doses for 10 days had the lowest DNA positivity rates (10%) 3 weeks after the inoculation. In lung histopathology, the efficacy of telithromycin on inflammatory changes was also dose-dependent: higher doses were more effective in reducing the inflammatory reaction. Overall, the 25 mg/kg dose had a weaker effect compared with the others.

Conclusions: Telithromycin had both time- and dose-dependent effects on the eradication of chlamydia and on reducing infection-induced inflammatory changes in mouse lungs.

Keywords: lung infections, ketolides, eradication

* Corresponding author. Tel: +358-8-537-6231 ; Fax: +358-8-537-6251 ; E-mail: liisa.tormakangas{at}ktl.fi


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