Paula Bellés Sancho - UAB Barcelona · THE BATTLE THAT SEEMED LOST Nanoparticles against...

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THE BATTLE THAT SEEMED LOST Nanoparticles against multiresistant Pseudomonas aeruginosa Paula Bellés Sancho EXPECTED RESULTS BIBLIOGRAPHY Pseudomonas aeruginosa is a gramnegative bacteria which causes most of the nosocomial infections in humans. It is frequently associated with respiratory diseases, being the principal cause of mortality (1) . These infections are difficult to treat with antibiotics due to three main factors (2) , shown in the following figure (Figure 1): The combination of these factors and the low bioavailability that, in most cases, traditional drugs present, make the treatment ineffective. For this reason, new strategies based on nanocarriers carrying antimicrobial drugs, such as polymeric nanoparticles (NPs), have been studied to due to their potential to encapsulate and deliver the drug. These nanocarriers-based strategies are expected to increase bactericidal effectiveness, avoiding the side effects reported on traditional drugs (2) . OBJECTIVES INTRODUCTION AND BACKGROUND MATERIAL AND METHODS Synthesis of PLGA-PEI diblock copolymers Precipitation Micelle- like aggregates with CFZM Covalent grafting of DNase I 1 4 3 2 Size and surface charge Morphological characterization Drug encapsulation and in vitro release Quantification of DNase I activity Sterilization 1 2 3 4 5 Flowchart 1. Diagram of the specific objective. Each objective is considered as a work-package. DIFUSION PLAN Suspension of P. aeruginosa + LB medium + NPs Increasing CFZM-loaded NPs concentration Recover biofilm forming cells and make serially dilutions in LB agar plates 3.1. Inhibition of biofilm formation 3.2. Activity against established biofilm Peg lid 24 h 37ºC Peg lid with a 48 h established biofilm LB medium + NPs Increasing CFZM-loaded NPs concentration 2. Minimal inhibitory concentration (MIC) assay Artificial mucus SILF Mammalian cytotoxicity Preparation of the PLGA/PEI–CFZM–DNase I NPs DNase I Figure 4. 3-[4,5-dimethylthiazol-2-yl]-2,5- diphenyltetrazolium (MTT) colorimetric assay after 24 h and 48 h of exposure to different NPsconcentrations, tested in murine macrophage cells. Based on A. Baelo et al. 2015 (4) . Figure 2. NPs preparation diagram based and modified from Y. S. Nam et al. 2003 (3) (1, 2 and 3) and A. Baelo et al. 2015 (4) (4). The NPs resulting is an amphiphilic NP based on PLGA- PEI polymer and modified with Dnase I and CFZM. P. aeruginosa PAO1 CFZM resistant P. aeruginosa strain PLGA CFZM PEI Increasing NPs concentration Murine macrophage cell culture 24h 48 h Figure 3. Flowchart on NPs characterization, baseded and modified from A. Baelo et al. 2015 (4) (1, 2, 3 and 4). Step 5 is based on M. A. Vetten et al. 2014 (5) . In vitro assays Figure 5. In vitro assays adapted from I. d’Angelo et al. 2015 (6) (1) and A. Baelo et al. 2015 (4) (2, 3.1. and 3.2.) 1. Artificial mucus assay NPs dispersion Polycarbonate membrane SILF Artificial CF mucus Preparation of NPs NP characterization Determination of mammalian cytotoxicity In vitro assays Protocol optimization Physical features Quantification of drug encapsulation and DNase I activity Sterilization of the NPs Mucolitic assay Minimal inhibitory concentration assay Antibiofilm assay Characterization 4 μg/ml 0 μg/ml CFZM-loaded NPs DNase I PEI Antibiofilm capacity PEI + PLGA Synergyc propierties with CFZM Mucolytic propierties Protection of CFZM against β-lactamases Biodegradable Burst release of CFZM Figure 6. Scheme of expected results. To evaluate and valorize results by UAB Valorization and Patents Office Publications in high-impact scientific journals Generation of scientific reports every 4 months and after finishing a work-package Divulgation of results by national and international seminars Results of in vitro assays are represented in Figure 6. Each expected result is related to a component of the NPs, based on previous studies (2, 4) . This project is designed for 3 years. Results are expected to be obtained in the last stage of the third year. A. Thicker mucus layer of patients B. Biofilm formed by the pathogen C. Resistance of the microorganism A C B Figure 1. Anatomical and biological barriers in respiratory infection diseases (Image modified from I. d’Angelo et al. 2014 (2) ). Bronchial cross-section Airway inflammation Human airway epithelial cells Antibiotic Nucleic acid Antinflammatory drugs Airway-hydrating agents Mucus layer Macrophages Local therapy Neutrophil infiltration Non-mucoid bacteria Mucoid bacteria 1. Lyczak, J. B., Cannon, C. L., & Pier, G. B. (2002). Lung infections associated with cystic fibrosis. Clinical microbiology reviews, 15(2), 194-222. 2. d'Angelo, I., Conte, C., La Rotonda, M. I., Miro, A., Quaglia, F., & Ungaro, F. (2014). Improving the efficacy of inhaled drugs in cystic fibrosis: challenges and emerging drug delivery strategies. Advanced drug delivery reviews, 75, 92-111. 3. Nam, Y. S., Kang, H. S., Park, J. Y., Park, T. G., Han, S. H., & Chang, I. S. (2003). New micelle-like polymer aggregates made from PEI–PLGA diblock copolymers: micellar characteristics and cellular uptake. Biomaterials, 24(12), 2053-2059 4. Baelo, A., Levato, R., Julián, E., Crespo, A., Astola, J., Gavaldà, J., ... & Torrents, E. (2015). Disassembling bacterial extracellular matrix with DNase-coated nanoparticles to enhance antibiotic delivery in biofilm infections. Journal of Controlled Release, 209, 150-158. 5. Vetten, M. A., Yah, C. S., Singh, T., & Gulumian, M. (2014). Challenges facing sterilization and depyrogenation of nanoparticles: effects on structural stability and biomedical applications. Nanomedicine: Nanotechnology, Biology and Medicine, 10(7), 1391-1399 6. d’Angelo, I., Casciaro, B., Miro, A., Quaglia, F., Mangoni, M. L., & Ungaro, F. (2015). Overcoming barriers in Pseudomonas aeruginosa lung infections: Engineered nanoparticles for local delivery of a cationic antimicrobial peptide. Colloids and Surfaces B: Biointerfaces, 135, 717-725. The aim of this project is: To develop a polymeric NPs based on poly(lactic-co-glycolic) acid (PLGA) and polyethylenimine (PEI). They will be modified by covalent grafting of deoxyribonuclease I (DNase I) and will encapsulate ceftazidime (CFZM). To assess the NP bactericidal potential against P. aeruginosa infection with three different in vitro assay (Flowchart 1).

