PMID- 31979198 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1999-4923 (Print) IS - 1999-4923 (Electronic) IS - 1999-4923 (Linking) VI - 12 IP - 2 DP - 2020 Jan 22 TI - Treating Intracranial Abscesses in Rats with Stereotactic Injection of Biodegradable Vancomycin-Embedded Microparticles. LID - 10.3390/pharmaceutics12020091 [doi] LID - 91 AB - Brain abscesses are emergent and life-threating despite advances in modern neurosurgical techniques and antibiotics. The present study explores the efficacy of vancomycin embedded to 50:50 poly(lactic-co-glycolide acid) (PLGA) microparticles in the treatment of brain abscess. The vancomycin embedded microparticles (VMPs) were stereotactically introduced into the cerebral parenchyma in Staphylococcus aureus bacteria- induced brain abscess-bearing rats. Experimental rats were divided into three groups: group A (n = 13; no treatment), group B (n = 14; daily vancomycin injection (5 mg intraperitoneally), and group C (n = 12; stereotactic introduction of VMPs into the abscess cavity). Group C exhibited no inflammatory response and significantly increased survival and reduced mean abscess volumes (p <0.001) at the eighth week, compared with other groups. Vancomycin delivery via a biodegradable PLGA vehicle can easily attain Area Under the Curve (AUC)/minimum inhibitory concentration (MIC) ratios of >/=400, and strengthens the therapeutic efficacy of antibiotics without provoking any potential toxicity. Biodegradable VMPs are a safe and sustainable drug delivery vehicle for the treatment of brain abscess. FAU - Tseng, Yuan-Yun AU - Tseng YY AD - Division of Neurosurgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei 11031, Taiwan. AD - Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan. FAU - Kao, Ching-Wei AU - Kao CW AD - Department of Anesthesiology, Chiayi Chang Gung Memorial Hospital, Chiayi 61363, Taiwan. AD - Department of Mechanical Engineering, Chang Gung University, Tao-Yuan 33302, Taiwan. FAU - Liu, Kuo-Sheng AU - Liu KS AD - Department of Thoracic and Cardiovascular Surgery, Linkou Chang Gung Memorial. Hospital, Taoyuan 33302, Taiwan. FAU - Tang, Ya-Ling AU - Tang YL AD - Department of Mechanical Engineering, Chang Gung University, Tao-Yuan 33302, Taiwan. FAU - Liu, Yen-Wei AU - Liu YW AD - Department of Thoracic and Cardiovascular Surgery, Linkou Chang Gung Memorial. Hospital, Taoyuan 33302, Taiwan. FAU - Liu, Shih-Jung AU - Liu SJ AD - Department of Mechanical Engineering, Chang Gung University, Tao-Yuan 33302, Taiwan. AD - Department of Orthopedic Surgery, Chang Gung Memorial Hospital-Linkuo, Tao-Yuan 33305, Taiwan. LA - eng GR - 106-2314-B-038-045-MY2/National Science Council/ GR - CMRPD2G0251/Chang Gung Memorial Hospital/ PT - Journal Article DEP - 20200122 PL - Switzerland TA - Pharmaceutics JT - Pharmaceutics JID - 101534003 PMC - PMC7076644 OTO - NOTNLM OT - brain abscess OT - drug delivery OT - electrospraying OT - poly(lactide-co-glycolide acid) OT - stereotactic OT - vancomycin COIS- The authors declare no competing financial interest. EDAT- 2020/01/26 06:00 MHDA- 2020/01/26 06:01 PMCR- 2020/02/01 CRDT- 2020/01/26 06:00 PHST- 2019/12/13 00:00 [received] PHST- 2020/01/16 00:00 [revised] PHST- 2020/01/21 00:00 [accepted] PHST- 2020/01/26 06:00 [entrez] PHST- 2020/01/26 06:00 [pubmed] PHST- 2020/01/26 06:01 [medline] PHST- 2020/02/01 00:00 [pmc-release] AID - pharmaceutics12020091 [pii] AID - pharmaceutics-12-00091 [pii] AID - 10.3390/pharmaceutics12020091 [doi] PST - epublish SO - Pharmaceutics. 2020 Jan 22;12(2):91. doi: 10.3390/pharmaceutics12020091.