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Kinetics of the uptake of antimicrobial agents by human polymorphonuclear leucocytes

H Laufen1, A Wildfeuer

  • 1Research and Development Division, Heinrich Mack Nachf., Illertissen, Fed. Rep. of Germany.

Arzneimittel-Forschung
|February 1, 1989
PubMed

Insights

Josamycin, erythromycin, and tetracycline uptake by human immune cells (PMNs) varies significantly, with josamycin showing the fastest cellular accumulation. This research highlights differential antibiotic transport mechanisms in immune cells.

Area of Science:

  • Pharmacology
  • Cell Biology
  • Immunology

Background:

  • Antimicrobial agents are crucial for treating infections.
  • Understanding cellular uptake mechanisms of antibiotics by immune cells is vital for optimizing therapeutic efficacy.
  • Polymorphonuclear leucocytes (PMNs) play a key role in host defense against microbial pathogens.

Purpose of the Study:

  • To quantify and compare the in-vitro cellular uptake and elimination rates of josamycin, erythromycin, and tetracycline in human PMNs.
  • To investigate the influence of drug lipophilicity and temperature on antibiotic transport kinetics.
  • To explore potential mechanisms involved in the cellular accumulation of these antimicrobial agents.

Main Methods:

  • Utilized radiolabelled antimicrobial drugs to measure in-vitro uptake and elimination rate constants.
  • Employed the velocity gradient centrifugation technique for cellular analysis.
  • Assayed drug concentrations in normal human PMNs at therapeutically relevant extracellular levels.

Main Results:

  • Antibiotic uptake rates increased in the order: tetracycline < erythromycin < josamycin.
  • Observed rapid josamycin uptake (half-life: 0.8 min) attributed to its high lipophilicity.
  • Accumulation significantly exceeded elimination, suggesting directional transport or rate-limiting intracellular dissociation.
  • Identified distinct temperature dependencies for uptake, with activation energies of 114.2 kJ/mol (josamycin), 68.6 kJ/mol (erythromycin), and 52.2 kJ/mol (tetracycline).

Conclusions:

  • Josamycin exhibits exceptionally rapid cellular uptake by PMNs compared to erythromycin and tetracycline.
  • Differences in uptake kinetics are linked to drug lipophilicity and membrane transport mechanisms.
  • Evidence suggests the nucleoside carrier system may contribute to josamycin transport into PMNs.
  • Findings provide insights into the pharmacokinetics of macrolides and tetracyclines within immune cells.

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