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.

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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