纳米包封硫酸黏菌素对囊性纤维化患者来源的铜绿假单胞菌的杀伤作用。

Killing effect of nanoencapsulated colistin sulfate on Pseudomonas aeruginosa from cystic fibrosis patients.

作者信息

Sans-Serramitjana E, Fusté E, Martínez-Garriga B, Merlos A, Pastor M, Pedraz J L, Esquisabel A, Bachiller D, Vinuesa T, Viñas M

机构信息

Dept. Pathology and Experimental Therapeutics, Medical School, University of Barcelona, Barcelona, Spain.

Dept. Pathology and Experimental Therapeutics, Medical School, University of Barcelona, Barcelona, Spain; Dept. Public Health, Mental Health and Perinatal Nursing, US of Nursing, University of Barcelona, Barcelona, Spain.

出版信息

J Cyst Fibros. 2016 Sep;15(5):611-8. doi: 10.1016/j.jcf.2015.12.005. Epub 2015 Dec 18.

Abstract

Pseudomonas aeruginosa frequently infects the respiratory tract of cystic fibrosis (CF) patients. Multidrug-resistant phenotypes and high capacity to form stable biofilms are common. Recent studies have described the emergence of colistin-resistant isolates in CF patients treated with long-term inhaled colistin. The use of nanoparticles containing antimicrobials can contribute to overcome drug resistance mechanisms. The aim of this study was to explore antimicrobial activity of nanoencapsulated colistin (SLN-NLC) versus free colistin against P. aeruginosa clinical isolates from CF patients and to investigate their efficacy in biofilm eradication. Susceptibility of planktonic bacteria to antimicrobials was examined by using the broth microdilution method and growth curve assay. Minimal biofilm eradication concentration (MBEC) and biofilm prevention concentration (BPC) were determined to assess antimicrobial susceptibility of sessile bacteria. We used atomic force microscopy (AFM) to visualize treated and untreated biofilms and to determine surface roughness and other relevant parameters. Colistin nanoparticles had the same antimicrobial activity as free drug against planktonic bacteria. However, nanoencapsulated colistin was much more efficient in the eradication of biofilms than free colistin. Thus, these formulations have to be considered as a good alternative therapeutic option to treat P. aeruginosa infections.

摘要

铜绿假单胞菌经常感染囊性纤维化(CF)患者的呼吸道。多重耐药表型和形成稳定生物膜的高能力很常见。最近的研究描述了在长期吸入多黏菌素治疗的CF患者中出现了对多黏菌素耐药的分离株。使用含抗菌剂的纳米颗粒有助于克服耐药机制。本研究的目的是探索纳米包封多黏菌素(SLN-NLC)与游离多黏菌素对CF患者铜绿假单胞菌临床分离株的抗菌活性,并研究它们在根除生物膜方面的疗效。采用肉汤微量稀释法和生长曲线测定法检测浮游细菌对抗菌剂的敏感性。测定最小生物膜根除浓度(MBEC)和生物膜预防浓度(BPC)以评估固着细菌的抗菌敏感性。我们使用原子力显微镜(AFM)观察处理过和未处理过的生物膜,并确定表面粗糙度和其他相关参数。多黏菌素纳米颗粒对浮游细菌的抗菌活性与游离药物相同。然而,纳米包封的多黏菌素在根除生物膜方面比游离多黏菌素更有效。因此,这些制剂必须被视为治疗铜绿假单胞菌感染的良好替代治疗选择。

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