Transcript of Paula Bellés Sancho - UAB Barcelona · THE BATTLE THAT SEEMED LOST Nanoparticles against...

Page 1: Paula Bellés Sancho - UAB Barcelona · THE BATTLE THAT SEEMED LOST Nanoparticles against multiresistant Pseudomonas aeruginosa Paula Bellés Sancho EXPECTED RESULTS BIBLIOGRAPHY

THE BATTLE THAT SEEMED LOSTNanoparticles against multiresistant Pseudomonas aeruginosa

Paula Bellés Sancho

EXPECTED RESULTS

B I B L I O G R A P H Y

Pseudomonas aeruginosa is a gramnegative bacteria which causes most of the nosocomialinfections in humans. It is frequently associated with respiratory diseases, being the principal causeof mortality(1). These infections are difficult to treat with antibiotics due to three main factors(2),shown in the following figure (Figure 1):

The combination of these factors and the low bioavailability that, in most cases, traditional drugspresent, make the treatment ineffective. For this reason, new strategies based on nanocarrierscarrying antimicrobial drugs, such as polymeric nanoparticles (NPs), have been studied to due totheir potential to encapsulate and deliver the drug. These nanocarriers-based strategies are expectedto increase bactericidal effectiveness, avoiding the side effects reported on traditional drugs(2).

OBJECTIVES INTRODUCTION AND BACKGROUND

MATERIAL AND METHODS

Synthesis of PLGA-PEI diblock

copolymers

Precipitation

Micelle-like

aggregates with CFZM

Covalentgrafting of

DNase I

1

4

3

2

Size and surface charge

Morphological characterization

Drug encapsulation and in vitro release

Quantification of

DNase I activity

Sterilization

1

2

3

4

5

Flowchart 1. Diagram of the specific objective. Each objective is considered as a work-package.

DIFUSION PLAN

Suspension of P. aeruginosa + LB medium + NPs

Increasing CFZM-loaded NPs concentration

Recover biofilm forming cells and make serially dilutions in LB agar

plates

3.1. Inhibition of biofilm formation 3.2. Activity against established biofilm

Peg lid

24 h37ºC

Peg lid with a 48 h established biofilm

LB medium + NPs

Increasing CFZM-loaded NPs concentration

2. Minimal inhibitory concentration (MIC) assay

Artificial mucus

SILF

Mammalian cytotoxicityPreparation of the PLGA/PEI–CFZM–DNase I NPs

DNase I

Figure 4. 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium (MTT) colorimetric assayafter 24 h and 48 h of exposure to differentNPsconcentrations, tested in murine macrophagecells. Based on A. Baelo et al. 2015(4).

