Intracellular pharmacodynamics of antibiotics
Abstract
This article establishes the pharmacokinetic-pharmacodynamic parameters that are important when considering the intracellular activity of antibiotics. Generally speaking, the main classes of antibiotics seem to share globally the same properties against extracellular and intracellular organisms. The specific cellular pharmacokinetic properties may modulate those parameters so as to let other ones to become critical. Simple rules, such as equating accumulation and activity, are certainly incorrect, and other determinants need to be added to the equation. Finally, this article emphasizes the fact that much remains to be done in this area before rational therapeutic choices can be made.
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Poor drug diffusion across the host cell membrane and its active efflux via drug transporters can reduce activity against intracellular pathogens.
“Poor drug diffusion across the host cell membrane and its active efflux via drug transporters can reduce activity against intracellular pathogens 63 .”
From Nanotechnology approaches for global infectious diseases (2021) · cites this paper as [63]
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Theuretzbacher, U., Barbee, L. A., Connolly, K. L., Drusano, G. L., Fernandes, P., Hook, E. W., Jerse, A. E., O’Donnell, J. P., Unemo, M., Françoise Van Bambeke, A., et al. (2020) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2020.08.006 · Cited by 21 · see citing works
- Authors
- Carryn, S., Chanteux, H., Seral, C., Mingeot-Leclercq, M.-P., Van Bambeke, F., & Tulkens, P. M.
- Affiliations
- UCLouvain (BE)
- Corresponding author
- Tulkens, Paul M
- Venue
- Infectious Disease Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2003-09
- Volume
- 17
- Issue
- 3
- Pages
- 615-634
- ISSN
- 0891-5520 (ISSN-L)
- OpenAlex
- W2064809559
- Cited by
- 201
- References
- 116
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 13 · 2023: 8 · 2022: 10 · 2021: 16 · 2020: 9 · 2019: 7 · 2018: 15 · 2017: 10 · 2016: 10 · 2015: 15 · 2014: 15 · 2013: 9 · 2012: 5
- FWCI
- 0.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Infectious Disease Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- DIAL (Catholic University of Leuven) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Antibiotics Pharmacokinetics and Efficacy
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Keywords
- antibiotics, intracellular accumulation, antibiotic activity, cellular pharmacokinetics, rational antibiotic therapy
- MeSH terms
- Anti-Bacterial Agents, Bacteria, Bacterial Infections, Humans, Intracellular Space
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