Abstract
The early clinical and economic success of antibacterial antibiotics prompted many laboratories to undertake a search for products of natural origin that would be equally effective in the treatment of fungal infections. These endeavors have led to the isolation and characterization of numerous antibiotics, which share certain chemical and biological properties, and are now designated as the polyene antibiotics. Although polyene antibiotics have been known since the discovery of nystatin by Hazen and Brown (in 1950), it is only within recent years that sufficient data has accumulated to allow a discussion of their mechanism of action in other than broadly descriptive terms. The polyenes have attracted the attention of numerous investigators because these antibiotics were toxic to fungi, yet had no effect on bacteria. Thus, the polyenes promised to reveal some interesting biochemical differences between bacteria and fungi. Delay in understanding the mechanism of polyene antibiotic action can therefore not be attributed to a lack of interest but, instead, to the gradual realization that very few antibiotics inhibit simple metabolic pathways. Most antibiotics interfere with the formation or function of macromolecules and subcellular structures (Davis and Feingold, 1962). Such is the case with the polyenes, and, in this review, we shall present in approximate chronological order the evidence which indicates that:
-
1.
The polyene antibiotics cause permeability alterations in sensitive organisms which lead to the loss of essential cytoplasmic constituents culminating in cell death.
-
2.
The cell membrane is the site of action of the polyene antibiotics and that, as a result of polyene binding, it is no longer able to function as a selective restraining barrier.
-
3.
The selective toxicity of the polyene antibiotics is due to interaction with a unique component present only in the membranes of sensitive organisms and that this component is a sterol.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Asselineau, J., and E. Lederer: Bacterial lipids. In: Lipide metabolism (K. Bloch, ed.). New York: John Wiley & Sons 1960.
Bangham, A. D., and R. W. Horne: Action of saponin on biological cell membranes. Nature 196, 952–953 (1962).
Bangham, A. D., J. T. Dingle, and J. A. Lucy: Studies on the mode of action of excess vitamin A. 9. Penetration of lipid monolayers by compounds in the vitamin A series. Biochem. J. 90, 133–140 (1964).
Bangham, A.D., and R. W. Horne: Negative staining of phospholipids and their structural modification by surface active agents as observed in the electron microscope. J. Mol. Biol. 8, 660–668 (1964).
Birch, A. J., C. W. Holzapfel, R. W. Richards, C. Djerassi, P. C. Seidel, M. Suzuki, J. Westley, and J. D. Dutcher: Nystatin. Part VI. Chemistry and partial structure of the antibiotic. Tetrahedron Letters 23, 1491–1497 (1964).
Blank, H.: Antifungal antibiotics in clinical medicine. Arch. Dermatol. 75, 184–189 (1957).
Bradley, S. G.: Interactions between phosphate and nystatin in Candida stellatoidea. Proc. Soc. Exptl. Biol. Med. 98, 786–789 (1958).
Bradley, S. G., and L. A. Jones: Mechanisms of action of antibiotics. Ann. N.Y. Acad. Sci. 89, 122–133 (1960).
Brandriss, M. W., S. M. Wolff, R. Moores, and F. Stohlman: Anemia induced by amphotericin B. J. Am. Med. Assoc. 189, 89–92 (1964).
Butler, W. F., D. W. Alling, and E. Cotlove: Potassium loss from human erythrocytes exposed to amphotericin B. Proc. Soc.Exptl. Biol. Med. 118, 297–300 (1964).
Carter, P. W., I. M. Heilbron, and B. Lythgoe: The lipochromes and sterols of the algal classes. Proc. Roy. Soc. (London) B 128, 82–109 (1939).
Ceder, O., and R. Ryhage: The structure of filipin. Acta Chem. Scand. 18, 558–560 (1964).
Cirillo, V. P., M. Harsch, and J. O. Lampen: Action of the polyene antibiotics filipin, nystatin and N-acetylcandidin on the yeast cell membrane. J. Gen. Microbiol. 35, 249–259 (1964).
Cope, A. C., R. K. Bly, E. P. Burrows, O. J. Ceder, E. Ciganek, B. T. Gillis R. F. Porter, and H. E. Johnson: Fungichromin: Complete structure and absolute configuration at C26 and C27. J. Am. Chem. Soc. 84, 2170–2178 (1962).
