Ap. Ricketts et Er. Pfefferkorn, TOXOPLASMA-GONDII - SUSCEPTIBILITY AND DEVELOPMENT OF RESISTANCE TO ANTICOCCIDIAL DRUGS IN-VITRO, Antimicrobial agents and chemotherapy, 37(11), 1993, pp. 2358-2363
Anticoccidial drugs were evaluated for activity and for the developmen
t of resistance in a model of Toxoplasma gondii growing in human fibro
blast cultures. Of 13 anticoccidial drugs tested, 9 had selective anti
toxoplasma activity (50% inhibitory concentration, in micrograms per m
illiliter): decoquinate (0.005), arprinocid-N-oxide (0.015), robenidin
e (0.03), the aryl triazine CP-25,415 (0.2), toltrazuril (0.4), clopid
ol (1), dinitolmide (Zoalene; Dow) (10), and the carboxylic acid ionop
hores monensin (0.001) and salinomycin (0.04). Glycarbylamide, amproli
um, nicarbazin, and the 6-(p-bromophenoxy)-7-chloro analog of halofugi
none (Stenorol; Roussel-UCLAF) (CP-63,567) were toxic for the fibrobla
sts. Since Eimeria tenella has a similar drug susceptibility profile,
anticoccidial drugs can be viewed as a potential source of new antitox
oplasma therapies. The development of resistance has limited the usefu
lness of most of these drugs as anticoccidial agents; in coccidia, res
istance to all except the ionophores occurs readily in vivo. We explor
ed the development of resistance in T. gondii by attempting to select
mutants in vitro from parasites mutagenized with ethylnitrosourea. Mut
ants that had 20- to 50-fold-reduced susceptibility to decoquinate, ar
prinocid-N-oxide, and CP-25,415 were obtained. Ionophore-resistant T.
gondii mutants were also selected in vitro; however, there was only a
twofold difference in susceptibility between these mutants and the wil
d type. For three drugs (clopidol, robenidine, and toltrazuril), we we
re unable to select resistant mutants. For experimental anticoccidial
drugs, there is currently no in vitro method for assessing the risk of
development of resistance in Eimeria species. Our results suggest tha
t T. gondii may offer a useful surrogate for this assessment.