Abstract
AbstractMurine pneumonia models for ESKAPE pathogens serve to evaluate novel antibacterials or to investigate immunological responses. The majority of published models uses intranasal or to a limited extent the intratracheal instillation to challenge animals. In this study, we propose the aerosol delivery of pathogens using a nebulizer. Aerosol delivery typically results in homogeneous distribution of the inoculum in the lungs because of lower particle size. This is of particular importance when compounds are assessed for their pharmacokinetic and pharmacodynamic (PK/PD) relationships as it allows to conduct several analysis with the same sample material. Moreover, aerosol delivery has the advantage that it mimics the ‘natural route’ of respiratory infection. In this short and concise study, we show that aerosol delivery of pathogens resulted in a sustained bacterial burden in the neutropenic lung infection model for five pathogens tested, whereas it gave a similar result in immunocompetent mice for three out of five pathogens. Moreover, a substantial bacterial burden in the lungs was already achieved 2 h post inhalation. Hence, this study constitutes a viable alternative for intranasal administration and a refinement of murine pneumonia models for PK/PD assessments of novel antibacterial compounds allowing to study multiple readouts with the same sample material.
Funder
Deutsches Zentrum für Infektionsforschung
Helmholtz-Zentrum für Infektionsforschung GmbH (HZI)
Publisher
Springer Science and Business Media LLC
Reference59 articles.
1. Tacconelli, E. et al. Discovery, research, and development of new antibiotics: The WHO priority list of antibiotic-resistant bacteria and tuberculosis. Lancet Infect. Dis. 18, 318–327 (2018).
2. Miethke, M. et al. Towards the sustainable discovery and development of new antibiotics. Nat. Rev. Chem. https://doi.org/10.1038/s41570-021-00313-1 (2021).
3. Walesch, S. et al. Fighting antibiotic resistance—strategies and (pre)clinical developments to find new antibacterials. EMBO Rep. 24, e56033 (2022).
4. Lee, Y. R. & Yeo, S. Cefiderocol, a new siderophore cephalosporin for the treatment of complicated urinary tract infections caused by multidrug-resistant pathogens: Preclinical and clinical pharmacokinetics, pharmacodynamics: Efficacy and Safety. Clin. Drug Investig. 40, 901–913 (2020).
5. Kaye, K. S., Naas, T., Pogue, J. M. & Rossolini, G. M. Cefiderocol, a siderophore cephalosporin, as a treatment option for infections caused by carbapenem-resistant enterobacterales. Infect. Dis. Ther. 13, 874176 (2023).