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Antimicrobial Agents and Chemotherapy, September 2000, p. 2424-2430, Vol. 44, No. 9
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

Therapeutic Efficacy of Liposomal Rifabutin in a Mycobacterium avium Model of Infection

Maria Manuela Gaspar,1,* Susana Neves,1 Françoise Portaels,2 Jorge Pedrosa,3 Manuel T. Silva,3 and Maria Eugénia M. Cruz1

INETI, Department of Biotechnology, Unidade Novas Formas de Agentes Bioactivos, Lisbon,1 and Instituto de Biologia Molecular e Celular da Universidade do Porto, Rua do Campo Alegre, Porto,3 Portugal, and Department of Microbiology, Institute Tropical Medicine, Antwerpen, Belgium2

Received 27 August 1999/Returned for modification 3 March 2000/Accepted 26 May 2000

Liposomal formulations of rifabutin were developed, and the effects of some parameters on the incorporation efficiency were studied. The antimycobacterial activity of rifabutin incorporated into liposomes prepared with phosphatidylcholine and phosphatidylserine (molar ratio, 7:3) was evaluated in a murine model of infection with a virulent Mycobacterium avium strain (strain P1581) and was compared with that of free rifabutin. The influences of the size of the liposomal rifabutin formulation, the administered doses, and the treatment schedules on the evolution of infection were studied. Two types of treatment schedules were assayed: therapeutic and prophylactic. The therapeutic treatment started 2 weeks after infection, while the prophylactic treatment began 1 day before the experimental infection with mycobacteria. Incorporation of rifabutin in liposomes resulted in a significant enhancement of activity against M. avium infection compared to that of rifabutin in the free form in both schedules. These results demonstrate that liposomal formulations of antibiotics such as rifabutin may be effective for the treatment or prophylaxis of infectious diseases.


* Corresponding author. Mailing address: Department of Biotechnology, Unidade Novas Formas de Agentes Bioactivos, Estrada do Paço do Lumiar, 22/1649-038 Lisbon, Portugal. Phone: 00-351-21-7162712, ext. 2254. Fax: 00-351-21-7163636. E-mail: manuela.gaspar{at}ibqta.ineti.pt or eugenia.cruz{at}ibqta.ineti.pt.


Antimicrobial Agents and Chemotherapy, September 2000, p. 2424-2430, Vol. 44, No. 9
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.



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