Can Amphotericin B-mediated effects be limited using intranasal versus intravenous route?

Siddiqui, Ruqaiyyah and Ong, Timonthy Yu Yee * and Maciver, Sutherland and Khan, Naveed Ahmed (2023) Can Amphotericin B-mediated effects be limited using intranasal versus intravenous route? Therapeutic Delivery, 14 (8). pp. 485-490. ISSN 2041-6008

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Official URL: https://doi.org/10.4155/tde-2023-0032

Abstract

Aim: CNS infections due to parasites often prove fatal. In part, this is due to inefficacy of drugs to cross the blood-brain barrier. Methods: Here, we tested intranasal and intravenous route and compared adverse effects of Amphotericin B administration, through blood biochemistry, liver, kidney and brain histopathological evidence of toxicities in vivo post-administration. Results: It was observed that intranasal route limits the adverse side effects of Amphotericin B, in contrast to intravenous route. Conclusion: As parasites such as Naegleria fowleri exhibit unequivocal affinity toward the olfactory bulb and frontal lobe in the central nervous system, intranasal administration would directly reach amoebae bypassing the blood-brain barrier selectivity and achieve the minimum inhibitory concentration at the target site.

Item Type: Article
Uncontrolled Keywords: adverse effects; amphotericin B; blood-brain barrier; brain-eating amoebae; CNS infection; free-living amoebae; intranasal route; Naegleria fowleri; novel therapeutic delivery; primary amoebic meningoencephalitis;
Subjects: Q Science > QL Zoology
R Medicine > RC Internal medicine
R Medicine > RM Therapeutics. Pharmacology
Divisions: Others > Non Sunway Academics
Sunway University > School of Medical and Life Sciences [formerly School of Healthcare and Medical Sciences until 2020] > Dept. Biological Sciences
Depositing User: Ms Yong Yee Chan
Date Deposited: 16 Jul 2024 03:07
Last Modified: 16 Jul 2024 03:07
URI: http://eprints.sunway.edu.my/id/eprint/2827

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