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伯氨喹口服脂质纳米乳剂的制剂、抗疟活性及生物分布

Formulation, antimalarial activity and biodistribution of oral lipid nanoemulsion of primaquine.

作者信息

Singh Kamalinder K, Vingkar Sharvani K

机构信息

C.U. Shah College of Pharmacy, S.N.D.T. Women's University, Santacruz (W), Mumbai 400049, India.

出版信息

Int J Pharm. 2008 Jan 22;347(1-2):136-43. doi: 10.1016/j.ijpharm.2007.06.035. Epub 2007 Jul 10.

Abstract

Primaquine (PQ) is one of the most widely used antimalarial and is the only available drug till date to combat relapsing form of malaria especially in case of Plasmodium vivax and Plasmodium ovale. Primaquine acts specifically on the pre-erythrocytic schizonts which are concentrated predominantly in the liver and causes relapse after multiplication. However application of PQ in higher doses is limited by severe tissue toxicity including hematological and GI related side effects which are needed to be minimized. Lipid nanoemulsion has been widely explored for parenteral delivery of drugs. Primaquine when incorporated into oral lipid nanoemulsion having particle size in the range of 10-200 nm showed effective antimalarial activity against Plasmodium bergheii infection in swiss albino mice at a 25% lower dose level as compared to conventional oral dose. Lipid nanoemulsion of primaquine exhibited improved oral bioavailability and was taken up preferentially by the liver with drug concentration higher at least by 45% as compared with the plain drug.

摘要

伯氨喹(PQ)是使用最广泛的抗疟药物之一,也是迄今为止唯一可用于对抗复发性疟疾的药物,尤其是针对间日疟原虫和卵形疟原虫感染。伯氨喹特异性作用于主要集中在肝脏的前体红细胞裂殖体,裂殖体增殖后会导致疟疾复发。然而,高剂量使用伯氨喹会受到严重的组织毒性限制,包括血液学和胃肠道相关的副作用,需要将这些副作用降至最低。脂质纳米乳剂已被广泛用于药物的肠胃外给药。当伯氨喹被制成粒径在10 - 200纳米范围内的口服脂质纳米乳剂时,与传统口服剂量相比,在瑞士白化小鼠中以低25%的剂量水平就显示出对伯氏疟原虫感染有效的抗疟活性。伯氨喹脂质纳米乳剂表现出改善的口服生物利用度,并且肝脏对其优先摄取,与普通药物相比,药物浓度至少高出45%。

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