Resumo
No contexto da alta prevalência de candidíase vulvovaginal (CVV) e da crescente resistência de espécies de Candida spp. aos tratamentos convencionais, o reposicionamento de fármacos surge como uma estratégia importante para estabelecer novos usos terapêuticos de medicamentos já aprovados clinicamente para outras indicações. Experimentos anteriores demonstraram a atividade antifúngica in vitro da sertralina, fármaco da classe dos Inibidores Seletivos da Recaptação de Serotonina (ISRS), e determinaram sua concentração inibitória mínima (CIM), constatando sua capacidade de atuar sobre fatores de virulência de alguns fungos, como leveduras do gênero Candida. No presente estudo, foi avaliado o efeito antifúngico da sertralina in vivo com o objetivo de contribuir para o desenvolvimento de uma formulação de administração vaginal contendo o fármaco para o tratamento de CVV experimental. A atividade antifúngica da sertralina em diferentes concentrações, em solução e em emulgel, foi examinada em um modelo de rata imunossuprimida e dependente de estrogênio, no qual os animais foram infectados intravaginalmente com C. albicans. Os resultados demonstraram que a sertralina, quando administrada por meio de uma matriz farmacêutica adequada ao ambiente vaginal, apresenta eficácia significativa, atingindo a cura da infecção com apenas 3 dias de tratamento. A partir desses achados, é possível afirmar que a sertralina é promissora para o reposicionamento de fármacos no tratamento da CVV.
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Copyright (c) 2024 Lisandra Alves Teixeira, Marcelo Gonzaga de Freitas Araújo, Beatriz Spinelli Santos Pereira, Isabela Luana Reis Nunes, Letícia de Castro Meira Vaz, Maria Eduarda Rodrigues Ferreira, Rafaella Rangel Barbosa, João Paulo Costa Rodrigues, Rúbia Bellard e Silva, Rafael Gonçalves Teixeira-Neto, Renê Oliveira do Couto