Academic literature on the topic 'Colistin sulfate'

Background: Cystic Fibrosis (CF) is a genetic disease which affects the patient’s lungs, pancreas, liver, kidney and intestine and lacks sulfatase enzyme, leading to mucopolysaccharidosis. Colistin sulfate acts by interacting with phospholipids of bacterial cell membranes. Sulfatase enzyme reduces the high levels of sulfated glycosaminoglycans and glycolipids by the hydrolysis of sulfate esters in lysosome. Objective: The aim of the present investigation was to prepare and evaluate dextran microparticulate inhalable dry powder for the efficient targeting of colistin sulfate at affected area of lung without causing the side effects in the treatment of CF and mucopolysaccharidosis. Methods: Microparticulate dry powder was prepared by the lyophilization method and evaluated for particle size, % yield, % drug content, solid state characterization, in-vitro lung deposition study, and in-vitro drug release study. Results: Particle size, % yield and % drug content were found to be 4.03 ± 0.196 µm, 94.02 % and 99.45 ± 0.015% respectively. Bulk density, tapped density, hausner’s ratio, carr’s index and angle of repose of optimized batch were found to be 0.216 ± 0.025 g/cm3, 0.236 ± 0.035 g/cm3, 1.09 ± 0.026, 8.47 ± 0.025 % and 26.10 ± 0.029˚ respectively. A fine particle fraction, fine particle dose, mass median aerodynamic diameter, geometric standard deviation and emitted dose were found to be 66.78%, 16.45 mg, 4.89 µm, 1.32 and 246.33 mg respectively. The % CDR of optimized batch was found to be 96.12 ± 0.049 % at 24 h. Conclusion: Based on the obtained results, we conclude that dextran microparticulate inhalable dry powder might be suitable carrier for the delivery of colistin sulfate and sulfatase in combination via pulmonary route for the treatment of cystic fibrosis and mucopolysaccharidosis.

Chemical arrays were employed to screen ligands for HtpG, the prokaryotic homologue of Hsp (heat-shock protein) 90. We found that colistins and the closely related polymyxin B interact physically with HtpG. They bind to the N-terminal domain of HtpG specifically without affecting its ATPase activity. The interaction caused inhibition of chaperone function of HtpG that suppresses thermal aggregation of substrate proteins. Further studies were performed with one of these cyclic lipopeptide antibiotics, colistin sulfate salt. It inhibited the chaperone function of the N-terminal domain of HtpG. However, it inhibited neither the chaperone function of the middle domain of HtpG nor that of other molecular chaperones such as DnaK, the prokaryotic homologue of Hsp70, and small Hsp. The addition of colistin sulfate salt increased surface hydrophobicity of the N-terminal domain of HtpG and induced oligomerization of HtpG and its N-terminal domain. These structural changes are discussed in relation to the inhibition of the chaperone function.

Abstract A methodology following International Cooperation on Harmonization for Veterinary Products (VICH) guidelines for the stability evaluation of colistin sulfate in a nonaqueous suspension pharmaceutical dosage form for veterinary use (via their drinking water) is described. This method monitors the percentage of colistin sulfate during the stability study of the preparation in drinking water and establishes the shelf life of the final product by a new high-performance liquid chromatography method which was developed and validated for the simultaneous determination of colistin sulfate [colistin A (Polymixin E1) and colistin B (Polymixin E2)] and methylparaben (Nipagin<sup/>) using a diode array detector (DAD). The method uses a Kromasil C18 column and isocratic elution. The mobile phase consisted of an acetonitrilesodium sulfate anhydrous solution (25 + 75) pumped at a flow rate of 1.5 mL/min. The DAD was set at 215 nm. The validation study was carried out according to the VICH guidelines in order to prove that the new analytical method meets the reliability characteristics, which include the fundamental criteria for validation: selectivity, linearity, precision, accuracy, and sensitivity. The method was applied during the quality control or stability studies of the suspension dosage form in order to quantify the drug (colistin) and preservative, and proved to be suitable for rapid and reliable quality control.

ABSTRACT The pharmacokinetics of colistin was investigated using specific high-performance liquid chromatography (HPLC) to measure the concentrations of colistin and colistin A and B in plasma and urine in five rats after administration of an intravenous bolus of 1 mg of colistin sulfate/kg of body weight. There were differences in the pharmacokinetic behaviors of unbound colistin A and B. This is the first report of the use of HPLC to study the pharmacokinetics of colistin and its two major components.

