Effects of Amphotericin B on thiourea permeability of phospholipid and cholesterol bilayer membranes

Role of channels in the fusion of vesicles with a planar bilayer

Fluorescence microscopy combined with electrical conductance measurements were used to assess fusion of phospholipid vesicles with a planar bilayer. Large unilamellar vesicles (0.5-3 microns diam.) filled with the fluorescent dye, calcein, were made both with or without porin channels. Vesicle-bilayer fusion was induced by increasing the osmolarity of the solution on the side of the bilayer to which the vesicles were added. Fusion was detected optically by the fluorescent flash due to release of vesicular contents. Although both porin-containing and porin-free vesicles give the same kind of flash upon content release, the conditions necessary to induce release are very different. Only 4% of the porin-free vesicles fuse (release their contents) when subjected to 3 M urea. However, the same conditions induce 53% of the porin-containing vesicles to fuse and most of these fusions occur at a lower osmolarity ([urea] less than 400 mM). Thus channels greatly enhance fusion in this model system. A physical model based on the postulate that fusion is induced by an increase in surface tension, predicts that three conditions are necessary for fusion in this system: (a) an open channel in the vesicle membrane, (b) an osmotic gradient across the bilayer, and (c) the vesicle in contact with the planar membrane. These are the conditions that experimentally produce fusion in the model system.

The interactions between drugs and the parasite surface

The interrelationships between drugs and parasite surfaces are considered under the headings of (a) effects on membrane transport, (b) drug uptake mechanisms and (c) effects on surface morphology and function: praziquantel is discussed under a separate heading. The range of chemotherapeutic compounds that cause permeability changes and concomitant morphological disruption is discussed in terms of mode of drug action. Interpretation of the available data renders it difficult to identify the primary mode of action in the drugs considered. Drug uptake mechanisms are known for relatively few compounds; drug resistance as a function of drug acquisition is discussed. The role of the parasite surface as a specific drug target is argued.

The water and nonelectrolyte permeability induced in thin lipid membranes by the polyene antibiotics nystatin and amphotericin B

Nystatin and amphotericin B increase the permeability of thin (<100 A) lipid membranes to ions, water, and nonelectrolytes. Water and nonelectrolyte permeability increase linearly with membrane conductance (i.e., ion permeability). In the unmodified membrane, the osmotic permeability coefficient, P(f), is equal to the tagged water permeability coefficient, (P(d))(w); in the nystatin- or amphotericin B-treated membrane, P(f)/(P(d))(w) approximately 3. The unmodified membrane is virtually impermeable to small hydrophilic solutes, such as urea, ethylene glycol, and glycerol; the nystatin- or amphotericin B-treated membrane displays a graded permeability to these solutes on the basis of size. This graded permeability is manifest both in the tracer permeabilities, P(d), and in the reflection coefficients, sigma (Table I). The "cutoff" in permeability occurs with molecules about the size of glucose (Stokes-Einstein radius approximate, equals 4 A). We conclude that nystatin and amphotericin B create aqueous pores in thin lipid membranes; the effective radius of these pores is approximately 4 A. There is a marked similarity between the permeability of a nystatin- or amphotericin B-treated membrane to water and small hydrophilic solutes and the permeability of the human red cell membrane to these same molecules.