In vitro effects of meropenem and imipenem/cilastatin on some functions of human natural effector cells

Chemotherapy. 2000 Mar-Apr;46(2):135-42. doi: 10.1159/000007268.

Abstract

Meropenem, a new carbapenem antibiotic, was assessed to evaluate its effects on some functional parameters of human polymorphonuclear (PMN) and natural killer (NK) cells in comparison with imipenem/cilastatin. Both drugs significantly inhibited PMN phagocytosis and chemotaxis at concentrations of 2,000 and 4,000 microg/ml. They affected PMN microbicidal activity, evaluated against Candida albicans, only at 4,000 microg/ml. A study of the effects of both drugs on peripheral NK populations and the human NK line (NK-92) showed that even at 4,000 microg/ml there was no effect on antitumor activity. These data indicate that meropenem can reduce some PMN antimicrobial functions only at very high concentrations like imipenem/cilastatin, whereas no concentration influenced NK activity.

Publication types

  • Comparative Study

MeSH terms

  • Candida / drug effects
  • Candida / metabolism
  • Cell Line
  • Chemotaxis, Leukocyte / drug effects
  • Cilastatin / pharmacology*
  • Cytotoxicity, Immunologic / drug effects
  • Drug Combinations
  • Humans
  • Imipenem / pharmacology*
  • K562 Cells
  • Killer Cells, Natural / drug effects*
  • Killer Cells, Natural / immunology*
  • Lymphocytes / drug effects
  • Lymphocytes / immunology
  • Meropenem
  • Neutrophils / drug effects
  • Neutrophils / immunology
  • Phagocytosis / drug effects
  • Thienamycins / pharmacology*

Substances

  • Drug Combinations
  • Thienamycins
  • Cilastatin
  • Imipenem
  • Meropenem