Levofloxacin-Loaded Nanosonosensitizer as a Highly Efficient Therapy for Bacillus Calmette-Guérin Infections Based on Bacteria-Specific Labeling and Sonotheranostic Strategy

Gangjing Li,1,2 Jianhu Li,1,2 Yuru Hou,1,2 Shuang Xie,1,2 Jieru Xu,3 Min Yang,1,2 Dairong Li,3 Yonghong Du1,2 1State Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, 400016, People’s Republic of China; 2Chongqing Ke...

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Autores principales: Li G, Li J, Hou Y, Xie S, Xu J, Yang M, Li D, Du Y
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:4932a568d66048cdb5343b5c74f81aa12021-12-02T17:18:06ZLevofloxacin-Loaded Nanosonosensitizer as a Highly Efficient Therapy for Bacillus Calmette-Guérin Infections Based on Bacteria-Specific Labeling and Sonotheranostic Strategy1178-2013https://doaj.org/article/4932a568d66048cdb5343b5c74f81aa12021-09-01T00:00:00Zhttps://www.dovepress.com/levofloxacin-loaded-nanosonosensitizer-as-a-highly-efficient-therapy-f-peer-reviewed-fulltext-article-IJNhttps://doaj.org/toc/1178-2013Gangjing Li,1,2 Jianhu Li,1,2 Yuru Hou,1,2 Shuang Xie,1,2 Jieru Xu,3 Min Yang,1,2 Dairong Li,3 Yonghong Du1,2 1State Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, 400016, People’s Republic of China; 2Chongqing Key Laboratory of Biomedical Engineering, Chongqing Medical University, Chongqing, 400016, People’s Republic of China; 3Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People’s Republic of ChinaCorrespondence: Dairong Li No. 1, Youyi Road, Yuzhong District, Chongqing, 400016, People’s Republic of ChinaTel +86-23-89012745Fax +86-23-68485021Email lidairong@hospital.cqmu.edu.cnYonghong Du No. 1, Yixueyuan Road, Yuzhong District, Chongqing, 400016, People’s Republic of ChinaTel +86-23-68485021Fax +86-23-68485021Email duyonghong@cqmu.edu.cnPurpose: The rapid emergence of multidrug-resistant Mycobacterium tuberculosis (MTB) poses a significant challenge to the treatment of tuberculosis (TB). Sonodynamic antibacterial chemotherapy (SACT) combined with sonosensitizer-loaded nanoparticles with targeted therapeutic function is highly expected to eliminate bacteria without fear of drug resistance. This study aimed to investigate the antibacterial effect and underlying mechanism of levofloxacin-loaded nanosonosensitizer with targeted therapeutic function against Bacillus Calmette-Guérin bacteria (BCG, an MTB model).Methods: This study developed levofloxacin-loaded PLGA-PEG (poly lactide-co-glycolide-polyethylene glycol) nanoparticles with BM2 aptamer conjugation on its surface using the crosslinking agents EDC and NHS (BM2-LVFX-NPs). The average diameter, zeta potential, morphology, drug-loading properties, and drug release efficiency of the BM2-LVFX-NPs were investigated. In addition, the targeting and toxicity of BM2-LVFX-NPs in the subcutaneous BCG infection model were evaluated. The biosafety, reactive oxygen species (ROS) production, cellular phagocytic effect, and antibacterial effect of BM2-LVFX-NPs in the presence of ultrasound stimulations (42 kHz, 0.67 W/cm2, 5 min) were also systematically evaluated.Results: BM2-LVFX-NPs not only specifically recognized BCG bacteria in vitro but also gathered accurately in the lesion tissues. Drugs loaded in BM2-LVFX-NPs with the ultrasound-responsive feature were effectively released compared to the natural state. In addition, BM2-LVFX-NPs exhibited significant SACT efficiency with higher ROS production levels than others, resulting in the effective elimination of bacteria in vitro. Meanwhile, in vivo experiments, compared with other options, BM2-LVFX-NPs also exhibited an excellent therapeutic effect in a rat model with BCG infection after exposure to ultrasound.Conclusion: Our work demonstrated that a nanosonosensitizer formulation with LVFX could efficiently translocate therapeutic drugs into the cell and improve the bactericidal effects under ultrasound, which could be a promising strategy for targeted therapy for MTB infections with high biosafety.Keywords: nanoparticles, Sonodynamic antibacterial chemotherapy, ultrasound, BCG infections, targeted therapyLi GLi JHou YXie SXu JYang MLi DDu YDove Medical Pressarticlenanoparticlessonodynamic antibacterial chemotherapyultrasoundbcg infectionstargeted therapyMedicine (General)R5-920ENInternational Journal of Nanomedicine, Vol Volume 16, Pp 6553-6573 (2021)
institution DOAJ
collection DOAJ
language EN
topic nanoparticles
sonodynamic antibacterial chemotherapy
ultrasound
bcg infections
targeted therapy
Medicine (General)
R5-920
spellingShingle nanoparticles
sonodynamic antibacterial chemotherapy
ultrasound
bcg infections
targeted therapy
Medicine (General)
R5-920
Li G
Li J
