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Influence of Vehicles Used for Oral Dosing of Test Molecules on the

Progression of Mycobacterium tuberculosis Infection in Mice


Shubhra Singh, Richa Dwivedi, and Vinita Chaturvedi
Drug Target Discovery and Development Division, Central Drug Research Institute, Lucknow, India

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Preclinical evaluation of drug-like molecules requires their oral administration to experimental animals using suitable vehicles.
We studied the effect of oral dosing with corn oil, carboxymethyl cellulose, dimethyl sulfoxide, and polysorbate-80 on the pro-
gression of Mycobacterium tuberculosis infection in mice. Infection was monitored by physical (survival time and body weight)
and bacteriological (viable counts in lungs) parameters. Compared with water, corn oil significantly improved both sets of pa-
rameters, whereas the other vehicles affected only physical parameters.

E very year, progressive infection with Mycobacterium tubercu-


losis leads to approximately 8 million new tuberculosis (TB)
cases and 3 million deaths worldwide. Furthermore, the spread of
time (MST) and body weight, as well as bacteriological, i.e., CFU
recovered from the lung.
Corn oil was administered undiluted, whereas dilutions of
multidrug-resistant (MDR) TB has become a major threat to CMC (0.5%), Tween 80 (0.05%) and DMSO (10%) were made in
global TB control programs. This alarming situation emphasizes sterile water. Female outbred Swiss mice (16 to 18 g), obtained
the need for new drugs against TB (28, 31). from the Laboratory Animal Division of the Central Drug Re-
Evaluation of the in vivo efficacy of a new drug candidate in search Institute, Lucknow, India, were infected intravenously
a suitable animal model is a critical step in determining (2 ⫻ 107 bacilli/mouse) with M. tuberculosis H37Rv (ATCC
whether it will enter the preclinical and clinical development 27294) and caged in groups of 8 to 10 animals. Each group was
phases (10). When infected with a high number of CFU of M. given water or the other vehicles separately (0.2 ml/mouse, by oral
tuberculosis by the intravenous route, the lung of a mouse har- gavage, once daily, for 30 days). The progress of infection was
bors a bacillary population that is similar in number and in monitored in the control (untreated) mice by determining
metabolic state to that present in the lungs of TB patients (10). numbers of viable bacilli (CFU) on day 1 postinfection and then at
Thus, the mouse model can provide information on lead mol- weekly intervals (Fig. 1). For this, serial dilutions of lung homoge-
ecule activity that can be extrapolated to humans (8, 22). Out- nates (1 g tissue/ml) in physiological saline were spread on Middle-
bred mice, particularly Swiss mice, are used for in vivo assays brook 7H11 agar medium (containing OADC [oleic acid-albumin-
dextrose-catalase] supplement). The plates were incubated at 37°C,
for anti-TB activity because of their heterogeneity, which is
and CFU were counted after 3 to 4 weeks (4). Numbers of CFU in the
akin to that of the human population (3).
lungs of mice from each experimental (vehicle-treated) group were
For in vivo evaluations, a lead molecule is preferably adminis-
determined on day 30.
tered as a solution or suspension by the oral route (1), which is an
The corn oil-fed mice showed far less decline in body weight
important requirement for its successful development as a new
(weight on day 0 ⫺ weight on day 21) than the water-fed animals
drug. Water is the universally accepted “ideal” vehicle for oral (0.50 ⫾ 1.00 g and 4.67 ⫾ 3.06 g, respectively [Table 1]). This
dosing, having no chemical, biochemical, immunological, or difference was statistically significant (P ⫽ 0.047 [Table 2]). More
pharmacological effects on the test molecule, the host, or the importantly, oil-fed animals also exhibited a ⬎1-log reduction in
pathogen (2). However, if the molecule is highly hydrophobic, lung CFU compared with the water-fed animals (Table 1). This dif-
then edible oils (such as corn or peanut oil) are used as vehicles ference was also statistically significant (P ⫽ 0.0016) (Table 2). How-
(21). For moderately hydrophobic molecules, certain solubilizing ever, a significant difference was not observed between MST (mean
agents, such as carboxymethyl cellulose (CMC), dimethyl sulfox- survival time of all animals in a group) of the water-fed (24.75 ⫾ 4.50
ide (DMSO), and polysorbate-80 (Tween 80), can be added to the days) and oil-fed (25.25 ⫾ 3.69 days) animals (Table 1).
aqueous dosing vehicle (23, 24). Among the three aqueous vehicles, administration of DMSO
The influence of dosing vehicles on the progression of disease resulted in “healthier” physical parameters. The MST with DMSO
in animal models, if any, is an important consideration for in vivo was ⬎30 days (no deaths up to day 30) compared with 28.00 ⫾
evaluation of test molecules. There is hardly any information 2.31 days with CMC and 28.75 ⫾ 2.50 days with Tween 80 (Table
available on whether these vehicles themselves could modulate the 1). All three MSTs were higher than those observed with water and
disease process, thereby influencing the outcome of the evaluation
of the drug candidates. This is particularly important in cases of
chronic infections, such as TB, where treatments are given to the Received 17 August 2012 Accepted 18 August 2012
animals for long periods of time (6, 12, 19). We therefore studied Published ahead of print 27 August 2012
the effect that some of the vehicles themselves could exert on the Address correspondence to Vinita Chaturvedi, Vinita_chaturvedi@cdri.res.in.
progression of M. tuberculosis infection in mice. Five vehicles— Copyright © 2012, American Society for Microbiology. All Rights Reserved.
water, corn oil, CMC, DMSO, and Tween 80 —were compara- doi:10.1128/AAC.01702-12
tively studied. Study parameters were physical, i.e., mean survival

