Evidence map›Paper›PMID 26741303›Full record

ArticleJournal of aerosol medicine and pulmonary drug delivery2016

Effects of Emulsion Composition on Pulmonary Tobramycin Delivery During Antibacterial Perfluorocarbon Ventilation.

Ryan A Orizondo, Mario L Fabiilli, Marissa A Morales, Keith E Cook

Open access · greenAbstract read
In one paragraph

Article in Journal of aerosol medicine and pulmonary drug delivery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Ryan A Orizondo1 Department of Biomedical Engineering, University of Michigan , Ann Arbor, Michigan.
Mario L Fabiilli2 Department of Radiology, University of Michigan , Ann Arbor, Michigan.
Marissa A Morales3 Department of Chemical Engineering, Carnegie Mellon University , Pittsburgh, Pennsylvania.
Keith E Cook4 Department of Biomedical Engineering, Carnegie Mellon University , Pittsburgh, Pennsylvania.
Carnegie Mellon University · USUniversity of Michigan–Ann Arbor · US

Funding

Antibacterial Perfluorocarbon Ventilation to Treat Severe Respiratory InfectionsR03AI096029 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COOK, KEITH E · 2012 to 2013
$156k
NIAID NIH HHS R03 AI096029NIAID NIH HHS R03AI096029
6 · The paper itself

Abstract

backgroundThe effectiveness of inhaled aerosolized antibiotics is limited by poor ventilation of infected airways. Pulmonary delivery of antibiotics emulsified within liquid perfluorocarbon [antibacterial perfluorocarbon ventilation (APV)] may solve this problem through better airway penetration and improved spatial uniformity. However, little work has been done to explore emulsion formulation and the corresponding effects on drug delivery during APV. This study investigated the effects of emulsion formulation on emulsion stability and the pharmacokinetics of antibiotic delivery via APV.

methodsGravity-driven phase separation was examined in vitro by measuring emulsion tobramycin concentrations at varying heights within a column of emulsion over 4 hours for varying values of fluorosurfactant concentration (Cfs = 5-48 mg/mL H2O). Serum and pulmonary tobramycin concentrations in rats were then evaluated following pulmonary tobramycin delivery via aerosol or APV utilizing sufficiently stable emulsions of varying aqueous volume percentage (Vaq = 1%-5%), aqueous tobramycin concentration (Ct = 20-100 mg/mL), and Cfs (15 and 48 mg/mL H2O).

resultsIn vitro assessment showed sufficient spatial and temporal uniformity of tobramycin dispersion within emulsion for Cfs ≥15 mg/mL H2O, while lower Cfs values showed insufficient emulsification even immediately following preparation. APV with stable emulsion formulations resulted in 5-22 times greater pulmonary tobramycin concentrations at 4 hours post-delivery relative to aerosolized delivery. Concentrations increased with emulsion formulations utilizing increased Vaq (with decreased Ct) and, to a lesser extent, increased Cfs.

conclusionsThe emulsion stability necessary for effective delivery is retained at Cfs values as low as 15 mg/mL H2O. Additionally, the pulmonary retention of antibiotic delivered via APV is significantly greater than that of aerosolized delivery and can be most effectively increased by increasing Vaq and decreasing Ct. APV has been further proven as an effective means of pulmonary drug delivery with the potential to significantly improve antibiotic therapy for lung disease patients.

Indexed as

Drug Delivery SystemsAdministration, InhalationAerosol PropellantsAerosolsAnimalsAnti-Bacterial AgentsDrug CompoundingDrug StabilityEmulsionsFluorocarbonsMaleRats, Sprague-DawleyTobramycinAerosol PropellantsAerosolsAnti-Bacterial AgentsEmulsionsFluorocarbonsTobramycinemulsionperfluorocarbonrespiratory infectionventilation

Identifiers

PMID26741303
PMCPMC4894013
OpenAlexW2232009094

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.