ABSTRACT Using an in vitro pharmacodynamic model, a multidrug-resistant strain of Acinetobacter baumannii was exposed to colistin methanesulfonate alone and in combination with ceftazidime. Pre- and postexposure colistin sulfate MICs were determined. A single daily dose of colistin methanesulfonate combined with continuous-infusion ceftazidime prevented regrowth and postexposure MIC increases.

A new functionalized polymer monolithic capillary with a macrocyclic antibiotic, namely colistin sulfate, as chiral selector was prepared via the copolymerization of binary monomer mixtures consisting of glycidyl methacrylate (GMA) and ethylene glycol dimethacrylate (EGDMA) in porogenic solvents namely 1-propanol and 1,4-butanediol, in the presence of azobisiso-butyronitrile (AIBN) as initiator and colistin sulfate. The prepared capillaries were investigated for the enantioselective nano-LC separation of a group of racemic pharmaceuticals, namely, α- and β-blockers, anti-inflammatory drugs, antifungal drugs, norepinephrine-dopamine reuptake inhibitors, catecholamines, sedative hypnotics, antihistaminics, anticancer drugs, and antiarrhythmic drugs. Acceptable separation was achieved for many drugs using reversed phase chromatographic conditions with no separation achieved under normal phase conditions. Colistin sulfate appears to be useful addition to the available macrocyclic antibiotic chiral phases used in liquid chromatography.

ABSTRACTThe aim of this study was to investigate the factors limiting the blood-brain barrier (BBB) transport of colistin in healthy mice and to assess the impact of systemic inflammation on the transport of this antibiotic across the BBB. Colistin sulfate (40 mg/kg) was administered subcutaneously to Swiss outbred mice as single and multiple doses to determine any relationship between brain uptake and plasma concentrations of colistin. To assess the effect of P-glycoprotein (P-gp) on BBB transport, colistin sulfate (5 mg/kg) was concomitantly administered intravenously with PSC833 or GF120918 (10 mg/kg). Systemic inflammation was induced by three intraperitoneal injections of lipopolysaccharide (LPS; 3 mg/kg), and BBB transport of colistin was subsequently measured following subcutaneous administration and by anin situbrain perfusion. The brain uptake of colistin was low following single and multiple subcutaneous doses, with brain-to-plasma concentration ratios ranging between 0.021 and 0.037, and this was not significantly enhanced by coadministration of GF120918 or PSC833 (P> 0.05). LPS significantly increased the brain uptake of subcutaneously administered colistin with area under the brain concentration time curve (AUCbrain) values of 11.7 ± 2.7 μg·h/g and 4.0 ± 0.3 μg·h/g for LPS- and saline-treated mice, respectively (mean ± standard deviation). Similarly,in situperfusion of colistin led to higher antibiotic brain concentrations in LPS-treated animals than in saline-treated animals, with colistin brain-to-perfusate concentration ratios of 0.019 ± 0.001 and 0.014 ± 0.001, respectively. This study demonstrates that the BBB transport of colistin is negligible in healthy mice; however, brain concentrations of colistin can be significantly enhanced during systemic inflammation, as might be observed in infected patients.

ABSTRACTThis study describes the use of a novel, two-compartment, static dialysis bag model to study the release, diffusion, and antibacterial activity of a novel, bioresponsive dextrin-colistin polymer conjugate against multidrug resistant (MDR) wild-typeAcinetobacter baumannii. In this model, colistin sulfate, at its MIC, produced a rapid and extensive drop in viable bacterial counts (<2 log10CFU/ml at 4 h); however, a marked recovery was observed thereafter, with regrowth equivalent to that of control by 48 h. In contrast, dextrin-colistin conjugate, at its MIC, suppressed bacterial growth for up to 48 h, with 3 log10CFU/ml lower bacterial counts after 48 h than those of controls. Doubling the concentration of dextrin-colistin conjugate (to 2× MIC) led to an initial bacterial killing of 3 log10CFU/ml at 8 h, with a similar regrowth profile to 1× MIC treatment thereafter. The addition of colistin sulfate (1× MIC) to dextrin-colistin conjugate (1× MIC) resulted in undetectable bacterial counts after 4 h, followed by suppressed bacterial growth (3.5 log10CFU/ml lower than that of control at 48 h). Incubation of dextrin-colistin conjugates with infected wound exudate from a series of burn patients (n= 6) revealed an increasing concentration of unmasked colistin in the outer compartment (OC) over time (up to 86.3% of the initial dose at 48 h), confirming that colistin would be liberated from the conjugate by endogenous α-amylase within the wound environment. These studies confirm the utility of this model system to simulate the pharmacokinetics of colistin formation in humans administered dextrin-colistin conjugates and further supports the development of antibiotic polymer conjugates in the treatment of MDR infections.