Davis, B. D., and D. S. Feingold: Antimicrobial agents: mechanisms of action and use in metabolic studies. In: The bacteria, vol. IV, (I. C. Gunsalus and R. Stanier, eds.). New York: Academic Press 1962.
Demel, R. A., L. L. M. VAN Deenen, and S. C. Kinsky: Penetration of lipid monolayers by polyene antibiotics. Correlation with selective toxicity and mode of action. J. Biol. Chem. 240, 2749–2753 (1965).
Dhar, M. L., V. Thaller, and M. C. Whiting: Researches on polyenes. Part VIII. The structures of lagosin and filipin. J. Chem. Soc. 1964, 842.
Dingle, J. T., and J. A. Lucy: Studies on the mode of action of excess vitamin A. 5. The effect of vitamin A on the stability of the erythrocyte membrane. Biochem. J. 84, 611–621 (1962).
Dourmashkin, R. R., R. R. Dougherty, and R. J. C. Harris: Electron microscopic observations on Rous sarcoma virus and cell membranes. Nature 194, 1116–1119 (1962).
Drouhet, E., L. Hirth, and G. Lebeurier: Some aspects of the mode of action of polyene antifungal antibiotics. Ann. N.Y. Acad. Sci. 89, 134–155 (1960).
Feingold, D. S.: The action of amphotericin B on Mycoplasma laidlawii. Biochem. Biophys. Research Comm. 19, 261–267 (1965).
Fiertel, A., and H. Klein: On sterols in bacteria. J. Bacteriol. 78, 738–739 (1959).
Gale, G. R.: The effects of amphotericin B on yeast metabolism. J. Pharmacol. Exptl. Therap. 129, 257–261 (1960).
Gale, G. R.: Cytology of Candida albicans as influenced by drugs acting on the cytoplasmic membrane. J. Bacteriol. 80, 151–157 (1963).
Ghione, M., A. Sanfilippo, R. Mazzoleni e A. Migliacci: Sul meccanismo d’azione delia etruscomicina, un nuovo antibiotico polienico. Giorn. microbiol. 9, 73–82 (1961).
Ghosh, A., and J. J. Ghosh: Changes in the intracellular constituents of Candida albicans on nystatin and amphotericin B treatment. Ann. Biochem. and Exptl. Med. (Calcutta) 23, 113–122 (1963 a).
Ghosh, A., and J. J. Ghosh: Release of intracellular constituents of Candida albicans in presence of polyene antibiotics. Ann. Biochem. and Exptl. Med. (Calcutta) 23, 611–626 (1963 b).
Ghosh, A., and J. J. Ghosh: Factors affecting the absorption of nystatin by Candida albicans. Ann. Biochem. and Exptl. Med. (Calcutta) 23, 101–112 (1963 c).
Ghosh, A., and J. J. Ghosh: Absorption of amphotericin B by Candida albicans. Ann. Biochem. and Exptl. Med. 23, 603–610 (1963 d).
Ghosh, A., and J. J. Ghosh: Effect of nystatin and amphotericin B on the growth of Candida albicans. Ann. Biochem. and Exptl. Med. (Calcutta) 23, 29–44 (1963 e).
Ghosh, B. K.: Action of an antifungal antibiotic, nystatin, on the protozoa, Leishmania donovani. Part IV: Studies on the cytological and cytochemical changes. Ann. Biochem. and Exptl. Med. (Calcutta) 23, 193–200 (1963 a).
Ghosh, B. K.: Action of an antifungal antibiotic, nystatin, on the protozoa, Leishmania donovani. Part VI: Studies on the action on isolated membrane and the isolation of antibiotic rich cell particle from L. donovani. Ann. Biochem. and Exptl. Med. (Calcutta) 23, 337–344 (1963b).
Ghosh, B. K., and A. N. Chatterjee: Action of an antifungal antibiotic, nystatin, on the protozoa, Leishmania donovani. Part II: Studies on the release of intracellular constituents. Ann. Biochem. and Exptl. Med. (Calcutta) 21, 343–354 (1961).
