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9 protocols using tygacil

1

Antibiotic Preparation and Storage

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All antibiotics (ciprofloxacin, colistin, gentamicin, meropenem, piperacillin, and tobramycin) were purchased from Merck. Tigecycline was purchased through Apoteket (Swedish state-owned pharmaceuticals retailer) as Tygacil (Wyeth, Pfizer). All work and incubations with Tigecycline were performed protected from light to prevent degradation of the antibiotic. All antibiotics were prepared as liquid stock solutions in their respective solvent (Table S1) and were stored at −20°C in polypropylene 1.5-mL reaction tubes (cat. no. 72.690.001, Sarstedt) as small aliquots for single-thaw use, except for meropenem and piperacillin, which were prepared fresh on the day of experiment. Tigecycline was frozen in 1.5-mL LightSafe micro centrifuge tubes (cat. no. Z688312, Merck), and colistin was frozen in 3.5-mL soda glass vials (cat. no. 005-1970-3,5-R, Bergman Laboratories).
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2

Quantitative Determination of Tetracycline Analogues

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Tigecycline hydrate (CAS 220620-09-7), CTC hydrochloride (CAS 64-72-2), TET hydrochloride (CAS 64-75-5), demeclocycline hydrochloride (CAS 64-73-3) as the internal standard (IS) for CTC, formic acid, acetonitrile, 1,2-dichloroethane, and water were purchased from Sigma-Aldrich (St. Louis, MO). Minocycline hydrochloride (CAS 13614-98-7) was supplied by Thermo Fisher Scientific (Waltham, MA). Tigecycline-d9 (CAS unlabeled) as the IS for TIG and MIN, and doxycycline-d3 hyclate (CAS unlabeled) as the IS for TET were purchased from Toronto Research Chemicals (North York, ON, Canada). For chromatographic analysis, the working solutions of each drug were prepared by diluting stock solutions (in methanol) in 0.1% formic acid in water.
Analytical standards of CTC, TET, and MIN dissolved in deionized water were also used for administration to animals during the PK experiment. Only TIG was not of an analytical standard due to the unavailability of TIG hydrochloride salt; therefore commercial product Tygacil (Pfizer, New York, NY) which contains a hydrochloric acid was used (TIG, lactose monohydrate, hydrochloric acid, sodium hydroxide).
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3

Antimicrobial Compound Synthesis and Evaluation

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5HE-C14-TMA and C14-TOA were synthesized as described previously9 (link) and C14-TTA as described in the Supplementary data available at JAC Online. Stock solutions of the compounds in DMSO at 10–50 mM were further diluted into tissue culture media or sodium chloride for the in vivo experiments. A DMSO solvent control was used in all in vitro experiments. The following antibiotics were used: vancomycin (Vancocin; Flynn Pharma Ltd., Republic of Ireland), daptomycin (Cubicin; Novartis, UK), gentamicin (Hospira, UK) and tigecycline (Tygacil; Pfizer Inc.). MICs were determined by broth microdilution in Mueller–Hinton broth, as recommended by the CLSI.
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4

Topical and Subconjunctival Tigecycline for Corneal Neovascularization

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Thirty-two rats were randomly assigned to 1 of 4 groups with 8 rats in each group. Group 1 received 1 mg/mL of tigecycline (Tygacil, PFIZER) topically. In one study, 1 mg/mL topical application of doxycycline which is tetracycline derivatives was found effective for inhibiting corneal neovascularization [14 ]. As the systemic dose rates of tigecycline and doxycycline are the same in humans, the dose of topical tigecycline was selected to be the same as the topical drugs application of doxycycline. Group 2 received topical 0.9% saline as a control group. The drops were applied topically twice a day for 7 days. Group 3 rats were treated with a 0.05 mL subconjunctival injection of 1 mg/mL tigecycline. The subconjunctival dose of tigecycline was the same as the topical dose. Group 4 rats were treated on a daily basis with a subconjunctival injection of 0.05 mL 0.9% saline as a control group. The rats were anesthetized prior to the subconjunctival injections. Subconjunctival injections were performed using a 30-gauge needle by using an operating microscope and inserted 2 mm posterior to the limbus at the superior bulbar conjunctiva. Table 1 summarizes the information of the groups.
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5

Determination of Tigecycline in Pharmaceutical Formulations

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TGC was donated by the QPS laboratory (Egypt). Ammonium acetate, triethylamine (TEA), ammonium hydroxide, ethylene diamine tetra-acetic acid disodium salt dihydrate (EDTA), and acetic acid were obtained from Merck (Germany). Without additional purification, HPLC-grade ethanol from Merck (Germany) was utilized. A Milli-pore analytical deionization system collected deionized water (Bedford, MA). Tygacil
® (Pfizer, U.S.A.) lyophilized vial containing fifty milligrams of TGC was purchased from wholesale suppliers during the product's shelf life.
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6

Quantification of Tigecycline in Pharmaceutical Formulations

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The Quality for pharmaceutical services (QPS) laboratories (Egypt) donated TGC. Ammonium acetate, triethylamine (TEA), ammonium hydroxide, ethylene diamine tetra-acetic acid disodium salt dihydrate (EDTA), and acetic acid were obtained from Merck (Germany). Without additional purification, HPLC-grade ethanol from Merck (Germany) was utilized. A Milli-pore analytical deionization system collected deionized water (Bedford, MA). Tygacil
® (Pfizer, U.S.A.) lyophilized vial containing 50 mg of TGC was purchased from wholesale suppliers during the product's shelf life.
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7

Evaluation of Tigecycline and Gentamicin

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Tigecycline, TG (Tygacil®, 50 mg/mL), was obtained from Pfizer Inc., Cairo, Egypt. Gentamicin sulfate, GM (Garamicin®, 80 mg/mL) was purchased from Memphis, Cairo, Egypt.
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8

Quantitative Analysis of Tigecycline

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Tigecycline, in the form of a powder for preparing solutions for infusion (Tygacil), was obtained from Pfizer (New York, NY, USA), whereas tigecycline-d9, which served as an internal standard (IS) for tigecycline, was obtained from Toronto Research Chemicals (North York, ON, Canada). Five excipients, DM-β-CD (MW = 1331.35 g/mol), HP-β-CD (MW = 1541.54 g/mol), TPGS (MW = 662.9 g/mol), SDOCH (MW = 414.6 g/mol), and C10 (MW = 194.25 g/mol), were purchased from Sigma-Aldrich (St. Louis, MO, USA), whereas TMC (239.70 g/mol) was prepared according to Sieval et al. (1998) [44 (link)]. Chemicals for chromatography, i.e., 1,2-dichloroethane, acetonitrile, formic acid, and water, were obtained from Sigma-Aldrich (St. Louis, MO, USA).
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9

Tigecycline Susceptibility of M. abscessus

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Tigecycline (Tygacil®, powder for IV infusion; Pfizer) was obtained from the Department of Pharmacy at Radboud University Medical Center (Nijmegen, the Netherlands). We obtained the M. abscessus subspecies abscessus CIP104536 type strain (synonym ATCC 19977) from the Pasteur Institute (Paris, France) and M. abscessus subspecies abscessus #21, a clinical isolate with smooth colony morphology,10 (link) from the University of Colorado Hospital Clinical Microbiology Laboratory. Identification of both isolates was confirmed by WGS; the raw sequence files (FASTQ) were archived in the NCBI Sequence Read Archive (project number PRJNA566387).
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