Ahmad Zahoor, Pandey Rajesh, Sharma Sadhna, Khuller Gopal K
Department of Biochemistry, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Int J Antimicrob Agents. 2006 May;27(5):409-16. doi: 10.1016/j.ijantimicag.2005.12.009. Epub 2006 Apr 19.
This study was designed to evaluate the pharmacokinetics and tissue distribution of free and alginate-encapsulated antitubercular drugs in mice at different doses. Alginate nanoparticles encapsulating isoniazid (INH), rifampicin (RIF), pyrazinamide (PZA) and ethambutol (EMB) were prepared by controlled cation-induced gelification of alginate. The formulation was orally administered to mice at two dose levels (D1 and D2). A comparison was made in mice receiving free drugs at equivalent doses. Drugs were analysed by high performance liquid chromatography (HPLC). The average size of alginate nanoparticles was found to be 235.5+/-0.0 nm with a polydispersity index of 0.44; drug encapsulation was 70-90% for INH and PZA, 80-90% for RIF and 88-95% for EMB. In the free drug groups, plasma levels of RIF and INH were higher and PZA and EMB levels were lower in the D1 group (per body surface area of mice) compared with the D2 group (recommended human dose). The plasma drug levels of all drugs were higher in the D1 encapsulated group compared with D2, resulting in higher values of area under the plasma drug concentration-time curve (AUC(0-infinity)). The relative bioavailabilities of all drugs encapsulated in alginate nanoparticles were significantly higher compared with free drugs. Drug levels were maintained at or above the minimum inhibitory concentration (MIC(90)) until Day 15 in organs after administration of encapsulated drugs, whilst free drugs stayed at or above the MIC(90) up to Day 1 only irrespective of dose. The levels of drugs in various organs remained above the MIC at both doses for equal periods, demonstrating their equiefficiency. Alginate nanoparticles hold great potential in reducing dosing frequency of antitubercular drugs.
本研究旨在评估不同剂量下游离及海藻酸盐包裹的抗结核药物在小鼠体内的药代动力学和组织分布情况。通过海藻酸盐的可控阳离子诱导凝胶化制备了包裹异烟肼(INH)、利福平(RIF)、吡嗪酰胺(PZA)和乙胺丁醇(EMB)的海藻酸盐纳米颗粒。该制剂以两种剂量水平(D1和D2)口服给予小鼠。对接受等效剂量游离药物的小鼠进行了比较。通过高效液相色谱(HPLC)分析药物。发现海藻酸盐纳米颗粒的平均尺寸为235.5±0.0 nm,多分散指数为0.44;INH和PZA的药物包封率为70 - 90%,RIF为80 - 90%,EMB为88 - 95%。在游离药物组中,与D2组(推荐人体剂量)相比,D1组(按小鼠体表面积计算)的RIF和INH血浆水平较高,PZA和EMB水平较低。D1包裹组中所有药物的血浆药物水平均高于D2组,导致血浆药物浓度 - 时间曲线下面积(AUC(0 - ∞))值更高。与游离药物相比,海藻酸盐纳米颗粒包裹的所有药物的相对生物利用度均显著更高。给予包裹药物后,各器官中的药物水平在第15天前维持在或高于最低抑菌浓度(MIC(90)),而游离药物无论剂量如何,仅在第1天前维持在或高于MIC(90)。两种剂量下各器官中的药物水平在相同时间段内均保持高于MIC,表明它们具有等效疗效。海藻酸盐纳米颗粒在降低抗结核药物给药频率方面具有巨大潜力。