Ghosh, B. K., and A. N. Chatterjee: Leishmanicidal activity of nystatin, a polyene antifungal antibiotic: I. The probable mechanism of action of nystatin on Leishmania donovani. Antibiotics & Chemotherapy 12, 204–206 (1962a).
Ghosh, B. K., and A. N. Chatterjee: Leishmanicidal activity of nystatin, a polyene antifungal antibiotic: II. Isolation of bound nystatin from cells of Leishmania donovani and its clinical application. Antibiotics & Chemotherapy 12, 221–224 (1962 b).
Ghosh, B. K., and A. N. Chatterjee: Action of an antifungal antibiotic, nystatin, on the protozoa, Leishmania donovani. Part III. Studies on the lysis of the cells of L. donovani. Ann. Biochem. and Exptl. Med. (Calcutta) 23, 173–186 (1963a).
Ghosh, B. K., and A. N. Chatterjee: Action of an antifungal antibiotic, nystatin, on the protozoa, Leishmania donovani. Part V: Studies on the absorption of nystatin by L. itdonovani. Ann. Biochem. and Exptl. Med. (Calcutta) 23, 309–318 (1963b).
Ghosh, B. K., D. Haldar, and A. N. Chatterjee: Effect of nystatin on the metabolism of a protozoal organism, Leishmania donovani. Ann. Biochem. and Exptl. Med. (Calcutta) 20, 55–56 (1960).
Glauert, A. M., J. T. Dingle, and J. A. Lucy: Action of saponin on biological cell membranes. Nature 196, 953–955 (1962).
Gottlieb, D., H. E. Carter, J. H. Sloneker, and A. Ammann: Protection of fungi against polyene antibiotics by sterols. Science 128, 361 (1958).
Gottlieb, D., H. E. Carter, J. H. Sloneker, L. C. Wu, and E. Gaudy: Mechanisms of inhibition of fungi by filipin. Phytopathology 51, 321–330 (1961).
Gottlieb, D., and S. Ramachandran: Mode of action of antibiotics. I. Site of action of ascosin. Biochim. et Biophys. Acta 53, 391–396 (1961).
Harman, J. W., and J. G. Masterson: The mechanism of nystatin action. Irish J. Med. Sci., Ser. VI, p. 249 (1957).
Harsch, M., and J. O. Lampen: Modification of K+ transport in yeast by the polyene antifungal antibiotic N-acetylcandidin. Biochem. Pharmacol. 12, 875–883 (1963).
Hebeka, E. K., and M. Solotorovsky: Development of strains of Candida albicans resistant to candidin. J. Bacteriol. 84, 237–241 (1962).
Hebeka, E. K., and M. Solotorovsky: Development of resistance to polyene antibiotics in Candida albicans. J. Bacteriol. 89, 1533–1539 (1965).
Henis, Y., and N. Grossowicz: Studies on the mode of action of antifungal heptaene antibiotics. J. Gen. Microbiol. 23, 345–355 (1960).
Hildick-Smith, G., H. Blank, and I. Sarkany: Fungus diseases and their treatment. Boston: Little, Brown & Co. 1964.
Hunter, E. O., Jr., and J. McVeigh: The effects of selected antibiotics on pure cultures of algae. Am. J. Botany 48, 179–185 (1961).
Johnson, W., C. A. Miller, and J. H. Brumbaugh: Induced loss of pigment in planarians. Physiol. Zoöl. 35, 18–26 (1962).
Kinsky, S. C.: The effect of polyene antibiotics on permeability in Neurospora crassa. Biochem. Biophys. Research Comm. 4, 353–357 (1961a).
Kinsky, S. C.: Alterations in the permeability of Neurospora crassa due to polyene antibiotics. J. Bacteriol. 82, 889–897 (1961b).
Kinsky, S. C.: Effect of polyene antibiotics on protoplasts of Neurospora crassa. J. Bacteriol. 83, 351–358 (1962a).
Kinsky, S. C.: a basis for the selective toxicity of polyene antifungal antibiotics. Proc. Natl. Acad. Sci. U.S. 48, 1049–1056 (1962b).
