Unleashing Fungicidal Forces: Exploring the Synergistic Power of Amphotericin B-Loaded Nanoparticles and Monoclonal
Carla Soares de Souza1, Victor Ropke da Cruz Lopes1, Gabriel Barcellos2
1Laboratório de Tecnologia Imunológica (LATIM), Bio-Manguinhos, Fundação Oswaldo Cruz, Rio de Janeiro 21040-900, Brazil.
Abstract:
Fungal infections cause 1.7 million deaths annually, which can be attributed not only to fungus-specific factors, such as antifungal resistance and biofilm formation, but also to drug-related challenges. In this study, the potential of Amphotericin (AmB) loaded polymeric nanoparticles (AmB-NPs) combined with murine monoclonal antibodies (mAbs) (i.e., CC5 and DD11) was investigated as a strategy to overcome these challenges. To achieve this goal, AmB-NPs were prepared by nanoprecipitation using different polymers (polycaprolactone (PCL) and poly(D,L-lactide) (PLA)), followed by comprehensive characterization of their physicochemical properties and in vitro biological performance. The results revealed that AmB-loaded NPs exhibited no cytotoxicity toward mammalian cells (baby hamster kidney cells-BHK and human monocyte cells-THP-1). Conversely, both AmB-NPs demonstrated a cytotoxic effect against C. albicans, C. neoformans, and H. capsulatum throughout the entire evaluated range (from 10 µg/mL to 0.1 µg/mL), with a significant MIC of up to 0.031 µg/mL. Moreover, the combination of AmB-NPs with mAbs markedly intensified antifungal activity, resulting in a synergistic effect that was two to four times greater than that of AmB-NPs alone. These findings suggest that the combination of AmB-NPs with mAbs could be a promising new treatment for fungal infections that is potentially more effective and less toxic than current antifungal treatments.
Insights
New polymeric nanoparticles loaded with Amphotericin B (AmB-NPs) show potent antifungal activity. Combining AmB-NPs with monoclonal antibodies (mAbs) creates a synergistic effect, offering a promising new treatment for fungal infections.
Area of Science:
- Nanotechnology in Medicine
- Mycology
- Immunology
Background:
- Fungal infections cause significant mortality annually.
- Antifungal resistance and drug challenges limit current treatments.
- Novel therapeutic strategies are crucial for combating invasive fungal diseases.
Purpose of the Study:
- To investigate Amphotericin B (AmB) loaded polymeric nanoparticles (AmB-NPs) as a potential antifungal agent.
- To evaluate the synergistic effect of AmB-NPs combined with murine monoclonal antibodies (mAbs) CC5 and DD11.
- To assess the safety and efficacy of this combination therapy against pathogenic fungi.
Main Methods:
- AmB-NPs were prepared using nanoprecipitation with polycaprolactone (PCL) and poly(D,L-lactide) (PLA) polymers.
- Physicochemical properties and in vitro biological performance of AmB-NPs were characterized.
- Cytotoxicity assays on mammalian cells (BHK, THP-1) and antifungal activity against *C. albicans*, *C. neoformans*, and *H. capsulatum* were performed.
Main Results:
- AmB-NPs exhibited no cytotoxicity towards mammalian cells.
- AmB-NPs demonstrated significant cytotoxic effects against tested fungal species with a minimum inhibitory concentration (MIC) up to 0.031 µg/mL.
- The combination of AmB-NPs with mAbs resulted in a 2-4 fold increase in antifungal activity, indicating a synergistic effect.
Conclusions:
- AmB-NPs are a safe and effective antifungal agent against key pathogenic fungi.
- The combination of AmB-NPs with specific mAbs significantly enhances antifungal potency.
- This combination therapy represents a promising, potentially less toxic alternative to current antifungal treatments for invasive fungal infections.
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