JAC Advance Access originally published online on July 1, 2004
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Journal of Antimicrobial Chemotherapy 2004 54(2):472-476; doi:10.1093/jac/dkh346
JAC vol.54 no.2 © The British Society for Antimicrobial Chemotherapy 2004; all rights reserved.
Osteomyelitis prevention in rabbits using antimicrobial peptide hLF1-11- or gentamicin-containing calcium phosphate cement
Departments of 1 Orthopaedic Surgery, VU University Medical Center, PO Box 7057, 1007 MB Amsterdam; 2 Oral Cell Biology/ACTA; 3 Oral Biochemistry/ACTA, vd Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
* Corresponding author. Tel: +31-20-4442355; Fax: +31-20-4442357; Email: orthop{at}vumc.nl
Objectives: The efficacy of prophylactic treatment with human lactoferrin 111 (hLF1-11), a broad-spectrum antimicrobial peptide, was studied in a rabbit model of femur infection.
Methods: Calcium phosphate cement with 50 mg/g hLF1-11 or gentamicin was injected into the femoral canal, after inoculation with Staphylococcus aureus. Three weeks later, slices of the proximal femora were sawn for quantitative bacterial culture and histology.
Results: Treatment with hLF1-11 (P<0.038) or gentamicin (P<0.008) caused a reduction of cfu compared with the untreated control rabbits. The number of sterile cultures was higher in hLF1-11- (3/7) and gentamicin- (5/6) treated animals than in controls (1/7). Radiological and histological analysis showed early bone ingrowth into the cement cracks, and only moderate pathological changes in rabbits with positive cultures.
Conclusions: Local prophylaxis with hLF1-11 effectively reduced development of osteomyelitis in a rabbit model, but gentamicin resulted in a larger number of sterile femora.
Keywords: biodegradable carriers , drug delivery , intramedullary infections , peptide antibiotics , animal models
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