Kinsky, S. C.: Comparative responses of mammalian erythrocytes and microbial protoplasts to polyene antibiotics and vitamin A. Arch. Biochem. Biophys. 102, 180–188 (1963).
Kinsky, S. C.: Membrane sterols and the selective toxicity of polyene antifungal antibiotics. Antimicrobial Agents and Chemotherapy 1963, p. 384–394 (1964).
Kinsky, S. C., J. Avruch, M. Permutt, H. B. Rogers, and A. A. Schonder: The lytic effect of polyene antifungal antibiotics on mammalian erythrocytes. Biochem. Biophys. Research Comm. 9, 503–507 (1962).
Kinsky, S. C., G. R. Gronau, and M. M. Weber: Interaction of polyene antibiotics with subcellular membrane systems. I. Mitochondria. Mol. Pharmacol. 1, 190–201 (1965).
Lampen, J. O.: Intermediary metabolism of fungi as revealed by drug reaction. In: Fungi and fungus diseases (G. Dalldorf, ed.). Springfield (111.): C. C. Thomas 1962.
Lampen, J. O., and P. Arnow: Significance of nystatin uptake for its antifungal action. Proc. Soc. Exptl. Biol. Med. 101, 792–797 (1959).
Lampen, J. O., and P. Arnow: Inhibition of algae by nystatin. J. Bacteriol. 82, 247–251 (1961).
Lampen, J. O., and P. M. Arnow: Differences in action of large and small polyene antifungal antibiotics. Bull. Research Council Israel 11A4, 286–291 (1963).
Lampen, J. O., P.M. Arnow, Z. Borowska, and A. I. Laskin: Location and role of sterol at nystatin-binding sites. J. Bacteriol. 84, 1152–1160 (1962).
Lampen, J. O., P.M. Arnow, and R. S. Safferman: Mechanism of protection by sterols against polyene antibiotics. J. Bacteriol. 80, 200–206 (1960).
Lampen, J. O., J. W. Gill, P. M. Arnow, and A. Magana-Plaza: Inhibition of the pleuropneumonia-like organism, Mycoplasma gallisepticum, by certain polyene antifungal antibiotics. J. Bacteriol. 86, 945–949 (1963).
Lampen, J. O., E. R. Morgan, and A. Slocum: Effect of nystatin on the utilization of substrates by yeast and other fungi. J. Bacteriol. 74, 297–302 (1957).
Lampen, J. O., E. R. Morgan, A. Slocum, and P. Arnow: Absorption of nystatin by microorganisms. J. Bacteriol. 78, 282–289 (1959).
Lardy, H.A., D. Johnson, and W. C. Mcmurray: Antibiotics as tools for metabolic studies. I. A survey of toxic antibiotics in respiratory, phosphorylative and glycolytic systems. Arch. Biochem. Biophys. 78, 587–597 (1958).
Larsen, W. G., and D. J. Demis: Metabolic studies of the effect of griseofulvin and candicidin on fungi. J. Invest. Dermatol. 41, 335–342 (1963).
Lechevalier, H., E. Borowski, J. O. Lampen, and C. P. Schaffner: Water-soluble N-acetyl derivatives of heptaene macrolide antifungal antibiotics: Microbiological studies. Antibiotics & Chemotherapy 11, 640–647 (1961).
Levin, E. Y., and K. Bloch: Absence of sterols in blue-green algae. Nature 202, 90–91 (1964).
Littman, M. L., M. A. Pisano, and R. M. Lanchaster: Induced resistance of Candida species to nystatin and amphotericin B. Antibiotics Ann. 1957/58, 981–987 (1958).
Lucy, J. A., and J. T. Dingle: Fat-soluble vitamins and biological membranes. Nature 204, 156–160 (1964).
Lucy, J. A., and A.M. Glauert: Structure and assembly of macromolecular lipid complexes composed of globular micelles. J. Mol. Biol. 8, 727–748 (1964).
Luzzati, V., and F. Husson: The structure of the liquid-crystalline phases of lipid-water systems. J. Cell Biol. 12, 207–219 (1962).
Marini, F., P. Arnow, and J. O. Lampen: The effect of monovalent cations on the inhibition of yeast metabolism by nystatin. J. Gen. Microbiol. 24, 51–62 (1961).
