A long-acting formulation of rifabutin is effective for prevention and treatment of Mycobacterium tuberculosis.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
08 08 2022
Historique:
received: 11 02 2022
accepted: 14 07 2022
entrez: 8 8 2022
pubmed: 9 8 2022
medline: 11 8 2022
Statut: epublish

Résumé

Tuberculosis (TB) is a communicable disease caused by Mycobacterium tuberculosis (Mtb) and is a major cause of morbidity and mortality. Successful treatment requires strict adherence to drug regimens for prolonged periods of time. Long-acting (LA) delivery systems have the potential to improve adherence. Here, we show the development of LA injectable drug formulations of the anti-TB drug rifabutin made of biodegradable polymers and biocompatible solvents that solidifies after subcutaneous injection. Addition of amphiphilic compounds increases drug solubility, allowing to significantly increase formulation drug load. Solidified implants have organized microstructures that change with formulation composition. Higher drug load results in smaller pore size that alters implant erosion and allows sustained drug release. The translational relevance of these observations in BALB/c mice is demonstrated by (1) delivering high plasma drug concentrations for 16 weeks, (2) preventing acquisition of Mtb infection, and (3) clearing acute Mtb infection from the lung and other tissues.

Identifiants

pubmed: 35941109
doi: 10.1038/s41467-022-32043-3
pii: 10.1038/s41467-022-32043-3
pmc: PMC9360445
doi:

Substances chimiques

Antitubercular Agents 0
Rifabutin 1W306TDA6S

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

4455

Subventions

Organisme : NIAID NIH HHS
ID : R01 AI123010
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI140799
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA016086
Pays : United States

Informations de copyright

© 2022. The Author(s).

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Auteurs

Manse Kim (M)

International Center for the Advancement of Translational Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Claire E Johnson (CE)

International Center for the Advancement of Translational Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Alan A Schmalstig (AA)

Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Ayano Annis (A)

Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Sarah E Wessel (SE)

International Center for the Advancement of Translational Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Brian Van Horn (B)

UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Amanda Schauer (A)

UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Agata A Exner (AA)

Department of Radiology, Case Western Reserve University, Cleveland, OH, USA.

Jason E Stout (JE)

Division of Infectious Diseases, Department of Medicine, Duke University, Durham, NC, USA.

Angela Wahl (A)

International Center for the Advancement of Translational Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Miriam Braunstein (M)

Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

J Victor Garcia (J)

International Center for the Advancement of Translational Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. victor_garcia@med.unc.edu.
Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. victor_garcia@med.unc.edu.
Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. victor_garcia@med.unc.edu.

Martina Kovarova (M)

International Center for the Advancement of Translational Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. martina_kovarova@med.unc.edu.
Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. martina_kovarova@med.unc.edu.
Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. martina_kovarova@med.unc.edu.

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