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环糊精在提高口服生物利用度方面的效用。

The utility of cyclodextrins for enhancing oral bioavailability.

作者信息

Carrier Rebecca L, Miller Lee A, Ahmed Imran

机构信息

Department of Chemical Engineering, Northeastern University, 457 Snell Engineering Center, Boston, Massachusetts 02115, USA.

出版信息

J Control Release. 2007 Nov 6;123(2):78-99. doi: 10.1016/j.jconrel.2007.07.018. Epub 2007 Aug 16.

Abstract

Cyclodextrins (CD) have been utilized extensively in pharmaceutical formulations to enhance oral bioavailability. A critical review of the literature in which cyclodextrins were utilized for this purpose was conducted. The goal of this review was to determine if quantitative guidelines for drug and cyclodextrin properties necessary for bioavailability enhancement using cyclodextrins could be extracted. Twenty-eight studies were examined in which the focus was on the use of cyclodextrins as solubilizers to enhance bioavailability. Commonly observed factors included: utilization of pre-formed complex rather than physical mixtures, drug hydrophobicity (logP > 2.5), low drug solubility (typically< 1 mg/ml), moderate binding constant (< 5000 M(-1)), low dose (< 100 mg), and low CD:drug ratio (< 2:1). These general guidelines, however, did not apply to all studies. Quantitative guidelines useful to a formulation scientist considering the use of cyclodextrins were difficult to develop due to missing information and the complicated manner in which drug and cyclodextrin properties interact to influence key drug delivery processes (e.g., dissolution, absorption). The mechanisms by which cyclodextrins influence these processes, again emphasizing solubilization capabilities, are discussed to provide further insight into why cyclodextrins will increase bioavailability in certain cases but not influence or possibly decrease bioavailability in others.

摘要

环糊精(CD)已广泛应用于药物制剂中以提高口服生物利用度。我们对使用环糊精实现这一目的的文献进行了批判性综述。本综述的目的是确定能否提取出使用环糊精提高生物利用度所需的药物和环糊精性质的定量指导原则。我们考察了28项研究,这些研究重点关注使用环糊精作为增溶剂来提高生物利用度。常见的观察因素包括:使用预先形成的复合物而非物理混合物、药物疏水性(logP > 2.5)、低药物溶解度(通常< 1 mg/ml)、中等结合常数(< 5000 M⁻¹)、低剂量(< 100 mg)以及低环糊精与药物比例(< 2:1)。然而,这些一般指导原则并不适用于所有研究。由于信息缺失以及药物和环糊精性质相互作用影响关键药物递送过程(如溶解、吸收)的方式复杂,难以制定对考虑使用环糊精的制剂科学家有用的定量指导原则。本文讨论了环糊精影响这些过程的机制,再次强调其增溶能力,以进一步深入了解环糊精为何在某些情况下会提高生物利用度,而在其他情况下却不影响或可能降低生物利用度。

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