Department of Industrial and Physical Pharmacy, College of Pharmacy, Purdue University, 575 Stadium Mall Drive, West Lafayette, Indiana, 47907, USA.
School of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou, 510006, People's Republic of China.
AAPS PharmSciTech. 2024 Feb 17;25(3):40. doi: 10.1208/s12249-024-02753-6.
Respiratory tract infections caused by multi-drug-resistant (MDR) bacteria have been a severe risk to human health. Colistin is often used to treat the MDR Gram-negative bacterial infections as a last-line therapy. Inhaled colistin can achieve a high concentration in the lung but none of aerosolized colistin products has been approved in the USA. Liposome has been reported as an advantageous formulation strategy for antibiotics due to its controlled release profile and biocompatibility. We have developed colistin liposomal formulations in our previous study. In the present study, the cellular uptake and transport of colistin in colistin liposomes were examined in two human lung epithelium in vitro models, Calu-3 monolayer and EpiAirway 3D tissue models. In both models, cellular uptake (p < 0.05) and cellular transport (p < 0.01) of colistin were significantly reduced by the colistin liposome compared to the colistin solution. Our findings indicate that inhaled colistin liposomes could be a promising treatment for extracellular bacterial lung infections caused by MDR Pseudomonas aeruginosa (P. aeruginosa).
由多药耐药(MDR)细菌引起的呼吸道感染一直是对人类健康的严重威胁。多粘菌素常被用作治疗 MDR 革兰氏阴性菌感染的最后一线治疗药物。吸入性多粘菌素可在肺部达到高浓度,但在美国尚未批准任何一种雾化多粘菌素产品。脂质体由于其控释特性和生物相容性已被报道为抗生素的一种有利制剂策略。我们在之前的研究中已经开发出多粘菌素脂质体制剂。在本研究中,我们在两种体外人肺上皮模型(Calu-3 单层和 EpiAirway 3D 组织模型)中研究了多粘菌素脂质体中多粘菌素的细胞摄取和转运。在这两种模型中,与多粘菌素溶液相比,多粘菌素脂质体显著降低了多粘菌素的细胞摄取(p<0.05)和细胞转运(p<0.01)。我们的研究结果表明,吸入性多粘菌素脂质体可能是治疗由多药耐药铜绿假单胞菌(P. aeruginosa)引起的细胞外细菌肺部感染的一种有前途的治疗方法。
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