Polymyxin B Combined with Minocycline: A Potentially Effective Combination against blaOXA-23-harboring CRAB in In Vitro PK/PD Model

Polymyxin-based combination therapy is commonly used to treat carbapenem-resistant Acinetobacter baumannii (CRAB) infections. In the present study, the bactericidal effect of polymyxin B and minocycline combination was tested in three CRAB strains containing bla_OXA-23 by the checkerboard assay and in vitro dynamic pharmacokinetics/pharmacodynamics (PK/PD) model. The combination showed synergistic or partial synergistic effect (fractional inhibitory concentration index ≤0.56) on the tested strains in checkboard assays. The antibacterial activity was enhanced in the combination group compared with either monotherapy in in vitro PK/PD model. The combination regimen (simultaneous infusion of 0.75 mg/kg polymyxin B and 100 mg minocycline via 2 h infusion) reduced bacterial colony counts by 0.9–3.5 log₁₀ colony forming units per milliliter (CFU/mL) compared with either drug alone at 24 h. In conclusion, 0.75 mg/kg polymyxin B combined with 100 mg minocycline via 2 h infusion could be a promising treatment option for CRAB bloodstream infections.     

胶束电动毛细管色谱法测定硫酸多粘菌素E药物中的多粘菌素E1和E2

采用胶束电动毛细管色谱法(MECC)对硫酸多粘菌素E药物中的主要成分多粘菌素E1和E2进行了分离,并测定了多粘菌素E1、E2的含量。分别考察了电泳电压、表面活性剂种类、Brij-35(月桂醇聚氧乙烯醚)浓度、乙腈含量、磷酸盐缓冲液的pH值、氯化钠浓度等实验参数对实验结果的影响,从而确定了最佳的分离条件: 电泳电压为10 kV,运行缓冲液为含有30 mmol/L Brij-35、5%(体积分数)乙腈、0.167 mol/L氯化钠的磷酸二氢钠缓冲液(0.01 mol/L,pH 4.1)。在优化的实验条件下,E1和E2得到了较好的分离,分离度达到1.94。以多粘菌素E1为例,柱效和峰面积的日间及日内测定的相对标准偏差(RSD)均小于5%。E1和E2在硫酸多粘菌素E药物中的含量分别为67%和32%。该方法简便、快速、准确、重现性好。     

Rapid Flow-Injection Method for the Determination of Colistin by Sensitized Chemiluminescence Using the Acidic Permanganate–Sulfite System

Abstract

A simple, rapid, and sensitive chemiluminescence method for the determination of colistin (Polymyxin E), a cyclic polypeptide with antibiotic effect produced by certain strains of Bacillus polymyxa, has been developed by combining a flow-injection technique and the bacteria's sensitizing effect on the chemiluminescence reaction between sulfite and acidic permanganate. The optimum conditions for chemiluminescence emission were established. The chemiluminescence was proportional to the log of concentration of colistin over the range 4–100 µg mL^?1 (3.5–87 µM). The detection limit was 1.2 µg mL^?1 (1.0 µM) of colistin. The method has been satisfactorily used for the determination of colistin in pharmaceuticals.     

电化学法研究多粘菌素B与磷脂酰丝氨酸的相互作用及与其他磷脂的比较

采用头基修饰的磷脂在金电极表面构建了稳定的磷脂双层膜,并使用该膜模拟生物膜对多肽类抗生素多粘菌素B(PMB)和磷脂酰丝氨酸的相互作用进行了研究.PMB可与磷脂酰丝氨酸发生相互作用,破坏双层膜结构,从而使膜的通透性升高.PMB的浓度、作用时间以及膜中胆固醇的存在均影响二者的作用程度.被PMB破坏的双层膜电极在一定程度上可在KC1溶液中重新自组装,且自修复的程度与修复时间和PMB的浓度有关.此外,比较了PMB和多种磷脂之间的作用程度,磷脂的头基、烃链的长度以及不饱和度均会影响二者间的相互作用.     

