1. Comparison of In Vivo Transportability of Anti-Methicillin-Resistant Staphylococcus aureus (MRSA) Agents Into Intracellular and Extracellular Tissue Spaces in Rats
- Author
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Yukako Ito, Shinji Kobuchi, Kenji Sasaki, Yusuke Kita, Yukiko Hiramatsu, Tomoya Uno, and Toshiyuki Sakaeda
- Subjects
Methicillin-Resistant Staphylococcus aureus ,Staphylococcus aureus ,Pharmaceutical Science ,Microbial Sensitivity Tests ,02 engineering and technology ,Pharmacology ,medicine.disease_cause ,030226 pharmacology & pharmacy ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Vancomycin ,medicine ,Extracellular ,Animals ,Arbekacin ,business.industry ,Staphylococcal Infections ,biochemical phenomena, metabolism, and nutrition ,021001 nanoscience & nanotechnology ,Methicillin-resistant Staphylococcus aureus ,Anti-Bacterial Agents ,Rats ,chemistry ,Linezolid ,Daptomycin ,0210 nano-technology ,business ,Intracellular ,medicine.drug - Abstract
The pathogenic bacterium Staphylococcus aureus can penetrate host cells. However, intracellular S. aureus is not considered during antimicrobial agent selection in clinical chemotherapy because of the lack of information about drug transportability into cells in vivo. We focused on agents used to treat methicillin-resistant S. aureus (MRSA) (vancomycin, arbekacin, linezolid, and daptomycin) and indirectly assessed the drug levels in intracellular compartment using plasma, tissue homogenates, and interstitial fluid (ISF) samples from the skin of rats using the microneedle array technique. Lower drug levels were observed in the ISF than in the plasma for daptomycin but extracellular and intracellular drug levels were comparable. In contrast, vancomycin, arbekacin, and linezolid showed higher concentrations in the ISF than in the plasma. Intracellular transport was estimated only for arbekacin. Stasis of vancomycin in the ISF was also observed. These results suggest that both low vancomycin exposure against intracellular S. aureus infection and long-term subinhibitory drug levels in the ISF contribute to the failure of treatment and emergence of antibiotic resistance. Based on its pharmacokinetic characteristics in niche extravascular tissue spaces, arbekacin may be suitable for achieving sufficient clinical outcomes for MRSA infection because the drug is widely distributed in extracellular and intracellular compartments.
- Published
- 2021
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