Can Amphotericin B-mediated effects be limited using intranasal versus intravenous route?

Aim: CNS infections due to parasites often prove fatal. In part, this is due to inefficacy of drugs to cross the blood-brain barrier. Methods: Here, we tested intranasal and intravenous route and compared adverse effects of Amphotericin B administration, through blood biochemistry, liver, kidney and brain histopathological evidence of toxicities in vivo post-administration. Results: It was observed that intranasal route limits the adverse side effects of Amphotericin B, in contrast to intravenous route. Conclusion: As parasites such as Naegleria fowleri exhibit unequivocal affinity toward the olfactory bulb and frontal lobe in the central nervous system, intranasal administration would directly reach amoebae bypassing the blood-brain barrier selectivity and achieve the minimum inhibitory concentration at the target site.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Therapeutic delivery - 14(2023), 8 vom: 13. Aug., Seite 485-490

Sprache:

Englisch

Beteiligte Personen:

Siddiqui, Ruqaiyyah [VerfasserIn]
Yee Ong, Timothy Yu [VerfasserIn]
Maciver, Sutherland [VerfasserIn]
Khan, Naveed Ahmed [VerfasserIn]

Links:

Volltext

Themen:

7XU7A7DROE
Adverse effects
Amphotericin B
Blood–brain barrier
Brain-eating amoebae
CNS infection
Free-living amoebae
Intranasal route
Journal Article
Naegleria fowleri
Novel therapeutic delivery
Primary amoebic meningoencephalitis
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 15.09.2023

Date Revised 11.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.4155/tde-2023-0032

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361890540