Synchrotron-Based X-Ray Fluorescence Microscopy Reveals Accumulation of Polymyxins in Single Human Alveolar Epithelial Cells

Author:

Azad Mohamad A. K.1,Zhang Shuo2,Li Jiayao2,Kim Yeonuk2,Yu Heidi H.1,Fulcher Alex J.3,Howard Daryl L.4,de Jonge Martin D.4,James Simon A.4,Roberts Kade D.1,Velkov Tony5,Fu Jing2,Zhou Qi Tony6ORCID,Li Jian1ORCID

Affiliation:

1. Monash Biomedicine Discovery Institute, Department of Microbiology, Monash University, Clayton, Victoria, Australia

2. Department of Mechanical and Aerospace Engineering, Monash University, Clayton, Victoria, Australia

3. Monash Micro Imaging, Monash University, Clayton, Victoria, Australia

4. Australian Synchrotron, Clayton, Victoria, Australia

5. Department of Pharmacology & Therapeutics, School of Biomedical Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia

6. Department of Industrial and Physical Pharmacy, College of Pharmacy, Purdue University, West Lafayette, Indiana, USA

Abstract

Intravenous administration of the last-line polymyxins results in poor drug exposure in the lungs and potential nephrotoxicity, whereas inhalation therapy offers better pharmacokinetics/pharmacodynamics for pulmonary infections by delivering the antibiotic directly to the infection site. However, polymyxin inhalation therapy has not been optimized, and adverse effects can occur.

Funder

Department of Health, Australian Government | National Health and Medical Research Council

HHS | NIH | National Institute of Allergy and Infectious Diseases

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference58 articles.

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3. Antibiotic resistance threats in the United States, 2019

4. 10 x '20 Progress--Development of New Drugs Active Against Gram-Negative Bacilli: An Update From the Infectious Diseases Society of America

5. Analysis of the clinical antibacterial and antituberculosis pipeline

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