Pharmacokinetics/Pharmacodynamics (PK/PD) of Ciprofloxacin in the Complicated Urinary Tract Infection (cUTI) Model in Diabetic Mice

Curr Drug Metab. 2020;21(2):132-139. doi: 10.2174/1389200221666200310105227.

Abstract

Background: The translation of Pharmacokinetics (PK)/Pharmacodynamics (PD) from preclinical models to the clinic has not been studied in detail for drugs used to treat complicated urinary tract infections (cUTI).

Objective: The PK/PD of Ciprofloxacin (CIP), a drug used to treat cUTI, was evaluated in a mouse model of cUTI infected with Escherichia coli, and compared with clinical PK/PD in cUTI patients.

Methods: Streptozotocin induced diabetic female BALB/c mice were infected transurethrally with Escherichia coli. Four hours post infection, CIP oral doses of 3, 10, 30,100, and 300 mg/kg, were administered as single doses (for PK and dose response) and repeated doses (PD and PK/PD). Bacterial burden in kidneys, bladder, urine, body temperature, and other clinical signs were assessed twenty-four hours post-treatment.

Results: CIP displayed linear PK with dose proportional increase in Cmax and AUCinf in plasma. In PD time course studies, CIP showed rapid onset, intensity and duration of anti-bacterial effect in target tissues. In intrinsic PD studies, CIP showed a maximum effect at plasma AUC/MIC=1705 (300 mg/kg, twice daily) for bacterial load in bladder (r2=0.979), kidney (r2=0.951) and rectal temperature (r2=0.67). A plasma AUC/MIC ratio of 412 was associated with maximum PD effect of Imax=3.7 Log10CFU/bladder and Imax=1.97 Log10CFU/kidney. In dose fractionation studies, plasma AUC/MIC ratio showed highest correlation with efficacy in bladder (r2=0.77) and kidney (r2=0.80) followed by Cmax/MIC ratio in bladder (r2=0.68).

Conclusion: Plasma AUC/MIC showed the highest correlation with the efficacy of Ciprofloxacin on E. coli in diabetic mice with cUTI.

Keywords: Pharmacokinetics; bacterial burden; cUTI; ciprofloxacin; diabetes; mouse; pharmacodynamics..

MeSH terms

  • Animals
  • Anti-Bacterial Agents* / pharmacokinetics
  • Anti-Bacterial Agents* / pharmacology
  • Area Under Curve
  • Ciprofloxacin* / pharmacokinetics
  • Ciprofloxacin* / pharmacology
  • Diabetes Mellitus, Experimental* / metabolism
  • Diabetes Mellitus, Experimental* / microbiology
  • Escherichia coli / drug effects
  • Escherichia coli / growth & development
  • Escherichia coli Infections* / metabolism
  • Escherichia coli Infections* / microbiology
  • Female
  • Kidney / microbiology
  • Mice, Inbred BALB C
  • Urinary Bladder / microbiology
  • Urinary Tract Infections* / metabolism
  • Urinary Tract Infections* / microbiology

Substances

  • Anti-Bacterial Agents
  • Ciprofloxacin