title: Chlorpromazine has intracellular killing activity against phagocytosed Staphylococcus aureus at clinical concentrations.
abstract: Chlorpromazine (CPZ) has in vitro antimicrobial activity against Staphylococcus aureus at concentrations that greatly exceed those achieved clinically. It is concentrated by tissues that are rich in macrophages and it is active against phagocytosed mycobacteria when the concentration in the medium is compatible with that achieved clinically. In this report we show that nontoxic concentrations of CPZ below clinical levels have killing activity against S. aureus phagocytosed by human monocyte-derived macrophages that have nominal killing activity against these bacteria. Little or no resistance to the antimicrobial activity of this compound is anticipated to result because of its large number of cellular targets. Therefore, CPZ may have a role in the management of intracellular staphylococcal infections that normally require the use of antibiotics whose potential toxicity exceeds that associated with short-term management with CPZ.
authors.affiliation: Unit of Mycobacteriology, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Rua da Junqueira 96, 1349-019 Lisbon, Portugal.
authors.forename: Diane
authors.initials: D
authors.lastname: Ordway
authors.forename: Miguel
authors.initials: M
authors.lastname: Viveiros
authors.forename: Clara
authors.initials: C
authors.lastname: Leandro
authors.forename: Maria
authors.initials: M
authors.lastname: Jorge Arroz
authors.forename: Joseph
authors.initials: J
authors.lastname: Molnar
authors.forename: Jette E
authors.initials: JE
authors.lastname: Kristiansen
authors.forename: Leonard
authors.initials: L
authors.lastname: Amaral
mesh_terms: D002460:Cell Line; D002746:Chlorpromazine / Q000494:pharmacology*; D006801:Humans; D008264:Macrophages / Q000187:drug effects; D008826:Microbial Sensitivity Tests; D010587:Phagocytosis; D013211:Staphylococcus aureus / Q000187:drug effects*
chemical_list: D002746:Chlorpromazine