title: Chemical and biological factors in the control of Brucella and brucellosis.
abstract: Brucellosis is a highly contagious bacterial zoonosis that affects millions of people worldwide. Brucella is highly infectious, especially when aerosolized. The infection induces severe protracted diseases, which are both debilitating and incapacitating, hence, Brucella melitensis has been considered a potential biological warfare agent. In the battle against Brucella, it is crucial to know its chemical-structure and biochemistry-metabolic characteristics. It is well known that Brucella, as well as many other intracellular bacterial pathogens, has evolved to survive and even proliferate within monocytes and macrophages cells. Depending on the route of entry (complement, Fc, lectin or fibronectin receptors), the fate of the bacteria will vary; it may even segregate from the endocytic route towards the endoplasmic reticulum. This intracellular "non regular" behaviour of Brucella makes treatment difficult. Most antibiotics, although effective in vitro, do not actively pass through cellular membranes, or, once inside, may not reach the discrete intracellular niche where the bacteria is hidden. Therefore, complete eradication of the microorganisms is difficult to achieve, and the incidence of relapses is rather high. Taking these data into consideration, this review will evaluate the past, current and new trends in the control of brucellosis, paying special attention to the drug delivery systems as potential vectors for targeting these intracellular sites where the organisms are located.
authors.affiliation: Department of Microbiology, University of Navarra, 31080 Pamplona, Spain. cgamazo@unav.es
authors.forename: Carlos
authors.initials: C
authors.lastname: Gamazo
authors.forename: María Concepción
authors.initials: MC
authors.lastname: Lecároz
authors.forename: Sandra
authors.initials: S
authors.lastname: Prior
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Vitas
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Campanero
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Irache
authors.forename: María José
authors.initials: MJ
authors.lastname: Blanco-Prieto
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000493:pharmacokinetics / Q000494:pharmacology / Q000627:therapeutic use; D002002:Brucella / Q000187:drug effects* / Q000302:isolation & purification; D002006:Brucellosis / Q000188:drug therapy* / Q000382:microbiology; D016503:Drug Delivery Systems / Q000379:methods*; D006801:Humans; D008264:Macrophages / Q000378:metabolism / Q000382:microbiology; D009000:Monocytes / Q000378:metabolism / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents