Sordarins are new antifungals which inhibit fungal protein synthesis by blo
cking elongation factor 2. Three compounds were evaluated in a murine model
of histoplasmosis. Immune competent mice were infected intravenously with
10(6) to 10(8) CFU of Histoplasma capsulatum yeast cells. Mice were treated
either orally with sordarins or fluconazole from day 2 through 8 after inf
ection or intraperitoneally with amphotericin B during the same period. Pro
tection was measured by increased rates of survival for 30 days after infec
tion or reduction of lung or kidney tissue counts 9 days after infection. A
ll three of the antifungal drugs tested were protective compared with contr
ols. Sordarins were effective at doses as low as 2 mg/kg of body weight/day
. This novel class of drugs compared favorably with amphotericin B and fluc
onazole for the treatment of histoplasmosis.