Hou Y
Xie S
Xu J
Yang M
Li D
Du Y
Levofloxacin-Loaded Nanosonosensitizer as a Highly Efficient Therapy for Bacillus Calmette-Guérin Infections Based on Bacteria-Specific Labeling and Sonotheranostic Strategy
description Gangjing Li,1,2 Jianhu Li,1,2 Yuru Hou,1,2 Shuang Xie,1,2 Jieru Xu,3 Min Yang,1,2 Dairong Li,3 Yonghong Du1,2 1State Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, 400016, People’s Republic of China; 2Chongqing Key Laboratory of Biomedical Engineering, Chongqing Medical University, Chongqing, 400016, People’s Republic of China; 3Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People’s Republic of ChinaCorrespondence: Dairong Li No. 1, Youyi Road, Yuzhong District, Chongqing, 400016, People’s Republic of ChinaTel +86-23-89012745Fax +86-23-68485021Email lidairong@hospital.cqmu.edu.cnYonghong Du No. 1, Yixueyuan Road, Yuzhong District, Chongqing, 400016, People’s Republic of ChinaTel +86-23-68485021Fax +86-23-68485021Email duyonghong@cqmu.edu.cnPurpose: The rapid emergence of multidrug-resistant Mycobacterium tuberculosis (MTB) poses a significant challenge to the treatment of tuberculosis (TB). Sonodynamic antibacterial chemotherapy (SACT) combined with sonosensitizer-loaded nanoparticles with targeted therapeutic function is highly expected to eliminate bacteria without fear of drug resistance. This study aimed to investigate the antibacterial effect and underlying mechanism of levofloxacin-loaded nanosonosensitizer with targeted therapeutic function against Bacillus Calmette-Guérin bacteria (BCG, an MTB model).Methods: This study developed levofloxacin-loaded PLGA-PEG (poly lactide-co-glycolide-polyethylene glycol) nanoparticles with BM2 aptamer conjugation on its surface using the crosslinking agents EDC and NHS (BM2-LVFX-NPs). The average diameter, zeta potential, morphology, drug-loading properties, and drug release efficiency of the BM2-LVFX-NPs were investigated. In addition, the targeting and toxicity of BM2-LVFX-NPs in the subcutaneous BCG infection model were evaluated. The biosafety, reactive oxygen species (ROS) production, cellular phagocytic effect, and antibacterial effect of BM2-LVFX-NPs in the presence of ultrasound stimulations (42 kHz, 0.67 W/cm2, 5 min) were also systematically evaluated.Results: BM2-LVFX-NPs not only specifically recognized BCG bacteria in vitro but also gathered accurately in the lesion tissues. Drugs loaded in BM2-LVFX-NPs with the ultrasound-responsive feature were effectively released compared to the natural state. In addition, BM2-LVFX-NPs exhibited significant SACT efficiency with higher ROS production levels than others, resulting in the effective elimination of bacteria in vitro. Meanwhile, in vivo experiments, compared with other options, BM2-LVFX-NPs also exhibited an excellent therapeutic effect in a rat model with BCG infection after exposure to ultrasound.Conclusion: Our work demonstrated that a nanosonosensitizer formulation with LVFX could efficiently translocate therapeutic drugs into the cell and improve the bactericidal effects under ultrasound, which could be a promising strategy for targeted therapy for MTB infections with high biosafety.Keywords: nanoparticles, Sonodynamic antibacterial chemotherapy, ultrasound, BCG infections, targeted therapy
format article
author Li G
Li J
Hou Y
Xie S
Xu J
Yang M
Li D
Du Y
author_facet Li G
Li J
Hou Y
Xie S
Xu J
Yang M
Li D
Du Y
author_sort Li G
title Levofloxacin-Loaded Nanosonosensitizer as a Highly Efficient Therapy for Bacillus Calmette-Guérin Infections Based on Bacteria-Specific Labeling and Sonotheranostic Strategy
title_short Levofloxacin-Loaded Nanosonosensitizer as a Highly Efficient Therapy for Bacillus Calmette-Guérin Infections Based on Bacteria-Specific Labeling and Sonotheranostic Strategy
title_full Levofloxacin-Loaded Nanosonosensitizer as a Highly Efficient Therapy for Bacillus Calmette-Guérin Infections Based on Bacteria-Specific Labeling and Sonotheranostic Strategy
title_fullStr Levofloxacin-Loaded Nanosonosensitizer as a Highly Efficient Therapy for Bacillus Calmette-Guérin Infections Based on Bacteria-Specific Labeling and Sonotheranostic Strategy
title_full_unstemmed Levofloxacin-Loaded Nanosonosensitizer as a Highly Efficient Therapy for Bacillus Calmette-Guérin Infections Based on Bacteria-Specific Labeling and Sonotheranostic Strategy
title_sort levofloxacin-loaded nanosonosensitizer as a highly efficient therapy for bacillus calmette-guérin infections based on bacteria-specific labeling and sonotheranostic strategy
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/4932a568d66048cdb5343b5c74f81aa1
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