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JAC Advance Access originally published online on November 14, 2006
Journal of Antimicrobial Chemotherapy 2007 59(2):317-320; doi:10.1093/jac/dkl472
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Oral administration of itraconazole solution has superior efficacy in experimental oral and oesophageal candidiasis in mice than its intragastric administration

Hiroko Ishibashi*, Katsuhisa Uchida, Yayoi Nishiyama, Hideyo Yamaguchi and Shigeru Abe

Teikyo University Institute of Medical Mycology, 359 Otsuka Hachioji, Tokyo 192-0395, Japan

Received 24 March 2006; returned 5 May 2006; revised 12 September 2006; accepted 23 October 2006

*Corresponding author. Tel: +81-426-78-3256; Fax: +81-426-74-9190; E-mail: hiroko-tei{at}umin.ac.jp

Objective: The therapeutic activities of cyclodextrin-associated itraconazole oral solution (itraconazole OS) by two administration routes in experimental oral and oesophageal candidiasis in mice were examined and compared.

Methods: Using experimental oral and oesophageal candidiasis models in ICR mice, we investigated the efficacy of oral and intragastric administration of itraconazole OS and checked the concentration of itraconazole and its metabolite hydroxyitraconazole (OH-itraconazole) in tongues or oesophagus tissue after administration of itraconazole OS.

Results: Oral administration of itraconazole OS at doses of 0.8, 4.0 or 20 mg/kg/day clearly decreased the number of viable Candida albicans cells in the oral cavity of mice with oral candidiasis in a dose-dependent manner at 3 days after infection. Intragastric administration of itraconazole OS at doses of 4 and 20 mg/kg/day once a day were also effective but to a lesser degree than that of oral administration. In the oesophageal candidiasis model, oral administration of itraconazole OS displayed superior therapeutic efficacy to the intragastric route. In coincidence with the greater efficacy, itraconazole was detected in lesional tissues after oral administration of itraconazole OS.

Conclusions: Oral administration of itraconazole OS displayed therapeutic efficacy against murine oral and oesophageal candidiasis superior to that achieved by intragastric administration. This can be explained by there being higher concentrations of itraconazole in tongues or oesophagus tissues after administration of the suspension by the oral route.

Keywords: mucosal infections , intestinal tracts , antifungal chemotherapy , drug delivery


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