Pharmacokinetic studies of a three-component complex that repurposes the front line antibiotic isoniazid against Mycobacterium tuberculosis

Tuberculosis (Edinb). 2017 Dec:107:149-155. doi: 10.1016/j.tube.2017.08.011. Epub 2017 Sep 4.

Abstract

The frontline tuberculosis (Tb) antibiotic isoniazid has been repurposed using a three component complex aimed at increasing the delivery efficiency and adding new avenues to its mechanism of action. This study focuses on pharmacokinetic studies of the isoniazid-sucrose-copper (II)-PEG-3350 complex. The assays include the Plasma Protein Binding Assay (85.8%), Caco-2 Permeability Assay (B→APapp, 0.13 × 10-6 cm/s), Cytochrome P450 Inhibition Assay (i.e. CYP2B6, IC50 = 7.26 μM), In vitro microsomal Stability Assay (t1/2 NADPH-Dependent > 240 min), and HepG2 Cytotoxicity (no toxicity). The National Cancer Institute's 60 cell line panel is used to measure activity against cancer cells. The percent growth values averaged over all 60 cell lines indicates the complex has no anti-cancer activity, which also suggests a lack of general toxicity. It also provides data for the complexes specificity against Mycobacterium tuberculosis.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Antitubercular Agents / chemistry
  • Antitubercular Agents / pharmacokinetics*
  • Antitubercular Agents / toxicity
  • Caco-2 Cells
  • Cell Survival / drug effects
  • Coordination Complexes / pharmacokinetics*
  • Coordination Complexes / toxicity
  • Copper / chemistry*
  • Cytochrome P-450 CYP2B6 Inhibitors / chemistry
  • Cytochrome P-450 CYP2B6 Inhibitors / pharmacokinetics*
  • Cytochrome P-450 CYP2B6 Inhibitors / toxicity
  • Drug Compounding
  • Half-Life
  • Hep G2 Cells
  • Humans
  • Intestinal Absorption
  • Intestinal Mucosa / metabolism*
  • Isoniazid / analogs & derivatives
  • Isoniazid / chemistry
  • Isoniazid / pharmacokinetics*
  • Isoniazid / toxicity
  • Mycobacterium tuberculosis / drug effects*
  • Permeability

Substances

  • Antitubercular Agents
  • Coordination Complexes
  • Cytochrome P-450 CYP2B6 Inhibitors
  • Copper
  • Isoniazid