PMID- 30153487 OWN - NLM STAT- MEDLINE DCOM- 20190107 LR - 20190107 IS - 1873-3476 (Electronic) IS - 0378-5173 (Linking) VI - 550 IP - 1-2 DP - 2018 Oct 25 TI - Acrylic microparticles increase daptomycin intracellular and in vivo anti-biofilm activity against Staphylococcus aureus. PG - 372-379 LID - S0378-5173(18)30626-4 [pii] LID - 10.1016/j.ijpharm.2018.08.048 [doi] AB - Daptomycin (DAP) is a cyclic lipopeptide antibiotic with potential clinical application in orthopedic infections caused by staphylococci. However, it failed to eradicate Staphylococcus aureus in vitro, in intracellular infection studies, as well as in vivo in an experimental model of implant-associated biofilm infections. In this study, the antimicrobial effect of DAP encapsulated in poly(methyl methacrylate)-Eudragit (PMMA-EUD) microparticles (DAP-MPs) on intracellular S. aureus was evaluated in human osteoblast cells using fluorescence in situ hybridization (FISH) analysis. Encapsulated DAP was able to reduce the amount of intracellular S. aureus by 73% compared to blank microparticles (MPs). Then, the advantage of treating with DAP-MPs versus free DAP was evaluated in a murine model of implant-associated biofilm infection. Free DAP showed a >3 log(10) decrease in planktonic and adherent bacteria but failed to eradicate adherent methicillin-resistant S. aureus (MRSA), whereas DAP-MPs showed a clearance of planktonic MRSA, significantly reduced adherent MRSA by more than 3 log(10) and cured the infection in 60%. This was linked to the prolonged higher DAP concentration within the tissue cage fluid compared to free DAP. To our knowledge, this study provides the first evidence for the high intracellular and in vivo anti-biofilm efficacy of DAP-MPs to target staphylococcal infections. CI - Copyright (c) 2018. Published by Elsevier B.V. FAU - Woischnig, Anne-Kathrin AU - Woischnig AK AD - Laboratory of Infection Biology, Department of Biomedicine, University and University Hospital Basel, Hebelstrasse 20, 4031 Basel, Switzerland. FAU - Goncalves, Lidia M AU - Goncalves LM AD - Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal; Cardiovascular Centre of the University of Lisbon, Faculty of Medicine, Universidade de Lisboa, Av Prof. Egas Moniz, 1649-028 Lisbon, Portugal. FAU - Ferreira, Maxime AU - Ferreira M AD - Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal. FAU - Kuehl, Richard AU - Kuehl R AD - Laboratory of Infection Biology, Department of Biomedicine, University and University Hospital Basel, Hebelstrasse 20, 4031 Basel, Switzerland; Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Petersgraben 4, 4031 Basel, Switzerland. FAU - Kikhney, Judith AU - Kikhney J AD - Biofilmcenter, Deutsches Herzzentrum Berlin, Charite - Universitatsmedizin Berlin, Hindenburgdamm 30, 12203 Berlin, Germany; Institute for Microbiology, Charite - Universitatsmedizin Berlin, Hindenburgdamm 30, 12203 Berlin, Germany. FAU - Moter, Annette AU - Moter A AD - Biofilmcenter, Deutsches Herzzentrum Berlin, Charite - Universitatsmedizin Berlin, Hindenburgdamm 30, 12203 Berlin, Germany; Institute for Microbiology, Charite - Universitatsmedizin Berlin, Hindenburgdamm 30, 12203 Berlin, Germany. FAU - Ribeiro, Isabel A C AU - Ribeiro IAC AD - Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal. FAU - Almeida, Antonio J AU - Almeida AJ AD - Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal. FAU - Khanna, Nina AU - Khanna N AD - Laboratory of Infection Biology, Department of Biomedicine, University and University Hospital Basel, Hebelstrasse 20, 4031 Basel, Switzerland; Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Petersgraben 4, 4031 Basel, Switzerland. FAU - Bettencourt, Ana Francisca AU - Bettencourt AF AD - Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal. Electronic address: asimao@ff.ulisboa.pt. LA - eng PT - Journal Article DEP - 20180825 PL - Netherlands TA - Int J Pharm JT - International journal of pharmaceutics JID - 7804127 RN - 0 (Acrylic Resins) RN - 0 (Anti-Bacterial Agents) RN - 0 (Drug Carriers) RN - 0 (Polymers) RN - 33434-24-1 (Eudragit RS) RN - NWQ5N31VKK (Daptomycin) SB - IM MH - Acrylic Resins/administration & dosage MH - Animals MH - Anti-Bacterial Agents/*administration & dosage MH - Biofilms/drug effects MH - Cell Line MH - Daptomycin/*administration & dosage MH - Drug Carriers/*administration & dosage MH - Female MH - Humans MH - Methicillin-Resistant Staphylococcus aureus/*drug effects/physiology MH - Mice, Inbred C57BL MH - Osteoblasts/microbiology MH - Polymers/administration & dosage MH - Staphylococcal Infections/*drug therapy OTO - NOTNLM OT - Microparticles OT - Mouse implant-associated biofilm infection model OT - Orthopedic associated-infection OT - Osteoblast OT - PMMA-Eudragit EDAT- 2018/08/29 06:00 MHDA- 2019/01/08 06:00 CRDT- 2018/08/29 06:00 PHST- 2018/05/23 00:00 [received] PHST- 2018/07/30 00:00 [revised] PHST- 2018/08/24 00:00 [accepted] PHST- 2018/08/29 06:00 [pubmed] PHST- 2019/01/08 06:00 [medline] PHST- 2018/08/29 06:00 [entrez] AID - S0378-5173(18)30626-4 [pii] AID - 10.1016/j.ijpharm.2018.08.048 [doi] PST - ppublish SO - Int J Pharm. 2018 Oct 25;550(1-2):372-379. doi: 10.1016/j.ijpharm.2018.08.048. Epub 2018 Aug 25.