Cationic Nanoemulsions Bearing Ciprofloxacin Surf-Plexes Enhances Its Therapeutic Efficacy in Conditions of E. coli Induced Peritonitis and Sepsis
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ABSTRACT
Purpose
Chitosan (CH) coated ciprofloxacin-sodium deoxycholate surfplex (CFn-SDC) loaded nanoemulsion (LE-CH-CFn-SDC) developed in order to improve tissue penetration of the CFn as well as to mop up the endotoxin (Lipopolysaccharides or LPS) released from bacteria during antibiotic treatment.
Methods
Size and zeta potential was evaluated for nanoemulsions prepared by high-speed homogenization and sonication. Drug analysis in samples was done by HPLC equipped with fluorescence detector. All formulations were evaluated for any change in LPS induced NO and TNF-α release and ROS generation in J774 macrophages. The formulations were also evaluated for in-vitro killing efficiency on E-Coli. The efficacy of formulations in terms of survival and pharmacokinetics and inhibition of induction of cytokines was carried out in E-coli induced peritonitis model in rats. LE-CH-CFn-SDC interacted with LPS both by electrostatic and hydrophobic interactions.
Results
LE-CH-CFn-SDC resulted in reduction of endotoxin release and MIC values for E. coli. LE-CH-CFn-SDC also reduced NO and TNF-α as well as ROS generation by reducing the uptake of LPS in J774 macrophages. LE-CH-CFn-SDC improved CFn pharmacokinetics and tissue distribution, by reducing the bacterial burden, LPS and cytokines (TNF-α and IL-6) thereby improving survival in a rat model of E. coli induced peritonitis.
Conclusion
In conclusion, this work highlights the effectiveness of the chitosan-coated nanoemulsion as intracorporeal approach for therapeutic intervention of E. coli induced peritonitis as well as in sepsis.
KEY WORDS
cationic nanoemulsion endotoxin peritonitis ROS sepsis tissue injuryABBREVIATIONS
- CFn
Ciprofloxacin
- CFn-SDC
Ciprofloxacin-sodium deoxycholate surfplex
- CFU
Colony forming units
- CH
Chitosan
- DCF
Carboxy 2,7-dichlorofluorescein
- DLS
Dynamic light scattering
- DMEM
Dulbecco’s modified eagle medium
- EE
Entrapment efficiency
- FBS
Fetal bovine serum
- FITC DCFH-DA
Carboxy 2,7-dichlorofluorescein diacetate
- IL-6
Interleukin-6
- LPS
Lipopolysaccharide
- MIC
Minimum inhibitory concentration
- mV
Milli-volt
- NO
Nitric oxide
- PF-68
Pluronic F-68
- ROS
Reactive oxygen species
- SI
Stimulatory index
- TLR-4
Toll like receptor-4
- TNF-α
Tissue necrosis factor alpha
Notes
Funding
The author acknowledges the funding received by ICMR (under Adhoc project) and Vikas Jain is acknowledges the support (as senior research fellowship) received from CSIR. New Delhi, India. The author also acknowledges funding from CSIR network project UNDO (BSC 0103).
