skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: The Efficacy and Safety of an Intra-articular Dual-Acting Antibacterial Agent (TNP-2092) for Implant Infection–Associated Methicillin-Resistant Staphylococcus aureus

Journal Article · · Journal of Infectious Diseases

Abstract Owing to the presence of microbial biofilm on the implant, the eradication of biofilm-associated infections poses a challenge for antibiotic therapies. The study aimed to investigate the efficacy and safety of the novel antibiotic agent TNP-2092 in the context of implant infections. In vivo, rats with periprosthetic joint infection (PJI) treated with antibiotics showed an increase in body weight and decrease in swelling, temperature, and width of knee, compared with the control group. Meanwhile, inflammatory markers in synovium and serum were decreased in the TNP-2092 group, consistent with the pathological results. Moreover, TNP-2092 was effective in eliminating bacteria and disruption biofilm formation, and further alleviated the abnormal bone absorption and reactive bone changes around the prosthesis. In conclusion, intra-articular injection of TNP-2092 is safe and effective in treating knee PJI in a rat model. The study provides a foundation for the future utilization of TNP-2092 in the management of implant-related infections.

Sponsoring Organization:
USDOE Office of Electricity (OE), Advanced Grid Research & Development. Power Systems Engineering Research
OSTI ID:
2281287
Journal Information:
Journal of Infectious Diseases, Journal Name: Journal of Infectious Diseases; ISSN 0022-1899
Publisher:
Oxford University PressCopyright Statement
Country of Publication:
United States
Language:
English

References (37)

Dose translation from animal to human studies revisited journal October 2007
Hyperglycemia-induced accumulation of advanced glycosylation end products in fibroblast-like synoviocytes promotes knee osteoarthritis journal November 2021
How antibiotics kill bacteria: from targets to networks journal May 2010
Antagonistic Effect of Rifampin on the Efficacy of High-Dose Levofloxacin in Staphylococcal Experimental Foreign-Body Infection journal October 2008
Intra-wound vancomycin powder for the eradication of periprosthetic joint infection after debridement and implant exchange: experimental study in a rat model journal December 2021
Evaluation of a Dual-Acting Antibacterial Agent, TNP-2092, on Gut Microbiota and Potential Application in the Treatment of Gastrointestinal and Liver Disorders journal December 2019
Vitamin E Phosphate Coating Stimulates Bone Deposition in Implant-related Infections in a Rat Model journal May 2018
Executive Summary: Diagnosis and Management of Prosthetic Joint Infection: Clinical Practice Guidelines by the Infectious Diseases Society of Americaa journal December 2012
Prosthetic-Joint Infections journal October 2004
Alternating magnetic fields and antibiotics eradicate biofilm on metal in a synergistic fashion journal August 2021
Echinacoside Inhibits Osteoclast Function by Down-Regulating PI3K/Akt/C-Fos to Alleviate Osteolysis Caused by Periprosthetic Joint Infection journal June 2022
Meropenem-loaded Cement Is Effective in Preventing Gram-negative Osteomyelitis in an Animal Model journal September 2022
Effect of apple vinegar on folliculogenesis and ovarian kisspeptin in a high-fat diet-induced nonalcoholic fatty liver disease in rat journal December 2022
Impact and Modification of the New PJI-TNM Classification for Periprosthetic Joint Infections journal February 2023
Local Application of Vancomycin in One-Stage Revision of Prosthetic Joint Infection Caused by Methicillin-Resistant Staphylococcus aureus journal August 2021
Effective single-stage revision using intra-articular antibiotic infusion after multiple failed surgery for periprosthetic joint infection journal July 2022
Evaluation of Experimental and Clinical Efficacy on Surgical Debridement and Systemic Antibiotics Treatment for Early Knee Infection after Anterior Cruciate Ligament Reconstruction journal June 2022
Dosage, Efficacy, and Safety of Intra-articular Vancomycin for Prophylaxis of Periprosthetic Joint Infection Caused by Methicillin-Resistant Staphylococcus aureus after Total Knee Arthroplasty in a Rat Model journal February 2022
Model of experimental chronic osteomyelitis in rats journal March 1985
Vancomycin displays time‐dependent eradication of mature Staphylococcus aureus biofilms journal May 2016
Vancomycin and maltodextrin affect structure and activity of Staphylococcus aureus biofilms : Vancomycin and Maltodextrin Affect Biofilms journal September 2015
Liver Injury, Endotoxemia, and Their Relationship to Intestinal Microbiota Composition in Alcohol-Preferring Rats journal October 2018
Quantification of Peri-Implant Bacterial Load and in Vivo Biofilm Formation in an Innovative, Clinically Representative Mouse Model of Periprosthetic Joint Infection journal March 2017
Effects of intra-articular D-amino acids combined with systemic vancomycin on an experimental Staphylococcus aureus-induced periprosthetic joint infection journal August 2022
Role of Rifampin for Treatment of Orthopedic Implant–Related Staphylococcal Infections A Randomized Controlled Trial journal May 1998
Gallium Porphyrin and Gallium Nitrate Reduce the High Vancomycin Tolerance of MRSA Biofilms by Promoting Extracellular DNA-Dependent Biofilm Dispersion journal August 2021
Overview of Changes to the Clinical and Laboratory Standards Institute Performance Standards for Antimicrobial Susceptibility Testing, M100, 31st Edition journal November 2021
Evaluation of the Efficacy of Vancomycin-Soaked Autograft to Eliminate Staphylococcus aureus Contamination After Anterior Cruciate Ligament Reconstruction: Based on an Infected Rat Model journal January 2022
In vitro activity of TNP-2092 against periprosthetic joint infection–associated staphylococci journal July 2020
Pharmacokinetics of a Degradable Drug Delivery System in Bone journal April 1998
Outcome and Predictors of Treatment Failure in Total Hip/Knee Prosthetic Joint Infections Due to Staphylococcus aureus journal August 2011
Environmental, Microbiological, and Immunological Features of Bacterial Biofilms Associated with Implanted Medical Devices journal April 2022
Staphylococcus aureus Evasion of Host Immunity in the Setting of Prosthetic Joint Infection: Biofilm and Beyond journal July 2018
New Innovations in the Treatment of PJI and Biofilms—Clinical and Preclinical Topics journal June 2018
Oral-Only Linezolid-Rifampin Is Highly Effective Compared with Other Antibiotics for Periprosthetic Joint Infection journal April 2017
Periprosthetic Joint Infection: The Incidence, Timing, and Predisposing Factors journal July 2008
Experimental model of peri-prosthetic infection of the knee caused by Staphylococcus aureus using biomaterials representative of modern TKA journal September 2019

Similar Records

Related Subjects