結核治療の負担を軽減する新たな吸入型治療法を開発(Study: UB researchers develop new inhalable treatment for TB)

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2026-02-10 バッファロー大学(UB)

米バッファロー大学の研究チームは、結核(TB)治療のための吸入型新規治療法を開発した。従来の経口投与では長期服薬が必要で副作用や治療中断の問題があったが、本研究では有効成分を微粒子化し、肺へ直接送達する吸入製剤を設計した。これにより、感染部位である肺に高濃度で薬剤を届けつつ、全身性副作用を抑制できる可能性が示された。前臨床試験では、従来法より少ない用量で同等以上の抗菌効果が確認され、治療期間短縮の可能性も示唆された。薬剤耐性結核対策や服薬アドヒアランス向上に寄与する新たなドラッグデリバリー戦略として期待される。

<関連情報>

β-グルカン-キトサン-PLGAナノ粒子の反復肺投与はマウスの結核菌を抑制 Repeated pulmonary dosing of β-glucan-chitosan-PLGA nanoparticles controls Mycobacterium tuberculosis in mice

Hilliard L. Kutscher, Maria Tamblin, Evon Smith, Arnav Shah, Patrick O. Kenney, Jessica L. Reynolds
Antimicrobial Agents and Chemotherapy  Published:14 January 2026
DOI:https://doi.org/10.1128/aac.01480-25

結核治療の負担を軽減する新たな吸入型治療法を開発(Study: UB researchers develop new inhalable treatment for TB)

ABSTRACT

To address limitations in tuberculosis (TB) therapy, we developed an inhalable, immunomodulating, biocompatible nanoparticle system (β-C-P) encapsulating rifampin that targets alveolar macrophage. The nanoparticle consists of a poly(lactic-co-glycolic acid) (PLGA) core, a chitosan coating, and a surface functionalized with 1,3-β-glucan for enhanced macrophage uptake and immunomodulation. We evaluated the safety, immunological effects, and efficacy of rifampin-loaded β-C-P nanoparticles delivered via oropharyngeal aspiration (OPA) in healthy mice and in a low-dose Mycobacterium tuberculosis (Mtb) BALB/c model treated weekly for 4 weeks, as well as in a low-dose Mtb C3HeB/FeJ model treated weekly for 8 weeks. In healthy mice, cell pellets isolated by bronchoalveolar lavage (BAL) showed higher pulmonary exposure (AUC) of rifampin with 20% β-C-P nanoparticles versus 5% β-C-P nanoparticles, while no rifampin was detected in the oral rifampin group. Flow cytometry revealed no significant changes in lung immune cell populations except for a transient neutrophil increase at day 21 in the 5% β-C-P group. In the Mtb BALB/c mouse model, weekly OPA administration of 5%, 10%, and 20% β-C-P nanoparticles significantly reduced lung CFU by 0.5–1.11 log10, comparable to daily oral rifampin. In the Mtb C3HeB/FeJ (Kramnik) mouse model, weekly OPA administration of 10% and 20% β-C-P nanoparticles significantly reduced lung CFU, comparable to daily oral rifampin. Collectively, these findings demonstrate that weekly pulmonary nanoparticle delivery of rifampin-loaded β-C-P nanoparticles achieves sustained rifampin exposure and therapeutic efficacy comparable to daily dosing, without pulmonary toxicity or systemic immune activation. This supports the potential of long-acting inhalable formulations for simplified TB therapy.

医療・健康
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