Synergistic Antifungal Activity against Candida Albicans between Voriconazole and Cyclosporine a Loaded in Polymeric Nanoparticles

The goal of this work is to investigate if the synergistic antifungal activity between cyclosporine A, CsA, and voriconazole, VRZ, increases when both drugs are encapsulated in a nanocarrier as compared when they are free. The preparation and characterization of blank and VRZ and CsA loaded polymeri...

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Detalles Bibliográficos
Autores: Martín, Victoria I., Ruiz de la Haba, Rafael, López-Cornejo, María del Pilar, López López, M., Lebrón Romero, José Antonio, Bernal Pérez, Eva, Baeza, N., Ruiz, S., Ostos Marcos, Francisco José, Merino Bohórquez, Vicente, Moyá Morán, María Luisa
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/167483
Acceso en línea:https://hdl.handle.net/11441/167483
https://doi.org/10.1016/j.ijpharm.2024.124593
Access Level:acceso abierto
Palabra clave:Cyclosporine A
PEG
PLGA
Polymeric nanoparticles
Synergism
Voriconazole
Descripción
Sumario:The goal of this work is to investigate if the synergistic antifungal activity between cyclosporine A, CsA, and voriconazole, VRZ, increases when both drugs are encapsulated in a nanocarrier as compared when they are free. The preparation and characterization of blank and VRZ and CsA loaded polymeric based PLGA nanoparticles (PLGA, PLGA-PEG, and PLGA+PEG) was a necessary previous step. Using the more suitable NPs, those of PLGA, the antifungal susceptibility tests performed with VRZ-loaded PLGA NPs, show no significant increase of the antifungal activity in comparison to that of free VRZ. However, the synergistic behavior found for the (VRZ+CsA)-loaded PLGA NPs was fourfold stronger than that observed for the two free drugs together. On the other hand, the investigation into the suppression of C. albicans biofilm formation showed that blank PLGA NPs inhibit the biofilm formation at high NPs concentrations. However, a minor effect or even a slight biofilm increase formation was observed at low and moderate NPs concentrations. Therefore, the enhancement of the biofilm inhibition found for the three tested treatments (CsA alone, VRZ alone, and VRZ+CsA) when comparing free and encapsulated drugs, within the therapeutic window, can be attributed to the drug encapsulation approach. Indeed, polymeric PLGA NPs loaded with CsA, VRZ, or VRZ+CsA are more effective at inhibiting the C. albicans biofilm growth than their free counterparts.