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Eradication of methicillin-resistant Staphylococcus aureus infection by nanoliposomes loaded with gentamicin and
Davod Ghoochi Atashbeyk1, Bahman Khameneh, Mohsen Tafaghodi
1Students Research Committee, Mashhad University of Medical Sciences , Mashhad , Iran .
Context:
Methicillin-resistant Staphylococcus aureus (MRSA) infection with its high incidence is responsible for nosocomial infections. MRSA strains resistant to multiple antibiotics have emerged increasingly. Recently, combination therapy and efficient drug delivery systems are developed to treat infections.
Objective:
The aim of the present study was to evaluate antibacterial activities of combination of oleic acid and gentamicin against MRSA, in both free and liposomal forms, and in comparison with vancomycin.
Materials And Methods:
The antibacterial activities against MRSA ATCC 43300 were assessed by the determination of minimum inhibitory concentration (MIC), MBC, and Fractional Inhibitory Concentration Index (FICI). The time-kill assays were performed to evaluate the potency of antibacterial agents. Nanoliposomal formulations of gentamicin, oleic acid, and combination of gentamicin with oleic acid were prepared by the dehydration-rehydration (DRV) method and characterized for size, zeta potential, and encapsulation efficiency.
Results:
MIC values of gentamicin and oleic acid were 19.5 and >250 µg/ml, respectively. Synergetic effects were observed by the gentamicin and oleic acid combination; FICI was 0.5. Following incorporation of gentamicin into liposomal gentamicin and liposomal combination, the MIC values were reduced 15- and 27-fold, respectively. In comparison with vancomycin, liposomal combination was more effective in bacterial inhibition and killing. Liposomal combination was the most effective formula in time-kill study.
Discussion And Conclusion:
Liposomal formulation showed a higher antibacterial activity in comparison with the free forms and vancomycin. These carriers can improve antimicrobial activity as well as reducing the effective concentration required and inducing rapid bacterial clearance.
Insights
This study shows liposomal formulations of oleic acid and gentamicin exhibit enhanced antibacterial activity against Methicillin-resistant Staphylococcus aureus (MRSA). Liposomal combinations effectively combat MRSA, outperforming vancomycin and free drug forms.
Area of Science:
- Microbiology
- Nanotechnology
- Pharmacology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant cause of hospital-acquired infections, with increasing antibiotic resistance.
- Novel therapeutic strategies, including combination therapies and advanced drug delivery systems, are crucial for combating MRSA infections.
Purpose of the Study:
- To evaluate the antibacterial efficacy of combining oleic acid and gentamicin against MRSA.
- To compare the activity of free and liposomal formulations of this combination against vancomycin.
Main Methods:
- Antibacterial activity was assessed using minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), and Fractional Inhibitory Concentration Index (FICI).
- Time-kill assays were conducted to determine potency.
- Nanoliposomal formulations were prepared using the dehydration-rehydration (DRV) method and characterized.
Main Results:
- The combination of gentamicin and oleic acid demonstrated synergistic effects (FICI = 0.5).
- Liposomal encapsulation significantly reduced MIC values for gentamicin and the combination (15- and 27-fold reductions, respectively).
- The liposomal combination exhibited superior antibacterial activity compared to vancomycin and free drug forms in both inhibition and killing assays.
Conclusions:
- Liposomal formulations enhance antibacterial activity against MRSA compared to free forms.
- These nanocarriers improve antimicrobial efficacy, reduce required drug concentrations, and promote faster bacterial clearance.
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