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Anti-transferrin receptor-modified amphotericin B-loaded PLA-PEG nanoparticles cure Candidal meningitis and reduce
Xiaolong Tang1, Yong Liang2, Yongqiang Zhu3
1Clinical Laboratory, Huainan First People's Hospital and First Affiliated Hospital of Medical College, Anhui University of Science & Technology, Huainan, People's Republic of China ; State Key Laboratory of Virology/Institute of Medical Virology, School of Basic Medical Sciences, Wuhan University, Wuhan, People's Republic of China.
Abstract:
Fatal fungal infections in central nervous system (CNS) can occur through hematogenous spread or direct extension. At present, hydrophobic amphotericin B (AMB) is the most effective antifungal drug in clinical trials. However, AMB is hydrophobic and therefore penetrates poorly into the CNS, and therapeutic levels of AMB are hard to achieve. The transferrin receptor (TfR/CD71) located at the blood-brain barrier mediates transferrin transcytosis. In order to enhance the receptor-mediated delivery of AMB into CNS with therapeutic level, an anti-TfR antibody (OX26)-modified AMB-loaded PLA (poly[lactic acid])-PEG (polyethylene glycol)-based micellar drug delivery system was constructed. The prepared OX26-modified AMB-loaded nanoparticles (OX26-AMB-NPs) showed significant reduction of CNS fungal burden and an increase of mouse survival time. In conclusion, OX26-AMB-NPs represent a promising novel drug delivery system for intracerebral fungal infection.
Insights
Researchers developed a novel nanoparticle delivery system to improve antifungal treatment for fungal infections in the central nervous system (CNS). This new system enhances drug delivery to the brain, reducing fungal burden and increasing survival rates in mice.
Area of Science:
- Nanotechnology
- Neuroscience
- Pharmacology
Background:
- Fatal fungal infections in the central nervous system (CNS) are challenging due to poor drug penetration.
- Amphotericin B (AMB) is effective but hydrophobic, limiting its CNS therapeutic levels.
- The transferrin receptor (TfR/CD71) at the blood-brain barrier offers a potential route for drug delivery.
Purpose of the Study:
- To enhance receptor-mediated delivery of AMB into the CNS.
- To develop a novel drug delivery system for treating intracerebral fungal infections.
Main Methods:
- Construction of an anti-TfR antibody (OX26)-modified AMB-loaded poly[lactic acid]-polyethylene glycol (PLA-PEG) micellar system.
- Preparation of OX26-modified AMB-loaded nanoparticles (OX26-AMB-NPs).
- Evaluation of the system's efficacy in reducing CNS fungal burden and improving survival in a mouse model.
Main Results:
- The prepared OX26-AMB-NPs demonstrated significant reduction of fungal burden in the CNS.
- Treatment with OX26-AMB-NPs led to an increased mouse survival time.
- The nanoparticles successfully utilized the TfR pathway for enhanced brain delivery.
Conclusions:
- OX26-AMB-NPs represent a promising novel drug delivery system for intracerebral fungal infections.
- Targeted delivery via the TfR enhances therapeutic efficacy for CNS fungal infections.
- This approach offers a potential strategy to overcome the challenge of poor drug penetration into the CNS.
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