Date: 26 November 2013
Secondary metabolites, 3D structure: Trivial name – sphingofungin B
Copyright: n/a
Notes:
Species: A. fumigatusSystematic name: 6-Eicosenoic acid, 2-amino-3,4,5,14-tetrahydroxy- (2S,5S,3R,4R,14R)-2-Amino-3,4,5,14-tetrahydroxyicos-6-enoic acidMolecular formulae: C20H39NO6Molecular weight: 389.527Chemical abstracts number: 121025-45-4Selected references: VanMiddlesworth F, Giacobbe RA, Lopez M, Garrity G, Bland JA, Bartizal K, Fromtling RA, Polishook J, Zweerink M, Edison AM, et al. J Antibiot (Tokyo). 1992 Jun;45(6):861-7. Sphingofungins A, B, C, and D; a new family of antifungal agents. I. Fermentation, isolation, and biological activity.Zweerink MM, Edison AM, Wells GB, Pinto W, Lester RL. Characterization of a novel, potent, and specific inhibitor of serine palmitoyltransferase. J Biol Chem. 1992 Dec 15;267(35):25032-8.
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CT Scan 30/3/99
Showing extreme pleural thickening and 2 small cavities at apex of left lung. -
A 43 year old with smoking related emphysema was admitted to hospital with two separate episodes of haemoptysis. He had been in good health up to 1989, when he was diagnosed as having bilateral pulmonary tuberculosis. At that time a CT scan revealed a cavity in the left upper lobe (20.8cm2) with adjacent confluent infiltrates and pleural thickening. On bronchoscopic examination no abnormalities were noted and endobronchial biopsies did not reveal hyphae.
Over the next 4 years his condition deteriorated and a CT scan showed the left upper lobe cavity had increased to 40cm2. Itraconazole 400mg daily was prescribed. There was some clinical improvement on itraconazole but patient eventually deteriorated with breathlessness and with significant weight loss.
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