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Nature Podcast

How to tame a toxic yet life-saving antifungal

Nov 8, 2023
Researchers modify a toxic antifungal drug, potentially reducing side effects. Fossilized hyena dung yields woolly rhino DNA. A robot performs surgery inside a beating heart. Phosphorus, key for life, found in outer regions of the galaxy. Insights from Osiris Rex capsule re-entry and genetic research on wildcats are highlighted.
27:55

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Quick takeaways

  • Researchers have modified the antifungal drug amphotericin B to reduce kidney toxicity, offering hope for a less toxic treatment for fungal infections.
  • Genetic research and breeding programs aim to restore the genetic purity of the Scottish wild cat population.

Deep dives

Altering Amphotericin B to Reduce Toxicity

Researchers have modified the molecular structure of the antifungal drug amphotericin B to reduce one of its most severe side effects, kidney toxicity. By understanding the drug's mechanism of action, they were able to tweak its binding properties, preventing it from extracting cholesterol from human kidney cells while still effectively killing fungal cells. The modified molecule, called AM 2-19, showed promising results in animal studies, being potent, broad-spectrum, and well-tolerated. Clinical trials are underway, offering hope for a less toxic and more effective treatment for severe fungal infections.

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