张涛, 张馨欣, 甘勇, 吴娜, 祝菁菁, 何淑芳, 刘辉. 聚乙二醇化多粘菌素E对革兰阴性菌感染的治疗效果及降低肾毒性的作用J. 药学学报, 2015,50(5): 605-612.
引用本文: 张涛, 张馨欣, 甘勇, 吴娜, 祝菁菁, 何淑芳, 刘辉. 聚乙二醇化多粘菌素E对革兰阴性菌感染的治疗效果及降低肾毒性的作用J. 药学学报, 2015,50(5): 605-612.
ZHANG Tao, ZHANG Xin-xin, GAN Yong, WU Na, ZHU Jing-jing, HE Shu-fang, LIU Hui. Therapeutic efficacy of pegylated polymyxin E in the treatment of infection induced by gramnegative bacteria and the effect of reducing nephrotoxicityJ. Acta Pharmaceutica Sinica, 2015,50(5): 605-612.
Citation: ZHANG Tao, ZHANG Xin-xin, GAN Yong, WU Na, ZHU Jing-jing, HE Shu-fang, LIU Hui. Therapeutic efficacy of pegylated polymyxin E in the treatment of infection induced by gramnegative bacteria and the effect of reducing nephrotoxicityJ. Acta Pharmaceutica Sinica, 2015,50(5): 605-612.

聚乙二醇化多粘菌素E对革兰阴性菌感染的治疗效果及降低肾毒性的作用

Therapeutic efficacy of pegylated polymyxin E in the treatment of infection induced by gramnegative bacteria and the effect of reducing nephrotoxicity

  • 摘要: 多粘菌素E (polymyxin E, PME) 能有效治疗耐药性革兰阴性菌引发的各类感染, 但是其明显的肾脏毒性却严重限制了该药物的临床应用。本研究采用化学合成的方法制备了聚乙二醇2000单甲醚-多粘菌素E (mPEG2K-PME), 并对其进行了初步表征。在体外抗菌实验和细胞毒性实验的基础上, 进一步构建小鼠大肠杆菌腹腔感染模型, 考察mPEG2K-PME对腹腔感染小鼠的治疗效果及其对肾组织的毒性作用。结果表明: mPEG2K-PME在体外环境下对大肠杆菌具有明显的抑制作用, 对HK-2细胞的毒性降低; 在体内对小鼠腹腔感染具有良好的治疗效果, 肾毒性明显降低, 有望开发成高效低毒的新型制剂。

     

    Abstract: Polymyxin E shows effective treatment of the infection induced by resistant gramnegative bacteria, but its nephrotoxicity severely limits the clinical application of this drug. In this work, methoxypolyethylene glycols 2000 (mPEG2K)-polymyxin E (PME) was synthesized via chemical grafting reaction and had been characterized. The antimicrobial activity and cytotoxicity of mPEG2K-PME in vitro were investigated on Escherichia coli and HK-2 cells, separately. Intra-abdominal infection model was further established in order to study the therapeutic effect and the toxic effect on kidney of mice. The results showed that mPEG2K-PME exhibited significant inhibitory effect on Escherichia coli and had a lower toxicity on HK-2 cells in vitro. At the same time, mPEG2K-PME had a good efficacy in the treatment of Escherichia coli infected mice in vivo. Moreover, nephrotoxicity caused by mPEG2K-PME was significantly reduced compared to free PME. mPEG2K-PME is promising in development of new preparations with high efficiency and low toxicity.

     

/

返回文章
返回