Mp. Mingeot-leclercq et al., Experimental and conformational analyses of interactions between butenafine and lipids, ANTIM AG CH, 45(12), 2001, pp. 3347-3354
Butenafine (N-4-tert-butylbenzyl-N-methyl-1-naphtalenemethylamine hydrochlo
ride) is an antifungal agent of the benzylamine class that has excellent th
erapeutic efficacy and a remarkably long duration of action when applied to
pically to treat various mycoses. Given the lipophilic nature of the molecu
le, efficacy may be related to an interaction with cell membrane phospholip
ids and permeabilization of the fungal cell wall. Similarly, high lipophili
city could account for the long duration of action, since fixation to lipid
s in cutaneous tissues might allow them to act as local depots for slow rel
ease of the drug. We have therefore used computer-assisted conformational a
nalysis to investigate the interaction of butenafine with lipids and extend
ed these observations with experimental studies in vitro using liposomes. C
onformational analysis of mixed monolayers of phospholipids with the neutra
l and protonated forms of butenafine highlighted a possible interaction wit
h both the hydrophilic and hydrophobic domains of membrane phospholipids. S
tudies using liposomes demonstrated that butenafine increases membrane flui
dity [assessed by fluorescence polarization of 1-(4-trimethylammonium-pheny
l)-6-phenyl-1,3,5-hexatriene and 1,6-diphenylhexatriene] and membrane perme
ability (studied by release of calcein from liposomes). The results show, t
herefore, that butenafine readily interacts with lipids and is incorporated
into membrane phospholipids. These findings may help explain the excellent
antifungal efficacy and long duration of action of this drug when it is us
ed as a topical antifungal agent in humans.