REFERENCES
- 1.Oliva M, Rekha A, Yellin A, Pasternak J, Campos M, Rose G, et al. A multicenter trial of the efficacy and safety of tigecycline versus imipenem/cilastatin in patients with complicated intra-abdominal infections [study ID numbers: 3074A1-301-WW; ClinicalTrials.gov Identifier: NCT00081744]. BMC Infect Dis. 2005;5:88.PubMedCrossRefPubMedCentralGoogle Scholar
- 2.Bosscha K, Reijnders K, Hulstaert P, Algra A, Van der Werken C. Prognostic scoring systems to predict outcome in peritonitis and intra–abdominal sepsis. Br J Surg. 1997;84:1532–4.PubMedCrossRefGoogle Scholar
- 3.Xu J, Hoyert DL. Deaths: preliminary data for 2011. Natl Vital Stat Rep. 2012;61:1–64.PubMedGoogle Scholar
- 4.McClean KL, Sheehan GJ, Harding GKM. Intraabdominal infection: a review. Clin Infect Dis. 1994;19:100–16.PubMedCrossRefGoogle Scholar
- 5.Cruz DN, Perazella MA, Bellomo R, De Cal M, Polanco N, Corradi V, et al. Effectiveness of polymyxin B-immobilized fiber column in sepsis: a systematic review. Crit Care. 2007;11:R47.PubMedCrossRefPubMedCentralGoogle Scholar
- 6.Shimokawa K-I, Takakuwa R, Wada Y, Yamazaki N, Ishii F. Adsorption of various antimicrobial agents to endotoxin removal polymyxin-B immobilized fiber (Toraymyxin®). Part 2: adsorption of two drugs to Toraymyxin PMX-20R cartridges. Colloids Surf B: Biointerfaces. 2013;101:350–2.PubMedCrossRefGoogle Scholar
- 7.Brummelhuis WJ, Joles JA, Stam J, Verrips CT, Braam B. Biological and technical considerations regarding the removal of bacteriotoxins in sepsis with emphasis on toxic shock syndrome toxin 1. Shock. 2012;37:247.PubMedCrossRefGoogle Scholar
- 8.Blot S, De Waele JJ, Vogelaers D. Essentials for selecting antimicrobial therapy for intra-abdominal infections. Drugs. 2012;72:e17–32.PubMedCrossRefPubMedCentralGoogle Scholar
- 9.Jain V, Singodia D, Gupta GK, Garg D, Keshava GBS, Shukla R, et al. Ciprofloxacin surf-plexes in sub-micron emulsions: a novel approach to improve payload efficiency and antimicrobial efficacy. Int J Pharm. 2011;409:237–44.PubMedCrossRefGoogle Scholar
- 10.Shukla P, Gupta G, Singodia D, Shukla R, Verma AK, Dwivedi P, et al. Emerging trend in nano-engineered polyelectrolyte-based surrogate carriers for delivery of bioactives. Expert Opin Drug Deliv. 2010;7:993–1011.PubMedCrossRefGoogle Scholar
- 11.Gordon BR, Parker TS, Levine DM, Feuerbach F, Saal SD, Sloan B-J, et al. Neutralization of endotoxin by a phospholipid emulsion in healthy volunteers. J Infect Dis. 2005;191:1515–22.PubMedCrossRefGoogle Scholar
- 12.Buttenschoen K, Radermacher P, Bracht H. Endotoxin elimination in sepsis: physiology and therapeutic application. Langenbeck’s Arch Surg. 2010;395:597–605.CrossRefGoogle Scholar
- 13.Davydova VN, Bratskaya SY, Gorbach VI, Solov’eva TF, Kaca W, Yermak IM. Comparative study of electrokinetic potentials and binding affinity of lipopolysaccharides–chitosan complexes. Biophys Chem. 2008;136:1–6.PubMedCrossRefGoogle Scholar
- 14.Zhou H, Lengsfeld C, Claffey DJ, Ruth JA, Hybertson B, Randolph TW, et al. Hydrophobic ion pairing of isoniazid using a prodrug approach. J Pharm Sci. 2002;91:1502–11.PubMedCrossRefGoogle Scholar
- 15.Pearson F, Dubczak J, Weary M, Bruszer G, Donohue G. Detection of endotoxin in the plasma of patients with gram-negative bacterial sepsis by the Limulus amoebocyte lysate assay. J Clin Microbiol. 1985;21:865–8.PubMedPubMedCentralGoogle Scholar
