纳米治疗提供了针对布鲁氏菌感染的剂量节约和增强的抗菌活性。
Nanotherapeutic provides dose sparing and improved antimicrobial activity against Brucella melitensis infections.
机构信息
Department of Veterinary Microbiology and Preventive Medicine, Iowa State University, Ames, IA 50011, USA.
Department of Chemical and Biological Engineering, Iowa State University, Ames, IA 50011, USA.
出版信息
J Control Release. 2019 Jan 28;294:288-297. doi: 10.1016/j.jconrel.2018.12.024. Epub 2018 Dec 17.
New therapies are needed to treat chronic bacterial diseases and intracellular pathogens, in particular, are very difficult to manage. The use of nanotherapeutics represents an approach to exploit size and charge of biological membranes to overcome barriers for treatment of intracellular pathogens including Brucella melitensis. In this work, polyanhydride nanoparticles comprised of copolymers of sebacic acid, 1,6-bis(p-carboxyphenoxy)hexane, and 1,8-bis(p-carboxyphenoxy)-3,6-dioxaoctane were synthesized to encapsulate antimicrobial compounds doxycycline and rifampicin. The nanoparticles demonstrated sustained release of rifampicin for a week with the antimicrobial activity peaking at 72 h and lasting up to a week. Treatment of B. melitensis infected macrophages with rifampicin-containing nanoparticles rapidly eliminated viable intracellular bacteria following 48 h of treatment and pretreatment with the nano-formulations prevented intracellular infection in contrast to soluble drug controls. Treatment of infected BALB/c mice with a nanoparticle cocktail containing doxycycline and rifampicin for five days decreased bacterial burden by three log in the liver. Extended release of antibiotics was demonstrated in vivo by treating B. melitensis infected mice with the standard therapy of daily 0.5 mg doxycycline dose or single 0.5 mg doxycycline-encapsulated nanoparticles delivered once a week. After 3 weeks, bacterial counts in spleen and liver were statistically equal between animals treated with the weekly nano-formulation and daily soluble drug, representing a seven-fold dose sparing. Altogether, these results demonstrated that the use of nanotherapeutics was successful at increasing antimicrobial efficacy and improving in vivo activity through a combination of intracellular delivery, dose sparing, and extended release in treating chronic bacterial infections. This platform technology can also provide benefits for drug delivery against other chronic intracellular bacterial pathogens, including Mycobacterium and Burkholderia species, including treatments against antibiotic-resistant infections.
需要新的疗法来治疗慢性细菌性疾病,特别是难以治疗的细胞内病原体。纳米疗法的应用代表了一种利用生物膜的大小和电荷来克服治疗细胞内病原体(包括布鲁氏菌属)障碍的方法。在这项工作中,合成了由癸二酸、1,6-双(对羧基苯氧基)己烷和 1,8-双(对羧基苯氧基)-3,6-二氧杂辛烷的共聚物组成的聚酸酐纳米粒子来包封抗菌化合物强力霉素和利福平。纳米粒子表现出利福平的持续释放,持续释放一周,抗菌活性在 72 小时达到峰值,持续一周。用含利福平的纳米粒子处理布鲁氏菌属感染的巨噬细胞,在治疗 48 小时后迅速消除活的细胞内细菌,与可溶性药物对照相比,纳米制剂的预处理可防止细胞内感染。用含有强力霉素和利福平的纳米粒子鸡尾酒治疗感染的 BALB/c 小鼠五天,可使肝脏中的细菌负荷减少三个对数级。通过用每天 0.5mg 强力霉素剂量或每周一次给予 0.5mg 强力霉素包封的纳米粒子进行单次治疗,在感染的小鼠体内证明了抗生素的延长释放。在 3 周后,每周纳米制剂治疗组和每日可溶性药物治疗组动物的脾脏和肝脏中的细菌计数统计学上相等,这代表了七倍的剂量节省。总之,这些结果表明,纳米疗法的应用成功地通过细胞内递药、剂量节省和延长释放相结合,提高了治疗慢性细菌感染的抗菌疗效和体内活性。这种平台技术还可以为治疗其他慢性细胞内细菌病原体(包括分枝杆菌和伯克霍尔德氏菌)的药物输送提供益处,包括对抗抗生素耐药性感染的治疗。