Figure 2. NPs preparation diagram based and modified fromY. S. Nam et al. 2003(3) (1, 2 and 3) and A. Baelo et al. 2015(4)

(4). The NPs resulting is an amphiphilic NP based on PLGA-PEI polymer and modified with Dnase I and CFZM.

P. aeruginosa PAO1

CFZM resistant P. aeruginosa strain

PLGA

CFZMPEI

Increasing NPs concentration

Murine macrophage cell culture

24h 48 h

Figure 3. Flowchart on NPs characterization,baseded and modified from A. Baelo et al.2015(4) (1, 2, 3 and 4). Step 5 is based on M.A. Vetten et al. 2014(5).

In vitro assays

Figure 5. In vitro assaysadapted from I. d’Angeloet al. 2015(6) (1) and A.Baelo et al. 2015(4) (2,3.1. and 3.2.)

1. Artificial mucus assay

NPs dispersion

Polycarbonate membrane SILF

Artificial CF mucus

Preparation of NPs

NP characterization

Determination of mammaliancytotoxicity

In vitro assaysProtocol

optimization

Physical features

Quantification of drug encapsulation and

DNase I activity

Sterilization of the NPs

Mucolitic assay

Minimal inhibitory concentration assay

Antibiofilm assay

Characterization

4 µg/ml 0 µg/ml CFZM-loaded NPs

DNase I

PEI

Antibiofilmcapacity

PEI + PLGA

Synergycpropiertieswith CFZM

Mucolyticpropierties

Protection of CFZM againstβ-lactamases

Biodegradable

Burst release of CFZM Figure 6. Scheme

of expected results.

To evaluate and valorize results by UAB Valorization and Patents Office

Publications in high-impact scientific journals

Generation of scientific reports every 4 months and after finishing a work-package

Divulgation of results by national and international seminars

Results of in vitro assays are representedin Figure 6. Each expected result is relatedto a component of the NPs, based onprevious studies(2, 4).

This project is designed for 3 years.Results are expected to be obtained in thelast stage of the third year.

A. Thicker mucus layer of patients B. Biofilm formed by the pathogen C. Resistance of the microorganism

A

C

B

Figure 1. Anatomical and biological barriers in respiratory infection diseases (Image modified from I. d’Angelo et al. 2014(2)).

Bronchial cross-sectionAirway

inflammation

Human airway epithelial cells

Antibiotic

Nucleic acid

Antinflammatory drugs

Airway-hydrating agents

Mucus layer

Macrophages

Local therapy

Neutrophil infiltration

Non-mucoid bacteria

Mucoid bacteria

1. Lyczak, J. B., Cannon, C. L., & Pier, G. B. (2002). Lung infections associated with cystic fibrosis. Clinical microbiology reviews, 15(2), 194-222.

2. d'Angelo, I., Conte, C., La Rotonda, M. I., Miro, A., Quaglia, F., & Ungaro, F. (2014). Improving the efficacy of inhaled drugs in cystic fibrosis:

challenges and emerging drug delivery strategies. Advanced drug delivery reviews, 75, 92-111.

3. Nam, Y. S., Kang, H. S., Park, J. Y., Park, T. G., Han, S. H., & Chang, I. S. (2003). New micelle-like polymer aggregates made from PEI–PLGA

diblock copolymers: micellar characteristics and cellular uptake. Biomaterials, 24(12), 2053-2059

4. Baelo, A., Levato, R., Julián, E., Crespo, A., Astola, J., Gavaldà, J., ... & Torrents, E. (2015). Disassembling bacterial extracellular matrix withDNase-coated nanoparticles to enhance antibiotic delivery in biofilm infections. Journal of Controlled Release, 209, 150-158.

5. Vetten, M. A., Yah, C. S., Singh, T., & Gulumian, M. (2014). Challenges facing sterilization and depyrogenation of nanoparticles: effects onstructural stability and biomedical applications. Nanomedicine: Nanotechnology, Biology and Medicine, 10(7), 1391-1399

6. d’Angelo, I., Casciaro, B., Miro, A., Quaglia, F., Mangoni, M. L., & Ungaro, F. (2015). Overcoming barriers in Pseudomonas aeruginosa lunginfections: Engineered nanoparticles for local delivery of a cationic antimicrobial peptide. Colloids and Surfaces B: Biointerfaces, 135,717-725.

The aim of this project is:

To develop a polymeric NPs based on poly(lactic-co-glycolic) acid (PLGA) andpolyethylenimine (PEI). They will be modified by covalent grafting ofdeoxyribonuclease I (DNase I) and will encapsulate ceftazidime (CFZM).

To assess the NP bactericidal potential against P. aeruginosa infection with threedifferent in vitro assay (Flowchart 1).