- 16.Mettu SR, Wig JD, Khullar M, Singh G, Gupta R. Efficacy of serum nitric oxide level estimation in assessing the severity of necrotizing pancreatitis. Pancreatology. 2003;3:506–14.PubMedCrossRefGoogle Scholar
- 17.Mooreand SF, MacKenzie AB. NADPH oxidase NOX2 mediates rapid cellular oxidation following ATP stimulation of endotoxin-primed macrophages. J Immunol. 2009;183:3302–8.CrossRefGoogle Scholar
- 18.Fäldt P, Bergenståhl B, Claesson PM. Stabilization by chitosan of soybean oil emulsions coated with phospholipid and glycocholic acid. Colloids Surf A Physicochem Eng Asp. 1993;71:187–95.CrossRefGoogle Scholar
- 19.Washington C. The stability of intravenous fat emulsions in total parenteral nutrition mixtures. Int J Pharm. 1990;66:1–21.CrossRefGoogle Scholar
- 20.Kong M, Chen XG, Xing K, Park HJ. Antimicrobial properties of chitosan and mode of action: a state of the art review. Int J Food Microbiol. 2010;144:51–63.PubMedCrossRefGoogle Scholar
- 21.Liu H, Du Y, Wang X, Sun L. Chitosan kills bacteria through cell membrane damage. Int J Food Microbiol. 2004;95:147–55.PubMedCrossRefGoogle Scholar
- 22.Yermak IM, Davidova VN, Gorbach VI, Luk’yanov PA, Solov’eva TF, Ulmer AJ, et al. Forming and immunological properties of some lipopolysaccharide–chitosan complexes. Biochimie. 2006;88:23–30.PubMedCrossRefGoogle Scholar
- 23.Sun Y, Lu Y, Engeland CG, Gordon SC, Sroussi HY. The anti-oxidative, anti-inflammatory, and protective effect of S100A8 in endotoxemic mice. Mol Immunol. 2013;53:443–9.PubMedCrossRefPubMedCentralGoogle Scholar
- 24.Qiao Y, Bai X-F, Du Y-G. Chitosan oligosaccharides protect mice from LPS challenge by attenuation of inflammation and oxidative stress. Int Immunopharmacol. 2011;11:121–7.PubMedCrossRefGoogle Scholar
- 25.Koo JE, Park ZY, Kim ND, Lee JY. Sulforaphane inhibits the engagement of LPS with TLR4/MD2 complex by preferential binding to Cys133 in MD2. Biochem Biophys Res Commun. 2013;434:600–5.PubMedCrossRefGoogle Scholar
- 26.Goldfarb RD, Parker TS, Levine DM, Glock D, Akhter I, Alkhudari A, et al. Protein-free phospholipid emulsion treatment improved cardiopulmonary function and survival in porcine sepsis. Am J Physiol Regul Integr Comp Physiol. 2003;284:R550–7.PubMedGoogle Scholar
- 27.Lengsfeld C, Pitera D, Manning M, Randolph T. Dissolution and partitioning behavior of hydrophobic ion-paired compounds. Pharmaceut Res. 2002;19:1572–6.CrossRefGoogle Scholar
- 28.Mishra PR. An investigation on the approach to target lipopolysaccharide through polymeric capped nano-structured formulation for the management of sepsis. J Biomed Nanotechnol. 2011;7:47–9.PubMedCrossRefGoogle Scholar
- 29.Trautmann M, Heinemann M, Moricke A, Seidelmann M, Lorenz I, Berger D, et al. Endotoxin release due to ciprofloxacin measured by three different methods. J Chemother. 1999;11:248–54.PubMedCrossRefGoogle Scholar
- 30.Van Amersfoort ES, Van Berkel TJC, Kuiper J. Receptors, mediators, and mechanisms involved in bacterial sepsis and septic shock. Clin Microbiol Rev. 2003;16:379–414.PubMedCrossRefPubMedCentralGoogle Scholar
- 31.Wang HP, Liu HY, Jia ZJ, Olsen C, Litwin S, Guan GJ, et al. Nitro-oleic acid protects against endotoxin-induced endotoxemia and multiorgan injury in mice. Am J Physiol Renal Physiol. 2010;298:F754–62.PubMedCrossRefPubMedCentralGoogle Scholar
