Intracellular Activity of Poly (DL-Lactide-co-Glycolide) Nanoparticles Encapsulated with Prothionamide, Pyrazinamide, Levofloxacin, Linezolid, or Ethambutol on Multidrug-Resistant Mycobacterium tuberculosis.

IF 2.8 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Huixian Jiang, Xiang Li, Zhenjian Xing, Qun Niu, Jiangping Xu
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引用次数: 2

Abstract

Background: Multidrug-resistant Mycobacterium tuberculosis (MDR-TB) is a major cause of death amongst tuberculosis patients. Nanomedicine avoids some limitations of conventional drug treatment and increases therapeutic efficacy against bacterial infections. However, the effect of anti-TB drug nanoparticle (NP) compounds in anti-TB regimens against MDR-TB remains unclear.

Objective: The objective of this article is to prepare levofloxacin, linezolid, ethambutol, prothionamide, and pyrazinamide encapsulated NPs and to evaluate their therapeutic efficacy against MDR-TB in macrophages.

Methods: Drug-loaded PLGA NPs were prepared by the multiple emulsion method. The colocalization, intracellular release, and anti-TB activity of these NPs were investigated on cultured macrophages. The immune phenotype of the macrophages, including their mitochondrial membrane potential, reactive oxygen species (ROS), and nitric oxide (NO) production, was evaluated following treatment with NPs or free drug compounds.

Results: All drug-loaded PLGA NPs were spherical in shape, 150 to 210 nm in size, and showed 14.22% to 43.51% encapsulation efficiencies and long-duration release. Drug-loaded PLGA NPs were mainly distributed in the cytoplasm of macrophages, showed high cellular compatibility, and maintained their concentration for at least 13 days. Compared with the free drug compounds, the number of colonies after exposure to PLGA NP compounds was significantly less. The enhanced antibacterial activity of the NP compounds may be due to the enhanced levels of ROS and NO and the increased early apoptosis stress within M. tuberculosis-infected macrophages additionally.

Conclusion: The application of PLGA NP compounds not only enhances drug efficacy but also induces innate bactericidal events in macrophages, confirming this as a promising approach for MDR-TB therapy.

用丙硫酰胺、吡嗪酰胺、左氧氟沙星、利奈唑胺或乙胺丁醇包封的聚乳酸-羟基乙酸酯纳米颗粒对耐多药结核分枝杆菌的胞内活性
背景:耐多药结核分枝杆菌(MDR-TB)是结核病患者死亡的主要原因。纳米医学避免了传统药物治疗的一些局限性,提高了对细菌感染的治疗效果。然而,抗结核药物纳米颗粒(NP)化合物在抗结核方案中对耐多药结核病的作用尚不清楚。目的:制备左氧氟沙星、利奈唑胺、乙胺丁醇、丙硫酰胺和吡嗪酰胺包封的NPs,并评价其对巨噬细胞耐多药结核病的治疗效果。方法:采用多乳法制备载药PLGA NPs。在培养的巨噬细胞上研究了这些NPs的共定位、细胞内释放和抗结核活性。在使用NPs或游离药物化合物治疗后,评估巨噬细胞的免疫表型,包括其线粒体膜电位、活性氧(ROS)和一氧化氮(NO)的产生。结果:所有载药的PLGA NPs为球形,尺寸为150 ~ 210 nm,包封率为14.22% ~ 43.51%,缓释时间长。载药PLGA NPs主要分布在巨噬细胞的细胞质中,具有较高的细胞相容性,其浓度至少维持13天。与游离药物化合物相比,暴露于PLGA NP化合物后的菌落数量明显减少。NP化合物抗菌活性的增强可能与M. tuberculosis感染巨噬细胞中ROS和NO水平的升高以及早期凋亡应激的增加有关。结论:应用PLGA NP化合物不仅可以提高药物疗效,还可以诱导巨噬细胞的先天杀菌事件,证实了这是一种很有前景的耐多药结核病治疗方法。
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来源期刊
Current drug delivery
Current drug delivery PHARMACOLOGY & PHARMACY-
CiteScore
5.10
自引率
4.20%
发文量
170
期刊介绍: Current Drug Delivery aims to publish peer-reviewed articles, research articles, short and in-depth reviews, and drug clinical trials studies in the rapidly developing field of drug delivery. Modern drug research aims to build delivery properties of a drug at the design phase, however in many cases this idea cannot be met and the development of delivery systems becomes as important as the development of the drugs themselves. The journal aims to cover the latest outstanding developments in drug and vaccine delivery employing physical, physico-chemical and chemical methods. The drugs include a wide range of bioactive compounds from simple pharmaceuticals to peptides, proteins, nucleotides, nucleosides and sugars. The journal will also report progress in the fields of transport routes and mechanisms including efflux proteins and multi-drug resistance. The journal is essential for all pharmaceutical scientists involved in drug design, development and delivery.
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