Nanocapsules modify membrane interaction of polymyxin B to enable safe systemic therapy of Gram-negative sepsis

Simseok A Yuk1, Hyungjun Kim1,2, Nader S Abutaleb3,4

  • 1Department of Industrial and Physical Pharmacy, Purdue University, 575 Stadium Mall Drive, West Lafayette, IN 47907, USA.

Science Advances
|August 7, 2021
PubMed

Insights

A novel nanoparticle system, D-TZP, effectively treats Gram-negative sepsis by reducing Polymyxin B toxicity while maintaining its antibacterial and endotoxin-inactivating properties. This breakthrough offers a safer systemic intervention for sepsis patients.

Area of Science:

  • Nanomedicine
  • Pharmacology
  • Infectious Diseases

Background:

  • Systemic treatment of Gram-negative sepsis is challenging.
  • Polymyxin B (PMB) shows promise for sepsis due to its endotoxin affinity and antibacterial activity, but dose-limiting toxicity restricts its use.
  • Developing safer delivery systems for PMB is crucial for effective sepsis therapy.

Purpose of the Study:

  • To develop and evaluate a nanoparticulate system (D-TZP) for safe systemic delivery of Polymyxin B.
  • To assess D-TZP's ability to reduce PMB-associated toxicity to mammalian cells while preserving its therapeutic efficacy against Gram-negative bacteria and endotoxins.
  • To determine D-TZP's effectiveness in animal models of endotoxemia and sepsis.

Main Methods:

  • D-TZP was formulated as an iron-complexed tannic acid nanocapsule with a vitamin D core, coated with PMB and a chitosan derivative.
  • In vitro studies assessed D-TZP's membrane toxicity, endotoxin inactivation, and antibacterial activity against Gram-negative bacteria.
  • In vivo studies evaluated D-TZP's efficacy in protecting animals from pre-established endotoxemia and polymicrobial sepsis after intravenous injection.

Main Results:

  • D-TZP significantly attenuated the membrane toxicity of PMB.
  • D-TZP retained the endotoxin-inactivating and Gram-negative antibacterial activities of PMB.
  • Intravenous administration of D-TZP protected animals from endotoxemia and sepsis without exhibiting PMB-inherent toxicities.

Conclusions:

  • D-TZP represents a safe and effective nanoparticulate system for the systemic delivery of Polymyxin B.
  • This novel system overcomes the toxicity limitations of PMB, offering a promising therapeutic strategy for Gram-negative sepsis.
  • D-TZP supports the potential for enhanced systemic intervention in sepsis management.