Gangadharam P R, Ashtekar D A, Ghori N, Goldstein J A, Debs R J, Düzgünes N
Mycobacteriology Research Laboratories, National Jewish Center for Immunology and Respiratory Medicine, Denver, Colorado 80206.
J Antimicrob Chemother. 1991 Sep;28(3):425-35. doi: 10.1093/jac/28.3.425.
We investigated in two experiments the chemotherapeutic role of streptomycin on the progression of Mycobacterium avium complex (MAC) disease in beige mice. In the first experiment, streptomycin 100 mg/kg given intramuscularly (im) five days a week for four weeks caused a significant reduction of the colony forming unit (cfu) counts of MAC from spleen, lungs and liver. In the same experiment, streptomycin, given in an encapsulated form in multilamellar liposomes at 15 mg/kg in two intravenous (iv) injections caused greater reduction of cfu in the three tissues. In the second experiment, the effect of free streptomycin at 150 mg/kg given im five days a week for eight weeks was compared with 15 mg/kg of streptomycin encapsulated in unilamellar liposomes given iv in four injections (one day and at three weekly intervals) with no further treatment within the eight weeks. Similar results as in the first experiment were obtained. In both experiments, liposome encapsulation resulted in several-fold increase in the chemotherapeutic efficacy when the data was expressed as reduction of cfu counts per unit dose of the drug.
我们在两项实验中研究了链霉素对米色小鼠鸟分枝杆菌复合群(MAC)疾病进展的化疗作用。在第一个实验中,每周五天、持续四周肌肉注射(im)100mg/kg链霉素,可使脾脏、肺和肝脏中MAC的菌落形成单位(cfu)计数显著减少。在同一实验中,以15mg/kg的剂量通过两次静脉注射(iv)给予多层脂质体包裹的链霉素,可使这三个组织中的cfu减少得更多。在第二个实验中,将每周五天、持续八周肌肉注射150mg/kg游离链霉素的效果,与在八周内分四次静脉注射(一天一次和每隔三周一次)15mg/kg单层脂质体包裹的链霉素且之后不再进行其他治疗的效果进行了比较。得到了与第一个实验相似的结果。在两项实验中,当数据表示为每单位剂量药物cfu计数的减少时,脂质体包裹使化疗效果提高了几倍。