Abstract
The moderate heat treatment of amphotericin B (AmB) in its micellar form (M-AmB) results in superaggregates (H-AmB) that present a substantially lower toxicity and similar activity. The aim of this work was to evaluate the H-AmB behavior after a freeze-drying process. H-AmB and M-AmB micelles were evaluated before and after freeze-drying concerning their physicochemical and biological properties by spectrophotometry and activity/toxicity assay, respectively. Four concentrations of M-AmB and H-AmB were studied aiming to correlate their aggregation state and the respective biological behavior: 50 mg L−1, 5 mg L−1, 0.5 mg L−1, and 0.05 mg L−1. Then, potassium leakage and hemoglobin leakage from red blood cells were used to evaluate the acute and chronic toxicity, respectively. The efficacy of M-AmB and H-AmB formulations was assessed by potassium leakage from Candida albicans and by the broth microdilution method. After heating, in addition to an evident turbidity, a slight blueshift from 327 to 323 nm was also observed at the concentrations of 50 and 5 mg L−1 for H-AmB. Additionally, an increase in the absorbance at 323 nm at the concentration of 0.5 mg L−1 was detected. Concerning the toxicity, H-AmB caused significantly lower hemoglobin leakage than M-AmB. These results were observed for H-AmB before and after freeze-drying. However, there was no difference between H-AmB and M-AmB concerning their activity. Accordingly, the freeze-drying cycle did not show any influence on the behavior of heated formulations, highlighting the suitability of such a method to produce a new AmB product with a long shelf life and with both greater efficiency and less toxicity.
Similar content being viewed by others
References
Neoh CF, Liew D, Slavin MA, Marriott D, Chen SCA, Morrissey O, et al. Economic evaluation of micafungin vs. liposomal amphotericin B (LAmB) for the treatment of candidaemia and invasive candidiasis (IC). Mycoses. 2013;5:532–42.
Kleinberg M. What is the current and future status of conventional amphotericin B? Int J Antimicrob Agents. 2006;27:12–6.
Selvam S, Mishra AK. Disaggregation of amphotericin B by sodium deoxycholate micellar aggregates. J Photochem Photobiol. 2008;93(2):66–70.
Egito EST, Araujo IB, Damasceno BPGL, Price JC. Amphotericin B/emulsion admixture interactions: An approach concerning the reduction of amphotericin B toxicity. J Pharm Sci. 2002;91(11):2354–66.
Adams ML, Kwon GS. Relative aggregation state and hemolytic activity of amphotericin B encapsulated by poly(ethylene oxide)-block-poly(N-hexyl-l-aspartamide)-acyl conjugate micelles: effects of acyl chain length. J Control Release. 2003;87(1–3):23–32.
Stoodley R, Wasan KA, Bizzotto D. Fluorescence of amphotericin B-deoxycholate (Fungizone) monomers and aggregates and the effect of heat-treatment. Langmuir. 2007;23(17):8718–25.
Darole PS, Hegde DD, Nair HA. Formulation and evaluation of microemulsion based delivery system for amphotericin B. AAPS Pharm Sci Technol. 2008;9(1):122–8.
Chabot GG, Pazdur R, Valeriote FA, Baker LHH. Pharmacokinetics and toxicity of continuous infusion of amphotericin B in cancer patients. J Pharm Sci. 1989;78:307–10.
Chavanet P, Joly V, Rigaud D, Bolard J, Carbon C, Yeni P. Influence of diet on experimental toxicity of amphotericin-B deoxycholate. Antimicrob Agents Chemother. 1994;38(5):963–8.
Meyer RD. Current role of therapy with amphotericin-B. Clin Infect Dis. 1992;14:S154–60.
Rothon DA, Mathias RG, Schechter MT. Prevalence of HIV-Infection in provincial prisons in British-Columbia. CMAJ. 1994;151(6):781–7.
Damasceno BPGL, Dominici VA, Urbano IA, Silva JA, Araujo IB, Santos-Magalhaes NS, et al. Amphotericin B microemulsion reduces toxicity and maintains the efficacy as an antifungal product. J Biomed Nanotechnol. 2012;2:290–300.
Uehara RP, Sá VHL, Koshimura ET, Prudente FVB, Tucunduva LTCM, Gonçalves MS, et al. Continuous infusion of amphotericin B: preliminary experience at Faculdade de Medicina da Fundação ABC. Sao Paulo Med J. 2005;123:219–22.
Mohamed-Ahmed AHA, Les KA, Croft SL, Brocchini S. Preparation and characterisation of amphotericin B-copolymer complex for the treatment of leishmaniasis. Polym Chem. 2013;4(3):584–91.
Ostrosky-Zeichner L, Marr KA, Rex JH, Cohen SH. Amphotericin B: time for a new “gold standard”. Clin Infect Dis. 2003;37(3):415–25.
Dorlo TPC, Balasegaram M, Beijnen JH, de Vries PJ. Miltefosine: a review of its pharmacology and therapeutic efficacy in the treatment of leishmaniasis. J Antimicrob Chemother. 2012;67(11):2576–97.
Sorrell TC, Chen SCA. Antifungal agents. MJA. 2007;187(7):404–9.
Petit C, Yardley V, Gaboriau F, Bolard J, Croft SL. Activity of a heat-induced reformulation of amphotericin B deoxycholate (Fungizone) against Leishmania donovani. Antimicrob Agents Chemother. 1999;43(2):390–2.
