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JAC Advance Access first published online on April 6, 2005
This version published online on April 8, 2005

Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dki090
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oupjournals.org
Received December 11, 2004
Revised February 1, 2005
Accepted February 7, 2005

Original article

Induction of interleukin-1{beta}, tumour necrosis factor-{alpha} and apoptosis in mouse organs by amphotericin B is neutralized by conjugation with arabinogalactan

Rama Falk 1, Moshe Hacham 1, Abraham Nyska 2, Julie F. Foley 2, Abraham J. Domb 3, and Itzhack Polacheck 1*

1 Department of Clinical Microbiology and Infectious Diseases, The Hebrew University--Hadassah Medical Center, PO Box 12000, Jerusalem 91120, Israel
2 Laboratory of Experimental Pathology, National Institute of Environmental Health Sciences (NIEHS), Research Triangle Park, NC 27709, USA
3 Department of Medicinal Chemistry and Natural Products, The Hebrew University of Jerusalem--School of Pharmacy, PO Box 12065, Jerusalem, Israel

* To whom correspondence should be addressed.
Itzhack Polacheck, E-mail: Itzhack.Polacheck{at}huji.ac.il


   Abstract

Objectives:: To investigate the possibilities that: (i) organ toxicity of amphotericin B-deoxycholate (AMB-DOC) is related to induction of interleukin-1{beta} (IL-1{beta}), tumour necrosis factor-{alpha} (TNF-{alpha}) and apoptosis in target organs; and (ii) the reduced toxicity resulting from the conjugation of AMB with water-soluble arabinogalactan (AMB-AG), is related to modulation of these parameters.

Methods:: Organ expression of IL-1{beta} and TNF-{alpha} was evaluated by enzyme-linked immunosorbent assay (ELISA) in mouse organ biological fluids and in situ by immunohistochemistry. Tissue damage was evaluated histologically, and apoptosis was demonstrated by terminal dUTP nick end-labelling (TUNEL) staining. AMB-AG conjugate was compared with the micellar (AMB-DOC) and liposomal (AmBisome) AMB formulations.

Results:: Treatment with AMB-AG or AmBisome caused no observable histopathological damage in the kidneys. In contrast, treatment with AMB-DOC resulted in disruptive changes and apoptosis in renal tubular cells. These effects were found to correlate with induction of high levels of IL-1{beta} and TNF-{alpha} in kidney lysates. Unlike AMB-AG, AMB-DOC also induced enhanced IL-1{beta} and TNF-{alpha} expression in lysates of lungs, brain, liver and spleen. The marked elevation of these inflammation-apoptosis-promoting cytokines after treatment with AMB-DOC may mediate its systemic and local renal damage. Treatment with AMB-AG (but not AmBisome) appears to uniquely modulate the in situ expression of IL-1{beta} and enhance secretion of TNF-{alpha} in kidneys, effects possibly involved in prevention of apoptosis.

Conclusions:: AMB-related toxicity is associated with induction of IL-1{beta}, TNF-{alpha} and apoptosis in organs. These effects were not observed with AMB-AG conjugate, suggesting its potential as a safer formulation for therapy.

Keywords: AMB toxicity; cytokines; AMB formulations; antifungals.
The originally published version of this article was incorrect. Figure 5 was included twice; once in place of Figure 3. The publisher apologizes for this error.
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