Details

Autor(en) / Beteiligte

• Delanghe, Joris R
• Himpe, Jonas
• Boelens, Jerina
• Benoit, Dominique
• Gadeyne, Bram
• Speeckaert, Marijn M
• Verbeke, Frederick

Titel

C-reactive protein interacts with amphotericin B liposomes and its potential clinical consequences

Ist Teil von

• Clinical chemistry and laboratory medicine, 2023-05, Vol.61 (6), p.1065

Ort / Verlag

Germany

Erscheinungsjahr

2023

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Amphotericin B (AmB) is the gold standard for treating invasive fungal infections. New liposomal-containing AmB formulations have been developed to improve efficacy and tolerability. Serum/plasma C-reactive protein (CRP) values are widely used for monitoring infections and inflammation. CRP shows a high affinity to phosphocholine and it aggregates structures bearing this ligand, e.g. phosphocholine-containing liposomes. Therefore, we studied the interaction between CRP and phosphocholine-containing liposomal AmB preparations and . CRP was prepared by affinity chromatography. Liposomal AmB (L-AmB, AmBisome ) was spiked (final concentrations of L-AmB: 150 mg/L) to CRP-containing serum (final CRP concentration: 300 mg/L). Following the addition of L-AmB, complex formation was monitored turbidimetrically. The size of CRP-L-AmB complexes was assessed using gel filtration. CRP was monitored in patients receiving either L-Amb or AmB lipid complex (ABLC). Following addition of L-AmB to CRP-containing plasma, turbidimetry showed an increase in absorbance. These results were confirmed by gel permeation chromatography. Similarly, effects were observed following intravenous administration of AmBisome : a decline in CRP values was observed. In patients receiving L-Amb, decline of CRP concentration was faster than in patients receiving ABLC. experiments are suggestive of a complexation between CRP and liposomes in plasma. Interpretation of CRP values following administration of AmBisome might be impaired due to this complexation. formation of complexes between liposomes and CRP might contribute, or even lead, to intravascular microembolisation. Similar effects have been described following the administration of Intralipid and other phosphocholine-containing liposomes.