Oroshnik, W., L. C. Vining, A. D. Mebane, and W. A. Taber: Polyene antibiotics. Science 121, 147–149 (1955).
Patrick, J. B., R. P. Williams, and J. S. Webb: Pimaricin. II. The structure of pimaricin. J. Am. Chem. Soc. 80, 6688–6689 (1958).
Perritt, A. M., A. W. Phillips, and T. Robinson: Sterol protection against pimaricin in Saccharomyces cerevisiae. Biochem. Biophys. Research Comm. 2, 432–435 (1960).
Posthuma, J., and W. Berends: Triplet-triplet transfer as a mechanism of a photodynamic reaction. Biochem. et Biophys. Acta 41, 538–541 (1960).
Posthuma, J., and W. Berends: Energy transfer in aqueous solutions. Biochem. et Biophys. Acta 51, 392–394 (1961).
Pressman, B. C.: Induced active transport of ions in mitochondria. Proc. Nat. Acad. Sci. U.S. 53, 1076–1083 (1965).
Ramachandran, S.: Studies of the mode of action of antibiotics. I. Hamycin. Hindustan Antibiotics Bull. 4, 74–79 (1961).
Scholz, R., H. Schmitz, TH. Bucher U. J. O. Lampen: Über die Wirkung von Nystatin auf Bäckerhefe. Biochem. Z. 331, 71–86 (1959).
Schulman, J. H., and E. K. Rideal: Molecular interaction in monolayers. I. Complexes between large molecules. Proc. Roy. Soc. (London) B 122, 29–45 (1937).
Seneca, H., and E. Bergendahl: Toxicity of antibiotics to snails. Antibiotics & Chemotherapy 5, 737–741 (1955).
Shaw, P. D., A. M. Allam, and D. Gottlieb: Effect of filipin on the terminal electron transport system of Saccharomyces cerevisiae. Biochem. et Biophys. Acta 89, 33–41 (1964).
Shockman, G., and J. O. Lampen: Inhibition by antibiotics of the growth of bacterial and yeast protoplasts. J. Bacteriol. 84, 508–512 (1962).
Slayman, C. L., and C. W. Slayman: Measurement of membrane potentials in Neurospora. Science 136, 876–877 (1962).
Stachiewicz, E., and J. H. Quastel: Amino acid transport in yeast and effects of nystatin. Canad. J. Biochem. and Physiol. 41, 397–407 (1963).
Stout, H. A., and J. F. Pagano: Resistance studies with nystatin. Antibiotics Ann. 1955/56, 704–710 (1956).
Sutton, D. D., P. M. Arnow, and J. O. Lampen: Effect of high concentrations of nystatin upon glycolysis and cellular permeability in yeast. Proc. Soc. Exptl. Biol. Med. 108, 170–175 (1961).
Vining, L. C.: The polyene antifungal antibiotics. Hindustan Antibiotics Bull. 3, 37–54 (1960).
Waksman, S., and H. Lechevalier: The actinomycetes, vol. III. Antibiotics of actinomycetes. Baltimore: Williams & Wilkins Co. 1962.
Walters, D. R., J. D. Dutcher, and O. Wintersteiner: The structure of mycosamine. J. Am. Chem. Soc. 79, 5076–5077 (1957).
Weber, M. M., and S. C. Kinsky: Effect of cholesterol on the sensitivity of Mycoplasma laidlawii to the polyene antibiotic filipin. J. Bacteriol. 89, 306–312 (1965).
Zondag, E., J. Posthuma, and W. Berends: On the mechanism of a photodynamic reaction. Biochem. et Biophys. Acta 39, 178–180 (1960).
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1967 Springer-Verlag Berlin · Heidelberg
About this chapter
Cite this chapter
Kinsky, S.C. (1967). Polyene Antibiotics. In: Gottlieb, D., Shaw, P.D. (eds) Mechanism of Action. Antibiotics, vol 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-46051-7_8
Download citation
DOI: https://doi.org/10.1007/978-3-642-46051-7_8
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-46053-1
Online ISBN: 978-3-642-46051-7
eBook Packages: Springer Book Archive