- 32.Chaudhry H, Zhou J, Zhong Y, Ali MM, McGuire F, Nagarkatti PS, et al. Role of cytokines as a double-edged sword in sepsis. In Vivo. 2013;27:669–84.PubMedGoogle Scholar
- 33.Lee CH, Hsiao CC, Hung CY, Lo HC. Combination treatment of parenteral arginine and nitric oxide inhibitor N-G-nitro-L-arginine methyl ester in rats with peritonitis. J Surg Res. 2013;181:99–105.PubMedCrossRefGoogle Scholar
- 34.Takeuchiand Y, Nikaido H. Persistence of segregated phospholipid domains in phospholipid-lipopolysaccharide mixed bilayers: studies with spin-labeled phospholipids. Biochemistry. 1981;20:523–9.CrossRefGoogle Scholar
- 35.Mueller M, Brandenburg K, Dedrick R, Schromm AB, Seydel U. Phospholipids inhibit lipopolysaccharide (LPS)-induced cell activation: a role for LPS-binding protein. J Immunol. 2005;174:1091–6.PubMedCrossRefGoogle Scholar
- 36.Stefan M, Melnig V, Pricop D, Neagu A, Mihasan M, Tartau L, et al. Attenuated effects of chitosan-capped gold nanoparticles on LPS-induced toxicity in laboratory rats. Mater Sci Eng C. 2013;33:550–6.CrossRefGoogle Scholar
- 37.Ma P, Liu H-T, Wei P, Xu Q-S, Bai X-F, Du Y-G, et al. Oligosaccharides inhibit LPS-induced over-expression of IL-6 and TNF-α in RAW264.7 macrophage cells through blockade of mitogen-activated protein kinase (MAPK) and PI3K/Akt signaling pathways. Carbohydr Polym. 2011;84:1391–8.CrossRefGoogle Scholar
- 38.Qiao Y, Ruan Y, Xiong C, Xu Q, Wei P, Ma P, et al. Chitosan oligosaccharides suppressant LPS binding to TLR4/MD-2 receptor complex. Carbohydr Polym. 2010;82:405–11.CrossRefGoogle Scholar
- 39.Bochkov VN, Kadl A, Huber J, Gruber F, Binder BR, Leitinger N. Protective role of phospholipid oxidation products in endotoxin-induced tissue damage. Nature. 2002;419:77–81.PubMedCrossRefGoogle Scholar
- 40.Jacksonand SK, Parton J. Lysophospholipid acyltransferases in monocyte inflammatory responses and sepsis. Immunobiology. 2004;209:31–8.CrossRefGoogle Scholar
- 41.Harris HW, Brady SE, Rapp JH. Hepatic endosomal trafficking of lipoprotein-bound endotoxin in rats. J Surg Res. 2002;106:188–95.PubMedCrossRefGoogle Scholar
- 42.Simovicand S, Prestidge CA. Nanoparticle layers controlling drug release from emulsions. Eur J Pharm Biopharm. 2007;67:39–47.CrossRefGoogle Scholar
- 43.Tilney NL. Patterns of lymphatic drainage in the adult laboratory rat. J Anat. 1971;109:369.PubMedPubMedCentralGoogle Scholar
- 44.Parker R, Priester E, Sieber S. Comparison of lymphatic uptake, metabolism, excretion, and biodistribution of free and liposome-entrapped [14C] cytosine beta-D-arabinofuranoside following intraperitoneal administration to rats. Drug Metab Dispos. 1982;10:40–6.PubMedGoogle Scholar
- 45.Olinand T, Saldeen T. The lymphatic pathways from the peritoneal cavity: a lymphangiographic study in the rat. Cancer Res. 1964;24:1700–11.Google Scholar
- 46.Zhao X, Yin L, Ding J, Tang C, Gu S, Yin C, et al. Thiolated trimethyl chitosan nanocomplexes as gene carriers with high in vitro and in vivo transfection efficiency. J Control Release. 2010;144:46–54.PubMedCrossRefGoogle Scholar
- 47.Yin L, Ding J, He C, Cui L, Tang C, Yin C. Drug permeability and mucoadhesion properties of thiolated trimethyl chitosan nanoparticles in oral insulin delivery. Biomaterials. 2009;30:5691–700.PubMedCrossRefGoogle Scholar