Gaboriau F, Cheron M, Leroy L, Bolard J. Physico-chemical properties of the heat-induced ‘superaggregates’ of amphotericin B. Biophys Chem. 1997;66(1):1–12.
Gaboriau F, Cheron M, Petit C, Bolard J. Heat-induced superaggregation of amphotericin B reduces its in vitro toxicity: a new way to improve its therapeutic index. Antimicrob Agents Chemother. 1997;41(11):2345–51.
van Etten EW, Stearne-Cullen LE, ten Kate M, Bakker-Woudenberg IA. Efficacy of liposomal amphotericin B with prolonged circulation in blood in treatment of severe pulmonary aspergillosis in leukopenic rats. Antimicrob Agents Chemother. 2000;44(3):540–5.
Silva-Filho MA, Siqueira SDVS, Freire LB, Araujo I, Silva KGH, Medeiros AC, et al. How can micelle systems be rebuilt by a heating process? Int J Nanomed. 2012;7:141–50.
Trissel LA. Handbook on Injectable Drugs. 15th ed. Bethesda: Maryland: American Society of Health-System Pharmacists; 2009.
Aulton ME. Pharmaceutics: the science of dosage form design. 2nd ed. United Kingdom: Leicester; 2002.
Moretton MA, Chiappetta DA, Sosnik A. Cryoprotection-lyophilization and physical stabilization of rifampicin-loaded flower-like polymeric micelles. J R Soc Interface. 2012;9(68):487–502.
Huh KM, Lee SC, Cho YW, Lee JW, Jeong JH, Park K. Hydrotropic polymer micelle system for delivery of paclitaxel. J Control Release. 2005;101(1–3):59–68.
Franks F. Freeze-drying of bioproducts: putting principles into practice. Eur J Pharm Biopharm. 1998;45:221–9.
Araujo IB, Brito CRN, Urbano IA, Dominici VA, Silva Filho MA, Silveira WLL, et al. Similarity between the in vitro activity and toxicity of two different Fungizone®/Lipofundin® admixtures. Acta Cir Bras. 2005;20(1):129–33.
Clinical and Laboratory Standards Institute. Reference method for broth dilution antifungal susceptibility testing of yeasts. Approved Standard, vol. M27-A3. 3rd ed. Wayne: CLSI; 2008.
Manosroi A, Kongkaneramit L, Manosroi J. Stability and transdermal absorption of topical amphotericin B liposome formulations. Int J Pharm. 2004;270(1–2):279–86.
Patel SM, Pikal MJ. Emerging Freeze-Drying Process Development and Scale-up Issues. AAPS Pharm Sci Technol. 2011;12(1):372–8.
Hatley RHM, Franks F, Day H. The effect on the oxidation of ascorbic acid of freeze concentration and undercooling. Biophys Chem. 1986;24:187–92.
Schreier S, Lamy-Freund MT. Spectroscopic studies of aggregation and autoxidation properties of the polyene antibiotic amphotericin B. Quim Nova. 1993;16(4):343–9.
Lamy-Freund MT, Ferreira VFN, Faljonialario A, Schreier S. Effect of aggregation on the kinetics of autoxidation of the polyene antibiotic amphotericin-B. J Pharm Sci. 1993;82(2):162–6.
Melik DH, Fogler HS. Turbidimetric determination of particle-size distributions of colloidal systems. J Colloid Interface Sci. 1983;92(1):161–80.
van Etten EW, van Vianen W, Roovers P, Frederik P. Mild heating of amphotericin B-desoxycholate: effects on ultrastructure, in vitro activity and toxicity, and therapeutic efficacy in severe candidiasis in leukopenic mice. Antimicrob Agents Chemother. 2000;44(6):1598–603.
Cheron M, Petit C, Bolard J, Gaboriau F. Heat-induced reformulation of amphotericin B-deoxycholate favours drug uptake by the macrophage-like cell line J774. J Antimicrob Chemother. 2003;52(6):904–10.
Baas B, Kindt K, Scott A, Scott J, Mikulecky P, Hartsel SC. Activity and kinetics of dissociation and transfer of amphotericin B from a novel delivery form. AAPS PharmSciTech. 1999;1(4):11–32.
Bolard J, Legrand P, Heitz F, Cybulska B. One-sided action of amphotericin-B on cholesterol-containing membranes is determined by its self-association in the medium. Biochemistry. 1991;30(23):5707–15.
Brajtburg J, Elberg S, Schwartz DR, Vertutcroquin A, Schlessinger D, Kobayashi GS, et al. Involvement of oxidative damage in erythrocyte lysis induced by amphotericin-B. Antimicrob Agents Chemother. 1985;27(2):172–6.
Leon C, Taylor R, Bartlett KH, Wasan KM. Effect of heat-treatment and the role of phospholipases on Fungizone((R))-induced cytotoxicity within human kidney proximal tubular (HK-2) cells and Aspergillus fumigatus. Int J Pharm. 2005;298(1):211–8.
Acknowledgments
The authors wish to thank CAPES for the financial support and Cristália for the generous gift of Fungizone® samples. The authors are also grateful to Glenn Hawes, M.Ed. English from the University of Georgia, for editing this manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Siqueira, S.D.V.S., Silva-Filho, M.A., Silva, C.A. et al. Influence of the Freeze-Drying Process on the Physicochemical and Biological Properties of Pre-heated Amphotericin B Micellar Systems. AAPS PharmSciTech 15, 612–619 (2014). https://doi.org/10.1208/s12249-014-0085-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1208/s12249-014-0085-z