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that currently require drastic treatment, including pulmonary
surgery.23 A combined therapy based on the use of a system such
as the one described here will offer a much more convenient
alternative, both from the patient and the economic point of
view. The use of UV to enhance drug activity will not be practical
in most patients. However, in those with MDR and XDR
TB, where treatment options are limited, use of an adapted
bronchoscope could provide targeted UV delivery to the site of
disease. The modular nature of the nanoparticles and the
relative simplicity of the building blocks should allow us to
develop related systems with different properties. For example, a
version bearing ergosterol may target fungi24 and can be tested
against post-transplant fungal infections. The potential toxicity
of our porphyrin derivatives may be mitigated by developing a
nanoparticle version bearing more biocompatible (e.g. heme
derivative) moieties. The potential of these systems is currently
being analysed in our labs.
Fig. 3 (A) Percentage survival of M. fortuitum 4 days after treatment with
pure 1. Red columns represent the survival for non-irradiated samples and
the blue columns the survival for samples that where irradiated 24 hours
after exposure to the nanoparticle (75 J cmÀ2 energy dose). (B) Idem for
samples treated with 1 and 2.The ratio of concentrations [2] : [1] is 2 in all
samples. The concentration of 2 bound to the nanoparticle is shown in
parenthesis and has been calculated from the binding constants. See ESI,†
Tables S2 and S3 for numerical data. In all cases, the error bars represent
twice the standard deviation of three measurements.
Notes and references
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2 Infections and the rise of antimicrobial resistance, London, Depart-
ment of Health, 2013.
3 World Health Organisation World tuberculosis report, 2012. http://
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5 A. J. Huh and Y. J. Kwon, J. Controlled Release, 2011, 156, 128.
6 A. C. Engler, N. Wiradharma, Z. Y. Ong, D. J. Coady, J. L. Hedrick
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7 J. C. Sung, D. J. Padilla, L. Garcia-Contreras, J. L. VerBerkmoes,
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8 A. Sosnik, A. M. Carcaboso, R. J. Glisoni, M. A. Moretton and
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samples with 17.5 mM in 1 (with 9.5 mM of 2 bound to nanoparticle)
(Fig. 3B and ESI,† Table S3). Finally, when samples treated with 1 in
presence of 2 are also irradiated at 430 nm quantitative killing takes
place down to concentrations of 1 35 mM (with 26 mM of 2 bound
to nanoparticle), while a survival of 40% approx. is observed
when the concentration is further lowered to 17.5 mM in 1 (with
9.5 mM of 2 bound to nanoparticle). This result is consistent with
the nanoparticle facilitating the transport of the pyrazinoic acid
ester 2, together with the expected photosensitizer action of the
porphyrin moiety.
In summary, this work shows that the combination of a small
molecule based nanoparticle (1) with the appropriate derivative
of a known drug (2) results in quantitative bacterial killing for
M. fortuitum, a widely used model for M. tuberculosis down to
15 mg mLÀ1 from 10 mg mLÀ1 for the drug 2 in absence of the
nanoparticle (Fig. 3 and ESI,† Tables S2 and S3). The enhancing
of the drug activity in the presence of the nanoparticle is
attributed to the ability of the nanoparticle to facilitate the
transport of the drug into the bacteria and is supported by the
fact that the nanoparticle on its own leads to bacterial killing
upon irradiation. The transport activity can be attributed to
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M. R. Hamblin, Lasers Surg. Med., 2011, 43, 755.
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M. fortuitum as nutrient enabling the transport of the other
moieties associated to it, such as drug model 2 and the
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19 M. F. Simoes, E. Valente, M. J. Gomez, E. Anes and L. Constanito,
covalently linked Co metalloporphyrin moiety. It is also possible
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23 L. Bertolaccini, A. Viti, D. P. Giovanni and A. J. Terzi, J. Thorac. Dis.,
enhanced drug absorption. Whatever the precise mechanism of
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24 R. J. Kieber, W. J. Payne and G. S. Appleton, J. Appl. Microbiol., 1955,
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Chem. Commun., 2014, 50, 7649--7651 | 7651