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Antimicrobial Agents and Chemotherapy, January 1998, p. 45-52, Vol. 42, No. 1
Inex Pharmaceuticals Corporation, Burnaby,
British Columbia, Canada V5J 5J81;
Liposome Research Unit, Department of Biochemistry,
University of British Columbia Vancouver, British Columbia, Canada
V6T 4E62; and
Skin Barrier Research
Laboratory, Department of Medicine, University of British Columbia,
Vancouver, British Columbia, Canada V6T 2B53
Received 7 May 1997/Returned for modification 10 October
1997/Accepted 27 October 1997
The fluoroquinolone antibiotic ciprofloxacin has been encapsulated
into large unilamellar vesicles (LUV) at efficiencies approaching 100%. Drug accumulation proceeded in response to a transmembrane gradient of methylammonium sulfate and occurred
concomitantly with the efflux of methylamine. A mechanism for the
encapsulation process is described. LUV composed of
dipalmitoylphosphatidylcholine-cholesterol (DPPC/chol),
distearoylphosphatidylcholine-cholesterol (DSPC/chol), or
sphingomyelin-cholesterol (SM/chol) increased the circulation lifetime
of ciprofloxacin after intravenous (i.v.) administration by >15-fold.
The retention of ciprofloxacin in liposomes in the circulation
decreased in the sequence SM/chol > DSPC/chol > DPPC/chol. Increased circulation lifetimes were associated with enhanced delivery
of the drug to the livers, spleens, kidneys, and lungs of
mice. Encapsulation of ciprofloxacin also conferred significant increases in the longevity of the drug in the plasma after
intraperitoneal administration and in the lungs after intratracheal
administration in comparison to free ciprofloxacin. The efficacy of a
single i.v. administration of an SM/chol formulation of ciprofloxacin was measured in a Salmonella typhimurium infection model.
At 20 mg of ciprofloxacin per kg of body weight, the encapsulated
formulation resulted in 103- to 104-fold fewer
viable bacteria in the livers and spleens of infected mice than was
observed for animals treated with free ciprofloxacin. These results
show the utility of liposomal encapsulation of ciprofloxacin in
improving the pharmacokinetics, biodistribution, and antibacterial efficacy of the antibiotic. In addition, these formulations are well
suited for i.v., intraperitoneal, and intratracheal or aerosol administration.
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Antibacterial Efficacy against an In Vivo Salmonella
typhimurium Infection Model and Pharmacokinetics of a Liposomal
Ciprofloxacin Formulation
*
Corresponding author. Mailing address: Inex
Pharmaceuticals Corporation, 100-8900 Glenlyon Parkway, Burnaby,
British Columbia, Canada V5J 5J8. Phone: (604) 264-9954. Fax: (604)
264-9690. E-mail: mwebb{at}inexpharm.com.
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