Mannitol-facilitated entry of vancomycin into the central nervous system inhibits neuroinflammation in a rat model of MRSA intracranial infection by modulating brain endothelial cells
Yin Wen, Zhiwei Su, Huishan Zhu, Mengting Liu, Zhuo Li, Shiying Zhang, Shuangming Cai, Jiaqi Tang, Hongguang Ding, Hongke Zeng
Figure 1. Mannitol promoted BBB opening for 30 min in rats and elevated the concentration of vancomycin in brain tissues. A: the Man group increased BBB permeability compared with the Con group (P<0.05); B: the concentration of NaF rapidly increased during initial 5-min period, and increased over 30 min following mannitol administration; the NaF concentration at 30 min showed no difference compared with that at 60 min; C: the concentration of FITC-dextran in the lower chamber of the Transwell was significantly higher in the Man group than that in the Con group (P<0.05); D: the concentration of vancomycin in the Man+Van group tended to increase at 5, 10, 30 and 60 min compared with that in the Van group (P<0.01). *P<0.05, **P<0.01, ***P<0.001, ****P<0.0001. BBB: blood-brain barrier; NaF: sodium fluorescein; Man: mannitol; Van: vancomycin; FITC: fluorescein isothiocyanate.