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Intracellular accumulation, subcellular distribution and efflux of tilmicosin in swine phagocytes

B Scorneaux1, T R Shryock

  • 1Animal science Research, Elanco Animal Health, Greenfield, IN 46140, USA. Scorneaux_Bernard@Lilly.com

Insights

Tilmicosin, an antibiotic for swine, is effectively accumulated by swine phagocytes, including neutrophils and macrophages. This uptake and subsequent release suggest a key role in the drug

Area of Science:

  • Veterinary Pharmacology
  • Immunology
  • Antimicrobial Agents

Background:

  • Tilmicosin is a semi-synthetic macrolide antibiotic used in veterinary medicine for cattle and swine respiratory diseases.
  • Low concentrations of tilmicosin in swine lung tissue necessitate understanding its interaction with phagocytic cells for clinical efficacy.

Purpose of the Study:

  • To evaluate the interaction of tilmicosin with swine phagocytes (monocyte-macrophages, alveolar macrophages, neutrophils).
  • To elucidate the role of these interactions in the clinical efficacy of tilmicosin in swine.

Main Methods:

  • Incubation of swine phagocytes with radiolabelled tilmicosin.
  • Measurement of tilmicosin uptake (intracellular to extracellular concentration ratio, Ci/Ce) and localization (lysosomes).
  • Assessment of uptake dependency on cell viability, temperature, pH, metabolic inhibitors, and lipopolysaccharide (LPS) exposure.
  • Evaluation of tilmicosin efflux from neutrophils, alveolar macrophages, and monocyte-derived macrophages.
  • Measurement of lysosomal enzyme production and assessment of bioactive tilmicosin transport and efflux by neutrophils.

Main Results:

  • Swine phagocytes avidly accumulated tilmicosin (Ci/Ce 48-69 at 4 h), with 51-85% localized in lysosomes.
  • Uptake was dependent on cell viability, temperature, and pH, but enhanced by LPS exposure.
  • Neutrophils exhibited significant efflux of tilmicosin, while macrophages retained higher intracellular concentrations.
  • Tilmicosin uptake increased lysosomal enzyme production, and neutrophils transported and effluxed bioactive tilmicosin.

Conclusions:

  • Tilmicosin is actively taken up and retained by swine phagocytes, with differential efflux rates between neutrophils and macrophages.
  • The drug's interaction with phagocytes, including lysosomal enzyme induction and bioactive efflux, suggests a significant role in its clinical efficacy against swine respiratory diseases.

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