Majumdar Soumyajit, Nashed Yasser E, Patel Kunal, Jain Ritesh, Itahashi Motoki, Neumann Donna M, Hill James M, Mitra Ashim K
Division of Pharmaceutical Sciences, School of Pharmacy, University of Missouri-Kansas City, 5005 Rockhill Road, 64110-2499, USA.
J Ocul Pharmacol Ther. 2005 Dec;21(6):463-74. doi: 10.1089/jop.2005.21.463.
PURPOSE: The aim of this study was to evaluate a series of dipeptide monoester ganciclovir (GCV) prodrugs with the goal of improving ocular bioavailability of GCV from topical ophthalmic solutions. METHODS: Solubility, logP, pH-stability profile, permeability, interaction with corneal peptide transporter, and in vivo efficacy against herpes simplex virus type 1 (HSV-1) ocular disease in the rabbit model were studied. RESULTS: Val-Val-GCV, Tyr-Val-GCV, and Gly-Val-GCV were more stable in aqueous solution than Val-GCV, showing no measurable degradation even after 7 d at 37 degrees C, within the pH range of 1.4-5.4. Tyr-Val-GCV and Val-Tyr-GCV were the most lipophilic among the prodrugs synthesized and were predicted to have an n-octanol/water partition coefficient 33 times greater than that of GCV. All of the prodrugs had a much higher aqueous solubility than the parent drug. Transcorneal permeability of Val-GCV and Val-Val-GCV was seven- to eightfold greater than that of GCV, in the presence of a proton gradient, and was significantly decreased in the presence of Gly-Pro. Val-Val-GCV (1% w/v) provided significantly better therapeutic activity than trifluorothymidine (1% w/v) against HSV-1 epithelial keratitis and equivalent therapeutic activity against stromal keratitis in the rabbit eye model. CONCLUSIONS: Val-Val-GCV demonstrates excellent corneal permeability and chemical stability, high aqueous solubility, and substantial in vivo antiviral activity against the HSV-1.
目的:本研究旨在评估一系列二肽单酯更昔洛韦(GCV)前药,以提高GCV从局部眼用溶液中的眼部生物利用度。 方法:研究了溶解度、logP、pH稳定性曲线、渗透性、与角膜肽转运体的相互作用以及在兔模型中对1型单纯疱疹病毒(HSV-1)眼部疾病的体内疗效。 结果:Val-Val-GCV、Tyr-Val-GCV和Gly-Val-GCV在水溶液中比Val-GCV更稳定,在37℃下7天内,在1.4-5.4的pH范围内甚至没有可测量的降解。Tyr-Val-GCV和Val-Tyr-GCV是合成的前药中亲脂性最强的,预计其正辛醇/水分配系数比GCV大33倍。所有前药的水溶性均比母体药物高得多。在存在质子梯度的情况下,Val-GCV和Val-Val-GCV的角膜渗透性比GCV高7至8倍,而在存在Gly-Pro的情况下则显著降低。在兔眼模型中,Val-Val-GCV(1% w/v)对HSV-1上皮性角膜炎的治疗活性明显优于三氟胸苷(1% w/v),对基质性角膜炎的治疗活性相当。 结论:Val-Val-GCV表现出优异的角膜渗透性和化学稳定性、高水溶性以及对HSV-1的显著体内抗病毒活性。
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