Multi-drug-resistant
tuberculosis (TB) is a major public health
problem, concerning about half a million cases each year. Patients
hardly adhere to the current strict treatment consisting of more than
10 000 tablets over a 2-year period. There is a clear need
for efficient and better formulated medications. We have previously
shown that nanoparticles made of cross-linked poly-β-cyclodextrins
(pβCD) are efficient vehicles for pulmonary delivery of powerful
combinations of anti-TB drugs. Here, we report that in addition to
being efficient drug carriers, pβCD nanoparticles are endowed
with intrinsic antibacterial properties. Empty pβCD nanoparticles
are able to impair
Mycobacterium tuberculosis
(Mtb)
establishment after pulmonary administration in mice. pβCD hamper
colonization of macrophages by Mtb by interfering with lipid rafts,
without inducing toxicity. Moreover, pβCD provoke macrophage
apoptosis, leading to depletion of infected cells, thus creating a
lung microenvironment detrimental to Mtb persistence. Taken together,
our results suggest that pβCD nanoparticles loaded or not with
antibiotics have an antibacterial action on their own and could be
used as a carrier in drug regimen formulations effective against TB.
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