ABSTRACTThe interaction between colistin and tigecycline against eight well-characterized NDM-1-producingEnterobacteriaceaestrains was studied. Time-kill methodology was employed using a 4-by-4 exposure matrix with pharmacokinetically achievable free drug peak, trough, and average 24-h serum concentrations. Colistin sulfate and methanesulfonate alone showed good early bactericidal activity, often with subsequent regrowth. Tigecycline alone had poor activity. Addition of tigecycline to colistin does not produce increased bacterial killing; instead, it may cause antagonism at lower concentrations.

A case of osteomyelitis caused by multidrug-resistant Pseudomonas aeruginosa is reported in a patient who underwent allogeneic bone marrow transplantation for acute lymphoblastic leukaemia. The patient was successfully treated by prolonged administration of a full dose of colistin and tigecycline, and surgical curettage with the positioning of resorbable calcium sulfate pellets loaded with colistin.

Cancer immunotherapy is an encompassing term referring to therapeutic strategies that aim to boost the immune system to fight cancer. These strategies include administering immune cells that have been altered to have greater anti-tumor activity or using biologics and small molecules that target immune components to also promote tumor clearance. Natural Killer (NK) cells are cells of the innate immune system that recognize and kill abnormal cells such as cancer cells and play an important role in the anti-tumor response. Because of their crucial role in tumor immunity, NK cells are prime targets for immunotherapies. Repurposing small molecule drugs is an attractive strategy to identify new immunotherapies from already approved drugs. Here, we screened 1,200 approved drugs from the Prestwick Chemical Library to identify drugs that increase NK cell cytotoxicity. We used a high-throughput luciferase-release cytotoxicity assay to measure the killing of the myeloid leukemia cell line, K562 cells expressing nano luciferase (NL) by NK92 cells, a human NK cell line. From the drug candidates identified from the screening assay, the antibiotic colistin sulfate increased cytotoxicity of the NK92 cell line and unstimulated human NK cells towards K562-NL cells. This increase in NK cytotoxicity was short-lived as pre-treating NK92 cells with colistin for 1 hour or 24 hours did not increase cytotoxicity. Also, we show pre-treating K562-NL target cells with colistin does not sensitize them to NK-mediated killing. Further studies are needed to uncover the mechanism of action of colistin, thus contributing to knowledge of fundamental NK cell biology regarding NK cell cytotoxicity which will aid in identifying additional small molecule drugs that enhance NK cell activity.

