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Antimicrobial Agents and Chemotherapy, 03 1995, 725-730, Vol 39, No. 3
PR Gangadharam, DR Ashtekar, DL Flasher and N Duzgunes
Mycobacterium avium complex (MAC) causes serious opportunistic infections
in AIDS patients. Previous studies with MAC-infected beige mice have
indicated that weekly administration of liposome-encapsulated streptomycin
can reduce significantly the CFU in the liver and spleen. We examined
whether streptomycin encapsulated in recently developed sterically
stabilized liposomes with prolonged circulation times would have a
therapeutic effect in this animal model. Two liposome types with prolonged
circulation (polyethyleneglycol- distearoylphosphatidylethanolamine
[PEG-DSPE]- distearoylphosphatidylcholine [DSPC]-cholesterol [chol] or
phosphatidylinositol [PI]-DSPC-chol) and conventional liposomes
(phosphatidylglycerol [PG]-phosphatidylcholine [PC]-chol) encapsulating
streptomycin and administered twice weekly were bactericidal to MAC strain
101 in the spleen when the level of infection after treatment was compared
with the level of infection before treatment. PI-DSPC-chol and PG-PC-chol
liposomes encapsulating streptomycin were bactericidal in the liver.
Although PG-PC-chol or PEG-DSPE-DSPE-chol liposomes encapsulating
streptomycin were not bactericidal in the lungs, they reduced the level of
MAC infection by more than 3 orders of magnitude compared with the level of
MAC infection in untreated controls.
Copyright © 1995 by the American Society for Microbiology. All rights reserved.
Therapy of Mycobacterium avium complex infections in beige mice with streptomycin encapsulated in sterically stabilized liposomes
Department of Medicine, University of Illinois at Chicago, College of Medicine 60612, USA.
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