Voriconazole-Loaded Nanohydrogels Towards Optimized Antifungal Therapy for Cystic Fibrosis Patients

<b>Background/Objectives</b>: Filamentous fungi, in particular the species <i>Aspergillus</i>, <i>Scedosporium</i>, and <i>Exophiala</i>, frequently colonize the lungs of cystic fibrosis (CF) patients. Chronic colonization is linked to hypersensitivity...

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Main Authors: Shaul D. Cemal, María F. Ladetto, Katherine Hermida Alava, Gila Kazimirsky, Marcela Cucher, Romina J. Glisoni, María L. Cuestas, Gerardo Byk
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/17/6/725
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author Shaul D. Cemal
María F. Ladetto
Katherine Hermida Alava
Gila Kazimirsky
Marcela Cucher
Romina J. Glisoni
María L. Cuestas
Gerardo Byk
author_facet Shaul D. Cemal
María F. Ladetto
Katherine Hermida Alava
Gila Kazimirsky
Marcela Cucher
Romina J. Glisoni
María L. Cuestas
Gerardo Byk
author_sort Shaul D. Cemal
collection DOAJ
description <b>Background/Objectives</b>: Filamentous fungi, in particular the species <i>Aspergillus</i>, <i>Scedosporium</i>, and <i>Exophiala</i>, frequently colonize the lungs of cystic fibrosis (CF) patients. Chronic colonization is linked to hypersensitivity reactions and persistent infections leading to a significant long-term decline in lung function. Azole antifungal therapy such as voriconazole (VRC) slows disease progression, particularly in patients with advanced CF; however, excessive mucus production in CF lungs poses a diffusional barrier to effective treatment. <b>Methods</b>: Here, biodegradable nanohydrogels (NHGs) recently developed as nanocarriers were evaluated for formulating VRC as a platform for treating fungal infections in CF lungs. The NHGs entrapped up to about 30 μg/mg of VRC, and physicochemical properties were investigated via dynamic laser light scattering and nanoparticle tracking analysis. Diameters were 100–400 nm, and excellent colloidal stability was demonstrated in interstitial fluids, indicating potential for pulmonary delivery. Nano-formulations exhibited high in vitro cytocompatibility in A549 and HEK293T cells and were tested for the release of VRC under two different sink conditions. <b>Results</b>: Notably, the antifungal activity of VRC-loaded nanohydrogels was up to eight-fold greater than an aqueous suspension drug against different fungal species isolated from CF sputum, regardless of the presence of a CF artificial mucus layer. <b>Conclusions</b>: These findings support the development of potent VRC nano-formulations for treating fungal disorders in CF lungs.
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spelling doaj-art-09ba27a0a97e4db482f016cdbcc2935a2025-08-20T02:21:52ZengMDPI AGPharmaceutics1999-49232025-05-0117672510.3390/pharmaceutics17060725Voriconazole-Loaded Nanohydrogels Towards Optimized Antifungal Therapy for Cystic Fibrosis PatientsShaul D. Cemal0María F. Ladetto1Katherine Hermida Alava2Gila Kazimirsky3Marcela Cucher4Romina J. Glisoni5María L. Cuestas6Gerardo Byk7Department of Chemistry, Bar-Ilan University, Ramat Gan 5290002, IsraelInstituto de Investigaciones en Microbiología y Parasitología Médica (IMPaM), CONICET, Universidad de Buenos Aires, Buenos Aires 1121, ArgentinaInstituto de Investigaciones en Microbiología y Parasitología Médica (IMPaM), CONICET, Universidad de Buenos Aires, Buenos Aires 1121, ArgentinaDepartment of Chemistry, Bar-Ilan University, Ramat Gan 5290002, IsraelInstituto de Investigaciones en Microbiología y Parasitología Médica (IMPaM), CONICET, Universidad de Buenos Aires, Buenos Aires 1121, ArgentinaInstituto de Nanobiotecnología (NANOBIOTEC), CONICET, Universidad de Buenos Aires, Buenos Aires 1121, ArgentinaInstituto de Investigaciones en Microbiología y Parasitología Médica (IMPaM), CONICET, Universidad de Buenos Aires, Buenos Aires 1121, ArgentinaDepartment of Chemistry, Bar-Ilan University, Ramat Gan 5290002, Israel<b>Background/Objectives</b>: Filamentous fungi, in particular the species <i>Aspergillus</i>, <i>Scedosporium</i>, and <i>Exophiala</i>, frequently colonize the lungs of cystic fibrosis (CF) patients. Chronic colonization is linked to hypersensitivity reactions and persistent infections leading to a significant long-term decline in lung function. Azole antifungal therapy such as voriconazole (VRC) slows disease progression, particularly in patients with advanced CF; however, excessive mucus production in CF lungs poses a diffusional barrier to effective treatment. <b>Methods</b>: Here, biodegradable nanohydrogels (NHGs) recently developed as nanocarriers were evaluated for formulating VRC as a platform for treating fungal infections in CF lungs. The NHGs entrapped up to about 30 μg/mg of VRC, and physicochemical properties were investigated via dynamic laser light scattering and nanoparticle tracking analysis. Diameters were 100–400 nm, and excellent colloidal stability was demonstrated in interstitial fluids, indicating potential for pulmonary delivery. Nano-formulations exhibited high in vitro cytocompatibility in A549 and HEK293T cells and were tested for the release of VRC under two different sink conditions. <b>Results</b>: Notably, the antifungal activity of VRC-loaded nanohydrogels was up to eight-fold greater than an aqueous suspension drug against different fungal species isolated from CF sputum, regardless of the presence of a CF artificial mucus layer. <b>Conclusions</b>: These findings support the development of potent VRC nano-formulations for treating fungal disorders in CF lungs.https://www.mdpi.com/1999-4923/17/6/725voriconazolebiodegradable nanohydrogelscystic fibrosisCF mucus modeldrug deliverydrug release
spellingShingle Shaul D. Cemal
María F. Ladetto
Katherine Hermida Alava
Gila Kazimirsky
Marcela Cucher
Romina J. Glisoni
María L. Cuestas
Gerardo Byk
Voriconazole-Loaded Nanohydrogels Towards Optimized Antifungal Therapy for Cystic Fibrosis Patients
Pharmaceutics
voriconazole
biodegradable nanohydrogels
cystic fibrosis
CF mucus model
drug delivery
drug release
title Voriconazole-Loaded Nanohydrogels Towards Optimized Antifungal Therapy for Cystic Fibrosis Patients
title_full Voriconazole-Loaded Nanohydrogels Towards Optimized Antifungal Therapy for Cystic Fibrosis Patients
title_fullStr Voriconazole-Loaded Nanohydrogels Towards Optimized Antifungal Therapy for Cystic Fibrosis Patients
title_full_unstemmed Voriconazole-Loaded Nanohydrogels Towards Optimized Antifungal Therapy for Cystic Fibrosis Patients
title_short Voriconazole-Loaded Nanohydrogels Towards Optimized Antifungal Therapy for Cystic Fibrosis Patients
title_sort voriconazole loaded nanohydrogels towards optimized antifungal therapy for cystic fibrosis patients
topic voriconazole
biodegradable nanohydrogels
cystic fibrosis
CF mucus model
drug delivery
drug release
url https://www.mdpi.com/1999-4923/17/6/725
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