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用于治疗结核病的利福平微粒的气道给药

Airways delivery of rifampicin microparticles for the treatment of tuberculosis.

作者信息

Suarez S, O'Hara P, Kazantseva M, Newcomer C E, Hopfer R, McMurray D N, Hickey A J

机构信息

School of Pharmacy, and Department of Pathology and Laboratory Animal Medicine, University of North Carolina at Chapel Hill, 27599, USA.

出版信息

J Antimicrob Chemother. 2001 Sep;48(3):431-4. doi: 10.1093/jac/48.3.431.

DOI:10.1093/jac/48.3.431
PMID:11533012
Abstract

A Mycobacterium tuberculosis (H37Rv)-infected guinea pig model was used to screen for targeted delivery to the lungs by insufflation (with lactose excipient) or nebulization, of either rifampicin alone, rifampicin within poly(lactide-co-glycolide) microspheres (R-PLGA) or polymer microparticles alone (PLGA). Animals treated with single and double doses of R-PLGA microspheres exhibited significantly reduced numbers of viable bacteria, inflammation and lung damage compared with lactose-, PLGA- or rifampicin-treated animals 28 days post-infection (P < 0.05). Two doses of R-PLGA resulted in reduced splenic enlargement. These studies support the potential of R-PLGA delivered to the lung to treat pulmonary tuberculosis.

摘要

使用结核分枝杆菌(H37Rv)感染的豚鼠模型,通过吹入(使用乳糖辅料)或雾化,筛选单独的利福平、聚(丙交酯-共-乙交酯)微球(R-PLGA)中的利福平或单独的聚合物微粒(PLGA)向肺部的靶向递送。与感染后28天接受乳糖、PLGA或利福平治疗的动物相比,接受单剂量和双剂量R-PLGA微球治疗的动物体内活菌数量、炎症和肺损伤显著减少(P<0.05)。两剂R-PLGA可减轻脾脏肿大。这些研究支持了将R-PLGA递送至肺部治疗肺结核的潜力。

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