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Nitric oxide nanoparticles: pre-clinical utility as a therapeutic for intramuscular abscesses.
[pyomyositis]
Nitric
oxide
(
NO
)
is
a
critical
component
of
host
defense
against
invading
pathogens
;
however
,
its
therapeutic
utility
is
limited
due
to
a
lack
of
practical
delivery
systems
.
Recently
,
a
NO-releasing
nanoparticulate
platform
(
NO-
np
)
was
shown
to
have
in
vitro
broad
-spectrum
antimicrobial
activity
and
in
vivo
pre-clinical
efficacy
in
a
dermal
abscess
model
.
To
extend
these
findings
,
both
topical
(
TP
)
and
intralesional
(
IL
)
NO-
np
administration
was
evaluated
in
a
MRSA
intramuscular
murine
abscess
model
and
compared
with
vancomycin
.
All
treatment
arms
accelerated
abscess
clearance
clinically
,
histologically
,
and
by
microbiological
assays
on
both
days
4
and
7
following
infection
.
However
,
abscesses
treated
with
NO-
np
via
either
route
demonstrated
a
more
substantial
,
statistically
significant
decrease
in
bacterial
survival
based
on
colony
forming
unit
assays
and
histologically
revealed
less
inflammatory
cell
infiltration
and
preserved
muscular
architecture
.
These
data
suggest
that
the
NO-
np
may
be
an
effective
addition
to
our
armament
for
deep
soft
tissue
infections
.
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Validation
Diseases presenting
"broad-spectrum antimicrobial activity"
symptom
pyomyositis
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