Tanner Lloyd, Haynes Richard K, Wiesner Lubbe
Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Centre of Excellence for Pharmaceutical Sciences, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.
Front Pharmacol. 2020 May 19;11:724. doi: 10.3389/fphar.2020.00724. eCollection 2020.
Tuberculosis (TB), the leading cause of death due to an infectious agent, requires prolonged and costly drug treatments. With the rise in incidence of MDR and XDR TB, newer more efficacious treatments which are better able to permeate into the deeper recesses of the human lung where bacteria reside are urgently required. To this end, two new promising drug candidates, the decoquinate derivative RMB041 and the phenoxazine PhX1, were assessed for their abilities to permeate into specific murine organs. In particular, PhX1 permeation into the lungs and heart was notably efficient, as reflected in the high relative AUC values of 9669 ± 120.2 min/nmol/mg and 12450 ± 45.2 min/nmol/mg for lung and heart tissue, respectively. However, neither compound maintained a free concentration in the lung which exceeded the compound's respective MIC values, indicating the importance of correcting for organ specific binding.
结核病(TB)是由传染性病原体导致的主要死因,需要长期且昂贵的药物治疗。随着耐多药结核病(MDR-TB)和广泛耐药结核病(XDR-TB)发病率的上升,迫切需要更新、更有效的治疗方法,这些方法应能更好地渗透到细菌所在的人类肺部更深的区域。为此,评估了两种新的有前景的候选药物,癸氧喹酯衍生物RMB041和吩恶嗪PhX1渗透到特定小鼠器官的能力。特别是,PhX1对肺和心脏的渗透尤为有效,肺组织和心脏组织的相对AUC值分别高达9669±120.2分钟/纳摩尔/毫克和12450±45.2分钟/纳摩尔/毫克,这反映了这一点。然而,两种化合物在肺中的游离浓度均未超过其各自的最低抑菌浓度(MIC)值,这表明校正器官特异性结合的重要性。