液相色谱-四极杆/静电场轨道阱高分辨质谱快速分析动物源性食品中多肽类药物残留

建立了液相色谱-四极杆/静电场轨道阱高分辨质谱(Q/Exactive)分析鸡肉、鸡肝、鸡肾、猪肉、猪肝、猪肾、牛奶和鸡蛋中粘杆菌素A、粘杆菌素B、多粘菌素B、杆菌肽A和维吉尼霉素M的方法。动物源性食品采用1%(体积分数)乙酸乙腈-水(体积比为8∶2)超声提取,提取液直接经C18液相色谱柱分离。在电喷雾正离子模式下,四极杆质谱在m/z 1.2隔离窗口下过滤一级带电离子,高分辨静电场轨道阱质谱在35 000分辨率下进行目标物子离子全扫描(targeted-MS2)。根据5种多肽类药物的高分辨分子离子峰、同位素分布、特征子离子信息建立数据库,采用Trace Finder 3.0软件实现定性检索。为解决多肽类药物残留测定结果重复性差的难题,系统地评价了5种多肽类药物的关键操作技术条件,发现导致该类药物降解的主要因素包括:提取时间、玻璃器皿、存放时间。该方法测定5种多肽类药物时,测定结果的质量精度均小于5×10-6,维吉尼霉素M的定量限(LOQ)为0.5μg/kg,另外4种多肽类药物的LOQ均为10μg/kg。在0.25~500μg/kg范围内,5种多肽类药物的峰面积与质量浓度呈良好的线性关系,相关系数R2≥0.993 1,方法回收率为67.4%~108.9%,相对标准偏差为4.5%~17.2%。该方法操作简单,测定结果准确,可用于动物源性食品中多肽类药物残留的高通量测定。     

高效液相色谱/蒸发光散射法测定多黏菌素类原料药中主成分含量

建立了高效液相色谱/蒸发光散射法测定多黏菌素B和多黏菌素E原料药中主成分含量的分析方法。采用Phenomenex Kinetex Biphenyl色谱柱(50 mm×4.6 mm i.d.,5μm)分离,甲醇和20 mmol/L乙酸铵水溶液(含0.6%甲酸)为流动相,梯度洗脱,流速为0.5 mL/min;蒸发光散射检测器参数为:漂移管温度55℃,气体压力20 psi,增益250。结果表明,多黏菌素B和多黏菌素E在10～200μg/mL质量浓度范围内线性良好,检出限分别为0.8μg/mL和1.2μg/mL,定量下限分别为2.6μg/mL和4.0μg/mL。批内回收率分别为100%～104%和101%～103%,批内相对标准偏差(RSD)分别为0.90%～2.4%和0.90%～2.6%,批间回收率分别为101%～103%和101%～102%,批间RSD分别为1.1%～1.9%和1.3%～1.7%。与微生物检定法相比,该方法简便,能够更准确地反映原料药中目标分析物含量,精密度更高,可用于多黏菌素B和多黏菌素E两种原料药的质量控制。     

Detection of endotoxin using an evanescent wave fiber-optic biosensor

The lipopolysaccharide endotoxin is the most powerful immune stimulant known and a causative agent in the clinical syndrome known as sepsis. Sepsis is responsible for more than 100,000 deaths annually, in large part due to the lack of a rapid, reliable, and sensitive diagnostic technique. This study describes the detection of LPS fromE. coli at concentrations as low as 10 ng/mL, in 30 s using an evanescent wave fiber-optic biosensor. Polymyxin B, covalently immobilized onto the surface of the fiber-optic probe, selectively bound fluorescently labeled LPS. Unlabeled LPS was detected in a competitive assay format using labeled LPS for signal generation. The competitive assay format worked in both buffer and plasma with similar sensitivities. This method can be used with other LPS capture molecules such as antibodies, lectins, or antibiotics, to simultaneously detect LPS and to determine the LPS serotype. The LPS assay using the fiber-optic biosensor is applicable to both clinical and environmental testing.     

柱亲和介质用于内毒素去除的研究

以琼脂糖凝胶为基质,采用不同方法活化后,键合多粘菌素B配基,制备了3种用于内毒素去除的亲和介质。亲和介质的配基键合量及对内毒素的去除率随间隔臂长度的增加而增加。考察了盐浓度、pH、温度及流速对亲和介质3去除内毒素的影响。结果表明,亲和介质3在NaC l浓度为0.05~0.5 mol/L,pH为6~10,温度为25~55℃,流速为0.20~0.80 mL/m in范围内对内毒素去除效果最佳,去除率大于90%。     

Simple Endotoxin Detection Using Polymyxin-B-Gated Nanoparticles

A nanodevice based on mesoporous silica nanoparticles with rhodamine B in the pore framework, functionalized with carboxylates on the outer surface and capped with the cationic polymyxin B peptide, was used to selectively detect endotoxin in aqueous solutions with a limit of detection in the picomolar range.