The efficacy of aerosol treatment with non-ionic surfactant vesicles containing amphotericin B in rodent models of leishmaniasis and pulmonary aspergillosis infection

Manal Alsaadi, Jagdishbhai Laxmanbhai Italia, Alexander Mullen, M.N.V Ravi Kumar, A.A. Candlish, Roderick Williams, C.D. Shaw, Fatima Al-Gawhari, Graham Coombs, Martin Wiese, Alison Thomson, M. Puig-Sellart, J. Wallace, A Sharp, Lee Wheeler, Peter Warn, Katharine Carter

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Amphotericin B (AMB) is used to treat both fungal and leishmanial infections, which are of major significance to human health. Clinical use of free AMB is limited by its nephrotoxicity, whereas liposomal AMB is costly and requires parenteral administration, thus development of novel formulations with enhanced efficacy, minimal toxicity and that can be applied via non-invasive routes is required. In this study we analysed the potential of non-ionic surfactant vesicles (NIV) given by nebulisation to deliver AMB to the lungs, liver and skin. Treatment with AMB-NIV resulted in significantly higher drug levels in the lungs and skin (p < 0.05) compared to similar treatment with AMB solution but significantly lower plasma levels (p < 0.05). Treatment with AMB-NIV resulted in a significant reduction in fungal lung burdens in a rat model of invasive pulmonary aspergillosis (p < 0.05) compared to treatment with the carrier alone. Treatment with AMB-NIV but not AMB solution significantly suppressed Leishmania donovani liver parasite burdens (p < 0.05) but could not inhibit the growth of cutaneous Leishmania major lesions. The results of this study indicate that aerosolised NIV enhanced pulmonary and hepatic delivery whilst minimising systemic exposure and toxicity.
Original languageEnglish
Pages (from-to)685-691
Number of pages7
JournalJournal of Controlled Release
Issue number3
Early online date10 Apr 2012
Publication statusPublished - 28 Jun 2012


  • non-ionic surfactant vesicles
  • inhalation
  • amphotericin B
  • Aspergillus
  • Leishmania

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