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Mandimycin is a polyketide synthase-derived polyene macrolide that has been found in S. netropsis and has antifungal activity1 It is active against several multidrug-resistant strains of fungi, including C. albicans, C. neoformans, A. fumigatus, and C. glabrata (MICs = 0.125-2 µg/ml). Unlike amphotericin B (Item No. 11636), mandimycin does not bind to ergosterol and instead binds to phospholipids with apparent Kd values of 36.8, 28.2, 36.5, 30.9, and 21.9 µM for phosphatidylcholine (PC), phosphatidylglycerol (PG), phosphatidylserine (PS), phosphatidylethanolamine (PE), and phosphatidylinositol (PI), respectively, as well as cardiolipin and sphingomyelin (apparent Kds = 63.6 and 50 µM, respectively). It induces potassium ion efflux in C. albicans in a concentration-dependent manner. In vivo, mandimycin (10 mg/kg) increases survival and decreases kidney fungal burden in a neutropenic disseminated mouse model of multidrug-resistant candidiasis.
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1. A polyene macrolide targeting phospholipids in the fungal cell membrane. Nature 640(8059), 743-751 (2025).