Evidence map›Paper›PMID 27095353›Full record

ArticlePharmaceutical research2016

Preparation and Preclinical Evaluation of Inhalable Particles Containing Rapamycin and Anti-Tuberculosis Agents for Induction of Autophagy.

Anuradha Gupta, Deepak Sharma, Jairam Meena, Sanketkumar Pandya, Madhur Sachan, Sadan Kumar, Kavita Singh, Kalyan Mitra, Sharad Sharma, Amulya K Panda and 3 more

Erratum issuedAbstract read
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In one paragraph

Article in Pharmaceutical research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Exploring and exploiting the host cell autophagy during Mycobacterium tuberculosis infection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Review
  7. MedComm · 2023
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Feasibility of Aerosolized Alpha-1 Antitrypsin as a Therapeutic Option.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2020
    Review
  17. Review
  18. Review
  19. Animal models of tuberculosis: Lesson learnt.The Indian journal of medical research · 2018
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Anuradha GuptaPharmaceutics Division, CSIR-Central Drug Research Institute, Sector 10A, Jankipuram Extension, Lucknow, 226031, India.
Deepak SharmaPharmaceutics Division, CSIR-Central Drug Research Institute, Sector 10A, Jankipuram Extension, Lucknow, 226031, India.
Jairam MeenaNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Sanketkumar PandyaPharmaceutics Division, CSIR-Central Drug Research Institute, Sector 10A, Jankipuram Extension, Lucknow, 226031, India.
Madhur SachanPharmaceutics Division, CSIR-Central Drug Research Institute, Sector 10A, Jankipuram Extension, Lucknow, 226031, India.
Sadan KumarPharmaceutics Division, CSIR-Central Drug Research Institute, Sector 10A, Jankipuram Extension, Lucknow, 226031, India.
Kavita SinghPharmaceutics Division, CSIR-Central Drug Research Institute, Sector 10A, Jankipuram Extension, Lucknow, 226031, India.
Kalyan MitraPharmaceutics Division, CSIR-Central Drug Research Institute, Sector 10A, Jankipuram Extension, Lucknow, 226031, India.
Sharad SharmaPharmaceutics Division, CSIR-Central Drug Research Institute, Sector 10A, Jankipuram Extension, Lucknow, 226031, India.
Amulya K PandaNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Pushpa GuptaNational JALMA Institute for Leprosy and Other Mycobacterial Diseases, ICMR, Tajganj, Agra, 282001, India.
Umesh Datta GuptaNational JALMA Institute for Leprosy and Other Mycobacterial Diseases, ICMR, Tajganj, Agra, 282001, India.
Amit MisraPharmaceutics Division, CSIR-Central Drug Research Institute, Sector 10A, Jankipuram Extension, Lucknow, 226031, India. amit_misra@cdri.res.in.
Central Drug Research Institute · INNational Institute of Immunology · INNational JALMA Institute for Leprosy & Other Mycobacterial Diseases · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMycobacterium tuberculosis (Mtb) inhibits host defense mechanisms, including autophagy. We investigated particles containing rapamycin (RAP) alone or in combination with isoniazid (INH) and rifabutin (RFB) for: targeting lung macrophages on inhalation; inducing autophagy; and killing macrophage-resident Mtb and/or augmenting anti-tuberculosis (TB) drugs.

methodsPLGA and drugs were spray-dried. Pharmacokinetics, partial biodistribution (LC-MS/MS) and efficacy (colony forming units, qPCR, acid fast staining, histopathology) in mice following dry powder inhalation were evaluated.

resultsAerodynamic diameters of formulations were 0.7-4.7 μm. Inhaled particles reached deep lungs and were phagocytosed by alveolar macrophages, yielding AUC0-48 of 102 compared to 0.1 μg/ml × h obtained with equivalent intravenous dose. RAP particles induced more autophagy in Mtb-infected macrophages than solutions. Inhaled particles containing RAP alone in daily, alternate-day and weekly dosing regimens reduced bacterial burden in lungs and spleens, inducing autophagy and phagosome-lysosome fusion. Inhalation of particles containing RAP with INH and RFB cleared the lungs and spleens of culturable bacteria.

conclusionsTargeting a potent autophagy-inducing agent to airway and lung macrophages alone is feasible, but not sufficient to eliminate Mtb. Combination of macrophage-targeted inhaled RAP with classical anti-TB drugs contributes to restoring tissue architecture and killing Mtb.

Indexed as

Administration, InhalationAnimalsAntitubercular AgentsAutophagyDrug Evaluation, PreclinicalDrug Therapy, CombinationHumansLactic AcidMacrophagesMaleMiceMonocytesMycobacterium tuberculosisPolyglycolic AcidPolylactic Acid-Polyglycolic Acid CopolymerSirolimusAntitubercular AgentsLactic AcidPolyglycolic AcidPolylactic Acid-Polyglycolic Acid CopolymerSirolimusautophagybiodistributiondry powder inhalationmacrophage targetingmicroparticlesmicrospherespharmacokineticspulmonary drug deliverytuberculosis

Identifiers

PMID27095353
OpenAlexW2342118964

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.