Legen Igor, Kracun Matjaz, Salobir Mateja, Kerc Janez
Lek Pharmaceuticals d.d., Research and Development, Verovskova 57, 1526 Ljubljana, Slovenia.
Int J Pharm. 2006 Feb 3;308(1-2):84-9. doi: 10.1016/j.ijpharm.2005.10.036. Epub 2005 Dec 2.
The aim of the present study was to evaluate different pharmaceutically acceptable excipients as permeation enhancers for a low permeability drug, amoxicillin. As a model for the intestinal epithelium excised rat jejunum, mounted in side-by-side diffusion cells, was used. Amoxicillin was actively transported across the intestine in the serosal-to-mucosal direction, but only if glucose was present at the mucosal side. This effect of glucose was abolished by a multridrug resistance associated protein (MRP) inhibitor benzbromarone (0.04 mM), but not by verapamil (0.2 mM). Among the tested pharmaceutically acceptable excipients only sodium lauryl sulfate (0.2 mg/ml) increased the permeability of amoxicillin in the mucosal-to-serosal direction, which was accompanying with the abolishment of the secretory oriented transport of amoxicillin. Other excipients (0.07 2mg/ml Pluronic F68, 0.2 mg/ml Lutrol F127, 0.2 mg/ml Cremophor EL or 0.2 mg/ml Carbopol 934) have no influence on the permeability of amoxicillin. The effect of sodium lauryl sulfate on the active secretion of amoxicillin was mainly attributed to the reversible cellular ATP depletion. We concluded that sodium lauryl sulfate can be considered as a relatively safe permeation enhancer for amoxicillin in drug delivery systems intended to improve oral bioavailability of this drug.
本研究的目的是评估不同的药用辅料作为低渗透性药物阿莫西林的渗透促进剂。使用切除大鼠空肠作为肠上皮模型,安装在并排扩散池中。阿莫西林在浆膜侧到黏膜侧方向上可通过肠道主动转运,但前提是黏膜侧存在葡萄糖。葡萄糖的这种作用可被多药耐药相关蛋白(MRP)抑制剂苯溴马隆(0.04 mM)消除,但维拉帕米(0.2 mM)不能消除。在所测试的药用辅料中,只有十二烷基硫酸钠(0.2 mg/ml)增加了阿莫西林在黏膜侧到浆膜侧方向的渗透性,这伴随着阿莫西林分泌性定向转运的消除。其他辅料(0.072 mg/ml普朗尼克F68、0.2 mg/ml Lutrol F127、0.2 mg/ml聚氧乙烯蓖麻油EL或0.2 mg/ml卡波姆934)对阿莫西林的渗透性没有影响。十二烷基硫酸钠对阿莫西林主动分泌的作用主要归因于细胞ATP的可逆性消耗。我们得出结论,在旨在提高该药物口服生物利用度的给药系统中,十二烷基硫酸钠可被视为阿莫西林相对安全的渗透促进剂。