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4 protocols using voriconazole

1

Synthesis and Characterization of Novel Antifungal Compounds

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Large preparations of VNI, FF-VNI, VFV, and F-VFV were synthesized by the Chemical Synthesis Core Facility (Vanderbilt Institute of Chemical Biology),34 (link) and synthesis of their analogues CF3F-VNI and VFV-Cl has been described previously.9 (link),10 (link) The purity of the compounds was >95%. Voriconazole, ketoconazole, itraconazole, and posaconazole were purchased from Santa Cruz Biotechnology (Dallas, TX); isavuconazole was from Sigma-Aldrich, and fluconazole was from ICN Biomedicals. Hydroxypropyl-β-cyclodextrin (HPCD) was purchased from Cyclodextrin Technology Development (Gainesville, FL). DEAE- and CM-Sepharose resins were from GE Healthcare, and Ni2+-nitrilotriacetate (NTA) agarose was purchased from Qiagen.
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Preparation of Voriconazole Solutions

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Voriconazole and VNO (Santa Cruz Biotechnology, Inc., Dallas, TX) were dissolved in either phosphate-buffered saline (PBS) or 95% ethanol as 30 mM stock solutions and were used immediately or stored at −20°C until used. All manipulations involving these drugs or their photoproducts were performed under dim yellow light (General Electric F32T8 GO, Fairfield, CT).
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Synthesis and Characterization of Azole Antifungals

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The azole-based drugs ketoconazole, posaconazole,
voriconazole, ravuconazole, clotrimazole, miconazole, letrozole, and
anastrozole were purchased from Santa Cruz Biotechnology (Dallas,
TX), and fluconazole was from ICN Biomedicals. VNI and VFV were synthesized
by the Chemical Synthesis Core Facility (Vanderbilt Institute of Chemical
Biology).70 (link) The synthesis of their analogue
LFV was described previously.68 (link) The purity
of the compounds was >95%. The pyridine derivatives UDO and UDD
were
from DNDi;46 (link) the tetrazole-based compounds
VT116147 (link) and VT159848 (link) were from Mycovia Pharmaceuticals (Durham, NC). Hydroxypropyl-β-cyclodextrin
(HPCD) was purchased from Cyclodextrin Technology Development (Gainesville,
FL). Q- and CM-Sepharose resins were from GE Healthcare, and Ni2+-nitrilotriacetate (NTA) agarose was from Qiagen. The synthesis
of the CYP51 reaction product (3β,5α)-4,4-dimethyl-cholesta-8,14,24-trien-3-ol
(dihydro-FF-MAS) was reported elsewhere.71 (link) All compounds were >95% pure by high-performance liquid chromatography
(HPLC).
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4

Antifungal Susceptibility of Blastomyces

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Clinical isolates of Blastomyces spp collected at the University of Wisconsin Hospital between 2004 and 2017 were tested for antifungal susceptibility retrospectively. They were cultured at 35°C for 10–15 days on potato dextrose agar (Oxoid, Hampshire, England) to induce conidial formation. Conidia were then suspended in Roswell Park Memorial Institute (RPMI) 1640 medium (Sigma-Aldrich, St. Louis, MO) at 1.0 × 105 conidia/mL and 200 µL was added to 96-well plates containing the antifungals. Five antifungals were tested: itraconazole, voriconazole, and isavuconazole (Santa Cruz Biotechnology, Santa Cruz, CA), posaconazole (Selleck Chemicals, Houston, TX), and amphotericin B (AMRESCO, Solon, OH). Stock solutions were prepared in dimethyl sulfoxide (Sigma-Aldrich) except for amphotericin B, which was in sterile water. Drugs were diluted into RPMI medium via serial doubling dilutions, with concentrations ranging from 0.015 to 8.0 µg/mL except for itraconazole, which had concentrations ranging from 0.13 to 64 µg/mL.
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