Karasulu Ercüment, Yavasoğlu Altug, Evrensanal Z, Uyanikgil Yigit, Karasulu H Yesim
Department of Biopharmaceutics and Pharmacokinetics, Faculty of Pharmacy, University of Ege, Izmir, Turkey.
Drug Deliv. 2008 May;15(4):219-25. doi: 10.1080/10717540802006377.
This study was designed to investigate the possible histological effects of different intranasal (IN) formulations of indomethacin (IND) on nasal mucosa in sheep. For this purpose, oil-in-water (O/W) emulsion (E) and solution (S) formulations including 3 mg/mL of IND were prepared. Penetration enhancers such as polyvinylpyrolidone (PVP), citric acid (CA) and sodium taurocholate (NaT) were added to emulsion (1%) at the final step into the formulations. First, the effect of penetration enhancers on permeation of IND was evaluated by in vitro permeation studies in which sheep nasal mucosa was used. According to the permeation studies PVP showed the highest enhancing effect on the permeation rate of IND from sheep nasal mucosa. Furthermore, the IND permeation from E containing PVP (1.624 +/- 0.045 mg) was significantly higher than that obtained from E (0.234 +/- 0.012 mg) (p < 0.05). For the histological studies, white Karaman sheep of approximately 20 +/- 5 kg, aged 4 to 8 months were used. They were randomly divided into eight groups, each including three sheep. Five experimental groups received different formulations of IND emulsion without/ with penetration enhancers (E-PVP, E-CA, E-NaT, E) and IND solution (S), respectively. Parallel controls were composed of either untreated groups and were given blank emulsion or isotonic sodium chloride solution (0.31 mg/kg). 2 mL of each experimental formulation was applied to both nostrils of sheep, and 1/3 central and lower regions of the nose were dissected and prepared for light microscopy. Specimens stained with hematoxylin and eosin and Gomori's trichrome were examined by light microscopy. No signs of inflammation or erosion were noticed in the nasal mucosa of the control groups. Widened epithelial intercellular spaces were noticed in E-CA, E-NaT, and E-PVP groups as well with the E-PVP group showing the largest intraepithelial separations. E-CA and E-NaT groups showed significant decrease in the amount of goblet cells, while hypoplasia was considerably moderate in the E-PVP group. Finally, intranasal administration of IND emulsion with PVP may be considered as an alternative to intravenous and per oral administrations of IND to overcome their adverse effects.
本研究旨在调查吲哚美辛(IND)不同鼻内(IN)制剂对绵羊鼻黏膜可能产生的组织学影响。为此,制备了含3 mg/mL IND的水包油(O/W)乳剂(E)和溶液(S)制剂。在制剂制备的最后一步,将聚乙烯吡咯烷酮(PVP)、柠檬酸(CA)和牛磺胆酸钠(NaT)等渗透促进剂添加到乳剂中(1%)。首先,通过使用绵羊鼻黏膜的体外渗透研究评估渗透促进剂对IND渗透的影响。根据渗透研究,PVP对IND从绵羊鼻黏膜的渗透速率显示出最高的增强作用。此外,含PVP的E组的IND渗透量(1.624±0.045 mg)显著高于E组(0.234±0.012 mg)(p<0.05)。对于组织学研究,使用了体重约20±5 kg、年龄4至8个月的白色卡拉曼绵羊。它们被随机分为八组,每组包括三只绵羊。五个实验组分别接受含/不含渗透促进剂的不同IND乳剂制剂(E-PVP、E-CA、E-NaT、E)和IND溶液(S)。平行对照组由未处理组组成,给予空白乳剂或等渗氯化钠溶液(0.31 mg/kg)。将2 mL每种实验制剂应用于绵羊的两个鼻孔,并解剖鼻子的1/3中央和下部区域,准备进行光学显微镜检查。用苏木精和伊红以及Gomori三色染色的标本通过光学显微镜检查。对照组鼻黏膜未发现炎症或糜烂迹象。在E-CA、E-NaT和E-PVP组中观察到上皮细胞间隙增宽,其中E-PVP组的上皮内分离最大。E-CA和E-NaT组杯状细胞数量显著减少,而E-PVP组的发育不全程度适中。最后,鼻内给予含PVP的IND乳剂可被视为IND静脉内和口服给药的替代方法,以克服其不良反应。