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纳米四环素治愈了由多重耐药福氏志贺菌 2a 细菌感染引起的致命腹泻病“志贺菌病”。

Nanonized tetracycline cures deadly diarrheal disease 'shigellosis' in mice, caused by multidrug-resistant Shigella flexneri 2a bacterial infection.

机构信息

Department of Biochemistry and Biophysics, University of Kalyani, Kalyani, West Bengal, India.

Department of Biochemistry and Biophysics, University of Kalyani, Kalyani, West Bengal, India.

出版信息

Nanomedicine. 2019 Jun;18:402-413. doi: 10.1016/j.nano.2018.11.004. Epub 2018 Nov 16.

DOI:10.1016/j.nano.2018.11.004
PMID:30448527
Abstract

We reported earlier about nano-formulation of tetracycline through its entrapment within calcium-phosphate nano-particle (CPNP) and about killing of pathogenic bacterium Shigella flexnari 2a, resistant to tetracycline (and 9 other antibiotics), by the nanonized antibiotic (Tet-CPNP). Here, we report on therapeutic role of Tet-CPNP against deadly diarrheal disease 'shigellosis' in mice, caused by Shigella infection. Our findings revealed that occurrence of mushy-stool excretion, colon-length shortening, weight-loss and bacterial colonization in gastrointestinal tract of mice due to shigellosis was significantly reduced by Tet-CPNP treatment. Histo- and immuno-logical studies showed that changes in morphology and level of inflammatory cytokines TNF-α, IL-1β and IFN-γ in intestinal tissue of Shigella-infected mice were reverted to almost normal features by Tet-CPNP treatment. Bulk tetracycline had no anti-shigellosis action. Thus, nanonization of tetracycline rejuvenated the old, cheap, broad-spectrum antibiotic from obsolescence (due to resistance generation), making it highly beneficial for diarrhea-prone developing countries with limited health-care budgets.

摘要

我们之前曾报道过通过将四环素包埋在磷酸钙纳米颗粒(CPNP)中来实现纳米制剂化,以及纳米化抗生素(Tet-CPNP)可以杀死对四环素(和其他 9 种抗生素)耐药的致病性细菌福氏志贺菌 2a。在这里,我们报告了 Tet-CPNP 对由志贺菌感染引起的致命腹泻病“志贺菌病”在小鼠中的治疗作用。我们的研究结果表明,Tet-CPNP 治疗显著减少了由于志贺菌病引起的小鼠软便排泄、结肠缩短、体重减轻和胃肠道细菌定植的发生。组织学和免疫组织化学研究表明,Tet-CPNP 治疗使感染志贺菌的小鼠肠道组织中形态和炎症细胞因子 TNF-α、IL-1β 和 IFN-γ 的水平发生的变化几乎恢复到正常特征。大剂量四环素没有抗志贺菌作用。因此,纳米化四环素使这种古老的、廉价的、广谱抗生素摆脱了因耐药性而被淘汰的命运(由于耐药性的产生),这对预算有限的发展中国家非常有益,这些国家容易发生腹泻。

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