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International Journal of Pharmaceutics

International Journal of Pharmaceutics

IF: 5.3
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Hypoxia-sensitive adjuvant loaded liposomes enhance the antimicrobial activity of azithromycin via phospholipase-triggered releasing for Pseudomonas aeruginosa biofilms eradication

Published:25 July 2022 DOI: 10.1016/j.ijpharm.2022.121910
Yiqin Rao , Yingying Sun , Pengyu Li , Mao Xu , Xiaonan Chen , Yalong Wang , Yan Chen , Xin Deng , Shihui Yu , Haiyan Hu

Abstract

Robust biofilms and the complex airway environment with thick sputum, local hypoxia and persistent inflammation induce the intractability of chronic pulmonary infections caused by Pseudomonas aeruginosa (P. aeruginosa). Herein, we proposed a type of antibiotic-adjuvant liposomes (NANO@PS-LPs), co-incorporating azithromycin (AZI), adjuvant (2-nitroimidazole derivative, 6-NIH) and biofilm dispersant (nitric oxide donor, DETA NONOate). NANO@PS-LPs possessing negatively-charged surface and good hydrophilicity could easily penetrate through the sputum layer, then disassembled triggered by overexpressed phospholipase A2 (PLA2) in the microenvironment around biofilms. Nitric oxide produced by DETA NONOate promoted P. aeruginosa biofilms dispersal. 6-NIH was reduced to 2-aminomidazole derivative (6-AIH) under a hypoxic condition, and hence acted as an AZI adjuvant to enhance the antibacterial activity of AZI. It was found that NANO@PS-LPs could significantly eliminate mature P. aeruginosa biofilms, effectively kill dispersed bacteria, inhibit the metabolism of survivors and prevent P. aeruginosa adherence to airway epithelial cells, accordingly restrain recurrent infections. Additionally, NANO@PS-LPs performed a remarkable advantage in killing AZI-resistant P. aeruginosa and removing their biofilms. In summary, NANO@PS-LPs present a potential nano-strategy to treat stubborn pseudomonal pulmonary infections and overcome correlative drug resistance.

Substances (4)

Materials
Procduct Name CAS Molecular Formula Supplier Price
QUINACRINE DIHYDROCHLORIDE 69-05-6 C23H32Cl3N3O 176 suppliers $9.00-$4155.00
QUINACRINE DIHYDROCHLORIDE 69-05-6 C23H32Cl3N3O 176 suppliers $9.00-$4155.00
QUINACRINE DIHYDROCHLORIDE 69-05-6 C23H32Cl3N3O 176 suppliers $9.00-$4155.00
QUINACRINE DIHYDROCHLORIDE 69-05-6 C23H32Cl3N3O 176 suppliers $9.00-$4155.00

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