6026 aac.asm.org Antimicrobial Agents and Chemotherapy p. 6026 – 6028 November 2012 Volume 56 Number 11
Influence of Vehicles on M. tuberculosis Infection

TABLE 2 Comparison of changes brought in the assessment parameters


with experimental vehicles
P value fora:
Net decline in Bacterial load
Comparison avg body wt in lungs
Distilled water vs oil 0.0471* 0.0016**
CMC vs distilled water NS NS
CMC vs oil 0.017* 0.0007#

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DMSO vs distilled water NS NS
DMSO vs oil NS 0.0021**
Tween 80 vs distilled water NS NS
Tween 80 vs oil NS 0.0060**
a
NS, not significant; *, statistically significant; **, very significant; #, extremely
FIG 1 Progression of M. tuberculosis infection in Swiss mice infected with 2 ⫻ significant.
107 bacilli/mouse without any oral dosing. Each bar represent log10 CFU
(mean ⫾ SD) in lungs of three mice each on day 1 and at weekly intervals up to
4 weeks (W4) postinfection. Statistical significance is indicated by numbers in of bacterial load in the infected organs is a true measure of infec-
boxes: 1, P ⫽ 0.073; 2, P ⫽ 0.0006; 3, P ⫽ 0.0001; 4, P ⫽ 0.035.
tion. Moreover, in a previous screening for TB-induced weight
loss, some active compounds or drugs possessing anabolic prop-
erties could have affected the results (20). In conclusion, the vehi-
oil. As none of the mice in DMSO group died, it was not possible
cles used for oral dosing of test molecules can influence physical as
to calculate statistical significance of the differences in MST. The
well as bacteriological parameters in mice infected with M. tuber-
decline in body weight with all three vehicles was also less than that
culosis.
with water (Table 1), though the differences were not significant
(P ⬎ 0.05). With respect to oil, only CMC showed a significantly ACKNOWLEDGMENT
greater decline in the body weight (3.00 ⫾ 1.15 g, P ⫽ 0.0176)
We are grateful to Director, Central Drug Research Institute, Lucknow,
(Table 2). Finally, the numbers of CFU in lungs with all aqueous
India, for providing necessary facilities and support to carry out the work.
vehicles (Table 1) were close to that obtained with water (P ⬎ This paper has CDRI communication number 8299.
0.05) but significantly higher than that obtained with oil (P ⫽
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6028 aac.asm.org Antimicrobial Agents and Chemotherapy


ERRATUM
Influence of Vehicles Used for Oral Dosing of Test Molecules on the
Progression of Mycobacterium tuberculosis Infection in Mice
Shubhra Singh,a,b Richa Dwivedi,a,c Vinita Chaturvedia
Drug Target Discovery and Development Division, Central Drug Research Institute, Lucknow, Indiaa; IFTM University, Moradabad, Indiab; Academy of Scientific &
Innovative Research (AcSIR), New Delhi, Indiac

Volume 56, no. 11, p 6026 – 6028, 2012. Page 6026: The author affiliation line should appear as shown above.
Page 6027: The Acknowledgments section should include the following statement, “Shubhra Singh and Richa Dwivedi are senior
research fellows of ICMR New Delhi and would like to thank IFTM University, Moradabad, and AcSIR, New Delhi, respectively, for
registering them for the Ph.D. degree.”

Copyright © 2014, American Society for Microbiology. All Rights Reserved.


doi:10.1128/AAC.02911-14

June 2014 Volume 58 Number 6 Antimicrobial Agents and Chemotherapy p. 3579 aac.asm.org 3579

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