Teply Benjamin A, Tong Rong, Jeong Seok Y, Luther Gaurav, Sherifi Ines, Yim Christopher H, Khademhosseini Ali, Farokhzad Omid C, Langer Robert S, Cheng Jianjun
Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Biomaterials. 2008 Mar;29(9):1216-23. doi: 10.1016/j.biomaterials.2007.11.018. Epub 2007 Dec 21.
Protein drugs have low bioavailability after oral administration, which is due in part to fast transit of the drugs or drug delivery vehicles through the gastrointestinal tract. Increasing the time that the drugs spend in the intestine after dosing would allow for greater absorption and increased bioavailability. We developed a formulation strategy that can be used to prolong intestinal retention of drug delivery vehicles without substantial alterations to current polymeric encapsulation strategies. A model drug, insulin, was encapsulated in negatively charged poly(lactic-co-glycolic acid) (PLGA) microparticles, and the microparticles were subsequently mixed with positively charged micromagnets, whose size will prevent them from being absorbed. Stable complexes formed through electrostatic interaction. The complexes were effectively immobilized in vitro in a model of the mouse small intestine by application of an external magnetic field. Mice that were gavaged with radio-labeled complexes and fitted with a magnetic belt retained 32.5% of the (125)I-insulin in the small intestine compared with 5.4% for the control group 6h after administration (p=0.005). Furthermore, mice similarly gavaged with complexes encapsulating insulin (120 Units/kg) exhibited long-term glucose reduction in the groups with magnetic belts. The corresponding bioavailability of insulin was 5.11% compared with 0.87% for the control group (p=0.007).
蛋白质药物口服后的生物利用度较低,部分原因是药物或药物递送载体在胃肠道中的快速转运。增加给药后药物在肠道内的停留时间将有助于提高吸收并增加生物利用度。我们开发了一种制剂策略,可用于延长药物递送载体在肠道内的滞留时间,而无需对当前的聚合物包封策略进行重大改变。将模型药物胰岛素包裹在带负电荷的聚乳酸-羟基乙酸共聚物(PLGA)微粒中,随后将这些微粒与带正电荷的微磁体混合,微磁体的尺寸会阻止它们被吸收。通过静电相互作用形成稳定的复合物。通过施加外部磁场,复合物在小鼠小肠模型中有效地在体外固定。灌胃放射性标记复合物并佩戴磁带的小鼠在给药后6小时,小肠中保留了32.5%的(125)I-胰岛素,而对照组为5.4%(p=0.005)。此外,同样灌胃包裹胰岛素(120单位/千克)复合物的小鼠,佩戴磁带的组表现出长期的血糖降低。胰岛素相应的生物利用度为5.11%,而对照组为0.87%(p=0.007)。