Tese (doutorado) - Universidade Federal de Santa Catarina, Centro Tecnológico, Programa de Pós-Graduação em Engenharia Química, Florianópolis, 2012.
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O modelo atualmente empregado de produção intensiva de suínos implica na utilização de grande quantidade de antimicrobianos para manter a sanidade do rebanho, os quais são utilizados tanto de forma terapêutica como também na forma de promotores de crescimento, neste último caso empregado de forma contínua e em concentrações mais reduzidas que quando utilizado como agente terapêutico. Muitos destes agentes antimicrobianos chegam aos sistemas de tratamento de dejetos ainda sob sua forma ativa, podendo interferir nos processos microbianos envolvidos no tratamento. Os efeitos destes agentes antimicrobianos sobre as comunidades microbianas relacionadas ao tratamento dos efluentes são ainda pouco conhecidos. Este trabalho tem como objetivo geral investigar a toxicidade do antibiótico sulfato de colistina sobre a microbiota nitrificante e metanogênica, os quais são grupos considerados bons indicadores de toxicidade e responsáveis por etapas importantes em sistemas de tratamento de efluentes aeróbios e anaeróbios, respectivamente. Análises de toxicidade aguda revelaram que a colistina possui toxicidade relevante apenas sobre o grupo das bactérias oxidadoras de amônia (BOA), possuindo muito pouca atividade sobre as bactérias oxidadoras de nitrito (BON). Os testes de toxicidade crônica sobre a nitrificação apresentaram resultados similares aos obtidos nos experimentos de toxicidade aguda em relação às concentrações da CI50, com concentrações da ordem de 60 a 70 mg colistina.L-1, porém em concentrações mais elevadas a toxicidade crônica mostrou-se mais severa que a aguda. As concentrações inibitórias encontradas para o grupo das BOA são da mesma ordem de grandeza que aquelas propostas para uso na água como agente terapêutico, sugerindo que nestes casos a colistina poderia representar riscos potenciais para a operação estável de processos de nitrificação, uma vez que a colistina é eliminada pelas fezes quase totalmente sob a forma inalterada. Os testes de toxicidade crônica sobre as arqueas metanogênicas, realizados em reator do tipo UASB, não evidenciaram qualquer toxicidade da colistina sobre este grupo.

Abstract: Intensive pig farming currently employed involves the use of a large quantity of antimicrobial agents to keep the herd healthy, being used both as therapeutic agents and also as growth promoters, in this latter case used on a continuous basis and also in lower concentrations than when used for therapeutic purposes. Many of these antimicrobial agents get to the wastewater treatment system still in their active forms, and as such they can interfere with the microbial processes involved in the treatment. The effects of these antimicrobial agents on the microbial communities related to wastewater treatment are still not well known. The main aim of this work is to investigate the toxicity of the antibiotic colistin sulfate on the nitrifying and methanogenic microbiota, groups that are considered good indicators of toxicity and also responsible for important biological process within aerobic and anaerobic treatment systems, respectively. Analyses of acute toxicity have shown that colistin has relevant toxicity only on the group of ammonia-oxidizing bacteria (AOB), but have very little activity in relation to nitrite oxidizing bacteria (NOB). Tests of chronic toxicity on nitrification have shown results similar to those obtained in acute toxicity experiments in relation to concentrations of the CI50, with concentrations between 60 and 70 mg.L-1 of colistin, but at higher concentrations the chronic toxicity showed to be more severe than the acute toxicity. The inhibitory concentrations found for the AOB group are at the same order of magnitude as those proposed for use in water as therapeutic agent, suggesting that in these cases colistin could pose a possible risk for the stable operation of nitrification processes, as colistin is eliminated in the faeces almost entirely in unaltered form. The chronic toxicity tests on methanogenic archaea, carried out in a UASB reactor, did not show any toxic effect of colistin on this group.

