PMID- 30711150 OWN - NLM STAT- MEDLINE DCOM- 20190701 LR - 20200309 IS - 1873-281X (Electronic) IS - 1472-9792 (Print) IS - 1472-9792 (Linking) VI - 114 DP - 2019 Jan TI - Comparative pharmacokinetics of spectinamide 1599 after subcutaneous and intrapulmonary aerosol administration in mice. PG - 119-122 LID - S1472-9792(18)30413-X [pii] LID - 10.1016/j.tube.2018.12.006 [doi] AB - Spectinamides are a novel series of spectinomycin analogs being developed for the treatment of tuberculosis. Intrapulmonary aerosol (IPA) administration of lead spectinamide 1599 has previously been shown to be more efficacious than subcutaneous (SC) administration at comparable doses. The objective of the current study was to characterize the disposition of 1599 in plasma and lungs in mice in order to provide a potential rationale for the observed efficacy differences. 200 mg/kg of 1599 was administered to healthy BALB/c mice by SC injection or by IPA delivery. Plasma and major organs were collected at specified time points until 8 h after dosing. Drug concentrations were measured by LC-MS/MS and analyzed by noncompartmental pharmacokinetic analysis. 1599 demonstrated rapid absorption into plasma after IPA and SC administration, resulting in very similar plasma exposure for both routes. In contrast, drug exposure in the lungs was 48 times higher following IPA as compared to SC administration, which is highly desirable as the lungs are the main site of infection in pulmonary TB. The higher local exposure in the lungs is likely the basis for the increased efficacy after IPA compared to SC administration. Overall, this study supports the pulmonary route as a potential pathway for the treatment of tuberculosis with 1599. CI - Copyright (c) 2018. Published by Elsevier Ltd. FAU - Rathi, Chetan AU - Rathi C AD - Department of Pharmaceutical Sciences, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA. FAU - Lukka, Pradeep B AU - Lukka PB AD - Department of Pharmaceutical Sciences, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA. FAU - Wagh, Santosh AU - Wagh S AD - Department of Pharmaceutical Sciences, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA. FAU - Lee, Richard E AU - Lee RE AD - Department of Chemical Biology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA. FAU - Lenaerts, Anne J AU - Lenaerts AJ AD - Mycobacterial Research Laboratories, Department of Microbiology, Colorado State University, Fort Collins, CO 80523, USA. FAU - Braunstein, Miriam AU - Braunstein M AD - Department of Microbiology and Immunology, University of North Carolina, Chapel Hill, NC 27599, USA. FAU - Hickey, Anthony AU - Hickey A AD - Discovery Science and Technology, RTI International, Durham, NC 27709, USA. FAU - Gonzalez-Juarrero, Mercedes AU - Gonzalez-Juarrero M AD - Mycobacterial Research Laboratories, Department of Microbiology, Colorado State University, Fort Collins, CO 80523, USA. FAU - Meibohm, Bernd AU - Meibohm B AD - Department of Pharmaceutical Sciences, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA. Electronic address: bmeibohm@uthsc.edu. LA - eng GR - R01 AI090810/AI/NIAID NIH HHS/United States GR - R01 AI120670/AI/NIAID NIH HHS/United States GR - S10 OD016226/OD/NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20181231 PL - Scotland TA - Tuberculosis (Edinb) JT - Tuberculosis (Edinburgh, Scotland) JID - 100971555 RN - 0 (Antitubercular Agents) RN - 0 (spectinamide 1599) RN - 93AKI1U6QF (Spectinomycin) SB - IM MH - Administration, Inhalation MH - Animals MH - Antitubercular Agents/administration & dosage/*pharmacokinetics MH - Biological Availability MH - Drug Evaluation, Preclinical/methods MH - Female MH - Injections, Subcutaneous MH - Lung/metabolism MH - Mice, Inbred BALB C MH - Spectinomycin/administration & dosage/*analogs & derivatives/pharmacokinetics MH - Tuberculosis/drug therapy/*metabolism PMC - PMC6362843 MID - NIHMS1517919 OTO - NOTNLM OT - Antibiotics OT - Inhalation OT - Pharmacokinetics OT - Tissue exposure OT - Tuberculosis EDAT- 2019/02/04 06:00 MHDA- 2019/07/02 06:00 PMCR- 2020/01/01 CRDT- 2019/02/04 06:00 PHST- 2018/09/30 00:00 [received] PHST- 2018/12/26 00:00 [revised] PHST- 2018/12/30 00:00 [accepted] PHST- 2019/02/04 06:00 [entrez] PHST- 2019/02/04 06:00 [pubmed] PHST- 2019/07/02 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - S1472-9792(18)30413-X [pii] AID - 10.1016/j.tube.2018.12.006 [doi] PST - ppublish SO - Tuberculosis (Edinb). 2019 Jan;114:119-122. doi: 10.1016/j.tube.2018.12.006. Epub 2018 Dec 31.