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Published on: February 14, 2018
Antifungal activity of amphotericin B conjugated to carbon nanotubes
Monica Benincasa1, Sabrina Pacor, Wei Wu
1Department of Life Sciences, University of Trieste, Italy.
Abstract:
Amphotericin B (AMB) has long been considered the most effective drug in the treatment of serious invasive fungal infections. There are, however, major limitations to its use, due to several adverse effects, including acute infusional reactions and, most relevant, a dose-dependent nephrotoxicity. At least some of these effects are attributed to the aggregation of AMB as a result of its poor water solubility. To overcome this problem, reformulated versions of the drug have been developed, including a micellar dispersion of AMB with sodium deoxycholate (AMBD), its encapsulation into liposomes, or its incorporation into lipidic complexes. The development of nanobiotechnologies provides novel potential drug delivery systems that make use of nanomaterials such as functionalized carbon nanotubes (f-CNTs), which are emerging as an innovative and efficient tool for the transport and cellular translocation of therapeutic molecules. In this study, we prepared two conjugates between f-CNTs and AMB. The antifungal activity of these conjugates was tested against a collection of reference and clinical fungal strains, in comparison to that of AMB alone or AMBD. Measured minimum inhibition concentration (MIC) values for f-CNT-AMB conjugates were either comparable to or better than those displayed by AMB and AMBD. Furthermore, AMBD-resistant Candida strains were found to be susceptible to f-CNT-AMB 1. Additional studies, aimed at understanding the mechanism of action of the conjugates, suggest a nonlytic mechanism, since the compounds show a major permeabilizing effect on the tested fungal strains only after extended incubation. Interestingly, the f-CNT-AMB 1 does not show any significant toxic effect on Jurkat cells at antifungal concentrations.
Insights
Functionalized carbon nanotubes (f-CNTs) conjugated with Amphotericin B (AMB) show potent antifungal activity, even against resistant strains. These f-CNT-AMB conjugates demonstrate reduced toxicity, offering a promising alternative for treating invasive fungal infections.
Area of Science:
- * Nanotechnology and Materials Science
- * Pharmaceutical Sciences
- * Mycology
Background:
- * Amphotericin B (AMB) is a primary antifungal agent but suffers from poor solubility and dose-dependent nephrotoxicity.
- * Existing formulations like AMBD, liposomes, and lipid complexes aim to mitigate AMB's limitations.
- * Functionalized carbon nanotubes (f-CNTs) offer novel drug delivery potential for enhanced therapeutic efficacy.
Purpose of the Study:
- * To develop and evaluate novel Amphotericin B-functionalized carbon nanotube conjugates (f-CNT-AMB).
- * To assess the in vitro antifungal activity and mechanism of action of f-CNT-AMB conjugates.
- * To investigate the cytotoxicity of f-CNT-AMB conjugates on human cells.
Main Methods:
- * Synthesis of two distinct f-CNT-AMB conjugates.
- * Determination of minimum inhibitory concentration (MIC) against reference and clinical fungal strains.
- * Evaluation of antifungal activity compared to AMB and AMBD.
- * Investigation of the mechanism of action, focusing on membrane permeabilization.
- * Cytotoxicity assessment on Jurkat cells.
Main Results:
- * f-CNT-AMB conjugates exhibited antifungal activity comparable to or superior to AMB and AMBD.
- * Candida strains resistant to AMBD were susceptible to f-CNT-AMB 1.
- * The mechanism of action appears to be nonlytic, involving delayed membrane permeabilization.
- * f-CNT-AMB 1 demonstrated no significant toxicity to Jurkat cells at effective antifungal concentrations.
Conclusions:
- * f-CNT-AMB conjugates represent a promising strategy to enhance AMB's therapeutic profile.
- * These novel conjugates offer potent antifungal activity and improved safety, addressing key limitations of conventional AMB formulations.
- * Nanotechnology-based drug delivery systems hold significant potential for combating invasive fungal infections.
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