La diarrhée colibacillaire post-sevrage (DCPS) est une infection intestinale endémique dans les fermes porcines à l’échelle mondiale. Cette maladie est causée principalement par la présence et la multiplication au niveau de l’intestin des porcelets d’un pathotype d’Escherchia coli, nommé E. coli entérotoxinogène (ETEC) et en particulier celui qui exprime l’adhésine F4 (K88) (ETEC: F4). Le sérogroupe ETEC: O149 a été le plus isolé à partir des cas de DCPS à travers le monde. Plusieurs études ont rapporté un taux de résistance important des souches O149: F4 contre les antibiotiques qui sont classiquement utilisés pour traiter cette infection et en particulier les aminoglycosides. Ainsi, pour remédier aux échecs thérapeutiques observés dans les fermes porcines au Canada, les vétérinaires ont commencé à utiliser, sous leurs responsabilités, un antibiotique, la colistine sulfate (CS), qui n’est pas homologué en production animale au Canada. Cette étude avait pour buts d’étudier la pharmacocinétique de la CS in vitro et in vivo, de développer une technique sensible pour une quantification plasmatique de la CS, de déterminer son efficacité thérapeutique in vivo dans un modèle d’infection expérimentale de DCPS et de caractériser la résistance d’E. coli consécutive à l’utilisation thérapeutique de la CS chez le porc. Une simulation du liquide gastrique (SLG) a été préparée, et après l’ajout de la CS et de la pepsine à cette solution, les concentrations de la CS ont été mesurées par chromatographie liquide à haute performance couplée à la spectrométrie de masse en tandem (HPLC-MS/MS). Une dégradation rapide de CS a été constatée dans la SLG et a été accompagnée par la formation de produits de dégradation qui ont démontré une activité microbienne plus importante par comparaison avec la molécule mère (CS). Dans un volet in vivo, l’infection expérimentale des porcelets sevrés par une souche ETEC: F4 n’a pas augmenté l’absorption digestive de la CS dans un modèle subclinique de DCPS chez le porc. L’administration orale de la CS à la dose thérapeutique de 50,000 UI/kg à raison de 2 fois par jour pendant 5 jours pour traiter la DCPS dans des conditions expérimentales a entraîné une réduction significative de l’excrétion fécale de la souche infectieuse (ETEC : F4), de la population totale d’E. coli et des scores de diarrhée, uniquement pendant la période du traitement. Cependant, ces résultats ont été accompagnés par une légère augmentation dans l’excrétion fécale des E. coli résistants à la colistine, et le traitement n'a pas empêché la perte de poids des porcs infectés. En revanche, l’infection expérimentale des porcelets par ETEC: F4 a augmenté l’absorption digestive de la CS dans un modèle clinique de diarrhée colibacillaire chez le porc. Cette étude a permis de générer pour la première fois des données scientifiques concernant l’efficacité thérapeutique, la pharmacocinétique et la résistance à la colistine dans un modèle de DCPS chez le porc. Elle a également remis en doute la pertinence économique d’augmenter la dose de CS pour accélérer le rétablissement clinique des porcs. Finalement, elle a indiqué que des conditions d’élevage optimales, sans autres facteurs prédisposants, étaient aussi efficaces que la CS dans l’amélioration des symptômes cliniques de la DCPS.
Post-weaning diarrhea (PWD) caused by Escherichia coli is an endemic intestinal infection in pig farms worldwide. This disease is mostly the consequence of the presence and the multiplication in piglet’s gut of an Escherchia pathotype, named enterotoxigenic E. coli (ETEC) and in particular those that express the F4 (K88) fimbrial adhesin (ETEC: F4). The predominant serogroup of E. coli isolated from piglets with PWD worldwide is O149. Several studies have reported a significant resistance rate of O149 ETEC strains against commonly used antibiotics for the treatment of PWD, particularly, aminoglycosides. Thereby, to address therapeutic failures observed in pig farms during PWD treatment, veterinarians in Canada started using, under their responsibilities, the colistin sulfate (CS), an antibiotic not approved for farm animals in Canada. The objectives of this thesis were: to study the pharmacokinetics of CS in vitro and in vivo, to develop a sensitive method for the quantification of CS plasma concentrations in pigs, to determine the therapeutic efficacy of CS in an experimental model of PWD, and to characterize the resistance of E. coli to colistin consecutive to its therapeutic use in pigs. Simulated gastric fluid (SGF) was prepared, and after the addition of CS and pepsin to this solution, the concentrations of CS were followed by liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS). A rapid degradation of CS in the SGF was observed, and the degradation products showed a greater antimicrobial activity compared to the native CS. On the other hand, the experimental challenge of piglets with an ETEC: F4 strain has not increased the CS intestinal absorption in a subclinical model of PWD in pigs. The oral administration of a therapeutic dose of CS at 50,000 IU/kg twice a day for 5 successive days to treat an experimental PWD in pigs, resulted in a significant reduction of fecal ETEC: F4 and total E. coli shedding, and in diarrhea scores but only during the treatment period. However, CS treatment resulted in a slight increase in fecal shedding of CS resistant E. coli and did not prevent weight loss in challenged pigs. In addition, challenge with ETEC: F4 resulted in an increase of CS intestinal absorption in a clinical model of PWD. This study has generated, for the first time, scientific data regarding CS therapeutic efficacy, its pharmacokinetic and the selection of E. coli colistin resistant in an experimental model of PWD in pigs. It also challenged the economic relevance of increasing CS oral doses to accelerate the clinical recovery of pigs. Finally, it indicated that optimal housing conditions were without other predisposing factors, effective as CS in improving clinical symptoms of experimental PWD in pigs.